on my picu in st. gallen, switzerland, we are attempting to develop a standard guideline for the use of physical restraint in ped. icu. we have based it on the american society for critical care medicine guidelines from 2003, and are trying out the richmond sedation agitation scale as an asessment instrument. do any of your units have a guideline in use. i havent found any pediatric specific literature
. it would be great if anyone had some tips to give us
[font="franklin gothic medium"]we use soft wrist restraints in my picu, sometimes elbow splints instead depending on line access. our kids are well sedated, but rarely paralyzed. babies are swaddled if possible, so no need to restrain them sometimes. we are a very well-staffed unit, however, and all intubated kids are 1:1. never in my life would i trust a parent to sign a contract to be responsible for the intubated kid...many of our parents usually don't listen to rules anyway and must be constantly reminded. we don't use any type of sedation or agitation scales here. we have occasionally had to use 4 point leather restraints on large hallucinating teens, but it's pretty rare. usually when they come in high, they're pretty happy...
Last edit by kessadawn on Jan 8, '09
: Reason: cannot spell or punctuate correctly