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Arm Positioning For Restraints

Psychiatric   (508 Views | 1 Replies)

CSUSM10 is a RN and specializes in ER psych.

5,574 Profile Views; 174 Posts

Being an ER (psych) RN, I've had to use physical hard restraints on several patients.  There have been cases when we have restrained the patient with one arm above the head and one arm below/down by the waist.  

What are the pros of doing this versus just restraining both arms below the waist?

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hppygr8ful has 15 years experience and specializes in Psych, Addictions, Elder Care, L&D.

6 Followers; 3 Articles; 2,955 Posts; 33,511 Profile Views

I couldn't find the reference but in our facility we are taught that one arm up and the other at the waist allows for better chest wall expansion. While positioning both arms above the head or at the waist inhibits chest wall expansion making it harder for the patient to breath.

Hppy

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