Restraint procedures

If we get a phone order we remind them then and there about signing. We flag the order. If time begins to run out we begin a phone call campaign. If we remove the restraints due to lack of order we get a sitter, but we also alert risk mgmt so the chain of command can be started. Have found that old fashioned harrassment works best.

Ditto, orders get flagged with a bright red "SIGN HERE" side sticker.

If we see more than two, we have to call and remind them. If there's more than three, the attending gets a 'talking to.'

you have to just keep buggin them. i agree with the first post-er, old fashioned pages; calls and notes keep them in check! lol

We clip the order to the front cover of the chart, so they have to see it.

It is also up to who ever the nurse is to the restrained pt to remind rounding dr to sign the order. We are pretty good about getting them signed. That is one question our house supervisor asks every night during rounds "anyone in restraints?" she then marks the room number of the pt on her sheet and passes it off to day supervisor who will then also check to make sure order is signed.

If the patient is a "long term" restraint...we on NOC's put a new order sheet in the chart, and they sign it in the AM. Our patients have to be seen everyday, so they open it up and sign away. For a new restraint order, we do a telephone order and the doc signs the new one in the AM. Our doc's are really good about signing them. The restraint orders on our floor are 24 hour...I know that the med floors are q 12, or something. So I can see that being much more complicated