Published Sep 29, 2008
lovendove
73 Posts
can anyone point me in the right direction: I'm looking for alternatives to restraints that do not need orders. For instance, in my hospital you can use the waist belt without an order because the patient can remove it themselves (it fastens in the front with a clip). I believe we can also use a bed side table...
Mainly I need to know what is and isn't acceptable on the NCLEX without an order. Meaning what restraints need orders. TY!
hotshot12345
55 Posts
All, restraints do need doctors orders. In my hospital, restraints order need to be completed EVERYDAY. However, they would be last resort. On the NCLEX, pick the action that is least invasive and cause the least harm. For example, if the pt is agitated, instead of using restraints, try decreasing stimulation (darken room).
Melinurse
2,040 Posts
In addition, if a patient is agitated sometimes a sitter can be used or soothing music.
If a patient is disoriented, a sitter can reorient them or you can give someone with " busy hands " a job such as folding towels. ( at our facility a person with " busy hands " is one who likes to pull out their IV or pick at their dressings, etc )