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Restraints

Nurses   (11,923 Views 43 Comments)
by mindlor mindlor (Member) Member

17,238 Profile Views; 1,341 Posts

Hey boss,

My pt keeps disconnecting herself from the vent, can I get some mittens?

Boss says, "no, we are a no restraint facility, just take a sheet, wrap it around her arms and then loop it around the mattress so she cant move"

Brilliant

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1 Follower; 6,980 Posts; 32,565 Profile Views

Your bos is nuts.

Hey boss,

My pt keeps disconnecting herself from the vent, can I get some mittens?

Boss says, "no, we are a no restraint facility, just take a sheet, wrap it around her arms and then loop it around the mattress so she cant move"

Brilliant

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RNperdiem has 14 years experience as a RN.

1 Follower; 4,205 Posts; 29,503 Profile Views

How about a sitter if this patient is constantly requiring reconnection to the vent?

I have also seen a trick of twisting a rubber band to connect trach to vent for patients who tend to pop off the vent every time they turn or move, but are not actively pulling on their tubing.

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iluvivt has 32 years experience as a BSN, RN and specializes in Infusion Nursing, Home Health Infusion.

2,728 Posts; 24,661 Profile Views

Her suggestion is also a restraint!. I love how we are responsible for things when we are not allowed to have the proper tools and staffing to do so. What about chemical restraints? If the mitts are not tied to the bed and the fingers can freely move does your facility consider that a restraint?

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sapphire18 specializes in ICU.

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Illegal, and where I work mitts are not a restraint.

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SwansonRN has 2 years experience.

465 Posts; 9,547 Profile Views

Same, mitts are not a restraint where I work, but they only work well on certain types of patients. A lot of patients are crafty enough to slip them right off.

Properly applied soft wrist restraints sounds a lot more humane than tying someone up in bed linens. Your boss has issues.

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noyesno has 9 years experience as a MSN, APRN, NP.

820 Posts; 17,700 Profile Views

Hey boss,

My pt keeps disconnecting herself from the vent, can I get some mittens?

Boss says, "no, we are a no restraint facility, just take a sheet, wrap it around her arms and then loop it around the mattress so she cant move"

Brilliant

Sounds like a straight jacket. Your boss is an idiot (no offense).

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RNewbie specializes in Trauma-Surgical, Case Management, Clinic.

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Boss says, "no, we are a no restraint facility, just take a sheet, wrap it around her arms and then loop it around the mattress so she cant move"

Well that's the exact definition of a restraint, not to mention illegal!

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559 Posts; 10,935 Profile Views

sounds like a long-term care facility?

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1 Follower; 8 Articles; 728 Posts; 40,165 Profile Views

sounds like a long-term care facility?

My experience is that LTC figures out many other ways of dealing without restraints. Side rails not used because people climb over them. Most hospitals are not as gifted in getting creative about ways of helping the person with restraints. You can restrain if necessary. Make sure you document other methods tried and do the rest of the protocol. Sitters are an easier choice.

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OnlybyHisgraceRN is a ASN, RN and specializes in LTC and School Health.

738 Posts; 17,080 Profile Views

How about some MJ juice? Sorry. Former icu nurse couldnt resist....

1. Acknowlege feelings

2.Orient patient

3. Remain Calm

Seroiusly though, you shoud be llowed to use mitts

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2 Articles; 11,114 Posts; 14,434 Profile Views

Simple. (I am assuming that you can't wean 'er off the vent, which would really be the best thing.)

 

Have a family conference to explain why restraints should be used. Get their consent and buy-in. Get a physician order for restraints, and be damned sure you document them to the letter and spirit of the regs.

 

If no family, ask your social services people to start the process for a guardian ad litem.

 

I am reasonably sure that your boss would rather defend the use of restraints than a death.

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