Restraints

[mindlor]

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

[Nascar nurse, ASN, RN]

sounds like a long-term care facility?

Really? You must not have any idea about the realities of LTC.

[CapeCodMermaid, RN]

Mitts are a restraint since anything that prevents free movement or free access to one's body IS a restraint.We used to have a resident who liked to strip and make poop paintings. We got an adult onesie and had to document it as a restraint.

[SoldierNurse22, BSN, RN]

Mitts are a restraint since anything that prevents free movement or free access to one's body IS a restraint.We used to have a resident who liked to strip and make poop paintings. We got an adult onesie and had to document it as a restraint.

That sounds like a nurse's worst nightmare in a code brown. :-( Points for creativity, though!

[Garethaus]

Mitts are a restraint since anything that prevents free movement or free access to one's body IS a restraint.We used to have a resident who liked to strip and make poop paintings. We got an adult onesie and had to document it as a restraint.

What, literally? An actual artistic endeavour instead of just a mess?

"What do you think of my painting I made?"

"I think it's a load of crap"

[WildflowerRN]

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

That is technically a restraint.

[joanna73, BSN, RN]

Mitts are a restraint, but much safer and humane than a bed sheet. God! That scenario sounds awful. I work LTC. We abide by the policy of "least restraint". What you've described about the bed sheet would be cause for our facility to be reported, if we allowed that.

[Alex Egan, LPN, EMT-B]

That's the moment I look at my boss and calmly paraphrase what they said back to them. Most times when they hear it rather than say it they realize how stupid it is. Or I immediately start job hunting because I can't have that person as my boss. Also call the DON if th boss doesn't immediately realize how stupid that idea is.

[Esme12, ASN, BSN, RN]

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

Has your boss been in charge at an LTAC before???? What in heavens name is she doing suggesting you use a bed sheet? Let's let her hang herself on the tied sheet....for the love of....

Has this person ever worked an ICU and do they know the difference between behavioral restraint and medically necessity restraints? The "restraint free" facilities refer to the use of behavioral restraint to correct a behavior....not prevent them from interfering with medical equipment that endanger their lives.

What the blazes is she thinking....

[amygarside]

It sounds a frustrating situation.

[Intentional]

It was always my understanding that a mitt wasn't considered a restraint unless it was tied to the bed/chair/etc.

[adnrnstudent, ASN, RN]

I would like to restrain "No restraint policies."

[Music in My Heart]

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

1. Acknowlege feelings

2.Orient patient

3. Remain Calm

And apply haldol/ativan/benadryl liberally :-)