Seclusion & Restraint

[imapsychrn]

I am sure there has to be a specific guideline for this. Can someone help me out? I am in Oklahoma. I tried the joint commissions website and couldn't find anything.

(Specifically for when it is acceptable)

Thank you in advance!!

[elkpark]

There are different rules for different kinds of facilities/programs (acute inpatient vs. residential, etc.), and rules/regulations promulgated by CMS, Joint Commission, and your state. You need to be v. familiar with all the requirements, both about what kinds of situations warrant use of seclusion and/or restraint, and what the requirements are for care and monitoring of an individual in seclusion or restraints, in your state if you're going to be working in psych. Is your employer not providing you with info and training?

The general, universal rule for "when" is only in situations in which the individual is an acute danger to self or others (however, the day-to-day, working definition of that varies somewhat among states and among facilities).

[MrChicagoRN, RN]

Try apna.org

You can probably find your state MHC online.

Interventions should be on a contiuum & restraints are your last resort to keep your patient, and others, safe.

[sharpeimom]

Do you have a policy and procedure manual? When I nursed in a state psych hospital, the aides restrained violent patients carefully so no one was injured, while the nurse called the on call for specific orders. We had certain standing order drugs we could give patients before we resorted to using the restraint chair or other restraints, but we needed the MD's OK for restraint use every time. Oklahoma may be different.

[MrChicagoRN, RN]

APNA:

"Seclusion & Restraints, Position Statement & Standards of Practice."

Costs about $10 or so.