Will I be fired?

[kQ123_]

New nurse here, pt became physically violent towards staff. I was in the midst of giving the pt medications when I got an order for restraints. The charge nurse grabbed the restraints which included wrist and vest restraints. We got the pt in them, did my charting and went on for the night. 3 hours later I was looking at the actual order for the restraints and the order just said “soft limb restraints” no vest restraint. I immediately told the charge nurse and she did not make a big deal out of it and just said we would get an order (it was the end of my shift). I asked if I should write myself up for this and she also said no. I’m not sure if I am having an irrational fear or if I could lose my job and license over something like this. Any guidance would be appreciated. 

[TippyTappyMeow, MSN]

Did you get the order or put out communication so the provider was aware? I did not use restraints much on my unit, but something like this would not bother my providers. They'd much rather know staff was safe then in harms way.

When I worked as a sitter the nurses would often get restraint orders after placing them too. It almost always at their discretion what type of restrains would be used (within reason). 

[chare]

4 hours ago, kQ123_ said:

... I asked if I should write myself up for this and she also said no.  I’m  not  sure if I am having an irrational fear or if  I could lose my job and license over something like this.

As she should have.  And yes, I think you are overreacting.  If everyone that applied an incorrect restraint was written up, there would be few nurses not involved in the disciplinary process.

4 hours ago, kQ123_ said:

... Any guidance would be appreciated

As one of my facility's restraint champions, I always advise nurses that in these situations staff and patient safety should be your primary concern.  You successfully  accomplished this goal.  The only suggestion I think I could make would be to review your order as soon as restraints have been applied and the situation is somewhat more controlled.  Other than this, applying restraints on a patient acting violently towards staff is a stressful situation at best, and I think you handled it appropriately. 

Good job, and best wishes.

[Leader25, ASN, BSN, RN]

Follow up is important no matter whether it is time for your shift to end. Tie up the loose ends ,[sorry ,no pun intended ].

you do not want any phone calls on your day off, that the family came in and complained,,..and so on.