Restraints

2. The use of any manual method, physical or mechanical device, material or equipment that immobilizes or reduces the ability of a patient to move his/her arms, legs, body, or head freely; or a drug or medication when it is used as a restriction to manage the patient’s behavior or restrict the patient’s freedom of movement and is not a standard treatment or dosage for the patient’s freedom of movement and is not a standard treatment or dosage for the patient’s condition.
4. Each _______ shall also include the patient’s need for: Restraints, Fluids, Toileting, Range of motion, Behavioral and mental status, Vital signs, and Skin integrity.
5. Documentation of monitoring shall occur at a minimum of every _____ hours. Monitoring may be more frequent based on a patient’s physical needs and medical status.
6. The following information must be monitored for every _____ hour(s): Respiratory rate; Circulation status for color; Skin integrity; Behavior; Any change to the patients condition.
8. ___________ physical restraints include: Bed sheets, bath blankets, Belts, other articles, Hand mitts that are tied or pinned to the bed, and Restraints used simultaneously with seclusion.
9. __________ restraints may only be used for the management of violent or self-destructive behavior.
10. The RN will assess the patient’s need for continued restraint use at the beginning of the ______ and contact the physician for a new order within the first four hours of the shift.

1. Use the _____ restrictive type of restraint and apply restraints.
3. What length of time are the restraint orders active in Sunrise?
7. Restraint shall be discontinued at the ________ possible time, regardless of the length of time in the order.