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What Is The Use Of Restraints In Health Care

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Scholarly Paper on Use of Restraints In the Health care system it is important to provide best quality care in a safe environment and ensure dignity of care. So, interventions like using restraints on patient is necessary to ensures patient safety as well as safety of others. (Crozer Ketstone, 2009). “Restraints are physical, chemical or environmental measures used to control the physical or behavioural activity of a person or a portion of his or her body” (CNO, 2017). The extensive use of restraints is an issue of increasing concern in today’s nursing practice. It is an argumentative and controversial issue over the years and its use has both positive and negative outcomes. Restraints are often used to control the behaviour of people with mental conditions in a variety of settings including hospital …show more content…

And most of times restraints are considered as a nursing intervention to keep the patient from pulling at tubes, drains, and lines or to prevent patient’s movements from when it’s restricted. Nurses should always focus on evidence- based practices within the setting of the nurse-client relationship and on methods for assessment, prevention, and use of alternative practices to prevent the use of restraints and move on to restraints-free care in various settings such as acute, long term and home health-care. In Ontario, the Patient Restraints Minimization Act advice healthcare settings to look over alternative methods and use restraints only as a last resort when a person is at harm to themselves and/or others (RNAO 2012). The hospital has a legal and ethical responsibility to support a least restraint policy that provides a safe and therapeutic environment

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Week Eight Response to Jurgensen Michael, I chose the Clinical Nurse Leader (CNL) role in the emergency department (ED) for my project as well. However, the CNL facilitating the implementation of care for the ED boarded psychiatric patient is brilliant, and not something I had considered. Likewise, our ED boards psychiatric patients, frequently for numerous days prior obtaining inpatient placement for them. In various facilities a physician assistant (PA) assumes the responsibilities for establishing ED boarded psychiatric patient care, however, the CNL stands as a considerably superior individual to expedite care during the transitional period for the ED psychiatric patient boarding for extended periods (Jayaram, 2006).

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The paramedics could have avoided the use of restraints through other methods such as better explaining the situation; the police could have been used to help with patient privacy and explanation of options. The needle stick injury could be an ethical decision as the patient has the right to know that an error was made. Reference: 1. NSW HEALTH.

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Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.

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Ms. Augustin Doreus has also been very active in the following hospital committees such as: Restraint, Safety, Fall, ConED, and Performance Improvement. Furthermore, she has been a voice for the veterans focusing on changing the culture of how restraints are being used in the organization. She advocates on focusing more on alternative measures such as, de-escalation techniques, therapeutic communication, recognized early sing of agitation, and intervene on a timely manner, and so on. Outcome: As a member of the Hospital Restraint Committee and the leader of the Sub-restraint committee, Mrs. Augustin Doreus proposition to the Restraint Committee was to change the philosophy of our current restraint practice to focus more on finding alternative ways to keep our veterans safe during behavioral outburst.

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Falls of critically ill patients admitted to the ICU routine should be avoided developing certain strategies used outside this area, such as prevention of displacement, promote stability, elimination of sliding hazards routinely ensure that the patient is oriented to the environment and the bell is at the fingertips, keeping the beds in the lowest position and braking, providing adequate lighting, and provide anti-slip footwear and technical assistance in lifting patients bed. The response time of the call prolonged ringing patient or family is just one of the potential causes of falls, firstly because if the response time is greater serve their needs later, and partly because no response to the patient may start feeling agitated. Shift schedules nurses can be particularly effective in preventing falls, as they allow the staff to anticipate and address the needs of each patient. The tubing, drains and cables must be securely to prevent tripping when lifting or embody patients. Although falls can happen without warning, subsequent falls can be avoided if the etiology of them is

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7 / D.P7: Explain how different procedures maintain health and safety in a selected health or social care setting Maintaining health and safety in health and social care is extremely important to ensure the health, safety and wellbeing of all their service users as well as other individuals service providers may come in contact with in the setting. There are several procedures that help to maintain this health and safety however they can all vary between settings for example, health and safety procedures will be slightly different and more focused on certain areas in hospitals and especially in paediatric ward compared to in drop-in centres where the needs and risk to service users are slightly different. Some of the procedures used in health and social care to maintain health and safety include; infection control and prevention, safe moving and handling of equipment and individuals, food preparation and storage, storage and administration of medication and storage and disposal of hazardous substances.

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The facilities enforcing protocols and policies to secure that employees are meeting government regulations. Doctors, nursing staff and support staff I must use their best ethical and moral judge in most case to ensure patients are being retreated. Thus, sometimes causing conflict with health care administration because health care workers sometimes unknowingly break policies or protocol by putting patients first. As well as hospitals and clinics have so many departments that there can be conflict of interest with patient care that can cause inconsistency with patient care (Santilli, J. el al., 2015, Para

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Experts conclude this practice is both widespread and underreported. Staff use solitary confinement as a security management tool; until more effective solutions are available and implemented, youth will continue to experience substantial negative repercussions of being confined in a solitary cell. Facility staff need effective and easily-implementable alternatives they can use. Some of the psychological distress from spending time in confinement can lead to instances of self-harm, suicide,

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Physical and mechanical restraint can be similarly defined to be “Any device or individual that confines or restricts movement,” whereas chemical restraint is defined to be “Any drug that is used… to either control behavior or to restrict the patient’s freedom of movement that is not typically administered… as being prescribed for a medical treatment or psychiatric condition” (Fryer 27). Clearly, there is a stark difference between the physical and mechanical restraint uses as compared to the chemical, for many would consider injecting an adolescent with a medication that they are not prescribed for as being unlawful. Seclusion of a patient involves confining a patient, voluntarily or involuntarily, to a set space or location without any social interaction, but sometimes the patient is adamant and refuses to adhere to the order.

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This act created a major revision of standards of care for nursing homes. This legislation also changed the expectations and the quality of care that patients should receive in long term care facilities. This Nursing Home Reform Act passed by congress specifically stated “that each residents have the right to be free from any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms”. While there may be some benefits to using restraints in nursing homes, however, studies have shown that using restraints in nursing homes negatively impacts patients and for the most part does not prevent them from falling or from other incidents that may occur. There are very high levels of risks associated with the use of restraints (Lapane,150).

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(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent

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There are currently two types of solitary confinement that are commonly used today. The first is known as disciplinary segregation, which is used when an inmate breaks the rules. Secondly there is administrative segregation for when an inmate is seen as being a risk to the safety of staff or even other prisoners. Even though the means and conditions may vary from facility to facility the average time spent in confinement is thirty seven days. While some research defends that solitary confinement may be a humane practice for prisons to use, the majority still argues that a wide range of psychological and physiological effects are associated with solitary confinement.

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In the Health care system it is important to provide best quality care in a safe environment and ensure dignity of care. So, interventions like using restraints on patient is necessary to ensures patient safety as well as safety of others. (Crozer Ketstone, 2009). “Restraints are physical, chemical or environmental measures used to control the physical or behavioural activity of a person or a portion of his or her body” (CNO, 2017). The extensive use of restraints is an issue of increasing concern in today’s nursing practice.

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Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,

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A study was done to view just how much horizontal violence could affect patient safety and it was found that there was an increase in patient falls and a delay in care due to nurses not communicating to one another or not wanting to help a fellow coworker when asked

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