1. |
True |
|
False |
|
Restraints can be physical or chemical. |
2. |
True |
|
False |
|
Restraints must be clinically justified and used as a last resort when all other less restrictive measures have been exhausted. |
3. |
True |
|
False |
|
A physician’s order is required for the application of restraints. |
4. |
True |
|
False |
|
A physician’s order for restraints must specify: (1) the restraint type, (2) the justification for the restraint, (3) date and time ordered and (4) duration. |
5. |
A physician
must see the patient within
hour of restraint application
to complete a face- to- face assessment and to
evaluate the need for restraint if applied in an
emergent dangerous situation. |
6. |
True |
|
False |
|
An exception to obtaining a physician’s order prior to application may occur if the physician is unavailable and the patient presents an immediate danger to self or others and all other alternatives and less restrictive interventions have been determined to be ineffective. |
7. |
The physician
will be notified immediately but no more than
minutes
of initiation if a restraint has been applied in
an emergent dangerous situation. |
8. |
All restraint
orders are time-limited to
hours. |
9. |
True |
|
False |
|
If a restraint is discontinued prior to the expiration after original order and re-initiation of restraint is indicated, a new order must be obtained and a face–to-face assessment completed by the ordering physician. |
10. |
True |
|
False |
|
The RN will provide the patient/family with an explanation of restraint utilization and the reason for restraints. Unsuccessful interventions and alternatives should also be discussed and input from the patient/family/significant other should be solicited. |
11. |
True |
|
False |
|
Position change, respiratory check, food/fluid offered, toileting provided, ADL provided and dignity maintained are included on the every 15 minute monitor tool. |
12. |
True |
|
False |
|
The least restrictive restraint necessary should be used. |
13. |
True |
|
False |
|
Complications of restraints include: poor circulation, pressure sores, increased agitation, inability to sleep. |
14. |
True |
|
False |
|
Criteria for removal of restraints can include: improvement in mental status; less restrictive measures are effective; patient’s compliance with instructions and patient’s lines are discontinued or no longer required. |
ACKNOWLEDGEMENT OF TRAINING
I have read and understand the training guidelines for Restraint Policy and Procedure
|
