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CSII- Rost

Safety Measures for Using Restraints

QuestionAnswer
Use correct size and restraint per care plan Never borrow another resident's device.
Apply a restraint only after receiving instructions, demonstration of proper application technique Never guess how a device is to be used or use a device without proper knowledge.
Use only approved devices. Never use sheets, towels, ropes, bandages, or other items to restrain a resident.
Use intact restraints. Never use restraints with tears, frayed fabric, missing hooks, loops, straps or other damage.
Position person in good alignment. Never position a resident after the restraint is applied.
Restraint should be snug but allow movement of the body part. Never restrict a resident's breathing.
Flat side of hand slides easily under body restraing or two fingers slide under a wrist or mitt restraint. Never tie a device so tight as to cause physical harm or too loose to allow for entrapment.
Bony area is padded. Restraint is applied over clothing. Never restrain a resident to position him/her on the toilet.
Secure the straps out of the person's reach. Never permit other residents to play with or release a knot.
Criss-cross in front. Never tie a device in the back (unless specific t manufacturer'r instruction).
Secure the restraint to facility policy. (Quick release knots are recommended). Neer tie a knot that cannot be released easily.
Use bed rail covers or gap protectors according to the nurse's instruction to prevent entrapment. Never secure restraints to bed rails.
Make sure straps do not slide in any direction. Never permit restraints to slide or become too loose. Straps that are too loose could permit the person to change directions and slide between rails, trays, and strangle.
Position person in a chai so that the hips are well to the back of the chair. Never use back cushions when a person is reclined. If the cushion moves, the person could slide and strangle.
Restraints should be in plain view at all times. Never cover the restraint with a sheet, blanket, bedspread, or cover.
Check the person's circulation above and below the restraints every 15 minutes. Fingers or toes should be warm and pink. Never continue using a restraint if you cannot feel a pulse, the skin is cold, pale or blue in color, person complains of numbness, tingling, or pain or the skin is damaged.
Remove the restraint and reposition the person every 2 hours. Meet basic needs. Never leave a nutritional or elimination need unattended; especially if th resident is frequently incontinent.
Keep the signal light within reach at all times. Never place person in an unsupervised area.
Keep scissors in your pocket to cut the device in the event of an emergency. Never be unable or unprepared to provide first aid and emergency care at any time.
Report and record the use and effects of the device. Failure to ensure that the person's quality of life is protected is abuse.
Created by: maryorost
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