Question

2 Paragraphs Identify & explain 2 nursing actions for restraints that can prevent it to occur. Must have citations and references

Answer 1

Ans) Nursing action for Restraint:

- Assess the appropriateness of the type of restraint/safety device used, informed consent

- Follow requirements for use of restraints and/or safety device (e.g., least restrictive restraints, timed client monitoring)

First 15 mins to hour, strict check pulse, skin for warmth, colour change.

- Monitor/evaluate client response to restraints/safety device

Reassess the need for Restraint to remove it as possible as can.

The most common reasons for restraints in health care agencies are to prevent falls, to prevent injury to self and/or others and to protect medically necessary tubes and catheters such as an intravenous line and a tracheostomy tube, for example.

All health care environments adopt the philosophy and goal of a restraint free environment; however, it is not often possible to prevent the use of restraints and seclusion. There are rare occasions when the use of restraints is not preventable because the restraints have become the last resort to protect the client and others from severe injuries.