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Jessie Hernandez VSIM FALL 2026 Chamberlain

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2026/2027 Written for academic year
Institution LWW VSim For Nursing
Course LWW VSim for Nursing
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Jessie Hernandez 1. Describe the types of restraints and the cues/criteria needed for implementation of each type of restraint. Physical Restraints: • Soft wrist restraints • Mitt restraints • Vest restraint • Limb restraints Criteria for use • Patient is an immediate danger to self or others. • Less restrictive interventions have failed. • Used to prevent interruption of life-saving treatment (removing IV, ET tube). • Requires a healthcare provider order. • Time-limited and reassessed frequently. Nursing Care • Assess circulation every 2 hours or per policy. • Remove restraints regularly for ROM, hygiene, nutrition, toileting. • Document behavior requiring restraint. • Continue attempting least restrictive alternatives.

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Jessie Hernandez


1. Describe the types of restraints and the cues/criteria needed for implementation of each
type of restraint.
Physical Restraints:

• Soft wrist restraints
• Mitt restraints
• Vest restraint
• Limb restraints
Criteria for use

• Patient is an immediate danger to self or others.
• Less restrictive interventions have failed.
• Used to prevent interruption of life-saving treatment (removing IV, ET tube).
• Requires a healthcare provider order.
• Time-limited and reassessed frequently.
Nursing Care

• Assess circulation every 2 hours or per policy.
• Remove restraints regularly for ROM, hygiene, nutrition, toileting.
• Document behavior requiring restraint.
• Continue attempting least restrictive alternatives.

Chemical Restraints:

• Haloperidol
• Lorazepam
• Olanzapine
Criteria

• Severe agitation
• Violent behavior
• Patient poses immediate danger
• Used only when therapeutic communication and de-escalation fail

Seclusion

Criteria

• Violent or aggressive behavior
• Danger to others
• Last resort after less restrictive measures fail
Nursing Care

Document information

Uploaded on
August 13, 2026
Number of pages
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Written in
2026/2027
Type
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Grade
A
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