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Restraints used when: - 🧠ANSWER ✔✔safety of patient
staff member and
themselves
What should you NEVER use restraints for? - 🧠ANSWER ✔✔punishment
discipline
coercion
convenience
Why are alternatives to restraints so important? - 🧠ANSWER ✔✔- pt.
becomes weaker with immobilization
,- restraint devices increase agitation
- greater risk for falling/injuries
- psychological side effects like anger, loss of dignity, depression
Medical Restraints - 🧠ANSWER ✔✔To keep them from pulling something
that they need for medical therapy (i.e. ventilator)
Behavioral restraints - 🧠ANSWER ✔✔risk for harming
What is needed for restraints? - 🧠ANSWER ✔✔24 hour renewing orders
1hr in emergency
behavioral check every 15 minutes
release at least every 2 hours
Documentation of behavioral restraints: - 🧠ANSWER ✔✔- the need for
restraints
- alternatives that were applied to avoid usage
- notification of family
- time restraints were initiated/discontinued
- type of restraints
,- pt. behaviors while in restraints
- ongoing communication with pt/family about termination of restraint
How often should MD assess behavioral restraints? - 🧠ANSWER ✔✔8 hrs
What parts of the body should NOT be stapled? - 🧠ANSWER ✔✔hands,
feet, neck ,face
What is the primary goal of ulcers? - 🧠ANSWER ✔✔increase circulation to
the area in question
Which of the following is correct when obtaining a wound culture by swab?
A. Roll swab around in a pool of exudative material.
B. Swab culture areas where slough or eschar is present.
C. Roll the swab around the wound edges
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, D. Swab the wound from margin to margin in a 10 point zigzag pattern -
🧠ANSWER ✔✔D
Where do you put restraints? - 🧠ANSWER ✔✔pad bony prominences
quick release knot
tie to bed frame not side rails
walking with a cane - 🧠ANSWER ✔✔Hold cane on UNAFFECTED side
move injured leg after moving cane
i) Standard precautions - 🧠ANSWER ✔✔for all patients
contact precautions - 🧠ANSWER ✔✔measures taken to prevent the spread
of diseases transmitted by the physical transfer of pathogens to a
susceptible host's body surface
Contact precautions have what 5 things? - 🧠ANSWER ✔✔Private room -
door can be open
Gloves
Gown- if giving direct care
Handwashing