سایت خرید تست های یوورلد

arterial blood gases, ABG interpretation, Ventilator alarms

#chapter9
#ABG
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❤️Sharing is Caring ❤️
لطفا این پیام را برای دوستانتون بفرستید
با تشکر🙏
@takaloo_rn

A physical #restraint is any manual, physical, or mechanical means of immobilizing or restricting the freedom of movement of a patient’s arms, legs, body, or head (Condition of participation: Patient’s Rights, 2019).
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Devices that can act as a #restraint are:

Belts
Vests
Jackets
Wrist restraints
Chairs with attached tables
Hand mitts
Bedding
Bed rails
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A chemical #restraint is a drug used to restrict a patient’s behavior or their freedom of movement and it is not a standard treatment or dose for the patient’s condition. Examples include (Mattingly & Small, 2021):

Benzodiazepines, such as lorazepam (Ativan®) and midazolam (Versed®)
Antipsychotics, such as haloperidol (Haldol®) and droperidol (Inapsine®)
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#Seclusion is the involuntary confinement of a patient alone in a room or area without the ability to leave. It should only be used for managing violent or self-destructive behavior (Condition of Participation: Patient’s Rights, 2019).
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Violent or Self-Destructive Behavior

To manage violent or self-destructive behavior, an order for restraint or seclusion can only be used for 24 hours at most. Rules for how many times restraint or seclusion can be extended are (Condition of Participation: Patient’s Rights, 2019):

Every 4 hours for adults 18 years of age or older.
Every 2 hours for children and adolescents ages 9 to 17 years.
Every 1 hour for children younger than age 9.
@takaloo_rn

Restraint and seclusion may ONLY be used when less restrictive methods do not work. Alternatives include:

Bed or chair alarms
A sitter or companion to monitor the patient
Placing the patient near the nurse’s station
Stopping or changing medications that cause or worsen the behavior
Reminding the patient not to touch tubes, lines, or catheters, and keeping them out of sight
Frequent reorienting
Stress reducing and relaxation techniques
Behavior modification techniques
Positive reinforcement
@takaloo_rn

Making sure restraints are not too tight. You should be able to put two fingers between a restraint and the patient’s skin.
Attach them to the frame (if the patient is on a bed) and never to the side rails or the mattress. With adjustable beds, attach restraints to parts of the bed that move with the patient
@takaloo_rn