Procedure Guidelines on Restraining.docx
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Restraining is used to control aggressive behavior and ensure safety. It prevents free movement and access to one's body. Restraining should only be used to manage violence or facilitate care, not for punishment or staff convenience. The guidelines state that restraining requires a doctor's order, adequate staff, checking circulation and positioning every 15 minutes, range of motion exercises, and monitoring vital signs after. However, the checklist showed the guidelines were not fully followed, so staff need more training on the proper restraining procedure.
Procedure Guidelines on Restraining.docx
- 1. Procedure Guidelines on Restraining Restraining The activity /procedure of controlling and calming clients behavior through chemical and mechanical means. It prevents the patients’ free movement to a position of choice and for patients’ normal access to their body .It should not to be used as the punishment or for the convenience of the staff. Purpose To manage agitation and aggression of the violent patient. To facilitate examination, treatment and care. To maintain safety of the patient ,staff and others To prevent patient wandering. Checklist on Restraining (05/06) S. No. Instructions Yes No During Restraining 1. Doctors’ order to restrain the patient 2. Adequate personnel present (ideally 5) to control aggressive behavior. 3. Encourage voluntary application of restraints x 4. Positioning of the patient in case of the chemical restraint(lying position). 5. Place the patient supine with one arm extended above head and other arm at the side 6. Apply restraints to the upper limbs followed by the lower limbs. 7. Place legs far to each other 8. Do not leave patient alone after restraints have been applied. Continuing Restraining 9. Check restrained patient for proper application of restrain. 10. Check for Adequate circulation to limbs Color of skin Mental status Respiration Nutrition x x x x
- 2. Hydration Elimination Every 15minutes x x 11. Release and loosen restraint every 15minutes x 12. Provide active range of motion exercise to each limb x 13. Change the position of the patient. After Restraining 14. Check the vital signs 15. Observe for the change in behavior Impression Restraining procedure is carried out in the ward as per the need of the patient. While performing the restraining procedure the procedure guideline is not followed completely. There is found the lagging in the knowledge of the staff regarding the restraining procedure. So, staffs need to be updated with the guidelines of the procedure conducted in the ward.