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restraint
Intervention to prevent an excited, uncooperative or violent patient from doing harm to themselves or others.
Restraint may be physical or pharmacologic.
Alternatives to restraint: alarms treatment approaches safer environment
Requires order from physician or licensed independent practioner. A registered nurse may apply restraint for medical reasons in an emergency. A physician must order within 12 hours.
Order must include
- justification
- type of device used
Restraint may be terminated without an order by authorized staff
Medical restraint orders limited to 24 hours
Behavioral restraint orders limited to 4 hours or less
Behavioral restraint may be applied by physicians, RNs, LPNs,
EMTs, a physicians order written or verbal must be obtained within 1 hour
Specific
pharmacologic (chemical) restraint
physical restraint
General
clinical procedure
References
- Stedman's Medical Dictionary 26th ed, Williams &
Wilkins, Baltimore, 1995
- UCLA Intensive Course in Geriatric Medicine & Board Review,
Marina Del Ray, CA, Sept 12-15, 2001
- Veterans Administration