When I was a child, I remember walking into nursing homes (now called long-term care facilities), walking down the halls, and seeing the residents tied to chairs along the hall. Many were left there for hours. Some would reach their arms out, begging to be untied while others simply sat and slept while tied to an uncomfortable chair. Those images are burned in my brain.
Several laws have been passed in later years to help prevent inappropriate use of restraints in healthcare facilities. Most restraints can be avoided and many facilities are now restraint-free. Caring for someone who is confused and pulling at tubes and equipment can be very difficult and poses potential harm to the patient. Caregivers want to protect the people for whom they provide care, and there are instances in which restraints may be the only alternative left.
This nursing practice test includes ten questions regarding the use of restraints in healthcare facilities. This information is based on current practice in North Carolina at the time this article was published; however, individual situations may require additional care. Facilities that use restraints will have specific policies regarding proper use and charting requirements. Healthcare providers should be trained to properly use any restraint before applying it. Safety, communication, and privacy issues should always be considered when providing care.
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Additional articles:
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Nursing Practice Test on Restraints |
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Free Study Guide for Nurses |
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Examples of Physical Restraints |
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Example of a Chemical Restraint |
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Complications of Restraint Use |
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Examples of Restraint Complications |
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Alternatives to Restraints |
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Benefits of Avoiding Restraints |
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Examples of Alternative to Restraint |
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Improper Use of Restraint |
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Do You Need a Doctor's Order Before Applying Restraints? |
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Doctor's Order to Apply Restraints |
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Mitt Restraints |
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How Often to Check Patient With Mitt Restraints |
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How to Tie Restraints |
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Properly Tying Restraints |
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How Often to Check Patient in Wrist Restraints |
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Check Patient in Wrist Restraints at Least Every 15 Minutes |
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How Often to Release Restraints |
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Release Restraints at Least Every 2 Hours |
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Purpose of Restraints |
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Restraints Should Not be Used for Staff Convenience |
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Nursing Study Guide and Practice Test |