ACTIVE LEARNING TEMPLATES TherapeuTic procedure A1
Basic Concept
STUDENT NA ME _____________________________________
CONCEPT ______________________________________________________________________________ REVIEW MODULE CHAPTER ___________
ACTIVE LEARNING TEMPLATE:
Related Content
(E.G., DELEGATION,
LEVELS OF PREVENTION,
ADVANCE DIRECTIVES)
Underlying Principles Nursing Interventions
WHO? WHEN? WHY? H OW?
Client Safety- Retraints
MH Chapter 2
Know laws on restraints
Use of restraints without an
order is considered false
imprisonment.
Order must be written
within 15-30 minutes of
application.
Must be renewed at every
2- 24 hours depending on
type of restraint
In consultation with the
primary care provider
restraints should only be
used as a last resort
Order must state why the
restraints are necessary
and how long they are
required
Restraints can be physical,
seclusion or chemical
Can be used in an
emergent situation if client
is of danger to self or
others
Should be ordered for the
shortest duration possible
Restraints should never
interfere with treatment
Should restrict movement as
little as possible
Must fit properly
Be easily changed to
decrease the chance of
injury and to provide the
greatest level of dignity
The behavior makes the
restraints necessary
Educate and explain
activity to client/family
Monitor frequently per
protocol
Document:
*precipitating
event/behavior
*alternate actions to avoid
restraints
*time treatment began
*clients current behavior,
what nourishment offered,
needs provided for, VS
assessment of site per
policy if physical restraints
used
*medication administered.
