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STUDENT NAME concept Client Safety- Retraints ACTIVE LEARNING TEMPLATE: Basic Concept REVIEW MODULE CHAPTER MH Chapler 2 Related Content (E.G, DELEGATION, LEVELS OF PREVENTION, ADVANCE DIRECTIVES) 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 Underlying Principles Order restraints for the shortest duration possible Restraints should never interfere with treatment Restraints should restrict movement as little as possible Restraints must fit properly Restraints must be easily changed to decrease the chance of injury and to provide the greatest level of dignity Nursing Interventions WHO? WHEN? WHY? HOW? 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. ACTIVE LEARNING TEMPLATES usm