18 ideas to reduce need for restraints
18 ideas to reduce need for restraints
Try these alternatives instead of restraint in the ED, recommended by Kathleen Catalano, RN, JD, senior consultant to the Greeley Co., a health care professional consulting firm in Marblehead, MA, specializing in regulatory compliance:
• Provide a quiet environment.
• Provide a clutter-free environment.
• Give simple instructions.
• Limit number of caregivers.
• Give the patient a backrub.
• Speak in a soothing tone.
• Dim the lights.
• Provide a structured approach.
• Move equipment out of patient view.
• Provide a sitter.
• Lower the patient’s bed.
• Play relaxation tapes/music.
• Give the patient picture books.
• Ask a family member to sit with the patient.
• Encourage large muscle activity, if possible.
• Approach in a slow, nonthreatening manner.
• Maintain a calm attitude.
• Have the patient sit in a rocking chair.
Sources
For more information on de-escalating violent patients, contact:
• Carol Buschur, RN, CEN, The University Hospital, 234 Goodman St., Cincinnati, OH 45267. Telephone: (513) 584-3379. Fax: (513) 584-2637. E-mail: [email protected].
• Diane Presley, RN, MSN, Director of Nursing, Emergency Services/Critical Care, Seton Medical Center, 1201 W. 38th St., Austin, TX 78705. Telephone: (512) 324-1031. Fax: (512) 324-1401. E-mail: [email protected].
• Sherlene Stepp, RN, MICN, Clinical Nurse Supervisor III, UCI Medical Center, 101 The City Drive, Route 128, Orange, CA 92868. Telephone: (714) 456-6549. Fax: (714) 456-5390. E-mail: [email protected].
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