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(Attach Label here or Complete Details) NAME: NHS: GENDER: DOB: AGE: WARD: Christchurch Hospital Campus Use of Restraint Date: Time: Location of patient: Family/WH?NAU consulted and informed of restraint?
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How to fill out use of restraint form
How to fill out use of restraint form:
01
Start by reading the instructions on the form carefully. This will give you a clear understanding of what information is required and how to proceed.
02
Gather all the necessary information before you begin filling out the form. This may include the name of the person who needs to be restrained, the reason for restraint, and any supporting documentation or medical records.
03
Begin by filling out the personal information section of the form. This typically includes the person's full name, contact information, date of birth, and any other relevant identification details.
04
Next, provide details about the reason for restraint. Include a brief description of the situation that necessitates the use of restraint and any relevant background information that may help in understanding the context.
05
If applicable, provide information about any witnesses or individuals who were present at the time the decision to use restraint was made. This may include their names, contact information, and their relationship to the person being restrained.
06
For healthcare professionals filling out the form, be sure to include details about the medical diagnosis or condition that justifies the use of restraint. This can help ensure that the appropriate actions are taken and that the restraint is used in the best interest of the person's well-being.
07
Finally, review the completed form for any errors or omissions before signing and dating it. Make sure all sections are filled out accurately and comprehensively to avoid any delays or complications in the process.
Who needs use of restraint form:
01
Healthcare professionals who are responsible for implementing the use of restraint as part of their clinical practice.
02
Caregivers or family members who may need to use restraint in specific situations where the safety of the person being restrained or others is at risk.
03
Institutions or organizations that have policies in place regarding the use of restraint and require proper documentation for legal and accountability purposes.
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What is use of restraint form?
The use of restraint form is used to document instances where physical or mechanical restraints are used on an individual.
Who is required to file use of restraint form?
Staff members or healthcare providers who use restraints on individuals are required to file the use of restraint form.
How to fill out use of restraint form?
The form typically requires information such as date and time of restraint, reason for use, type of restraint used, duration of restraint, and any injuries sustained.
What is the purpose of use of restraint form?
The purpose of the use of restraint form is to ensure transparency and accountability when restraints are used on individuals.
What information must be reported on use of restraint form?
Information such as date and time of restraint, reason for use, type of restraint used, duration of restraint, and any injuries sustained must be reported on the form.
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