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Document Title and Code: Restraint Use Policy / NHN PRU. Version: 1 Author: Prepared by Either Ni Dhomhnaill, Nursing Matters. Ratified by: Education and Steering Committee, Nursing Homes Nursing
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How to fill out releasing restraints--a nursing dilemma

01
Start by assessing the patient's condition and determining the need for restraints.
02
Carefully explain the reasons for the restraints to the patient and obtain informed consent when possible.
03
Choose the appropriate type of restraint (such as wrist restraints, waist belts, or limb holders) based on the patient's needs and safety requirements.
04
Ensure that the restraints are properly sized and fitted to prevent discomfort or injury to the patient.
05
Regularly monitor the patient while they are restrained, paying attention to vital signs, circulation, and skin integrity.
06
Provide comfort measures to the patient, such as repositioning, hydration, and toileting, to minimize physical and psychological distress.
07
Document the use of restraints, including the reason for use, type and location of restraints, ongoing assessments, and any interventions or observations made.
08
Regularly reassess the patient's need for restraints, aiming to remove them as soon as it is safe and appropriate to do so.
09
Involve the interdisciplinary team in decision-making regarding the use of restraints, seeking alternatives and exploring other interventions if possible.

Who needs releasing restraints--a nursing dilemma?

01
Patients who are at risk of harming themselves or others due to confusion, aggression, delirium, or certain psychiatric disorders may require restraints.
02
Patients who are at risk of pulling out medical devices, such as catheters or ventilator tubes, may also benefit from the use of restraints.
03
Restraining a patient should always be a last resort after other less restrictive interventions have been attempted and proven ineffective.
04
Proper assessment and individualized care planning are crucial in determining the need for and appropriateness of restraints on a case-by-case basis.

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Releasing restraints is the process of removing physical or chemical restraints from a patient in a healthcare setting.
Nurses and healthcare providers are required to file releasing restraints reports.
Releasing restraints reports should be filled out with detailed information on the patient, reason for restraint, duration of restraint, and the process of releasing the restraint.
The purpose of releasing restraints is to ensure the safety and well-being of the patient, while also complying with regulations and guidelines.
Information such as patient's name, date of restraint, reason for restraint, type of restraint used, duration of restraint, and details of its release must be reported.
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