Module K: Restraint Elimination, Reductions, Appropriate Use

Front 1

Define Chemical Restraint

Back 1

Any drug used to control actions of a resident for convenience of staff

Front 2

Define pelvic support

Back 2

A physical restraint used between the thighs to keep a resident's hips from slipping forward

Front 3

Define Physical Restraint (protective device)

Back 3

Any physical or mechanical device, material or equipment which restricts freedom of movement or normal access to one's body

Front 4

Define Restraint

Back 4

A physical or chemical way to restrict voluntary movement or behavior

Front 5

Define Restraint Alternative

Back 5

Measures used instead of physical or chemical restraints (1 on 1 sitter, diversions, clothing or blanket coverings, table tops)

Front 6

Define restraint-free care

Back 6

an environment in which restraints are not kept or used for ANY reason

Front 7

Define seat belts

Back 7

a belt around a resident's waist to prevent falls from a wheelchair (wc)

Front 8

Define soft-cloth mittens

Back 8

A physical restraint using a mitt that limits mobility of hands and use of fingers, frequently used for residents who could harm themselves by pulling at tubing, removing dressings, touching incisions, or scratching a wound

Front 9

Define soft limb tie

Back 9

a physical restraint used to keep a limb immoblized

Front 10

Define vest support or crossover jacket

Back 10

A physical restraint put on like a jacket to provide support in a wheelchair (wc) and limit mobility of upper body in bed

Front 11

Define Wrist restraints

Back 11

A physical restraint that limits arm movement

Front 12

When can a CNA use restraints?

Back 12

Doctors order is needed, directed by nurse

Front 13

What is the appropriate criteria for use of physical restraints

Back 13

1. Temporary

2. Evidence of less restrictive measures were ineffective

3. consent by resident or legal representative

4. Medially justified with a medical order

Front 14

What is the protocol for checking on a resident who is restrained?

*Length of time, time between checks

*Circulation restrictions

Back 14

Must observe once every 15 minutes. Restraints must be remove for 15 minutes at least once every 2 hours to allow for basic needs (ADLS, ROM, etc)

Change in skin color, change in skin temperature, swelling, patient verbalizes numbness, patient verbalizes pain

Front 15

What should be able to slide between a person's body and a vest or belt restraint?

Back 15

a flat hand

Front 16

What should be able to slide under a wrist or mitt restraint?

Back 16

1-2 fingers

Front 17

How much slack should be found in the straps of a restraint?

Back 17

1-2 inches