Improving The Proper Initiation And Use Of Physical Restraints

1149 Words Jul 31st, 2016 5 Pages
Improving the Proper Initiation and Use of Physical Restraints in 4 East
A Microsystem Plan Essay
The St. Joseph Medical Center 4 East Department consists of 30 beds, specializing in patients with respiratory issues. The patients are adults, mostly geriatric with comorbid conditions such as Congestive Heart Failure (CHF), sleep apnea, Diabetes Mellitus (DM), and many more. The patients come from home, Skilled Nursing Facility (SNF), assisted living, board and care, and a locked down unit. The patients are monitored and oftentimes need nebulizer breathing treatments, postural drainage and percussion (PDP), and/or Bipap. Due to their respiratory condition, most of the patients are on oxygen to assist with their breathing. There are patients that are unable to ambulate due to shortness of breath on exertion. In most cases, confused and combative patients due to other psychological conditions and hypoxemia of the brain tissues are admitted. The patients stay in the unit from two days to about thirty days, depending on their medical condition, prognosis, and discharge disposition. For example, patients with exacerbation of Chronic Obstructive Pulmonary Disease (COPD), stays for about two observation days compared to patients with a diagnosis of Pneumonia with a comorbidity of DM and CHF, which usually stay for about four to five days or more. There are instances that a patient needs placement to a SNF, but awaiting insurance approval. The patient stayed until…

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