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Restraints and You
Storyboard Text
- I have a really confused patient!
- Describe to me what behaviors you have observed.
- The patient ingested an unknown substance at a dance party at 0200 last night.
- Someone dropped him off in the parking lot unconscious.
- The patient is now pulling at his IV catheter and foley. He is attempting to kick and hit the staff. I am concerned for his safety.
- What non-physical interventions have you tried to de-escalate this patient's behavior?
- I have attempted diversional activity, verbal instruction, reorientation, environmental modifications...
- Comfort measures, closer observation, placed a bed alarm and reviewed medications.
- It sounds like it is time to call the doctor.
- Hello, this is Dr. Smith, how can I help you?
- Dr. Smith, your patient has become violent to staff, is dislodging tubes, and is confused.
- Please apply soft wrist restraints for violent self-destructive behavior and give Ativan 2mg IV x 1.
- I hope I get my documentation correct!
- The intervention guides you on the elements needed for the correct documentation.
- The frequency of your intervention is even on the intervention list!
- Just follow the intervention to cover the required documentation.
- There is even a comments section you can use to "paint a picture" of patient behaviors.
- Can I do a trial release when he gets better?
- I am afraid not, you must get a new order.
- Be sure to monitor the physical and psychological well-being of the patient
- Always be sure to use the least restrictive intervention when possible.
- It is important to monitor the respiratory and circulatory status, skin integrity, vital signs, and social requirements.
- Yes, that will help me identify and respond quickly to signs of physical and psychological distress!
- I will add a care plan and monitor for behavioral changes so I can remove the restraints as soon as possible.
- Before you know it he will be back to normal!
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