Angela, I think you identified good areas in the hospital that could support your concerns of the recent increase in the use of physical restraints as well as the use of sedating medications. Patient safety is always our priority whether we are a bedside nurse or family nurse practitioner. The most up-to-date evidence-based research should remain in continuous efforts to identify the safest and most effective means of restraints. This can be achieved through the case-control study you mentioned in your post. In addition to the information you provided about this specific study design, Curley and Vitale (2016), identifies both its strengths and weakesses. Strengths of the case-control study design include, "inexpensive, shorter time to completion,
Restraints prevalence is another NIS that could assist the nurses in the above scenario to identify
Solitary Confinement has been a practice, dating all the way back to 1787 with the idea that when inmates would be left alone in silence, they would show regret and become more remorseful. In 2005, the sentence still thrived with nearly 82,000 men and women were in solitary confinement in federal adult prisons with the title of “restricted housing.” This statistic doesn’t even include jails or immigration facilities. In the ‘70s and ‘80s, the rate of confinement for juveniles skyrocketed to the point where we define that time as an epidemic. In that time, there became definitions of a “super predator,” defining it as teenagers who are fatherless, Godless, and jobless and don’t have anything better to do than to terrorize their community. In
Nursing standard of practice is important for safety of others because patients are relying on educated nurses who can protect them from other illness. Safety of medication is important for patients. Sometimes doctors can make a mistake! I remember one of my friend told me who is a nurse at Regions Hospital told me that one of the doctor prescribed “hydralazine” which is vasodilator to prevent a high blood pressure but the patient had an anxiety problem and was looking to get “hydroxyzine” which helps treat anxiety problem. The nurse know that so he mention and the doctor made some correction. Also, it is important to keep the nurses up to date with new technology and isolation protocol to help them understand what to do when someone have
Evidence based practice is an important priority in nursing because it ensures that the best quality and most effective care is being used. Restraint use is an intervention that is being minimized more and more. It can be an important intervention when necessary but there are specific circumstances and guidelines that must be followed. Evidence based practice is proving that restraint use may be eliminated due to safety concerns and more beneficial interventions being used.
This article discusses the issues about the use of restraints toward the inmates in the federal penitentiary in Lewisburg Pennsylvania. The article goes on into the story of Sebastian Richardson and how refused to have a cell mate that he saw as threating and potently dangerous based on his nickname “Bam Bam” and “The Prophet”. The two would have had to share a cell no larger than a parking space says the article. Richardson refused to accept “The Prophet” as a new call mate, and then was taken out of his cell thirty minutes later was taken to the laundry room and stripped and put in paper clothes and shackles. Richardson also, stated that one of the guards left a window open while he was restrained to freeze him on purpose, and also that
As we all strive to encourage the use of verbal de-escalation and reduce the occurrence of physical restraint, I would like to request that all programs ensure they’re entering every student restraint or student disturbance into the Risk Management reporting site. This will allow team members to identify common barriers staff members face as well as identify best practices across programs. I believe that the most programs are entering these incidents and I would like to thank you for doing so! For programs that have not been entering student restraint or student disturbance incidents into the reporting site, please begin doing so immediately. Documenting every incident provides the student, staff, and AMIkids as a whole the ability to revisit any event in detail should any injuries or allegations occur from the incident; I cannot stress how important highly detailed documentation is.
Hughes, L., D., Zammit, K., & Cordina, J. (2014). Restraint and the older patient: Complicated practical medicine. British Journal of Nursing, 23(3), 130-131. Retrieved from http://ezproxy.lewisu.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=2012473563&site=ehost-live&scope=site
After reviewing the Texas Health and Safety Code in regards to restraints in a facility, it is understood that there are many different requirements when attempting to write a policy and procedure. In the policy, the following regulations will be instated, it needs to be known that only trained professionals are allowed to lawfully apply restraints to a person. The restraints used may not hinder the person’s ability to breathe in any aspect or hinder communication. Prior to the use of restraints, first the physician must physically assess the patient before providing an order for the use and thereafter if there is the need to continue the restraints. Once a restraint is applied, a nurse, other than the nurse that applied the restraints, is
Argument from health professional is that the use restraint is very vital to their security especially in situations where a patient poses the risk of being a menace to himself or others around them (Psychiatric Times, 2015).A study has showed that the act of violence and aggression against patients and nursing staff is unbelievably rising, with about ' more than half of NHS staff nurses 'being violently assaulted by patients in ‘2013-14’ (Nice, 2015). Even though, most of these attacks do not normally result in major injuries, they have caused staff to experience severe anxiety, emotional traumas and in some case ‘post-traumatic stress disorder’ (City University, London, 2009). Against these facts, it is believed that the use of restraint, especially in an Acute setting, is essential and ethical (Psychiatric Times, 2015). However, research has shown that there is a correlation between staffs reaction towards mental health patients and the violent and aggressive behaviour exhibited towards them. This typically occurs when patients feel they are being patronized, not made aware of what is going on around them and not treated well( Glover, 2005). With recent records of excessive and abusive use of restraint, there have being
Restraints use has become a legal issue as individual rights have become paramount in society. The United States was the first country to implement federal restraint standards in 1984 (U.S. Department of Health and Human Services, 1984). The UK, on the other hand, does not accept physical restraint use at all, but it is a common practice in the US, Australia, and mainland Europe (Maccioli, Dorman, & Brown, 2003; Royal College of Nursing, 2004; Van Norman & Palmer,
While the use of physical restraint on elderly patients is necessary in specific situations, the practice should be very limited at all times. Although it will continue to be used worldwide, measures must be taken by all healthcare providers to gradually minimize the use of restraints in healthcare facilities, reduce the risks that are associated with the practice, offer reasonable alternatives for patient care, and ensure the safety of the patients as well as their caregivers.
The delivery of quality patient care is the utmost goal in the health care industry. To provide such purpose, evidence-based education of the health care providers and the continuity of proper skills and competencies should be current at all times. Many healthcare organizations are focusing on the fall and pressure injury prevention due to its tie to the reimbursement claim. However, there are areas that need attention and equally important, one example is the appropriate use of physical restraint. A significant numbers of providers thought that if you know how to secure the restraint, you are compliant. The skill does not end on how to tie, but critical judgement is extremely important in treating and managing a patient in need or on
The fact that criminals have to be subjected to countless forms of disadvantage even after done their time behind bars is really upsetting. In my opinion, the extra-legal constraints should not be recognized as a part of formal punishment. It is because, the extra-legal constraints would never end and it is problematic. The constraints are also equally entrenched with their formal punishments. Thus, makes that the criminals received more punishments than they should received.
Coercive in psychiatry is a rare exclusion from the general health laws that require informed consent obtainment and patient involvement in decision making in care provision (Birkeland, 2016). “Coercion in psychiatry in itself constitutes a serious collision with patient autonomy principles and it materializes this clash in one of its most momentous forms, mechanical restraint (Birkeland, 2016). However, as you mentioned restraints may be necessary for a patient’s own protection and the protection of others.
A retrospective review of the administration of intramuscular ketamine as a chemical restraint in the prehospital setting was led by Burnett, Peterson, Stellpflug, Engebretsen, Glasrud, Marks and Frascone (2015).