The Ethics Behind The Medical Setting

This assignment seeks to discuss three key themes in relation to Manual handling in the health care sector and will describe the literature which supports this. This topic has been chosen as the handling of patients plays an important role in Health and Social care. NHS, (2010, p. 3) states that 'Manual handling is a core competency for staff caring for patients'. This assignment will look at the importance of training that is required to ensure competent and safe use of equipment and the moving and handling of patients. Secondly this assignment will go on to describe how poor manual handling can affect Patients. There are many problems that can arise from incorrect manual handling, therefore this assignment will focus on the risk of

As health care workers we are under a legal obligation to protect an individual from any kind of abuse, whether it is physical, financial, emotional, sexual or psychological .Legislation, policies and procedures exist to promote a safer working environment and reduce the potential for risks occurring. They are tailored for the needs of each setting, known and understood by employers and employees and reviewed on a regular basis.

I recommend everyone using physical techniques of any kind be trained on the risks of positional asphyxiation. Whenever, I physically restrict a person’s movement there is a risk of injury, and no physical holds are 100% safe. In this book, I cover body positioning for physical interventions, standing holds, and seated holds. I do not authorize or encourage a prone restraint without the proper training; and this type of restraint is not covered in this book. However, the SafeClinch Training System does allow for “prone containment” for those organizations allowed to use it; once SafeClinch instructor certification has been achieved. Here is an example of what the prone position looks like. Notice, since the person is in the prone position

Hospital data on the use of restraint can also be analyzed to improve patient outcomes and satisfaction. This information could be scrutinized to determine if restraints were truly warranted in that particular situation, or if another method could have or should have been utilized first. Documentation should also be examined to determine if the patient was adequately cared for during this time period. In my hospital, the patient must be released from the restraints at least every two hours, and must be toileted at that time. The nurse must also do range of motion exercises with the extremities affected by the restraints. The skin and circulation should be assessed at this time. Every hour, the nurse is required to check the pulses in the extremity affected by the restraint. The nurse’s documentation should reflect that all of these assessments were performed and the appropriate precautions were taken.

A restraint is any physical or chemical measure in the healthcare setting to keep a patient from being free to move (Craven, Hirnle & Jensen, 2013). Nurses are presented with dilemmas in deciding whether to use restraints to protect the patient from falls, harming themselves or others, suppress agitation and to facilitate treatment. Improper usage and misconceptions of restraining can have negative consequences including physical and psychological issues. Physical and psychological disadvantages from restraining could include low blood pressure, decreased circulation, thrombosis, constipation, urinary incontinence, depression, fear and increased confusion (Yeh et al., 2004). Educating nurses may reduce restraint usage by increasing

This unit is primarily concerned with those people who are most dependent upon your assistance. The level of assistance they need can vary from needing help to get out of a chair to being completely dependent on others to move them, to turn them over and to alter their position in any way, for example, if they are unconscious or paralysed. It is essential that people are moved and handled in a sensitive and safe way. This is also vital for you as a worker, to prevent injury to yourself. It is possible to minimise the risk to both you and the people whom you support by following the correct procedures and using the right equipment.

It is critical to have an understanding of nursing-sensitive indicators in order to provide safe, quality, compassionate and satisfactory patient care. In this scenario, applying restraints to Mr. J, a demented patient with hip fracture seems appropriate. However, it is standard practice that restraints are to be removed as soon as possible, and the patient in restraints may need assistance to change position every two hours. In Mr. J’s scenario, there should have been a bedside commode, and a urinal for him to use at the bedside so he does not have to walk very far to the restroom. As for the CNA, if she was well trained, she would have been able to recognize the marks on his spine

The following section provides a review of the literature on the use of physical and chemical restraints in long-term care settings as well as potential institutional-level and resident-level factors that influence care practices in long-term care settings.

The NHRA sets the regulations for the use of retraints, in addition to these stated requirements the NHRA calls for an assessment of problematic behaviors, physician concurrence prior to the institution of restraints, use of restraints as a last resort, and explaining the restraints and why it is being used on the resident. The use of restraints is regulated by the NHRA and the practice is discouraged, however a majority of nursing home residents will be subjected to the use of them.

On December 2016, Democratic United States Representative John Conyers Jr., who represents Michigan’s 14th District, introduced national legislation for the third time that calls for a national standard for the safe handling of dependent patients and residents throughout the healthcare system. H.R. 4266, The Nurse and Health Care Worker Protection Act of 2015, directs the Secretary of Labor to issue an occupational safety and health standard to reduced injuries to patients, direct-care registered nurses and all other healthcare workers” by establishing a safe patient handling and injury prevention standard , and for other purposes” (H.R. 4266, 2015). The standard specifies “the use of engineering controls to perform lifting, transferring,

The use of restraints is seen in the Emergency Department(ED) on a regular bases and has been a new experience to myself as a student nurse. The College of Nurses of Ontario Restraints Practice Standard (2009) explains restraints may be used where patient are at risk to themselves or others, for treatment purposes and controlling behaviours. Restraints may be chemical, physical or environmental. Restraints have limited increase in patient safety and can increase the agitation, confusion and health risks present. In the emergency department majority of bed rails are kept in the up position regardless of the patients’ mental, physical or emotional state. A bed rail is considered an environmental restraint and therefore should be kept in the down

Deveau and Leitch challenge the idea of restraints being positive for a pediatric mental health setting. “Restraining children may lead to physical and mental harm for children subject to such practices” (Deveau, Leitch, 2014, p. 588). Presented earlier was the idea that restraints used on a pediatric patient should ultimately be beneficial to the patient and those within the patient’s environment. Unfortunately, that may not always be the case. Like other nursing interventions, risk factors are also associated with restraints. Deveau and Leitch’s performed a studied and gathered that within the United States of America there were 142 restraint-related deaths within a one-year time span (2014, p. 588). Blood clots, restricted breathing and blunt trauma, abrasions and bruising may also be associated with risk factors that may occur during physical interventions

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.

Hospital bed rails are medical devices that can be used as enablers or restraints. Since some sources label hospital bed rails as such, information on hospital bed rails from these sources are included. Due to the numerous definitions and variations of hospital bed rails, this study focuses on all hospital bed rail devices as a whole based on effectiveness and perspectives. This study focuses on patient safety in skilled nursing facilities. The average age of residents range from 65 years and above; therefore this study will refer patients as this age group.

Medical restraints refer to various types of restraining products that are used to restrain physically suffering people or those in solitary confinement from injuring themselves. Renco Gloves provides secure fit restraint mitts, which are specially designed to provide the secured fit around a wearer’s wrist. These gloves are specially designed to protect hands various unpredictable conditions.