Welcome to Best Practice Jeopardy Alternative to Restraints edition

Registered Nurses’ Association of Ontario The Evidence that supports the answers to these questions is listed in the notes as Recommendations. These recommendations can be found in the above RNAO Best Practice Guideline and in the Long-term Care Homes Act, 2007 that are also listed in the notes pages for each slide. Promoting Safety: Alternative Approaches to the Use of Restraints safety-alternative-approaches-use-restraints

Fact or Myth Restrain yourself It may all be in the air Restraint or PASD Harm or Help $10 $20 $30 $40 $50

Restrains reduce negative outcomes Fact or myth

Restraining using a physical device is considered a last resort Fact or myth

Nurses should continue to use restraints after admission if the resident was restrained in hospital, no further assessments are necessary Fact or myth

Restraints may put residents at higher risk of injury. Fact or myth

Behavior tracking instruments when filled out and analyzed can assist in decreasing restraint use Fact or myth

How frequently should residents be monitored while in restraints?

How often should restraints be released?

Who else should be involved with the resident and the health team when exploring effective alternatives to restraints?

At least two of these issues should be considered prior to applying a restraint to a responsive resident?

How often should the resident’s condition be reassessed and the effectiveness evaluated?

What environmental characteristics could lead to negative responsive behaviour?

Name two predisposing risk factors for restraint use that residents may have

What information should be gathered to assess how the resident might react to the environment?

Evidence supports that loud, high stress environment have negative impact on residents True or False

This may be the cause if resident’s behaviour tracking indicates that during change of shift and large group activities they may become more responsive

It is a physical, chemical or environmental measure used to control the physical or behavioural activity of a person or a portion of his/her body?

¼ siderails that facilitate turning and repositioning within the bed but doesn’t limit ability to get out of bed?

A capable resident is able to remove a velcro belt easily, she utilizes this for assistance in maintaining her sitting position.

Name three types of restraints.

When does a PASD have to be removed?

Restraints may cause a responsive behaviour True or False

What may put residents at higher risk for injury?

Cognitive performance, incontinence and visual impairment may increase restraint use. True or false

Restraints can cause increase incontinence and muscle atrophy True or False

As long as you have an order it is ok to utilize a seatbelt on a commode chair True or false