Patient Safety, Falls, and Restraints Flashcards

Restraint alternatives that should be tried BEFORE applying physical restraints include:

Answer: Bed alarms, sitters, distraction activities, and reorientation

Less restrictive alternatives must be attempted and documented before physical restraints can be justified.

A chemical restraint differs from a physical restraint in that it:

Answer: Uses medication to restrict a patient's movement or behavior

Chemical restraints use pharmacological agents to control behavior or restrict freedom of movement, and they carry their own risks and regulatory requirements.

The Morse Fall Scale assesses all of the following EXCEPT:

Answer: Patient's blood type

Blood type is not a fall risk factor. The Morse Fall Scale evaluates history of falls, secondary diagnosis, ambulatory aids, IV therapy, gait, and mental status.

When is it appropriate for a PCT to apply restraints without a physician's order?

Answer: In an emergency to prevent immediate harm, while obtaining the order as soon as possible

In emergency situations where there is immediate danger of harm, restraints may be applied temporarily while obtaining a physician's order within the required timeframe.

Side rails on a patient's bed are considered a restraint when:

Answer: All four rails are raised, preventing the patient from voluntarily leaving the bed

When all side rails are raised and restrict the patient's ability to freely exit the bed, they function as a restraint and require the same considerations and documentation.

What documentation is required each time a PCT checks on a restrained patient?

Answer: Time, circulation status, skin condition, patient behavior, and any care provided

Comprehensive documentation at each check creates a legal record of patient monitoring and demonstrates compliance with safety standards.