Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5055

Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5055

QUESTION: Which of the following is important when restraining a violent client?

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O a.) Have three staff members present, one for each side of the body and one for the head.

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O b.) Always tie restraints to side rails.

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O c.) Have an organized, efficient team approach after the decision is made to restrain the client.

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O d.) Secure restraints to the gurney with knots to prevent escape.

RATIONALE

RATIONALE: Emergency department personnel should use an organized, team approach when restraining violent clients so that no one is injured in the process. The leader, located at the client's head, should take charge; four staff members are required to hold and restrain the limbs. For safety reasons, restraints should be fastened to the bed frame instead of the side rails. For quick release, loops should be used instead of knots.
NURSING PROCESS STEP: Implementation
CLIENT NEEDS CATEGORY: Safe, effective care environment
CLIENT NEEDS SUBCATEGORY: Safety and infection control
COGNITIVE LEVEL: Application