are Plan for Restraint Use

Category / Primary Body System

• Safety / Musculoskeletal System

Problem

• Use of restraint (Lap buddy)

Goal

• Patient will utilize the least restrictive device and remain free from injury daily for 90 days.

Plan/Approach

1. Use of Restraint Device

   • Provide Lap buddy when out of bed (OCB) to wheelchair
   • Remove Lap buddy during meals when at table and in supervised setting

2. Frequent Monitoring and Needs Assessment

   • Check with the patient frequently to ascertain needs and provide assistance
   • Provide verbal reminders to call when assistance is required

3. Patient and Family Education

   • Explain procedure to the patient and family to discuss alternatives
   • Encourage involvement and attendance in activities

4. Safety Measures

   • Keep call light and personal items within reach
   • Attempt reduction of restraint use as indicated or at least quarterly

Rationale

1. Use of Restraint Device

   • Using a lap buddy when the patient is in a wheelchair helps prevent falls and ensures safety. Removing the restraint during meals allows for natural movement and reduces the risk of injury.

2. Frequent Monitoring and Needs Assessment

   • Regular checks ensure that the patient’s needs are met promptly, reducing the likelihood of distress and potential harm. Verbal reminders encourage the patient to seek help when needed.

3. Patient and Family Education

   • Educating the patient and family about the procedure and alternatives promotes understanding and cooperation, potentially reducing the need for restraints.

4. Safety Measures

   • Keeping essential items within reach prevents the patient from straining or overreaching, reducing fall risk. Regularly evaluating the necessity of the restraint promotes the use of less restrictive alternatives.

Actions

1. Use of Restraint Device

   • Apply the Lap buddy when the patient is in the wheelchair to prevent falls.
   • Remove the Lap buddy during meals when the patient is at the table in a supervised setting.

2. Frequent Monitoring and Needs Assessment

   • Check on the patient frequently, ensuring their needs are met and they are comfortable.
   • Provide verbal reminders to the patient to call for assistance when needed.

3. Patient and Family Education

   • Explain the use of the Lap buddy and discuss alternative measures with the patient and family.
   • Encourage the patient to participate in activities, promoting engagement and reducing the need for restraints.

4. Safety Measures

   • Ensure the call light and personal items are within easy reach of the patient at all times.
   • Review the use of the restraint regularly, attempting reduction as the patient's condition allows, and at least quarterly.