| Clients’ physical restraint measures that nurses usually implement in their clinical practice |
% |
| Use communicative techniques of interruption of the aggressiveness’s escalation |
36 |
66,7% |
| Use environmental containment techniques (modification of the context, appeal to changes that control customer mobility with clinical supervision, provide a safe and quiet environment) |
37 |
68,5% |
| Inform and reassure client, family/significant person on the need for restraint measures |
45 |
83,3% |
| Carry out the physical restraint of the client, after a clinical risk assessment |
47 |
87,0% |
| Carry out physical restraint after joint decision of the therapeutic team |
31 |
57,4% |
| Carry out physical restraint after medical prescription and record properly in the client’s clinical process |
35 |
64,8% |
| Carry out physical restraint, transmitting to the doctor later |
28 |
51,9% |
| Carry out physical restraint, limiting it in time and with frequent reevaluation by the multidisciplinary team |
41 |
75,9% |
| Ensure that there are no dangerous objects for the client |
49 |
90,7% |
| Use tracks designed and appropriate, in compliance with the manufacturer`s instructions in its application |
44 |
81,5% |
| Equip the bed with side rails, allowing the protection, support and client’s security |
53 |
98,1% |
| Apply protective material to prevent injuries resulting from friction |
38 |
70,4% |
| Watch at intervals of not more than 15/30 minutes, signs of circulatory changes and tissue perfusion that may result from compression due to containment tracks |
36 |
66,7% |
| Position the client supine with the head slightly elevated and the upper limbs positioned to enable venous access. Whenever needed use an alternative placement, in particular, in lateral decubitus |
40 |
74,1% |
| Make alternating decubitus for prevention of pressure ulcers |
51 |
94,4% |
| Maintaining the communication with the client as part of its therapeutic process |
45 |
83,3% |
| Watch often vital and analytic parameters of the client |
34 |
63,0% |
| Do the periodic physical examination |
35 |
64,8% |
| Moisturize the client in case of prolonged sedation |
27 |
50,0% |
| Reassess the need for maintenance of physical restraint during a period of no more than 2 hours, repeating it with this frequency |
38 |
70,4% |
| Remove the physical restraint according to the effectiveness of the medication and the assessment of the condition of the client or as soon as possible |
47 |
87,0% |
| Register, mandatorily, in the clinical process: Client’s state which determined the need of restraint Preventive measures and their impactDescription of the different containment measures analyzed with the client or with whom he/she decides to Professionals involved in decision-makingEvaluations after the placement of the countermeasureEvolution of the medical condition of the clientRegistration of consequential injuriesRevision of the care plan, as a result of the measures of containment |
|
| 51 |
94,4% |
| 33 |
61,1% |
| 15 |
27,8% |
| 21 |
38,9% |
| 27 |
50,0% |
| 38 |
70,4% |
| 41 |
75,9% |
| 48 |
88,9% |
