Welcome to
Best Practice
Jeopardy
Alternative to Restraints edition
Registered Nurses’ Association of Ontario
Promoting Safety:
Alternative Approaches
to the Use of Restraints
http://RNAO.ca/bpg/guidelines/promotingsafety-alternative-approaches-use-restraints
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.
It may all
Restraint
be in the
or PASD
air
Fact or
Myth
Restrain
yourself
Harm or
Help
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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