An Environment Of Safety For Patients, Their Families, And The Health Care Providers

An Environment Of Safety For Patients, Their Families, And The Health Care Providers

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The eagerness to promote an environment of safety for the patients, their families, and the health care providers as well as promoting compliance, led me to dig deep into the issue. This also promotes advocacy, being a voice for those patients who are unable to express their concerns and their rights due to disability or medical condition.
Determining the barriers and needs that prevent the inappropriate use of physical restraint by a series of data collection through observation, chart audit, and informal questionnaires was compiled. During data gathering and analysis, it was found that five patients were in restraints. As mentioned above, three of them had two types of restraint, a soft wrist restraint and a bilateral mitten. During the process of checking the physician orders, only one restraint was ordered and documented. Another patient was in restraint, but order was not renewed by the physician in the computerized physician order (CPO). This data already shows patient safety issues. Huckshorn, LeBel, and Jacobs (2014) discussed that the use of seclusion and restraint in many healthcare settings is the most concerning practice that still occurs up to this modern day. There were 80% of physical restraint that was used inappropriately and patients with cerebral palsy (CP) were included in one unit alone. Although constraint-induced therapy was used in certain CP patients, the restraint for this instances were not for the said therapy, but the nurses assumed that contraptions will be pulled out by the patient.
With the advancement of medical devices and modern technology, physical restraint is still a growing issue. It was emphasized that the “use of physical restraints in the hospitals continues to be a major prac...


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...ssing. With pressure injury, according to the Agency of Healthcare Research and Quality (AHRQ), the “cost of individual patient care ranges from $20,900 to 151,700 per pressure” injury (2016). A lawsuit may happen as well, if found guilty of neglect or causes death due to restraint, which will again add to the unexpected expenditures of the organization. These sentinel events associated with restraint use are preventable and appropriate action should be supported. In addition, sentinel events will no longer reimbursable from the federal government. Also, any serious injury due to restraint may require lengthy hospitalization. It was estimated that the cost of one episode of restraint use will range from around $300 to $400, “depending on the number of containing methods used (e.g., physical, mechanical, or medication” (Substance Abuse and Mental Health Services

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