List at least five precautions to use for fastening the straps when applying wrist, vest, poncho, jacket, and belt restraints to patients in bed.
What will be an ideal response?
| · | Center the patient's hips in the middle of the bed. (This is where the bed bends when the head is elevated.) |
| · | Make sure the straps are not at an angle when extended over the edge of the mattress. If the straps are angled even slightly, they will loosen if the patient moves up or down in bed. |
| · | Wrap the strap around the frame deck (the movable part of the frame that supports the mattress) once or twice. |
| · | Never wrap the strap around the lower frame or the restraint will tighten and inhibit respirations when the head of the bed is elevated. Never tie the end of the strap to the outside of the frame. This enables the patient to reach down and untie it. |
| · | Thread the strap through the bed springs at least 6 to 8 inches in from the side of the bed and 6 to 8 inches toward the head of the bed. |
| · | Loop the end of the strap around the spring. |
| · | Loop the strap around itself again and tighten to form a slip knot. |
| · | Always raise the side rails when the patient is restrained in bed. Never fasten the straps to the side rails or loop or wrap the straps around the side rails. |
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