Pinel Medical Restraints: EMERGENCY PHASE 1 - TAKE CONTROL - 12

Summary

This video script outlines the detailed process of safely restraining a patient in a hospital setting. It emphasizes teamwork and coordination, with specific roles for each member, including the team leader who monitors the patient's stress and manages the physical restraint. The script describes methods for controlling the patient's limbs, securing them with a torso control belt, and using minimal force to prevent injury. It highlights patient-friendly techniques, such as leveraging body weight to prevent head attacks and ensuring secure wrist and ankle restraints. Once the patient is secured, the team can assess the situation and proceed with further treatment.

Takeaways

• 😀 Effective physical restraint of a patient requires teamwork, with each member focused on their specific role.
• 😀 The team leader should position themselves at the head of the bed to communicate with the patient and monitor their stress reactions.
• 😀 Team members are responsible for controlling the patient's limbs, avoiding eye contact, and ensuring the patient’s safety.
• 😀 The most challenging task is controlling the legs, especially during the initial contact when immobilization is critical.
• 😀 Different methods can be used to secure the legs, but excessive force that could lead to injury should be avoided.
• 😀 The torso control belt should be positioned before the patient is placed on the stretcher to help with moving and securing the patient.
• 😀 A leverage point should be used to enhance holding power and maintain the patient's chest open for easier breathing.
• 😀 The team leader should first secure the wrist using a velcro cuff to prevent the patient from lifting their arms or resisting.
• 😀 After securing the first arm, the team should move on to the other limbs, securing both arms and both legs.
• 😀 Once all four limbs are secured, the side rails should be raised, and adjustments to the cuffs should be made for optimal contact.
• 😀 If the patient is at risk of breaking free from the velcro restraints, overlapping straps should be used for extra security, particularly on the ankles.
• 😀 After securing the patient, the team can discuss their condition and plan further actions, including sedation if necessary.

Q & A

What is the role of the team leader during the physical restraint of a patient?

The team leader is positioned at the head of the bed to communicate with the patient and monitor their stress reactions, especially through facial expressions.

Why should team members avoid eye contact with the patient during restraint?

Avoiding eye contact with the patient helps minimize escalation and maintains focus on controlling the patient's physical movements without provoking further stress.

How should the arms be controlled during the physical restraint?

Once the upper body is controlled, each team member should focus on controlling the arms from the shoulder downwards, without excessive force.

What is the most physically challenging task during a patient restraint?

The most physically challenging task is controlling the patient's legs, particularly during the initial contact when they need to be immobilized.

What precautions should be taken when securing the patient's legs?

Care should be taken not to apply excessive force that could cause joint injury, and the team should use the most effective method for leg immobilization based on the situation.

How can the torso control belt assist during the restraint process?

The torso control belt can be positioned even before the patient is placed on the stretcher, helping to secure the patient and facilitate smoother control and movement.

What is the correct technique for using the torso control belt?

The team leader folds the ends of the torso control belt for easy use, places the white tab at the nape of the patient's neck, and pulls the straps backward to assist in securing the torso.

How can the patient’s breathing be supported during restraint?

By pressing the patient's shoulders flat onto the mattress, the chest is kept open, facilitating easier breathing while simultaneously dissipating the patient's energy.

What is the function of the one-way butterfly Velcro cuff for wrist restraint?

The one-way butterfly Velcro cuff securely holds the patient's wrist without forcing it into a fixed position, allowing for movement while maintaining restraint.

What should be done to prevent the Velcro cuffs from failing during the restraint of powerful limbs?

To prevent the Velcro cuffs from breaking under pressure, the overlapping straps should be used for additional support, especially on the ankles where less overlap exists.