Restraints

[europeman]

Ball park what percentage of your intubated patients have wrist restraints? I fear where I'm doing fellowship I may have a screwed idea/training about this. We seem to use it on.... Well everyone!


Thoughts?

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[ORL10]

On patients who are directable, and awake not delirious most have restraints removed and we attempt to ambulate if feasible which seems to help with the "grabby's". In sedated or confused/altered patients the reality is most patients have restraints, I know I know I'm contributing to their confusion and delirium, but nursing a). feels it's unsafe especially if not 1:1 b). they would make my day miserable and I feel more patients would have lower RAAS scores as nurses would up titrate sedation to maintain "safety".

 

[Bostonredsox]

100%.

hell the nurses restrain the TH pts on nimbex drips...

 

[nlax30]

Purely a guess but maybe 50-70%?

Most everyone has those soft boxing mitts on though.

 

[bigdan]

Less than 50% if mechanically ventilated and not working toward extubation; any effort toward the tube (or witnessed elbow flexion) results in "reminder straps"