Reducing Patient Restraints: A Pilot Approach Using Clinical Case Review

Authors


  • Michael J. Sclafani, RN, MS, MEd, is Assistant Professor/Nurse Clinician, University of Medicine and Dentistry of New Jersey, Newark, NJ; Frederick J. Humphrey II, DO, is Assistant Professor, University of Medicine and Dentistry of New Jersey, Stratford, NJ; Sharon Repko, MSN, APRN, BC, is an Advanced Practice Nurse, University of Medicine and Dentistry of New Jersey, Stratford, NJ; Haeng S. Ko, MD, is Staff Psychiatrist, Ancora Psychiatric Hospital, Ancora, NJ; Mark C. Wallen, MD, FASAM, is Assistant Professor, University of Medicine and Dentistry of New Jersey, Stratford, NJ; and Albert DiGiacomo, PC, is Program Coordinator, Ancora Psychiatric Hospital, Ancora, NJ.

Author contact: tsclafani@patmedia.net, with a copy to the Editor: mary@artwindows.com

Abstract

PURPOSE. This study aims to reduce the incidents of restraints by applying a nontraditional consultation process in which a university-based team focused on patient consultations to collect data on treatment interventions and milieu approaches and conditions, as well as staff interactions.

CONCLUSIONS. The efforts resulted in restraint reduction from 36 episodes per month to 0 episodes per month as well as precipitating a change in unit climate and care approaches on a specialized unit for patients with developmental disabilities and mental illness.

PRACTICE IMPLICATIONS. Reducing the use of restraints involving multiple restraint incident patients is possible with a team-based approach and a specific intervention plan.

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