Patient Safety - Restrictive Practises

This care bundle describes six actions to ensure the best clinical outcome for patients who have received rapid tranquillisation medication. Care must be delivered in a safe and positive manner to ensure safe prescribing, administration and monitoring of medication used for calming behaviourally disturbed patients. Each described intervention will be required to be delivered, however these do not need to be completely sequentially.

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This care bundle describes seven actions to ensure the best clinical outcome for patients who have been subject to observations. Care must be delivered in a safe and positive manner to ensure safe decision making and environmental controls for behaviourally disturbed wards. Each described intervention will be required to be delivered, however these do not need to be completely sequentially.

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Locking ward doors*

This care bundle describes seven actions to ensure the best clinical outcome for patients who have been affected by locking the doors on an OPERATIONALLY OPEN WARD. Care must be delivered in a safe and positive manner to ensure safe decision making and environmental controls for behaviourally disturbed wards. Each described intervention will be required to be delivered, however these do not need to be completely sequentially.

*The same interventions would be used for any decision to lock any other doors which are routinely open (gardens/bathrooms etc.)

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Physical Restraint*

This care bundle describes seven actions to ensure the best clinical outcome for patients who have been physically restrained. Care must be delivered in a safe and positive manner to ensure safe decision making, administration and monitoring of physical restraint used for calming behaviourally disturbed patients. Each described intervention will be required to be delivered, however these do not need to be completely sequentially.

*The same interventions would be used for any restraint, care giving or guiding that included an element of physical touch

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This care bundle describes seven actions to ensure the best clinical outcome for patients who have been Secluded. Care must be delivered in a safe and positive manner to ensure safe decision making, administration and monitoring of seclusion used for managing behaviourally disturbed patients and ensuring its use for the shortest time necessary. Each described intervention will be required to be delivered, however these do not need to be completely sequentially.

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A blanket restriction refers to the rules or policies that restrict a patient’s liberty and other rights, which are routinely applied to all patients, or classes of patients, or within a service, without individual risk assessments to justify their application. This care bundle describes six actions to ensure the best clinical outcome for patients who have been subject to a Blanket Restriction.

Each described intervention will be required to be delivered, however these do not need to be completely sequentially.

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This care bundle describes six actions to ensure the best clinical outcome for patients who have been subject to a personal or environmental search. Care must be delivered in a safe and positive manner to ensure privacy, dignity, spiritual, religious and personal items are respected as well as safely maintained patients. Each described intervention will be required to be delivered, however these do not need to be completely sequentially.

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Click here to view the 8 positive and safe core skills.