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    Clinical Audit - Restraint

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    sanisani1020
    The clinical audit assessed compliance with restraint orders and obtaining proper consent for patients in the ICU from August 2020 to January 2021. It found that while all 36 patients had restraint consent signed, the need for restraints was not adequately conveyed to families in 6 cases. To address this, the audit implemented new processes like mandatory family counseling within 24 hours of restraint and video recording of meetings to fully inform families about restraint necessity. It also introduced checklists to monitor the updated restraint documentation and consent procedures.

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    Clinical Audit - Restraint

    Uploaded by

    sanisani1020
    1K views19 pages
    The clinical audit assessed compliance with restraint orders and obtaining proper consent for patients in the ICU from August 2020 to January 2021. It found that while all 36 patients had restraint consent signed, the need for restraints was not adequately conveyed to families in 6 cases. To address this, the audit implemented new processes like mandatory family counseling within 24 hours of restraint and video recording of meetings to fully inform families about restraint necessity. It also introduced checklists to monitor the updated restraint documentation and consent procedures.

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    The clinical audit assessed compliance with restraint orders and obtaining proper consent for patients in the ICU from August 2020 to January 2021. It found that while all 36 patients had restraint consent signed, the need for restraints was not adequately conveyed to families in 6 cases. To address this, the audit implemented new processes like mandatory family counseling within 24 hours of restraint and video recording of meetings to fully inform families about restraint necessity. It also introduced checklists to monitor the updated restraint documentation and consent procedures.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    1K views19 pages

    Clinical Audit - Restraint

    Uploaded by

    sanisani1020
    The clinical audit assessed compliance with restraint orders and obtaining proper consent for patients in the ICU from August 2020 to January 2021. It found that while all 36 patients had restraint consent signed, the need for restraints was not adequately conveyed to families in 6 cases. To address this, the audit implemented new processes like mandatory family counseling within 24 hours of restraint and video recording of meetings to fully inform families about restraint necessity. It also introduced checklists to monitor the updated restraint documentation and consent procedures.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 19

    Clinical Audit on Physical

    Restraint

    From AUG -2020 to JAN -2021


    6 months
    INTRODUCTION
    Restraint is restricting an individual's freedom of
    movement, physical activity, or normal access to
    the body.

    Restraint of patients in hospitals may be chemical and physical.

    Physical restraint: Refers to devices and practices that restrict a


    patient’s movement.

    Chemical restraint: The use of a sedating psychotropic drug to


    manage or control behaviour.
    TEAM MEMBERS

    • Dr Sateesh
    • ICU nursing incharge
    • Medical social worker
    PROBLEM STATEMENT

    A study to assess the compliance to restraint


    orders and consent based on patients condition
    and the same is properly conveyed to the
    patient’s family members
    NEED FOR THE RESTRAINT

    • To prevent interference /obstruction to medical


    treatments (such as self extubation and intubation).
    • To protect medical devices (such as intravenous lines, in
    - dwelling urinary catheters, and feeding tubes).
    • To prevent patient fall and injury of any kind.
    • To control disruptive behaviour (such as agitation,
    wandering, and combativeness).
    • To preclude the possibility of harming self, staff and
    other patients
     
    Need for the study

    • Patient’s main family member is unhappy


    because of uninformed restraining of their
    patient despite signing for restraint consent by
    the other family member
    OBJECTIVES FOR THE STUDY

    • Patient’s family are to be properly informed


    the need for restraints.
    • Simple signing the consent form is not
    sufficient.
    • The activity of restraining is to be discussed in
    detailed during family counselling within next
    24 hours.
    AIM
    • To improve the Documentation on Restraint
    process
    • Family meeting under video recording
    • More detailed explanation to the family about
    restraints
    AUDIT CYCLE
    Assess
    the need
    for
    Restraint.
    Daily assessment to
    remove the restraint at Doctor order
    the earliest.

    Obtain consent from family


    Validity of And properly conveyed to
    consent 24
    hours Family counselling the family
    with video recording

    Iimitation of
    Releasing of physical
    restraint 2nd Restraint.
    hourly

    Hourly
    monitoring
    DATA COLLECTION PLAN

    • A team was formed comprising the ICU head, ICU


    sister in-charge and medical social worker
    • Sessions were conducted to ascertain the causes
    and various reasons.
    • Direct observation of patients, nurse interview,
    and medical record review conducted by trained
    observers.
    • Daily monitoring by Doctor and the incharge nurse.
    Period of study
    • August 2020 to January 2021
    Improvement phase
    • Monitoring process.
    • Regular training and checking.
    • Patient and family participation
    • Family meeting as and when required.
    • To improve process of Documentation by
    Doctors under video counselling.
    • Introduction of a new checklist for compliance
    supervised by the ICU Doctor on daily basis
    Total Number of patients for clinical audit

    • Aug 2
    • Sept 2
    • Oct 3
    • Nov 5
    • Dec 6
    • Jan 18
    • Total Sample size is 36 in 6 months
    Audit on Restraint orders and family meeting

    • All have restraint consent - 36/36


    • Family meeting not reinforced on restraints - 6/36
    • Identified problem with family – 2/6
    Project Benefits

    • Improving care and order compliance


    • Improvement in documentation and process flow.
    • Minimizing legal risk.
    • Patient safety
    • Improving Family Satisfaction by More detailed
    explanation to the family about restraints

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