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See also: Cocaine, Substance Abuse & Drug Addiction, Drug Addiction, Substance Abuse Nursing, Correctional Health Nursing, Psychiatric Links, Direct Patient Care

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SOP: Management of the Patient in Restraints, NIH Clinical Center Nursing Department:"Management of the Patient in Type I Restraints"
http://www.cc.nih.gov/nursing/restsop.html

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A Nationwide Pattern of Death:
http://www.copaa.net/newstand/day1.html

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NAMI To Release Summary of Restraints & Seclusion Abuse Reports, National Alliance for the Mentally Ill (NAMI):"The National Alliance for the Mentally Ill (NAMI) also will release separately a summary of abuse reports it has compiled since publication of the investigative series "Deadly Restraint" by The Hartford Courant in October 1998. The series surveyed 142 deaths around the country over the past decade that occurred during or shortly after restraints or seclusion were used.
http://bipolar.nami.org/update/990324.html

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The Use of Physical Restraint Interventions for Children and Adolescents in the Acute Care Setting:"Children and adolescents may need to be physically or chemically restrained for various procedures, because of disruptive behavior, or to prevent injury to themselves or others. The use of restraint for a child or adolescent requires clear indications, safe application, reassessment guidelines, and use only after the consideration of alternative methods. Seclusion refers to the involuntary confinement of a patient alone in a room, from which the patient is physically prevented from leaving, for any period of time. The use of seclusion or restraint on children and adolescents hospitalized for psychiatric disorders has been reviewed by several authors and is beyond the scope of this statement.[1-4]"
http://www.aap.org/policy/re9713.html

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Newspaper Series Puts Spotlight on Restraints (free registration required):"Patient deaths following physical restraint in mental health care facilities documented in a series of newspaper articles did not surprise mental health organizations representing physicians, hospitals, and patients."
http://pharmacotherapy.medscape.com/IMNG/ClinPsychNews/1998/v26.n12/cpn2612.08.01.html

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Patient Restraints Improving Safety, Reducing Use:

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Patient Restraint and Positional Asphyxia Newz Directory:
http://www.angelfire.com/co/CharlyDMiller/panewz.html

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Seclusion and Restraint, National Institute of Mental Health:"The use of involuntary mechanical or human restraints or involuntary seclusion is only justified as an emergency safety measure in response to imminent danger to one's self or others. These extreme measures can be justified only so long as, and to the extent that, the individual cannot commit to the safety of themselves and others."

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Strategies For The Management Of Disturbed And Violent Patients In Psychiatric Units: ******************************************************

Use of Restraints/Protective Immobilization Devices:"To describe the guidelines for the use of restraints/protective immobilization devices in Harris Continued Care Hospital (HCCH). HCCH's goal is to reduce the use of restraints to the safest possible level."

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Your Rights in Hospitals Regarding Restraining and Seclusion:

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Morrison Medical Products: 610 West Town Street Columbus, OH 43215-4446 (614) 461-4400 FAX 614.469.96.96 morr@morrisonmed.com http://www.morrisonmed.com/PatientRestraints.htm ******************************************************

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4nursinguniforms.com:"Choose from Top Nursing Uniform Companies. All sizes, styles and popular name brands available. Large selection of accessories as well: Accessories Blood Pressure Cuffs, Sphygnomanometers Nursing Tote Bags, Carry-Ons, Medical Bags Clinical, Medical Supplies, Nurses Discount Outlet: Angels, Books, Clothing , Equipment, Figurines, Holidays, Home Decor, Jewelry, Nurses, Office Decor, Scrubs, Shoes, T-Shirts Footwear, Shoes, Sandals, Discount, Bargains Gifts For Nurses (Nurses Week) Hosiery, Socks, Stockings Hats, Jackets, Jumpers Jewelry, Earrings, Necklaces, Watches Luxury Spas, Facials, Manicures, Pedicures Perfumes, Fragrances, Phermones Shoes, Boots, Sandals, Footwear, High Heels, Slippers Stethescopes, Nurse Kits, Replacement Parts Swimwear (Tan-Through) Women's Lingerie "
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Choose Nursing Uniforms, Shoes, Scrubs, Accessories By Brand: Barco, Birkenstock, Cherokee, Crest, Dickies, Disney, Haflinger, Landau, Nurse Mates, Peaches, Rockport, Romika, White Cross, White Swan

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See also:
• Accessories
• Blood Pressure Cuffs, Sphygnomanometers
• Nursing Tote Bags, Carry-Ons, Medical Bags
• Clinical, Medical Supplies,
• Nurses Discount Outlet: Angels, Books, Clothing , Equipment, Figurines, Holidays, Home Decor, Jewelry, Nurses, Office Decor, Scrubs, Shoes, T-Shirts
• Footwear, Shoes, Sandals, Discount, Bargains
• Gifts For Nurses (Nurses Week)
• Hosiery, Socks, Stockings
• Jewelry, Earrings, Necklaces, Watches
• Luxury Spas, Facials, Manicures, Pedicures
• Perfumes, Fragrances, Phermones
• Shoes, Boots, Sandals, Footwear, High Heels, Slippers
• Stethescopes, Nurse Kits, Replacement Parts
• Swimwear (Tan-Through)
• Women's Lingerie

Surprised? eBay Has Nursing Supplies, scrubs, uniforms, stethescopes, etc.:"You can find nursing supplies right here! With over 5 million items for sale every day, you'll find the nursing supplies you're looking for at the world's online marketplace - eBay!"
http://www.nursefriendly.com/ebay/

Nurses' Station:"The idea for the Nurses' Station Catalog was conceived in 1989. After searching the marketplace in response to customer inquiries, it became obvious that there were no catalogs of this type serving the nursing profession. To be sure, there were several catalogs offering nurse's uniforms and a smattering of professional items. But there weren't any catalogs at the time offering a range of gifts, clothing, professional items, name badges, shoes and scrubs for nurses. It took two years of hard work to gather samples and put a together a catalog of the most unique and high-quality items for nurses."
Nurses Station P.O. Box 388 Centerbrook, CT 06409-03881
http://www.nursefriendly.com/station/

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Nursing In The Media, Nursingadvocacy.org

• ER:"Media products under your influence, particularly the NBC/Warner drama "ER," are harming the profession of 2.7 million American nurses by giving the public an inaccurate and inadequate account of what nurses really do to save and improve lives. Research suggests that "ER" strongly and negatively influences the way children view nursing. These products contribute to the nursing shortage, a public health crisis that threatens millions worldwide."

• NBC's "Passions":"NBC's "Passions" solves nursing shortage: monkeys can do the job! Starting in March 2003 and at least as recently as late August, NBC's campy, supernatural daytime soap opera "Passions" has featured an orangutan named Precious in the role of the private duty nurse of one of its characters--a bold step backwards in the already slow...evolution...of the media's treatment of nurses. more..."

• "Scrubs" defines nursing:""Scrubs" defines nursing: it's all about shutting up and following physician "orders. " Tonight's episode of NBC's "Scrubs," which purports to teach nurse Carla Espinosa that nursing is all about doing what physicians tell you, is one of the most virulently anti-nurse prime time television episodes the Center has ever seen. more..."
  http://www.nursingadvocacy.org/

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• Are good CNA jobs that hard to find?
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The Uniform Resource Locator (URL) or Internet Street Address of this page is
http://www.nursingentrepreneurs.com/directpatientcare/mechanical.physical.restraints.htm

Send comments and mail to Andrew Lopez, RN

Created on June 2, 1999

Last updated by Andrew Lopez, RN on Thursday, May 31, 2007