B Improvised Restraints

(1) Clean the patient's skin at the wrist and ankles and powder the skin.

(2) Pad the patient's limb with any soft cloth, such as towels, clothing, gauze, compresses, or clean handkerchief.

(3) Secure the restraining material to the patient's limb with a clove hitch (figure 3-2).

(3) Secure the restraining material to the patient's limb with a clove hitch (figure 3-2).

Figure 3-2. Improvised restraints.

(4) Pull the knot to fit the patient's limb snugly and tie both free ends to the bed frame.

(5) Repeat the steps above for the patient's other three limbs. c. Mitt Restraints.

(1) Place the patient's hand in a naturally flexed position. This will allow for unrestricted circulation and provides minimal strain to the muscles.

(2) Place soft-rolled dressing or washcloth in the patient's hand and close the patient's hand. This permits the patient to flex his hand while the mitten is in place.

(3) Place padding between patient's fingers as shown in figure 3-3.

(4) Wrap the patient's entire hand snugly with Kerlix bandage (figure 3-3).

Figure 3-3. Mitt restraint.

(5) Secure the bandage with tape.

(6) Remove and reapply the mitt at least every six hours.

(a) Clean the patient's skin.

(b) Have patient perform range of motion exercises.

NOTE: Mitt restraints are often used to prevent the patient from scratching severe rashes, eczemas, and so forth. Commercially prepared mitts may be used, if available.

d. Sheet and Litter Restraints. This type of restraint is extremely uncomfortable and should be used as a temporary restraint only for a patient who is combative or uncontrollable.

(1) Unfold a sheet, hold at opposite corners, and fold lengthwise.

(2) Twist the sheet into a tight roll.

(3) Place the patient in a prone position on the litter. Turn his head to the side to help prevent aspiration in case the patient should vomit.

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