Restraint reduction in the head injury population

Article Abstract:

Reduction in use of restraints for head injury patients has been a goal at the neurosurgery unit of Shands Hospital, University of Florida, Gainesville. A simple, inexpensive solution has been effective. Placing mattresses on the floor and padding the walls eliminates risk of patients' falling. Infection control and neurosurgical physicians approved as did the family of the first patient for whom this room was used. Need for certain therapies, such as continuous feeding and intravenous fluids, was evaluated and ruled out, possible with use of a percutaneous gastric tube and a binder. Patients were easier to work with, being less agitated, and muscle tone was better.

Care and treatment, Management, Head injuries, Patients, Restraint of patients, Physical restraint

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Standards and practice guidelines as the foundation for clinical practice

Article Abstract:

The health care field is changing rapidly and providers of all kinds are being called on to describe their practice and expected patient outcomes. Standards and clinical practice guidelines are important ways of enhancing health care delivery and documenting care. Standards developed for the pediatric nursing service at the University of Rochester Medical Center are described.

Standards, Pediatric nursing

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