Due to the fact that we place PICC lines in confused patients I have found an occasional need for the use of soft wrist restraints during PICC insertion . They help keep the arm I am placing the PICC line in proper position and the other one to keep the opposite arm out of my sterile field. So, I am using them for positioning but also for a restraint. Applying them immediatley prior to positioning and prepping and then immediately removing them upon completion of the procedure. I then place some webril and stockinette over the site to reduce and or make it more difficult for a patient to get at or begin pulling portions of the line.
Can someone share with me the standards and regulations that would apply to this scenario? I am wanting to be sure I am doing this properly. I know there are quite lengthy regulations about the use of restraints in general for hospitalized patients but I am wondering about the use of during a procedure. I know that during surgical procedures they are strapping patients in in certain areas ; abd, arms etc....but that is for safety and positioing not from stopping a patient from moving.
I have also requested information from our hospital Risk Manager but wanted to ask my PICC network as well.
Thank you in advance, Gina Ward R.N.
I just finished out CBL on this issue in Texas. It clearly stated that in procedure is ok and not considered a restraint. It is done in sx and procedures daily.
During a procedure the use of a soft wrist restraint is considered an Immobilization device. Therefore, not considered a restraint. I try to not use the word restraint unless it is being used for that reason so I ask the pt if I can help them hold their arm in the correct position by using a tie or coban. This usually comforts them.
Cindy Clinkenbeared RN, VA-BC