Page 29 - FOCUS APRIL 2018

| Pharmacy Services Formulary Update | February 2018
Availability limited to Christiana Care Office Practices
Medication – Generic/Brand Name
Recombinant Adjuvanted Zoster Vaccine/Shingrix
Live Attenuated Zoster Vaccine/ Zostavax
Strength/Size
50 mcg vial
Use/Indication
Prevention of herpes zoster (shingles) in patients ≥50 years of age Comment
Replaced with recombinant adjuvanted zoster vaccine (Shingrix)
B E E S T T P R A C C T T I C C E E R E E V I E E W :
WHAT IS A A A RESTRAINT?
. . Q A Q A What is a a a restraint?
Q What is not included as a a a a restraint?
A A A A restraint does not include:
• Devices used during medical dental diagnostic or surgical procedures to temporarily immobilize or or limit mobility during the procedure procedure or post-procedure care process • IV IV arm boards used to stabilize an IV IV line NOT tied down or attached to a a a bed • Devices that permit patients to achieve maxium normative bodily functioning (e g g braces orthopaedic appliances) • Medical protective devices used for the the safety of the the patient (e g helmets splints padded siderail used for seizure precautions) • Siderails raised on stretchers in the Emergency Department or or during transport (these are safety intervention) • Stroller safety belts crib crib siderails crib crib covers used for safety Q Are handcuffs used by law enforcement considered restraints?
A No These devices are used by non-hospital personnel for custody detention and and public safety reasons Handcuffs do not not need restraint orders and should not not be documented as restraints 
• A restraint is any manual method physical or mechanical device material or or equipment that immobilizes or or reduces the ability of a a a a patient to move his or or her arms legs body or or head freely • A restraint can also be a a a a a a drug or medication which is not a a a a a a standard treatment or or dosage for the patient’s condition that is used as a a a a a a restriction to manage the patient’s behavior or or restrict the patient’s freedom of movement What is included as a a a a restraint?
Restraints include:
• • • • • Limb restraints Hand Mitts that are pinned or attached to bedding or used in in conjunction with wrist restraints Side Rails — the the use of 4 siderails to keep the the patient from getting out of bed Lap belt lap buddy and chair wedges if they limit movement or cannot be released by the patient The use of force to physically hold a a a a a patient But a a a a a staff member picking up redirecting or holding an an infant toddler or or preschool-aged child to comfort them is not considered a a restraint If you have questions about this Best Practice Review please contact the content expert Maureen Seckel clinical nurse specialist at 733-6023 Safety Hotline: call 7233 (SAFE) from within Christiana or Wilmington hospitals from outside call 623-7233 (SAFE) FOCUS • APRIL 2018
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ADDITION DELETION