Client Safety

No.	Competency Item	NAC	DEV	COM	DTE	EXC
DA-12-01	Demonstrate ability to apply critical thinking and clinical judgment in maintaining client's physical safety.
	Demonstrate knowledge and ability to apply nursing interventions that replace restraint use such as:
DA-12-02	availability of appropriate staff to stay with client
DA-12-03	availability of family to stay with client
DA-12-04	observation and tracking of behaviour
DA-12-05	education of staff and family
DA-12-06	moving client near nursing station
DA-12-07	reality orientation
DA-12-08	rearrangement of environment
DA-12-09	recreational diversion
DA-12-10	removal of other stimuli.
	Demonstrate knowledge and ability to identify appropriate need for restraints:
DA-12-11	potential injury to self
DA-12-12	potential injury to others.
	Demonstrate knowledge and ability to utilize protective measures for clients as an alternative to restraints such as:
DA-12-13	non-skid shoes or socks
DA-12-14	low-rise beds
DA-12-15	motion detectors.
DA-12-16	Demonstrate knowledge of legal implications of restraint use.
DA-12-17	Demonstrate knowledge and understanding of clients rights with regard to restriction of personal freedom in use of restraints.
	Demonstrate knowledge of therapeutic and non-therapeutic use of different types of restraints:
DA-12-18	physical restraints and protective devices
DA-12-19	pharmacological restraints.
	Demonstrate knowledge of negative effects of restraint use such as:
DA-12-20	restriction of freedom
DA-12-21	risk of falls
DA-12-22	decrease in cognitive ability
DA-12-23	bladder and bowel incontinence.
DA-12-24	Demonstrate knowledge of the need for a physician / nurse practitioner order for the use of restraints.
DA-12-25	Demonstrate knowledge of the agency policy and procedures related to the use of restraints.
DA-12-26	Demonstrate knowledge and ability to safely use type of restraint needed.
DA-12-27	Demonstrate knowledge and ability to perform ongoing assessment, care and monitoring of patient's skin, extremity, circulation, and client response.
DA-12-28	Demonstrate ability to document overall effectiveness of restraint.
DA-12-29	Demonstrate ability to act appropriately to an emergency with a client in restraint.