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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:
Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition
Name Date
Unit Position
Instructor/Evaluator: Position
SKILL 3-6Applying a Mummy Restraint
Goal: The patient is constrained by the restraint, remains
free from injury, and the restraint does not interfere with
therapeutic devices. Comments- Determine need for restraints. Assess patient’s physical
condition, behavior, and mental status. Refer to review
material in the chapter introduction. - Confirm agency policy for application of restraints. Secure
an order from the primary care provider or validate that
the order has been obtained within the past 24 hours. - Perform hand hygiene and put on PPE, if indicated.
- Identify the patient.
- Explain reason for use to patient and family. Clarify how
care will be given and how needs will be met. Explain that
restraint is a temporary measure. - Open the blanket or sheet. Place the child on the blanket,
with edge of blanket at or above neck level. - Position the child’s right arm alongside the child’s body.
Left arm should not be constrained at this time. Pull the
right side of the blanket tightly over the child’s right shoul-
der and chest. Secure under the left side of the child’s body. - Position the left arm alongside the child’s body. Pull the
left side of the blanket tightly over the child’s left shoulder
and chest. Secure under the right side of the child’s body. - Fold the lower part of blanket up and pull over the child’s
body. Secure under the child’s body on each side or with
safety pins. - Stay with child while mummy wrap is in place. Reassure
child and parents at regular intervals. Once examination or
treatment is completed, unwrap child. - Remove PPE, if used. Perform hand hygiene.
ExcellentSatisfactoryNeeds Practice