5.4 Restraints, Oxygen, and Equipment Safety

Restraints

A restraint limits a resident's movement. Restraints can cause injury, fear, loss of dignity, pressure injury, reduced circulation, and emotional harm.

Examples include:

• Vest restraint.
• Wrist or ankle restraint.
• Chair tray used to prevent rising.
• Side rails used to restrict movement.
• Medication used mainly to control behavior.

Restraints require proper authorization and monitoring. A CNA should never apply a restraint for convenience, punishment, or because the unit is short-staffed.

Alternatives

Try safer alternatives when appropriate:

• Answer call lights promptly.
• Offer toileting.
• Reduce noise.
• Provide activities.
• Use low bed or floor mats if ordered.
• Reposition and relieve pain.
• Keep needed items within reach.
• Use alarms according to care plan.

Oxygen Safety

Oxygen itself does not burn, but it supports fire. Keep oxygen away from flames, smoking, sparks, and petroleum-based products.

CNA oxygen responsibilities may include observing tubing position, checking that oxygen is in place, reporting shortness of breath, and following facility policy.

Do not change oxygen flow rates without direction. Do not remove oxygen for meals unless instructed by the nurse.

Equipment Safety

Report:

• Frayed cords.
• Broken brakes.
• Wet floors.
• Malfunctioning beds.
• Unsafe wheelchairs.
• Loose grab bars.
• Missing call lights.
• Damaged oxygen tubing.

The CNA is often the first person to notice a hazard.