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Proper Wrist Restraint Tying Technique

Problem Statement
Unplanned extubation in critical care patients has been greatly scrutinized over the past years because of its contribution in higher risk for mortality, morbidity, and resource utilization (Epstein et al, 2000). Unplanned extubation is defined as a "premature removal of the endotracheal tube by the patient" (Chevron et al, 1998), i.e., self-extubation or "premature removal during nursing care and manipulation of the patient" (Betbese et al, 1998), i.e., accidental extubation. From the review of literature, the incidence of unplanned extubation averages about 10% (Moons et al, 2004). The percentage presented in the literature varies on the type of units (medical versus surgical) and the duration of intubation.
In the post anesthesia care unit (PACU), patients at risk for unplanned extubation usually have insufficient sedation (Chevron et al, 1998). When the patient's sedation is discontinued during the ventilation weaning process, the wrist restraint is......


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Approximate Word Count: 684
Approximate Pages: 3 (250 words per double-spaced page)

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