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Topic: Four point restraints


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In the News (Sat 2 Jun 12)

  
  DC Prisoners' Legal Services Project   (Site not responding. Last check: 2007-10-01)
This lawsuit challenged the use of four-point restraints in Sussex II prison in a Virginia prison that confines nearly 1,300 D.C. inmates in a contract with the District of Columbia.
Four-point restraints are routinely used at Sussex II as a tool of punishment in instances where they are unwarranted, for such minor infractions as kicking or banging on a door to get an officerÕs attention, or for minor physical contact with an officer.
In addition, the prisoners confined in four-point restraints are not adequately monitored by medical staff and prisoners are not given regularly scheduled or frequent enough breaks, in some cases forcing prisoners to urinate or defecate on themselves and to lie in the urine and fecal matter for hours.
www.dcprisonerhelp.org /0303.htm   (381 words)

  
 4-POINT RESTRAINTS, Prison Punishment
Think about this recent case: A prisoner at the federal penitentiary in Atlanta was held for five days in what is called a "four-point restraint." He was chained by his wrists and ankles, on his back, in a spread-eagle position.
In the years 1996-97 about 100 federal inmates were held in those restraints, one for two months.
And four-point restraints are not the only brutality found in American prisons.
www.angelfire.com /fl3/starke/4point.html   (731 words)

  
 Hints on Preventing Injury Related to Restraints   (Site not responding. Last check: 2007-10-01)
A physical hold was used in 30 percent of the cases, a restraint vest was used in 20 percent, and a waist restraint was used in 10 percent.
Patients have the right to be free from both physical restraints and drugs that are used as a restrain that are not medically necessary or are used as a means of coercion, discipline, convenience or retaliation by staff.
Restraints may include but are not limited to a variety of items which "is any manual method or physical or mechanical device, material or equipment attached or adjacent to the individual’s body that the individual cannot remove easily which restricts freedom of movement or normal access to one’s body" (HCFA, 1992).
www.aracnet.com /~oahhs/issues/safety/restrainstshints.htm   (3117 words)

  
 The Use of Restraints in Hospitals: Regulations and Recommendations
Restraints involve a variety of physical holds and mechanical devices to control a patient’s movements.
S/he is physically put to the ground, asked to expose underwear, given a quick, sharp needle stab in the buttocks, strapped to a gurney in a small room on a locked ward.
The patient’s experience and perception of pain (and humiliation of being forced to submit to chemical and physical restraint) may be exacerbated when in certain psychiatric states.
intotem.buffnet.net /mhw/37APRestraints1.html   (2535 words)

  
 United States of America: The restraint chair. How many more deaths? - Amnesty International   (Site not responding. Last check: 2007-10-01)
Since the beginning of 2000, at least four inmates have died in the USA after being subdued in a restraint chair -- a metal framed chair in which prisoners are immobilized in four-point restraints securing both arms and legs, with a strap across the chest.
Although restraint chairs have been promoted by their manufacturers as safer than other forms of four-point restraint, as the prisoner remains upright in a sitting position, there appears to have been no independent testing as to their safety.
Although international standards provide that restraints should be used only when ''strictly necessary'' to prevent damage or injury, the chairs appear to be routinely used in some facilities to punish or control prisoners who are disruptive but not a danger to themselves or others.
web.amnesty.org /library/index/engamr510312002   (2777 words)

  
 Amnesty International: USA Campaign - Rights For All, Reports, briefings and focus
Restraints are deliberately imposed as punishment, or used as a routine control measure rather than as an emergency response.
The routine use of restraints on pregnant women should be prohibited, and women should never be restrained during labour; restraints should only be used on pregnant women as a last resort and should never put the safety of a woman or the foetus at risk.
Four-point restraints should only be used when strictly necessary as an emergency short-term measure to prevent damage or injury, and in accordance with international and US professional medical standards.
www.rightsforall.amnesty.org /info/report/r04.htm   (8877 words)

  
 Subacute Care/Hospital Forum
Acute-care nurses used restraints more often than did long-term care nurses, for reasons such as to facilitate treatment due to altered mental status, to prevent wandering or prevent self-harming, for noncompliance, or for agitation.
Nurses in chronic care used restraints more often to prevent patients from harming others and to prevent falls, but the difference was not significant.
While the types of patients, illnesses, and procedures present in the acute-care institution sometimes necessitate increased use of restrictive restraints, the survey shows that acute-care nurses are largely unaware of the immense concern over restraints in less acute settings.
www.ascp.com /publications/tcp/1997/may/subacute.html   (455 words)

  
 NCCHC | Resources & Links
The usage of physical restraint addressed by this standard is limited to emergency situations in which an inmate’s behavior presents a danger to self, other inmates or staff.
Clinically ordered restraint, by definition and practice, is used only after other interventions have failed as a last resort for the shortest amount of time needed for the inmate to regain control.
If restraint is used, the question may arise as to whether the use of psychotropic medication can shorten the period of time that restraint is needed.
www.ncchc.org /resources/spotlight/20-1.html   (1361 words)

  
 Principles for the Elimination of Restraint--Report to JCAH
Restraint includes a broad range of activities such as the use of "take downs," "therapeutic holding," and other bodily interventions; isolation rooms; strait jackets and four point restraints; and neuroleptic drugs and other central nervous system depressants.
The definition of restraint can also be broadened to include any restriction on the individual's freedom to reject a specific treatment or to leave the facility or setting.
Almost all "emergency" situations in which restraint is used can be better resolved by a non-coercive, caring intervention from a person willing and able to spend time with the upset or angry individual with the aim of peaceful conflict resolution.
www.breggin.com /jcah.html   (759 words)

  
 [PRISONACT] Prisoners' shackling in Virginia Protested
The inmates were placed in what is known as "four-point restraints" --with leather straps on their wrists and ankles, advocates said.
Virginia officials declined to say how often restraints are used or for how long a period of time inmates were shackled.
Restraints are used only to prevent inmates from harming themselves, prison staff or property, they said.
www.prisonactivist.org /pipermail/prisonact-list/2000-August/003082.html   (889 words)

  
 RED ONION STATE PRISON
Restraints were then placed on his arms and legs, securing and immobilizing him on his bed.
Four- and five-point65 restraints immobilize an inmate on a bed.
Given the restraints on the inmates and the presence of guards immediately outside the room who were watching the meeting through a window in the door, the use of stun belts seems excessive.
www.hrw.org /reports/1999/redonion/Rospfin-07.htm   (3992 words)

  
 Restraints and Aversives
Physical restraint: A broad category of restraints in which a patient's movements are restricted by the use of physical force.
Mechanical restraint: A broad category of restraints in which a patient is immobilized through external devices such as straps, belts, wrist and ankle cuffs, or restrictive clothing such as straitjackets.
Face-down restraint: A broad term referring to a physical restraint during which the patient is facing the ground and staff members are either on top or beside the patient.
www.thefamilyalliance.net /restraints_and_aversives.htm   (559 words)

  
 Mental Health Abuse-Deadly Restraints
In a statement for a 2002 California court case related to restraints, Ron Morrison, a registered psychiatric nurse, said, “… an individual who is restrained feels vulnerable, inadequate, humiliated and unprotected.
This may result in mental deterioration and exaggerated resentment or contempt for those responsible for the restraint procedure, and may actually aggravate a potentially violent situation, or create the potential for continued violence in the future.” Morrison also reported that patients can become so exhausted fighting against restraint, they risk cardiac and respiratory collapse.
Restraint use is not motivated by concern for the patient.
www.mental-health-abuse.org /deadlyRestraints2.html   (733 words)

  
 Issue 8 - November 18, 1998: Preventing Restraint Deaths | Joint Commission
A therapeutic hold was used in 30 percent of the cases, a restraint vest was used in 20 percent, and a waist restraint was used in 10 percent.
Redouble efforts to reduce the use of physical restraint and therapeutic hold through the use of risk assessment and early intervention with less restrictive measures.
If a patient must be restrained in the supine position, ensure that the head is free to rotate to the side and, when possible, the head of the bed is elevated to minimize the risk of aspiration.
www.jointcommission.org /SentinelEvents/SentinelEventAlert/sea_8.html   (884 words)

  
 NIOSH FACE Program: In-house Report 2001-11 | CDC/NIOSH
It should be noted that the lap-belt restraint systems commonly used in ambulances do not allow full access to the patient during treatment for all conditions.
Had restraints been used, the EMT would most likely have been held in place on the squad bench and not have impacted against the front bulkhead during the collision.
Studies have shown that for light-truck occupants, the use of restraints reduces the risk of fatal injury by 60% and the risk of moderate-to-critical injury by 65%.
www.cdc.gov /Niosh/face/In-house/full200111.html   (1857 words)

  
 Printed from UAB-TBIMS on 9/18/2006 10:21:00 AM
It is possible for patients to injure themselves with restraints, such as causing peripheral nerve damage.
The use of restraints may also create a hostile feeling between patient and staff that could be difficult to overcome.
In an inpatient setting, restraints must be ordered by a physician and the necessity for their use must be reviewed daily.
main.uab.edu /tbi/show.asp?durki=48130&print=yes   (826 words)

  
 Breaking out of Four Point Restraints
When I saw the restraints I thought to myself that they would be easy to break out of.
Since while in four point restraints you don't even have one it looks impossible.
I guess at this point they were sick of me because they put me into a single cell on the women's floor.
pages.prodigy.net /lightoftheworld/restrain.html   (559 words)

  
 Psychiatric Confinement | AHealthyMe.com
Psychiatric confinement is the use of restraints to detain a person in need of care and further evaluation.
Initially the patient is restrained with four point leather restraints (both arms and both legs) and placed in a quiet room with a sitter.
As of 2001 there is proposed legislation concerning the misuse of restraints for psychiatric inpatients, which in the past has been responsible for numerous wrongful deaths.
www.ahealthyme.com /topic/topic103548388   (430 words)

  
 Hartford Advocate: What Killed Timothy Perry?   (Site not responding. Last check: 2007-10-01)
He died while in four-point restraints tied to a bed in a cell after being subdued by guards.
This despite the fact that he died in Connecticut and that to this day, Connecticut authorities cannot say why, a point that is especially troubling because a review of both the state police investigation and DOC's own internal investigation raises many questions that have gone not just unanswered but unasked.
He also pointed out that "post order 8.7" regulation requires nurses to physically check the circulation of inmates in soft restraints every 15 minutes and take their vital signs, pulse and respiration, every half hour.
old.hartfordadvocate.com /articles/tperry.html   (4550 words)

  
 28 CFR PART 552
This rule on application of restraints does not restrict the use of restraints in situations requiring precautionary restraints, particularly in the movement or transfer of inmates (e.g., the use of handcuffs in moving inmates to and from a cell in detention, escorting an inmate to a Special Housing Unit pending investigation, etc.).
When the temporary application of restraints is determined necessary, and after staff have gained control of the inmate, the Warden or designee is to be notified immediately for a decision on whether the use of restraints should continue.
If an inmate in a forcible restraint situation refuses to move to another area on his own, staff may physically move that inmate by lifting and carrying the inmate to the appropriate destination.
www.washingtonwatchdog.org /documents/cfr/title28/part552.html   (3851 words)

  
 MEDICAL RESTRAINTS for institutional use
Use of medical restraints, medical restraint straitjacket is solely the decision of the professional ordering the applications of medical products.
Our hospital restraints are intended to be used in situations involving a person who may cause harm to himself/herself or others.
Fits juvenile human restraints to adult populations and llows each arm to adjust separately for human restraints 12 medical restraints inches of movement.
www.securingcosmos.com /prodlisting/medicalrestraints.htm   (411 words)

  
 ACLU of Colorado: News
We are particularly disturbed at the death of Michael Oliver Lewis, an inmate with mental health problems, who died approximately three hours after being strapped to the board at the Center in May 1997, and would be grateful to be informed of the cause of his death.
The APHA standards also provide that restraint orders should be reviewed by a psychiatrist every two hours and must be automatically terminated after four hours unless renewed, with a maximum limit of eight hours.
We understand that the present policy governing the use of restraints in El Paso County allows for use of the restraint board to be used as a first option for the full restraint of an inmate, and provides no time-limit, despite the recognized health risks involved in immobilizing prisoners in restraints for long periods.
www.aclu-co.org /news/letters/letter_colorado86.htm   (611 words)

  
 Newsletters> Archives by Profession
He was eventually involuntarily restrained to a gurney with four-point restraints within the emergency room security area.
The transfer to the ambulance gurney was accomplished with the assistance of a number of police officers, who were still present on the scene.
They pointed out that the decedent's mother was also diagnosed with mental illness, that she had given Mr.
www.hpso.com /case/cases_prof_index.php3?id=46&prof=EMT/Paramedic   (806 words)

  
 Wheelchair vehicle restraints: Accessible transport
Safety restraints are important for both the equipment and the passenger.
In this instance the wheelchair needs to be secured using a four-point tiedown attached to securement points on the wheelchair and floor anchor points installed in the vehicle.
It has a four point locking system designed with 2 meters of reach, providing easy access so it can be connected to the front of the wheelchair.
e-bility.com /equality/restraints.php   (316 words)

  
 American Civil Liberties Union : ACLU Raises Concerns Over Psychiatric Services After Suicide at Orleans Parish Prison
On April 4, 2004, Matthew Bonnette reportedly hanged himself with a leather belt while under suicide watch and confined in a device that latched his wrists to a waist belt and locked his ankles in cuffs for at least eight hours.
Bonnette's death raises serious questions about current and ongoing deficiencies in the jail's suicide prevention practices, and in the use of restraints and seclusion.
The tragic circumstances surrounding his death were raised in a 2002 hearing, but the court denied an ACLU request that the existing restraint policy be invalidated.
www.aclu.org /news/NewsPrint.cfm?ID=15913&c=124   (522 words)

  
 Hospital changes admission process - Protection & Advocacy, Inc. (PAI)
Patients saw the restraints as part of the hospital admission process, not part of transportation to the hospital.
Staff wheeled patients across the main hospital corridor in restraints, in full view of other patients, who also did not know why the newcomers were in restraints.
The hospital also agreed to use restraints only in an emergency: (1) when there is a threat of physical harm to a patient or staff, and (2) when less restrictive measures have failed.
www.pai-ca.org /newsltrs/issue70/ASHarticle.html   (607 words)

  
 Appellate Law & Practice: CA2 (11.29.05)
Under those practices, the use of four-point restraints was far more limited than what is alleged to have occurred here and the unreasonable use of force was prohibited.
Although Gomez, unlike Armstrong, was informed that Ziemba had been placed in restraints, there is no evidence from which a reasonable juror could infer that this notification occurred at any point other than early in the twenty-two-hour period, at which time Gomez would have had no reason to question the need for the restraint.
However, when they did eventually come to check on plaintiffs’ medical condition, they ignored, according to plaintiff, evidence that he had suffered physical injury as well as his own statements to them that he was seriously injured and needed medical attention.
appellate.typepad.com /appellate/2005/11/ca2_112905.html   (865 words)

  
 NYC Voices: Four Stories Produces Hundreds More
But after seeing "Four Stories" they reached out to share their stories and get help.
She continued speaking to me, telling me the reason she didn't want a doctor to see him was because she had seen the horrible state hospital movies on television (specifically naming "Asylum," "Snake Pit," and "Cuckoo's Nest") and she would never allow her son to be put in places like these.
Then she repeated that she really identified with my story because of the abuse I had suffered in the hospitals, including seclusion rooms and four-point restraints.
www.newyorkcityvoices.org /aug98j.html   (906 words)

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