Let's talk about the skill,
you may think, okay, well, what does
that even matter with restraints.
So, when we talk about quick-release knots,
this is how we affix the
restraint to the bed itself
and when we use this is to
a non-moving part of the bed
and we'll demonstrate that later for you.
But a quick-release knot is essential any
time that you apply a restraint to a bed.
Why we do this, if an emergency happens,
if the patient needs out
of that restraint quickly,
we use a quick-release knot.
So first of all, what are you going to need,
whatever restraint that you
find applicable to your patient.
So first we're going to take the
strap and wrap around the bed frame.
So key point here, notice it says bed frame.
Sometimes, there's also other little
areas on the bed that you can affix it to,
but it's important that you affix
this to a non-moving part of the bed.
I'll say that one more time,
never apply a restraint or a quick-release
knot to a moving part of the bed.
So always to a stationary part.
For example, don't put a restraint
and tie it to a bed rail, right.
If we move down the bed rail,
it's going to pull on your patient.
We don't want that.
So wrap the strap around the
bed frame or a non-moving part
and then we're going to fold the loose end
into a loop we're going to leave a tail
and you're going to want a
good amount of this tail.
Then we're going to close the loop over the tie
and we're going to make a little fold here.
Then you're going to take that same loop,
keep that intact and pull it through the fold
and then you're going to tighten this
and pull the loop tightly to secure.
One last thing before we go,
so if you take a look at this image looking
at the tail of this quick-release knot,
notice how the image here,
they've got a hold of this
and if you pull that tail the whole
quick-release knot will do exactly that.
It will quickly release,
this is so very important because,
if this is not able to quick release,
if a patient is seizing, has aspirate
or has some sort of cardiac emergency,
we need to get the patient
out of the restraint quickly.
I'm down here to show you how
to tie a quick-release knot.
Now, if you guys remember
we use quick-release knot,
so a patient can quickly get
out of restraint if need be,
if an emergency arises.
So one keynote is you never want to affix
the restraint to a moving part of the bed,
such as the side rail.
Now imagine, if this was tied to the side rail
and we moved the side rail,
it's definitely going to pull on the patient.
So do not put or secure a restraint
to a moving part of the bed.
So, if you take a look at your
bed, most of the hospitals
or most beds are going to
come with something like this.
So, this is where we're going
to want to secure the restraint,
so let me show you how to
use this quick-release knot.
So the main thing to know
about these knots, again,
is that it's going to be a quick release.
We'll show you how to do that at the end.
Okay guys, I'm here with, yes,
a piece of camera equipment
to show you a little closer
on that quick-release knot.
Now, it's kind of hard to see,
but the main issue that nursing
students or nurses have an issue with,
is okay, where does that fold go,
so I've got this set up here to demonstrate
and show you a little bit closer
where the fold goes into the loop.
Okay, so now I've got my restraint here
and if you remember, just go over
the bed frame, like we would.
So, this is going over the bed frame,
now if you remember with the tail side,
we're going to make a loop here.
So I'm going to make a nice loop
and hold on to this with one hand.
Now this is the tricky part, this is where
we want to fold the loop across, right,
across the restraint, it's also helpful
to kind of hold a little hole here,
because if you look, once we again wrap over,
I'm going to pull this fold into this hole itself.
So here's the fold or the loop,
it's going into this fold
and now I'm grabbing the loop
and grabbing the restraint and securing.
So, that's how we have that piece
and now we're going to take the tail
and we're going to do our quick release.
Okay, so let me show you one more time
and again guys you can grab a shoestring at home
a piece of cloth material, this is really
something that's really helpful to practice,
because it's a little weird to manipulate.
So again, use something at home
and grab something to practice.
So again, one more time,
I'm going to take my restraint,
we're going to go over that piece of the bed frame
and we're going to take this and make our loop
and again I like to use my
other hand for an opening,
but I've got this here, I'm
going to take my loop over
and then here if you see here this is
the opening I'm folding my loop through.
So again, wrapping this in front
and then holding that open a hole,
take my loop and feed it through.
So now I've got my loop, I've got my restraint,
pull to secure and again to quick
release always grab the tail
and then pull.