Quick-release Knots (Nursing)

by Samantha Rhea, MSN, RN

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    00:04 Let's talk about the skill, "Quick-Release Knots", you may think, okay, well, what does that even matter with restraints.

    00:10 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.

    00:24 But a quick-release knot is essential any time that you apply a restraint to a bed.

    00:29 Why we do this, if an emergency happens, if the patient needs out of that restraint quickly, we use a quick-release knot.

    00:38 So first of all, what are you going to need, whatever restraint that you find applicable to your patient.

    00:44 So first we're going to take the strap and wrap around the bed frame.

    00:48 So key point here, notice it says bed frame.

    00:51 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.

    01:00 I'll say that one more time, never apply a restraint or a quick-release knot to a moving part of the bed.

    01:08 So always to a stationary part.

    01:10 For example, don't put a restraint and tie it to a bed rail, right.

    01:15 If we move down the bed rail, it's going to pull on your patient.

    01:18 We don't want that.

    01:20 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.

    01:32 Then we're going to close the loop over the tie and we're going to make a little fold here.

    01:36 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.

    01:47 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.

    02:01 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.

    02:22 I'm down here to show you how to tie a quick-release knot.

    02:26 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.

    02:35 So one keynote is you never want to affix the restraint to a moving part of the bed, such as the side rail.

    02:45 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.

    02:52 So do not put or secure a restraint to a moving part of the bed.

    02:57 So, if you take a look at your bed, most of the hospitals or most beds are going to come with something like this.

    03:03 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.

    03:09 So the main thing to know about these knots, again, is that it's going to be a quick release.

    03:14 We'll show you how to do that at the end.

    03:16 Okay guys, I'm here with, yes, a piece of camera equipment to show you a little closer on that quick-release knot.

    03:23 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.

    03:38 Okay, so now I've got my restraint here and if you remember, just go over the bed frame, like we would.

    03:44 So, this is going over the bed frame, now if you remember with the tail side, we're going to make a loop here.

    03:50 So I'm going to make a nice loop and hold on to this with one hand.

    03:55 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.

    04:14 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.

    04:26 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.

    04:32 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.

    04:44 So again, use something at home and grab something to practice.

    04:48 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.

    05:12 So again, wrapping this in front and then holding that open a hole, take my loop and feed it through.

    05:21 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.

    About the Lecture

    The lecture Quick-release Knots (Nursing) by Samantha Rhea, MSN, RN is from the course Restraint Management and Application (Nursing).

    Included Quiz Questions

    1. The student nurse ties the restraint to the bed rail
    2. The student nurse ties the restraint to the bedside table
    3. The student nurse ties the knot so that if the tail is pulled, the knot will release
    4. The student nurse ties the restraint to the bed frame
    1. Six to ten inches
    2. One to five inches
    3. 11 to 15 inches
    4. 20 inches
    1. By pulling on the tail
    2. By pulling on the knot
    3. By pulling on the portion of the restraint between the knot and the client
    4. By pulling on the portion of the restraint attached to the client's limb

    Author of lecture Quick-release Knots (Nursing)

     Samantha Rhea, MSN, RN

    Samantha Rhea, MSN, RN

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