Sedation Minimization

How do I minimize sedation AND restraint?

First minimize sedation (chemical restraint) to a comfortable level for the patient that allows the most interaction or non-agitated movement. Then, select a level of restraint, or no restraint, to match the patient's predictability for safe arm movement.

Do I need extra sedation for ExersidesTM?

Definitely not. The purpose of ExersidesTM is to promote non-agitated movement. You may find that if a patient is allowed to move, they may be less agitated and therefore require less sedation. Try it!

Do I need a sitter for ExersidesTM if the patient is not sedated?

No. As long as the nurse assesses the patient and chooses an appropriate ExersidesTM configuration based on the predictability of the patient, safe arm mobility is possible.

We don't use restraint - only versed and fentanyl.

Newsflash: Those are sedating and considered chemical restraint. That said, patients may need some amount of sedation to have non-agitated predictable safe arm movement. Challenge yourself and see how low you can safely go.

Do I need to stop all sedatives to use ExersidesTM?

No. Some patients do not require any sedation ever and some do. If patients are allowed to move, they may require less. Always minimize.

What happens if the patient becomes agitated and moves too much?

Agitated movement is not good. It is better to find the least amount of sedation required by the patient than to select the next more restrictive level of ExersidesTM. Minimize sedation first, then minimize restraint.