‘Holding and Positioning’

• What is holding in a clinical setting?

  Use of restrictive physical interventions
• Why are physical holds used in clinical care?

  To help children receive necessary treatment
• What duty are registered practitioners bound by?

  Duty of care
• What must nurses assist in maintaining?

  Patient safety
• What are nurses accountable for regarding patients?

  Promoting and protecting patients' rights
• What rights must nurses consider for children?

  Rights, dignity, and safety
• What legal frameworks must nurses consider for children's rights?

  Human Rights Act and UN Convention
• How is holding defined in a clinical context?

  To limit movement using limited force
• What distinguishes therapeutic holding from restrictive physical intervention?

  Degree of force and intention
• How is restraint defined?

  Positive application of force to overpower
• What must be maintained during patient positioning?

  Patient comfort and dignity
• What is the difference between holding and restraint?

  Degree of force and need to overpower
• What is positioning in a clinical context?

  Moving a patient into a specific posture
• When is holding children required in clinical settings?

  • Nasogastric placement
  • Cannulation and blood sampling
  • Subcutaneous and intramuscular injections
  • Lumbar puncture
  • Use of splints
• What must safe patient positioning consider?

  Circulation and protection from injury
• What are the consequences of poor positioning?

  Pressure ulcers and DVT
• What causes pressure ulcers?

  Tissue damage from diminished blood supply
• Who are at risk for pressure ulcers?

  Disabled, post-operative, and underweight children
• How can DVT and VTE be prevented?

  Using TED stockings or anticoagulants
• Who are at risk for DVT and VTE?

  Post-operative and bed-bound patients