With the availability of ultrasound for IV access we have gotten to the
point where IV sites adjacent to joints are rare.  However, when this is
necessary, we use a Freedom Splint from Posey to partially immobilize
the joint.  The device is essentially a little pillow which surrounds
the limb and is strapped in place with Velcro.  It is not considered a
restraint, though one applied to each elbow can prevent a patient from
pulling out his NG tube. 


Jerry Bartholomew RN BSN CRNI
Vascular Access Specialist
Veterans Affairs Medical Center
Spokane, Washington

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Lynn Hadaway
Sent: Wednesday, February 08, 2006 2:02 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Handboards

I need some feedback about your perceptions, current policies and
procedures about the use of handboards when an IV site is located in an
area of joint flexion.

Do you consider the use of a handboard to be a form of restraint?

Do you routinely use a handboard when the site is in an area of joint
flexion? If not, why have you moved away from this practice.

Thanks for your comments. Lynn
--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861


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