Resident was involved in a physical altercation with a peer. Staff were able to intervene and separate the residents, but resident was able to make direct physical contact with a closed fist towards her peer and staff. Resident was placed in a brief physical hold and was transitioned out of hold when stable. On the initial post restraint medical evaluation, resident reported no complaints of an injury.
On 2/28/24, resident started complaining of pain in her right hand. Mild redness and swelling were noted upon nursing assessment. The facility medical provider was consulted, and resident was transferred to Ozark Orthopedic Urgent Care 2/29/24 for evaluation. Results were negative for a fracture, and injury was ruled a mild sprain. Her follow up plan of care includes wearing a wrist brace for 2 weeks as needed with continued interventions including ice, rest, and elevation of wrist. The residents involved are now on different units.