Use of Restraints and Patient Safety
Restraints are a last resort to prevent harm. Nurses must use the least restrictive method, obtain proper authorisation, and monitor the patient closely.
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What you must know about Restraints & Safety
Restraints are used only as a last resort when all alternatives have failed.
Always use the least restrictive method for the shortest time necessary.
A physician’s order is generally required; in emergencies, apply and obtain the order promptly.
Monitor circulation, skin integrity, and needs (toileting, hydration) frequently.
Restraints must be tied to the bed frame (not the side rails) with a quick-release knot.
Document the reason, alternatives tried, type used, and ongoing assessments.
NMCN Exam Tips
How this topic appears in the NMCN exam
Restraints are always a LAST resort — try alternatives first.
Use the least restrictive device for the shortest possible time.
Frequent monitoring of circulation and skin is essential.
A valid order and thorough documentation are required.
Practice Question
Test yourself
Which principle should guide the nurse in the use of physical restraints?
Explanation
Restraints must only be used as a last resort after alternatives fail, applying the least restrictive method for the shortest necessary time, with proper authorisation, frequent monitoring, and documentation to protect the patient's safety and dignity.
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