APPLICATION OF RESTRAINTS

Action 1. Explain the rationale for application of Restraints.

Rationale Explanation facilitates cooperation. Repeatedly reinforce the rationale. Secure consent if applicable Organization promotes efficient time management.

2. Prepare for restraints.

3. Assess the skin for irritation or other skin problems. .

Provides baseline assessment

 4. Apply restraints to patient assuring some movement

Maintains adequate circulation and mobility. of body parts. One or two fingers should slide Patient should be easy to release. between restraints and patients skin. Tie the straps securely with clove hitch.

 To make a clove hitch: Make a figure of eight; pick up the loops; put the limb through the loops and secure. Put a pad on bony prominence.

5. Secure restraints to bed frame. Do not tie the straps to the siderails 6. Assess restraints and skin integrity every thirty minutes. Release restraints at least every 2 hours. 7. Document the procedure noting the time of application and condition of the client

Prevents accidental injury to patient from moving side rails and decreases patients ability to untie restraints. Permits muscle exercise and promotes circulation every two hours. Communicates to the members of the application and condition of the patient. health team and contributes to the legal

Humane Restraint Locking Wrist-To-Waist Restraint

Ripp Model PR-100 Chest & Knee Bed Restraints

Posey Co. Posey Criss Cross Restraint Vest W/Tie Keeps Pt Cool F/Bed Or Chair Small, 1 ea