Now that we've talked about restraints, let's
talk about safe restraint care.
Now there's about nine points or so that I
want to talk to you about, but I want you to
pay close attention here.
This is going to be really similar to the
documentation points that we
noticed earlier. So because restraints, like
I had told you about, can have some legal
ramifications. This is really important that
we provide the safest restraint care.
And again, note that many of these points
are just like the documentation pieces we
talked about earlier. So first, don't forget
to get a physician order and
renew it daily.
So restraints, typically you have to have an
order every 24 hours and renewed.
Notice that renewal there, renewal has to
do with making sure that
restraint there's a continued need.
So that's why we don't have an ongoing order
Now, it's really important to look at and
monitor at least every two hours.
So, again, with it being a non-behavioral
restraint, a medical restraint, if you
will, we monitor at least every two hours,
but check your specific facility.
And we've talked about this before, but
family and patient education regarding use
is oh so important.
So this is a very scary type of device that
we can use on a patient.
They can be in a lot of distress, be very
It's really upset for the family to see a
patient restrained, or their loved one in
restraints. So make sure you are educating,
letting them know what you're doing,
how you're taking care of their family and
why it's needed.
And don't forget the normal ADLs or activity
of daily living, such
as making sure your patient is comfortable,
make sure they've got food, make sure they're
getting hydrated, that they can have drinks
of water and toilet as well.
As you can imagine, in restraints, you can't
do a lot.
You are restrained to the bed and you can't
do those things for you themselves.
So make sure your patient's needs are met.
All right. On the last half, let's take a
look at these.
These, again, are a lot like those
documentation points that we had talked about
earlier. So don't forget, if possible, range
of motion exercises,
so you can decrease edema, really help with
circulation on your patients.
Now, skin care and positioning is really
important because you can imagine you don't
want your patient, and they don't want to be
in the same spot for the whole time
they're restrained. So making sure you
reposition them for comfort and at least turn
them every two hours, that also is going to
help with skin care as well.
And we talked about toileting, but skin care
goes with toileting.
It also goes with repositioning your patient
to make sure they don't get bedsores.
And don't forget about the circulation.
Make sure you're assessing those limbs,
because, again, if something's tied around
someone's wrist, we want to make sure at all
times that restraint, for example, doesn't
get tied up on the bed rail, doesn't get
somewhere it doesn't need to be, and causing
excess restriction on a patient's limb.
So make sure you're doing those circulation
And when I say circulation, you remember how
we do that.
Check your pulse on your patient, check for
Also, check their capillary refill is a
great way to do that.
And lastly, additional support is really
So psychological and emotional.
Again, sometimes when we restrain patients,
they don't understand why they're in the
restraints. It can be really distressing and
really upsetting for them.
So make sure as the nurse, you stay calm,
you're there, you communicate with your
client to make them feel as safe and
comfortable as possible.