Get Restraint Documentation Example

The patient restrained for the management of violent or self-destructive behavior will be under continuous observation with documentation by a NA/Sitter of patient activity every 15 minutes. Nurse will document a nursing assessment to include respiratory status, circulatory status, range of motion, and behavior.

Reassess and document every 15 mins if Violent/Self-Destructive Restraints are still needed. Reassess and document every 2 hours the patient for circulation, skin integrity, range of motion, hydration, nutrition, elimination, and injuries.

Orders for restraints are renewed every 24 hours after evaluation by the provider. All patients with restraints require documentation at least every two hours, and require continuous monitoring.

Documentation patient behavior that indicates the continued need for restraints. patient's mental status, including orientation. number and type of restraints used and where they're placed. condition of extremities, including circulation and sensation. extremity range of motion. patient's vital signs. skin care provided.

The patient restrained for the management of violent or self-destructive behavior will be under continuous observation with documentation by a NA/Sitter of patient activity every 15 minutes. Nurse will document a nursing assessment to include respiratory status, circulatory status, range of motion, and behavior.

Monitoring / Care of patient The patient will be observed at least every two hours (or more frequently based on assessed needs). Direct continuous observation is required. (i.e., a sitter at bedside). In-person assessments must be documented every 10 to 15 minutes, with no time lapse of greater than 15 minutes.

Documentation must reflect the date and time the restraint is applied, the type of restraint, alternatives that were attempted (including their results), and notification of the patient's family and physician.

Patients in medical/surgical restraint will be continually assessed for the opportunity for removal of restraints. This re-assessment should be documented at least every 4 hours.