- Nurses must know any restraint legislation based on their jurisdiction and health-care sectors and understand how it applies to their work settings.
- Nurses must know their organization’s policy and procedures regarding the use of restraints and the informed consent requirements when restraints are considered as an intervention to deal with the client’s responsive behaviours.
- It is very important that nurses use only the type of restraints authorized for use within their organization and know the required monitoring, observation and documentation responsibilities as outlined by their organization’s policy and procedures.
- Nurses should be supported in the documentation of care for the duration of a client’s restraint episode by a standard form.
To see an example observation and documentation record click here.
Clinical Management
Promoting Safety: Alternative Approaches to the Use of Restraints
Point of Care Resources