Nursing: Application of Restraint
Equipments:
Restraint
Nursing Actions:
- Explain the rationale of the restraint application
- Select the proper type of restraint
- Assess skin for any irritation
- Apply restraint to the patient assuring some movement of body part. One to two fingers should slide between restraints and patient’s skin.
- Tie straps with clove hitch knot securely
- To make a clove hitch, make a figure-eight
- Pick up the loops and put the limb through the loops and secure
- Pad bony prominences
- Secure restraints to the bed frame and do not tie the straps to the side rail
- Assess skin integrity and restraints q 30 minutes and release it at least every 2 hours
- The restraints should be assessed continually at least every 8 hours