What is the policy regarding patient restraints and safety?

• A. Restraints can be used for staff convenience without orders.
• B. Restraints do not need ongoing monitoring.
• C. Restraints should never be adjusted or reassessed.
• D. Restraints should be used only when medically necessary with a physician's order, regular reassessment, the least restrictive option, and continuous monitoring and documentation.

Answer: (D)

Restraints are a safety measure that must be tightly controlled. They should be used only when there is a medical necessity and with a physician’s order, and the plan must be reviewed and reassessed regularly. You should always choose the least restrictive option that achieves safety, and there must be continuous monitoring and thorough documentation of the rationale, the patient’s response, and any alternatives attempted. This approach protects the patient’s safety and rights and keeps caregivers accountable. Restraints used for staff convenience, without orders, or without ongoing monitoring and reassessment, can lead to harm, violate standards, and overlook the patient’s need for care and dignity.