Restraint

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Contents 1 More Specific Terms 2 Introduction 3 More General Terms 4 References

More Specific Terms

• pharmacologic (chemical) restraint
• physical restraint

Introduction

• Intervention to prevent an excited, uncooperative or violent patient from doing harm to themselves or others.

• Restraint may be physical or pharmacologic.
• Alternatives to restraint: alarms treatment approaches safer environment
• Requires order from physician or licensed independent practioner. A registered nurse may apply restraint for medical reasons in an emergency. A physician must order within 12 hours.
• Order must include

• justification
• type of device used

• Restraint may be terminated without an order by authorized staff
• Medical restraint orders limited to 24 hours
• Behavioral restraint orders limited to 4 hours or less
• Behavioral restraint may be applied by physicians, RNs, LPNs,
• EMTs, a physicians order written or verbal must be obtained within 1 hour

More General Terms

• clinical procedure

References

1. Stedman's Medical Dictionary 26th ed, Williams & Wilkins, Baltimore, 1995
2. UCLA Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001
3. Veterans Administration

restraint