A patient requires restraints after alternatives are not successful. The nurse is reviewing the orders. Which findings indicate to the nurse the order is legal and appropriate for safe care? (Select all that apply.)
a. Health care provider orders restraints prn (as needed).
b. Health care provider writes the type and location of the restraint.
c. Health care provider renews orders for restraints every 24 hours.
d. Health care provider performs a face-to-face assessment prior to the order.
e. Health care provider specifies the duration and circumstances under which the restraint will be used.
ANS: B, D, E
A physician's/health care provider's order is required, based on a face-to-face assessment of the patient. The order must be current, state the type and location of restraint, and specify the duration and circumstances under which it will be used. These orders need to be renewed within a specific time frame according to the policy of the agency. In hospital settings each original restraint order and renewal is limited to 8 hours for adults, 2 hours for ages 9 through 17, and 1 hour for children under age 9. Restraints are not to be ordered prn (as needed).
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