A nurse deciding whether or not to place an agitated patient in seclusion or restraints would need to keep in mind that:
a. the goal in using either seclusion or restraint is always to maintain the safety of the patient or others.
b. restraints are designed to discourage inappropriate behavior by serving as negative reinforcements.
c. seclusion and restraint are used in place of de-escalation when staff judge that de-escalation would be ineffective.
d. once implemented, restraints should not be terminated until the patient has remained calm for at least 6 hours.
A
The reason for using seclusion or restraints must always be to maintain the safety of the patient and/or others. All feasible alternative interventions must have been tried and proven unsuccessful before measures as restrictive as seclusion or restraints are used. They are never to be used as punishment or negative reinforcers and should be replaced with less-restrictive alternatives as soon as the patient is able to follow directions and remain safe.
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