Which nursing interventions are required by The Joint Commission (TJC) when the deci-sion is made that a patient will benefit from the use of physical restraints? Select all that apply

Question

a. The patient's family is telephoned and told that restraints were applied.
b. The restraints are removed when the patient agrees to cooperate with staff.
c. A staff member is assigned to sit next to the patient until the restraints are re-moved
d. The nurse provides the patient with a timetable that identifies when the restraints will be removed.
e. The nurse notifies the patient's mental health care provider that a face-to-face as-sessment is needed

Answer 1

ANS: A, C, D
The Joint Commission (TJC) standards require that the patient's family and legal representa-tives be notified when restraints are used, and the licensed independent practitioner (LIP) is required to assess the patient within 1 hour of the application of the restraints. The staff is also now required to perform continuous in-person observation of any patient in restraints for the duration of the restraint procedure. The criteria for removal of the restraints is not based exclusively on the patient's stated willingness to cooperate or is the nurse required to provide the patient with a specific time when the restraints will be removed.