When in doubt about using restraints on an agitated patient, it is prudent for nurses to:
A) Restrain the patient for his or her own safety
B) Use such minor restraints as a bedside rail or a tray on a wheelchair
C) Use alternatives such as a bed alarm with increased staff supervision
D) Avoid any device or procedure to limit liability
C
Feedback:
The Omnibus Budget Reconciliation Act (OBRA) imposed strict standards on the use of restraints in long-term care facilities. Anything that restricts a patient's movement can be considered a restraint and can result in litigation for false imprisonment and neglect. Thus, it is best to avoid restraints if possible. Bed alarm and staff supervision are effective and nonrestrictive for an agitated patient.
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