When an order has been obtained to place restraints on a patient, and the restraints are in place, nursing staff is required by the Centers for Medicare and Medicaid Services (CMS) and The Joint Commission to follow which of the following guidelines?
Select all that apply.
1. Offering the patient fluids
2. Checking on the patient no more than every 2 hours
3. Assisting the patient with toileting
4. Changing the patient's position in bed
5. Removing the restraint every 2 hours
ANS: 1, 3, 4, 5
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