Patient Restraint Management
Patient restraint practices are used to control any behaviors of patients that pose a threat to the immediate physical safety to themselves or others and are only to be used only when less restrictive interventions are ineffective. Patient Restraint Management is an integral requirement for Joint Commission accreditation as well as ongoing interaction with Centers for Medicare and Medicaid Services. All physicians and practitioners need to fully understand Banner Health’s patient restraint policies to ensure that we are providing patients with the best care possible.
There are two different types of patient restraint, including restraint and seclusion. Restraint is any manual method that immobilizes or reduces the ability of a patient to move their arms, legs or head. It can also include medication that is given to a patient that helps to manage a patient’s behavior that is not a standard of treatment for their current condition.
The use of restraint or seclusion must be implemented in accordance with the order of a physician or other licensed practitioner. If restraints are used for violent situations, a face-to-face evaluation and documentation must be completed within an hour regardless of the length of the restraint. For your safety, trial releases are not allowed, however, releases for procedures or the use of the restroom are permitted.
To ensure that we are providing the safest environment to our patients as well as to ourselves, please make certain that you keep the following in mind:
- Work with the other staff in the unit to identify any behaviors, events or environmental triggers that may cause the use for restraints with a patient.
- Individually assess each patient and choose the least restrictive intervention based on their behavior status or condition.
- Identify behavioral changes that indicate that restraint is no longer necessary.
- Monitor the physical and psychological well-being of the patient who is restrained.