Restraints in the medical setting are items that limit a patient’s movement. Restraints can help keep patients from harming themselves or anyone else, including their caregivers. They are used as a last resort.
When you hear about restraints, you might think of devices such as belts, vests, jackets, and mitts for the hands. You might also think of restraints that keep a patient from being able to move their elbows, knees, wrists, and ankles. Other ways to restrain a patient are:
Restraints may be used during surgery or when a patient is on a stretcher to hold them in the right position and keep them from falling.
Restraints can also be used to control or prevent harmful behavior.
Sometimes hospital patients who are confused need restraints so that they do not:
Restraints should not cause harm or be used as punishment.Health care providers should first try other methods to control a patient and keep them safe. Restraints should be used only as a last choice.
Caregivers in a hospital can use restraints in emergencies or when they are needed for medical care. When restraints are used, they must:
A nurse who has special training in using restraints can begin to use them, but a doctor or another health care provider must be told restraints are being used. They must then sign a form before the restraints can continue to be used.
Patients who are restrained need special care to make sure they:
Patients who are restrained also need to have their blood flow checked to make sure the restraints are not cutting off their blood flow. And, they need to be watched carefully so that the restraints can be removed as soon as the situation is safe.
If you are not happy with how a loved one is being restrained, talk with someone on their medical team.Restraint use is regulated by national and state agencies.If you want to find out more about restraints, contact The Joint Commission at www.jointcommission.org. This agency oversees how hospitals are run in the United States.Restraint devices
Comprehensive Accreditation Manual for Hospitalswithin theManaging Human Resourcesstandards. A standard FAQ publication of The Joint Commission. Dec 24, 2009. Accessed Feb. 26, 2012.
Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
MedlinePlus Topics
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2012, A.D.A.M., Inc. Duplication for commercial use must be authorized in writing by ADAM Health Solutions.