RESTRAINT CHARTING
Student's Name__________________ __________________ Date ___________
Restraint Initiation:
Date/Time restraint applied:
Is there a current restraint order in the health record?
Reassessment:
What was the behavior that required the restraints?
What alternatives to restraints were attempted first?
Type of restraint(s) utilized:
The determination as to whether or not side rails would be considered a restraint is based on “intent.”
Therefore:
If the intent of raising the side rails is to prevent a patient from voluntarily getting out of bed or attempting to exit the bed, the side rails would be considered a restraint.
If the intent of raising the rails is to prevent the patient from inadvertently falling out of bed, then it is not considered a restraint. Also, if a patient does not have the physical capacity to get out of bed regardless if side rails are raised or not, then the use of side rails is not considered a restraint. from Joint Commission website.
Assessed orientation
Assessed circulation of the area(s) that is/are restrained
Does the patient still need restraints?
Assessed sensation of the area(s) that is/are restrained
