A. Restraint use should be implemented in the least restrictive manner possible, applied in accordance with safe and appropriate techniques and ended at the earliest possible time.

B. Each order for the application of restraints shall be time limited and shall include the type of restraint to be used. Restraints orders shall not be written as a standing order or on an as needed basis (PRN).

C. Restraints either physical or chemical shall be applied only after less restrictive measures have failed. Restraints shall not be used as a matter of convenience for the staff or as a tool for disciplining the patient. When the use of a restraint is clinically indicated, it shall be used only in accordance with the order of a physician or non-physician licensed medical professional who has been appropriately credentialed by the medical staff with approval by the governing body.

D. Documentation of a comprehensive assessment and modification to the plan of care shall include the less restrictive measures attempted, justification for the continued need of restraint and that the patient and/or significant other has been informed of the reason for restraint use.

E. Documentation in the patient's record regarding any type of restraint shall include the times the restraint was applied, released, and discontinued, as well as evidence of continual assessment, monitoring and re-evaluation of the patient's condition during the restraint incident.

F. When restraint use is ordered by other than the attending physician, the attending physician shall be informed as soon as possible.

G. Patients in leather or locked restraints shall be under constant observation.

H. All staff that have direct patient contact shall have ongoing education and training in the proper and safe use of restraints.