What is the preferred approach to using restraints in patient care?

• A. Use the least restrictive measures before applying restraints
• B. Apply restraints immediately
• C. Call security
• D. Never restrain a patient

Answer: (A)

The main idea here is to always start with the least restrictive approach to keep the patient safe. Before using any restraint, try methods that maintain safety while supporting the patient’s autonomy—de-escalation through calm communication, reducing stimuli, bringing in a sitter or one-to-one observation, and adjusting the environment to prevent agitation or harm. If these steps don’t work and the patient poses danger to themselves or others, obtain a physician’s order for restraints and choose the least restrictive option appropriate for the situation and for the shortest duration possible.

Once restraints are used, they must be applied correctly and with ongoing monitoring. This includes frequent checks of circulation, sensation, skin integrity, and comfort, as well as regular reassessment to determine if restraints are still needed. Documentation should reflect the rationale, attempts at alternatives, and the patient’s response. Restraints are not the first choice, and while there are times they’re necessary, they require orders and careful, continuous evaluation.