Topic > The Rapid Response Team - 1265

Before proceeding to use a restraint on a patient, it is recommended that the nurse assess the patient for possible reasons for his or her agitation. After assessing the patient, the nurse should try using alternative methods, such as distractions, reorientation, providing a quiet environment, and reassessing basic needs. The nurse should document all attempts and results of alternative methods. If alternative methods do not work, the nurse may request the prescription of a restraint (the least restrictive one first). If the restraint request is approved, the nurse will check the patient's restraint every 30-60 minutes for possible chafing or injury and remove the restraint every 2 hours to turn, reposition, and go to the bathroom (Ignatavicius, 2013). Some facilities require reevaluation of the prescription for the use of restraints