When is it appropriate to use restraints on a patient?

Using restraints on a patient is considered appropriate primarily as a last resort when the patient poses a danger to themselves or others. This principle is grounded in ethical nursing practice and patient safety. Restraints can significantly restrict a patient's freedom and independence, and they carry risks including physical harm or psychological trauma.

Before employing restraints, healthcare providers must ensure all alternative interventions to manage the patient's behavior have been explored. Options such as verbal de-escalation, environmental modifications, or one-on-one supervision should be attempted first. Restraints should only be considered when the risk of harm is imminent and cannot be mitigated through less intrusive means.

This approach is also reinforced by legal and institutional policies, which typically require that restraints be ordered by a physician based on an assessment of the patient's condition. Additionally, restraints are not appropriate for all medical procedures or simply as a response to agitation, as these situations do not inherently justify their use. Prioritizing the safety and dignity of the patient while adhering to professional guidelines is essential in making decisions about restraints.