Purpose

To provide direction for the safe and appropriate use of restraints across acute care settings promoting the least restraint approach to care.  

To differentiate between what is considered a restraint and what is not considered a restraint, in light of the individual patient’s goals of care and the necessity of a specific therapeutic intervention.

Policy Number

CLI.4510.PL.014 Restraints in Acute Care Setting

Background

Accreditation Canada requirement to develop a restraint policy for use in Acute Care settings.

Key Message

• Use of restraints in an Acute Care setting must be done according to policy under strict guidance to ensure safety of clients and staff are maintained.
• A restraint is:
  • Used only after all other options to address the safety risks for the patient and others in the immediate environment have been thoroughly attempted; 
  • Used in the best interest of the patient;  
  • Used judiciously and the least restrictive possible restraint;  
  • Used over the shortest period of time needed;  
  • Applied in accordance with the manufacturer’s directions where applicable; and  
  • Applied in a manner that can be easily removed by staff.

Recommendation(s)/Action Required

• Participate in formal education as provided by Staff Development.
• Print and have available appropriate forms, supporting documents for use at all facilities.

Timeline:

‘Go Live’ date – once formal education has been offered.

If you have any questions, please contact:

• Site Director or Manager

Submitted by: L Cassan, Regional Lead – Acute Care & Chief Nursing Officer