1. The appropriate type and size of the restraint should be prepared at the side of the bed.
2. For applying the selected restraint:
How To Apply Safety Belt
Safety Belt: Over the clothing, at the waist, place the belt. Between the resident and the belt there has to be a finger’s width. If you are at a stretcher, secure at the abdomen or hips, or at the back of a chair if using one. For removal, check with the facility policy.
How To Apply Jacket Restraint
Jacket Restraint: The vest has to be placed on the resident with the opening at front or back, based on type; Pull the tie of the vest, through the corresponding slip at the chest; the other tie should be done in the same way; Use a half-bow knot in order to secure the ties in their corresponding places, based on whether you are using a chair, a stretcher or other; The resident should be capable of expanding their chest fully in order to breathe comfortably.
For removal and reapplication, check the facility orders.
How To Apply Mitt Restraint
Mitt Restraint: Place a thumbless mitt on the hand, which is supposed to be restrained;
The fingers should be able to flex slightly and move freely; manufacturing instructions will be able to tell you how to handle the mitt; for removal, check with the policy of the facility.
How To Apply Wrist and Ankle Restraint
Wrist or Ankle Restraint: Pad the bony areas of the restrained area; the padded portion should be applied at the ankle or wrists correspondingly; the tie of the restraint should be pulled through the corresponding slit; to avoid the tourniquet effect, use a half-bow knot in order to attach the other end to the movable side of the bed.
If for some reason the resident starts complaining of pain, you should immediately stop the procedure and notify the nurse, because this could lead to serious complications.
You need to follow all facility policies as closely as possible, when it comes to observing the patient’s status and removing the restraints, because failing to follow them will be considered negligence.