Introduction The aim of this paper is to present an implementation plan for the research problem that deals with the use of physical restraints in the intensive care unit. The steps and resources that will be used in the plan will also be presented. The paper also acknowledges the importance of evaluating any plan put in place to solve a problem. Towards this end, the paper will present the evaluation plan of the proposed solution and the anticipated outcomes. Lastly, the paper will touch on the dissemination of evidence for nursing practice. Description of Solution: Best Practice Staffing Best practice staffing is defined by the Emergency Nurses Association as “that which provides timely and efficient patient care and a safe environment for both patients and staff, while promoting an atmosphere of professional nursing satisfaction,” (Robinson, Jagim & Ray, 2004). Based on best practice, staffing will be done taking into consideration the following factors: patient census, patients’ acuity, length of stay of patients, nursing time for interventions and activities by patient acuity, and the mix of registered nurses versus non-registered nurses’ skills. The Implementation Plan and the Steps and Resources that will be Used An automated tool (in this case an Excel workbook) will be used to calculate the number of fulltime equivalent (FTEs) that is needed to provide quality care to patients in the intensive care unit. The tool will then split the FTEs into a skills mix of registered nurses (86%) and non-registered nurses (14%). The ratio of RN to non-RN needed in intensive care units was determined by the Nursing Interventions Classification (NIC) system (Robinson et al., 2004). Once the tool determines the total number of FTEs needed for the ICU patients, they will be distributed throughout the day according to the trends of the patient volume. This staffing technique based on best practice will enable the unit to acquire the appropriate number of nurses as well as support staff needed to provide utmost care to the ICU patients. It is hoped that by having adequate nursing and support staff, the need to use physical restraints would be reduced drastically (Kielb, Hurlock-Chorostecki & Sipprell, 2005). Moreover, having adequate number of nurses and support staff will ensure that physically restrained patients do not go for hours without being checked. In addition to best practice staffing, the solution will include a thorough observation of the patients. One important aspect of the action plan is the assertion that restraints or their alternatives should not be used as a substitute for observation. To enhance observation, the patients considered to be high-risk will be located in rooms that are closest to the nurse’s station. Safety rounds and patient checks will then be done after every one hour, with more frequent safety rounds at highly risky times (for instance during shift change). Documentation will be part and parcel of the assessment procedure. The documentation of the patient’s physical, emotional and psychological state will be done after every assessment. The records will be inserted in each patient’s folder and placed at the bedside for easy access by the nurse. As a result, the number and severity of injuries that often result from physical restraints