The registered psychiatric nurse exhausts all other forms of intervention before deciding to use restraint. If the safety of a client or the effectiveness of the restraint is questionable, no restraint is used. Approved by Council November 1993 Audit Factors 1. The use of restraints must be therapeutic, humane and limited in duration. There must be a physician's order for restraints.
Concise documentation is vitally important.
Type of restraint must be documented. The type and degree of nursing supervision should be documented. Clients in full mechanical restraints shall be supervised 1-1. 5. Full mechanical restraints should be checked every 15 minutes for restriction, mobility and circulation. A limitation of freedom of movements audit should be completed by nursing supervisor within 24 hours.