What is a physical restraint, and when is it allowed?

• A. A device or method that restricts movement; allowed only with a physician's order when necessary to protect safety and after trying less restrictive options, with monitoring and documentation.
• B. A medication used to control behavior or movement; it should be avoided as a disciplinary tool and used only when medically necessary with monitoring.
• C. A policy restricting visits to staff only.
• D. An emergency tool used for resuscitation.

Answer: (A)

Physical restraints are devices or methods that restrict a person’s movement and may be used only when there is a safety risk and after trying less restrictive options first. They must have a physician’s order, be used for the shortest time necessary, and be accompanied by ongoing monitoring and thorough documentation of the need, actions taken, and when the restraint is removed. This ensures the patient’s safety while protecting their rights and limiting unnecessary restriction. Other options described do not fit: using a medication to control behavior refers to a chemical restraint, not a physical one; a policy restricting visits is unrelated to restraints; and an emergency tool for resuscitation is not a restraint.