1. Type of Restraint: Seclusion, 4-point leather restraint, or soft restraints.
2. Indication: Confused, threat to self Agitated, threat to self Combative, threat to self/others Attempting to pull out tube, line, or dressing Attempting to get our of bed, fall risk
Not to exceed (specify number of hours)
4. Monitor patient as directed by hospital policy
5. Staff may decrease or release restraints at their discretion
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