D u k e Details - Advanced Clinical Practice - Duke University

Restraints and SeclusionThe patient’s care needs (nutrition, elimination,repositioning, range of motion, neuro and circulationchecks) must be attended to at least once every2 hours and documented.The RN performs the inpatient assessment of therestrained/secluded patient for continued need.This assessment is performed at a minimum every 2hours for med/surg. indications and every 15 minutesfor behavior management indications. Theassessment findings and the patient’s response tothe restraint/seclusion intervention is documented.A plan of care (POC) is written for all patients inrestraint/seclusion.When the restrained patient travels off the inpatientunit, the receiving area continues the observationsand care interventions. These activities are documented.Refer to the DUHS and DUH Policy and ProcedureManuals for further information.48s