Get Restraint Flow Sheet

The Restraint Flow Sheet is an essential document for recording the use of restraints in a medical setting. It ensures accurate documentation and helps maintain the dignity and safety of the individual receiving care.

Follow the steps to complete the Restraint Flow Sheet effectively

1. Press the ‘Get Form’ button to retrieve the Restraint Flow Sheet and open it for editing.
2. Carefully read through the 'Reasons for Use of Restraints' section. Indicate up to five reasons that apply by filling in the corresponding blank spaces.
3. In the 'Documentation Required Every Hour' section, provide documentation for the specific observations noted each hour, like confusion or agitated behavior.
4. Enter the date and time when the restraint was applied in the designated field.
5. In the 'Alternatives Tried Code' section, select and list any alternative measures that were attempted prior to the use of restraints, referring to the numbered options.
6. Identify the devices used by marking the appropriate options in the 'Devices' section, and specify any additional devices if necessary.
7. Fill in the ordering physician's name and ensure that their signature is captured, confirming that the patient was seen within one hour of restraint application.
8. Complete the 'Assessment Physiological Needs' section by detailing the patient's status every hour across multiple areas such as circulation and skin integrity.
9. Document the family notification by entering initials in the provided space and ensure that dignity maintained criteria are met by checking the relevant points.
10. After all fields are completed, save your changes, and consider downloading, printing, or sharing the form as needed.

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