What is required prior to applying restraints to a patient?

The requirement for a physician's order prior to applying restraints to a patient is essential for ensuring patient safety and adherence to legal and ethical standards in healthcare. A physician's order provides a formal directive that outlines the necessity for restraints based on an assessment of the patient's condition. This procedure is critical because restraints can significantly impact a patient's physical and emotional well-being.

Obtaining a physician's order also helps to ensure that there are appropriate justifications for the use of restraints, such as preventing harm to the patient or others, rather than arbitrary decisions made by staff. It is a safeguard that aligns with guidelines and policies established by healthcare institutions to protect patients' rights and dignity. Additionally, this step might involve regular reviews to assess the continued need for restraints, emphasizing the commitment to using the least restrictive means of care.

While nurse discretion, patient consent, and family approval may be relevant in certain situations, they are not substitutes for the formal order that ensures restraint use is guided by clinical judgment and institutional protocols.