Mosby's Nursing Video Skills

Sample Documentation for Applying Physical Restraints

2020 Patient has repeatedly attempted to get out of bed. Remains disoriented to name,
date, and location. Provided sitter and attempted to reorient repeatedly without success.
Conferred with Dr. Benner. Patient must remain on bed rest postoperatively after spinal
surgery. Dr. Benner here to assess patient; ordered belt restraint for next 24 hours. —M.
Jenkins, RN 8/8/13
2030 Belt restraint applied around waist. Patient able to breathe deeply without
restriction. Skin under restraint is intact, without redness. Patient able to move
extremities. Initiating hourly observations of patient and temporary release of restraints.
Family at bedside verbalized understanding of need for restraints postoperatively to
reduce risk of disrupting surgical site. —M. Jenkins, RN 8/8/13

Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.