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SOP: Management of the Patient in Restraints, NIH Clinical Center Nursing Department:"Management of the Patient in Type I Restraints"


A Nationwide Pattern of Death:


NAMI To Release Summary of Restraints & Seclusion Abuse Reports, National Alliance for the Mentally Ill (NAMI):"The National Alliance for the Mentally Ill (NAMI) also will release separately a summary of abuse reports it has compiled since publication of the investigative series "Deadly Restraint" by The Hartford Courant in October 1998. The series surveyed 142 deaths around the country over the past decade that occurred during or shortly after restraints or seclusion were used.


The Use of Physical Restraint Interventions for Children and Adolescents in the Acute Care Setting:"Children and adolescents may need to be physically or chemically restrained for various procedures, because of disruptive behavior, or to prevent injury to themselves or others. The use of restraint for a child or adolescent requires clear indications, safe application, reassessment guidelines, and use only after the consideration of alternative methods. Seclusion refers to the involuntary confinement of a patient alone in a room, from which the patient is physically prevented from leaving, for any period of time. The use of seclusion or restraint on children and adolescents hospitalized for psychiatric disorders has been reviewed by several authors and is beyond the scope of this statement.[1-4]"


Newspaper Series Puts Spotlight on Restraints (free registration required):"Patient deaths following physical restraint in mental health care facilities documented in a series of newspaper articles did not surprise mental health organizations representing physicians, hospitals, and patients."


Patient Restraints Improving Safety, Reducing Use:


Patient Restraint and Positional Asphyxia Newz Directory:


Seclusion and Restraint, National Institute of Mental Health:"The use of involuntary mechanical or human restraints or involuntary seclusion is only justified as an emergency safety measure in response to imminent danger to one's self or others. These extreme measures can be justified only so long as, and to the extent that, the individual cannot commit to the safety of themselves and others."


Strategies For The Management Of Disturbed And Violent Patients In Psychiatric Units: ******************************************************

Use of Restraints/Protective Immobilization Devices:"To describe the guidelines for the use of restraints/protective immobilization devices in Harris Continued Care Hospital (HCCH). HCCH's goal is to reduce the use of restraints to the safest possible level."


Your Rights in Hospitals Regarding Restraining and Seclusion:


Morrison Medical Products: 610 West Town Street Columbus, OH 43215-4446 (614) 461-4400 FAX 614.469.96.96 ******************************************************


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Created on June 2, 1999

Last updated by Andrew Lopez, RN on March 13, 2023

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