Restraint assessment form 2026

1. Click ‘Get Form’ to open the restraint assessment form in the editor.
2. Begin by filling in the 'Initiation of Restraints' section. Enter the date and time when restraints were initiated, along with the reason for restraint, ensuring it aligns with behavioral criteria.
3. Document family notifications and provide information regarding the restraint's purpose and release criteria. Use initials to confirm these actions.
4. In the 'Type of Restraint Key', select appropriate restraint types based on patient age and condition. Fill in each corresponding hour and minute as required.
5. Complete monitoring sections every 15 minutes, documenting physical responses, orientation status, and readiness for release. Ensure to initial each entry for accountability.
6. Finally, document any exceptional observations in the designated area, providing thorough details as necessary before concluding with discontinuation documentation.

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