Restraint flow sheet: Fill out & sign online

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Click ‘Get Form’ to open the restraint flow sheet in the editor.
Begin by filling in the 'Reasons for Use of Restraints' section. List up to five reasons, such as confusion or unsafe ambulation, ensuring you provide clear and concise information.
In the 'Documentation Required Every Hour' section, document any relevant observations or actions taken every hour regarding the patient's condition.
Complete the 'Assessment Code' field by marking '+' for normal assessments and '-' for any problems identified during evaluations.
Record the 'Date/Time Restraint Applied' to maintain accurate documentation of when restraints were initiated.
Fill out the 'Alternatives Tried Code' section by selecting appropriate alternatives that were attempted before applying restraints.
Document any devices used in the designated area, specifying each device type clearly.
Ensure to include signatures and confirm if a physician saw the patient within one hour of restraint application, noting the time accordingly.

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