its a procedure

1. Procedure Guidelines on Restraining
Restraining
The activity /procedure of controlling and calming clients behavior through chemical and
mechanical means. It prevents the patients’ free movement to a position of choice and for
patients’ normal access to their body .It should not to be used as the punishment or for the
convenience of the staff.
Purpose
 To manage agitation and aggression of the violent patient.
 To facilitate examination, treatment and care.
 To maintain safety of the patient ,staff and others
 To prevent patient wandering.
Checklist on Restraining (05/06)
S. No. Instructions Yes No
During Restraining
1. Doctors’ order to restrain the patient 
2. Adequate personnel present (ideally 5) to
control aggressive behavior.

3. Encourage voluntary application of restraints x
4. Positioning of the patient in case of the
chemical restraint(lying position).

5. Place the patient supine with one arm extended
above head and other arm at the side

6. Apply restraints to the upper limbs followed
by the lower limbs.

7. Place legs far to each other 
8. Do not leave patient alone after restraints have
been applied.

Continuing Restraining
9. Check restrained patient for proper application
of restrain.

10. Check for
 Adequate circulation to limbs
 Color of skin
 Mental status
 Respiration
 Nutrition

x
x
x
x

2.  Hydration
 Elimination
Every 15minutes
x
x
11. Release and loosen restraint every 15minutes x
12. Provide active range of motion exercise to
each limb
x
13. Change the position of the patient. 
After Restraining
14. Check the vital signs 
15. Observe for the change in behavior 
Impression
Restraining procedure is carried out in the ward as per the need of the patient. While
performing the restraining procedure the procedure guideline is not followed completely.
There is found the lagging in the knowledge of the staff regarding the restraining
procedure. So, staffs need to be updated with the guidelines of the procedure conducted
in the ward.