When applying restraints on a patient with an endotracheal tube who is on a ventilator,the nurse understands that they are placed to protect the patient from self-extubation.Which of the following must occur when the restraints are applied?

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Restraints can be considered a form of medical intervention and therefore require a written physician order for use. This is important to ensure that the use of restraints is necessary for the patient's safety and is not being used for convenience or punishment. Written permission from the patient or family is typically not required for the use of restraints in this situation, although the nurse should still explain the purpose and use of the restraints to the patient and family. While the use of restraints may be accepted as a standard of care in some intensive care units, this alone is not sufficient justification for their use. Finally, while the primary purpose of the restraints is to prevent self-extubation, they may also be used if the patient is at risk of harming themselves or others.

When Applying Restraints on a Patient with an Endotracheal Tube