Nursing Procedure: Applying Soft Wrist Restraint

Introduction

• Nurse: Miss Hartman
• Objective: Apply a soft wrist restraint on the left arm

Steps for Application

1. Placement

   • Apply restraint according to manufacturer's instructions.

2. Alignment

   • Maintain the restrained extremity in normal body alignment.
   • Purpose: Prevent contractures and neurovascular injury.

3. Adjustment

   • Pull the tie around/through the restraint.
   • Ensure two fingers can fit between restraint and wrist/ankle.
   • Purpose: Avoid impaired circulation.

4. Securing the Restraint

   • Secure tie around a moving bedframe (when head of bed is adjusted).
   • Use a half bow or slip knot.
   • Note: Do not attach to side rails.
   • Knot type ensures easy untying by pulling the loose end.

Conclusion

• This procedure ensures patient safety by preventing IV disruption while avoiding circulation issues and ensuring quick release if needed.