good morning miss Brown I'm Miss Hartman I'm gonna be your nurse today I'm gonna be putting a soft wrist restraint on this left arm to keep you from pulling on that Ivo apply the restraint around the clients wrist or ankle according to the manufacturer's instructions maintain restrained extremity in normal body alignment to prevent contractures and neurovascular injury pull the tie around or through the restraint ensure that two fingers can be inserted between the restraint and the clients wrist or ankle to avoid impaired circulation to the extremity secure that's high around the bedframe that moves when the head of the bed is raised or lowered using a half bow or slip knot do not attach the restraint to the side rails this type of knot is used because it unties easily when the loose end is pulled you