Use the least restrictive method required to accomplish necessary patient care andensure safe transportation:
1. Do not endanger yourself or your crew
2. If law enforcement or additional personnel are likely to be needed, call for assistance prior to attempting restraint procedures
3. Soft restraints are usually sufficient to secure extremities; plastic ties or other hard restraints should only be used when all other alternatives are inadequate to ensure safety. Consult with your local medical authority for any regulations related to the use of specific restraint devices.
4. Avoid applying any pressure to or obstructing the airway, or affixing limb restraints that inhibit distal circulation.
5. NEVER restrain a patient in the prone position; it becomes impossible to monitor and/or protect the airway.
6. Explain to the patient why he/or she is being restrained.
7. Once restraints have been applied, NEVER engage in “negotiation” with the patient for their release, or release them if the patient has become “compliant”. The risk for harm that you felt was originally present has not changed.
8. Whenever locked devices are used, by anyone, keys must be immediately at the patient’s side at all times. Consult with your local medical authority for any regulations related to the use and ongoing monitoring of locking restraint devices.