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Initiation of Restraint (draft 29/11/05) Residents identified injury risks: 1 history of falls (# in past 3 mos:) 1 unsteady gait 1 weakness 1 poor vision 1 unsteady transfers 1 inadequate trunk/limb

How to fill out initiation of restraint

How to fill out initiation of restraint:

1. Start by carefully reading the instructions provided on the initiation of restraint form. This will give you a clear understanding of what information needs to be filled out.
2. Begin by entering the date and time of the initiation of restraint. Make sure to accurately record this information.
3. Fill in the name and contact details of the person or organization initiating the restraint. Include their full name, address, phone number, and any other relevant information.
4. Next, enter the name and identifying details of the individual who will be restrained. This should include their full name, date of birth, and any other necessary information for identification purposes.
5. Provide a detailed description of the reason for the initiation of restraint. Explain the circumstances that led to the need for restraint and any additional relevant information.
6. Indicate the type of restraint that will be used, if applicable. This could include physical restraints, chemical restraints, or any other method being employed.
7. If there are any specific instructions or considerations related to the initiation of restraint, make sure to note them in the designated section. This could include information about any medications, allergies, or other relevant medical conditions.
8. Finally, sign and date the initiation of restraint form. This should be done by the authorized person initiating the restraint.

Who needs initiation of restraint:

1. Individuals who pose a threat to themselves or others may require initiation of restraint. This can be in situations where there is a risk of harm or danger.
2. Healthcare professionals and caregivers may need to initiate restraint when dealing with patients or individuals who are exhibiting violent or aggressive behavior.
3. Initiation of restraint may also be necessary in certain legal or law enforcement situations, such as managing unruly or dangerous individuals in correctional facilities or during arrests.
4. It is important to note that the initiation of restraint should only be used as a last resort when all other methods of de-escalation and intervention have been exhausted. The decision to initiate restraint should always be made in accordance with applicable laws, regulations, and ethical guidelines.

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