Restraint Monitoring
Complete per monitoring interval.
- Industry: Healthcare
- Frequency: Every 2 hours or as ordered
- Estimated Time: 5-10 minutes
- Role: Nurse
- Total Items: 33
- Compliance: CMS, Joint Commission, State Regulations
Monitoring Checks
Complete monitoring checks.
- Circulation adequate?
- Skin condition acceptable?
- Patient needs addressed?
- Restraint positioned correctly?
Documentation
Complete documentation.
- Restraint order current?
- Release criteria assessed?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
Medication Safety & Management
Verify medication handling and administration practices
- Medications stored securely and at proper temperature?
- Controlled substances properly secured and counted?
- No expired medications in stock?
- High-alert medications properly labeled?
Environment of Care & Safety
Verify facility environment meets safety standards
- Fire exits clear and unobstructed?
- Emergency equipment functional and accessible?
- Spill kits available and stocked?
- Electrical cords and outlets in safe condition?
Documentation & Regulatory Compliance
Complete assessment documentation and ensure regulatory compliance
- All findings documented with evidence?
- Corrective actions assigned with timeline?
- Staff education provided on identified issues?
- Assessor Signature
- Additional Observations
Related Healthcare Checklists
- Blood Transfusion Safety Check
- Suicide Risk Assessment
- Elopement Prevention
- Clinical Alarm Management
- Specimen Collection Safety
- Healthcare Daily Clinic Opening Checklist
- Clinic Closing Procedures
- Exam Room Turnover
Related Clinical Operations Checklists
- Hand Hygiene Compliance - FREE Download
- Medication Safety Check - FREE Download
- Surgical Safety Checklist - FREE Download
- Fall Prevention Assessment - FREE Download
- Infection Control Audit - FREE Download
- Patient Identification Verification - FREE Download
- Safe Discharge Checklist - FREE Download
- Code Blue Readiness - FREE Download
- Pressure Ulcer Prevention - FREE Download
- Blood Transfusion Safety Check - FREE Download
Why Use This Restraint Monitoring?
This restraint monitoring helps healthcare teams maintain compliance and operational excellence. Designed for nurse professionals, this checklist covers 33 critical inspection points across 8 sections. Recommended frequency: every 2 hours or as ordered.
Ensures compliance with CMS, Joint Commission, State Regulations. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Restraint Monitoring cover?
This checklist covers 33 inspection items across 8 sections: Monitoring Checks, Documentation, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification, Medication Safety & Management, Environment of Care & Safety, Documentation & Regulatory Compliance. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed every 2 hours or as ordered. Each completion takes approximately 5-10 minutes.
Who should use this Restraint Monitoring?
This checklist is designed for Nurse professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.