Goal: The patient is constrained by the restraint, remains free from injury, and the restraint does not interfere with therapeutic devices.
1. Determine need for restraints. Assess patient’s physical condition, behavior, and mental status. Refer to review material in the chapter introduction.
2. Confirm agency policy for application of restraints. Secure an order from the primary care provider or validate that the order has been obtained within the past 24 hours.
3. Perform hand hygiene and put on PPE, if indicated.
4. Identify the patient.
5. Explain reason for use to patient and family. Clarify how care will be given and how needs will be met. Explain that restraint is a temporary measure.
6. Open the blanket or sheet. Place the child on the blanket, with edge of blanket at or above neck level.
7. Position the child’s right arm alongside the child’s body. Left arm should not be constrained at this time. Pull the right side of the blanket tightly over the child’s right shoulder and chest. Secure under the left side of the child’s body.
8. Position the left arm alongside the child’s body. Pull the left side of the blanket tightly over the child’s left shoulder and chest. Secure under the right side of the child’s body.
9. Fold the lower part of blanket up and pull over the child’s body. Secure under the child’s body on each side or with safety pins.
10. Stay with child while mummy wrap is in place. Reassure child and parents at regular intervals. Once examination or treatment is completed, unwrap child.
11. Remove PPE, if used. Perform hand hygiene. Excellent Satisfactory Needs Practice
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