Involuntary admission and the medical inpatient: judicious use of physical restraint

MedSurg Nursing, August, 2005 by Masharia A. Clark

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Masharia A. Clark, RN, MS, ARNP, is a Clinical Nurse III, Behavioral Health Department, St. Anthony's Hospital; and a Psychiatric ARNP, Suncoast Center for Community Health, St. Petersburg, FL.

Table 1.
CMS Restraints and Classes

Class I              Class II                 Class III

* Wrist restraints   * Any combination of     * Locked restraint,
  only                 geri/wheelchair,         including leather
* Roll belt only       wrist restraint, and   * Locked seclusion
* Geri/wheelchair      roll belt              * Enclosed bed
  with table top     * Vest restraint         * Restraints, 4 limbs
* Mitts              * Restraints, opposite     with or without roll
* Full bed rails       limbs                    belt
                                              * Body net

Sources: CMS, 2003a; JCAHO, 2004a