MCN’s customizable template, 24 Hour Restraint Record, is taken from our Intensive Care Unit Policy and Procedure Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from 24 Hour Restraint Record:

	24 HOUR RESTRAINT RECORD Restraint Nursing Action 0000 0015 0030 0045 0100 0115 0130 0145 0200 0215 0230 0245 0300 0315 0330 0345 0400 0415 0430 0445 0500 0515 0530 0545 Reason: Loosened Date: Observed Type: Skin Check Assessment: Circ. Check Reason: Loosened Date: Observed Type: Skin Check Assessment: Circ. Check Restraint Nursing Action 0600 0615 0630 0645 0700 0715 0730 0745 0800 0815 0830 0845 0900 0915 0930 0945 1000 1015 1030 1045 1100 1115 1130 1145 Reason: Loosened Date: Observed Type: Skin Check Assessment: Circ. Check Reason: Loosened Date: Observed Type: Skin...
Second excerpt:
	...type and location of restraints 2. Document that restraints loosened, skin checked, and circulation checked q 30 min. by initialing box 3. Document that restraints are observed q 15 min. by initialing box 4. Any break in skin integrity or circulation impairment shall have an placed in the corresponding box and will be addressed in Nursing Progress Notes 5. Care providers shall fill in Name, Title, Initials and Shift in space provided 6. Assessment shall mean pt. behavior, i.e, combative,...