Lastly, seclusion is a form of restraint typically only utilized by emergency departments or psychiatric facilities where a violent individual is placed in a special seclusion room to prevent them from leaving the facility before proper care may be provided.
Regulation requires proper assessment, intervention and documentation. For example, ongoing nursing assessment of patient status, including frequent vital signs and skin assessment, along with reevaluation of need for restraint, is required while any restraint is in place. Additionally, a physician assessment and written order is also required for application of a restraint and must be renewed every 24 hours. Any healthcare facility will have specific policies outlining safe practices for restraint utilization.