What is the recommended usage of restraints according to the Joint Commission?

The recommended usage of restraints according to the Joint Commission emphasizes that they should be utilized only as a last resort. This approach is grounded in a commitment to patient safety and the principle of least restraint. When restraints are deemed necessary, it is crucial that there is continuous monitoring of the patient. This monitoring ensures that the patient’s safety and wellbeing are prioritized, and it allows for a prompt reassessment of the need for restraint. Furthermore, this practice aligns with the ethical standards of minimizing restrictions on patient autonomy while still providing necessary care.

The rationale behind this guidance stems from evidence that frequent or indiscriminate use of restraints can lead to physical and psychological harm, increased agitation, and reduced trust in the healthcare system. Therefore, restraint should only be employed when all other less invasive methods have been considered and attempted without success.