Under what condition should restraints be discontinued?

Discontinuing restraints at the earliest possible time is essential because it aligns with the primary goal of promoting patient autonomy and safety. Restraints are only to be used as a last resort in situations where less restrictive measures have failed to ensure the safety of the patient or others. Using restraints can lead to physical and psychological harm, and prolonged use can inhibit a patient's personal freedoms. Therefore, once the immediate need for restraints has passed—meaning that the patient can be safely monitored in a less restrictive manner—the restraints should be removed promptly. This practice also reflects the guidelines and regulations regarding the use of restraints in healthcare settings, emphasizing the importance of continuous reassessment of the patient's condition and needs.

In contrast, discontinuing restraints when a patient is asleep, only with physician approval, or during times when staff are slightly busy does not prioritize removing restraints promptly when it is safe to do so. These conditions may lead to unnecessary prolonged restraint, which is against best care practices.