Clinical Practice Guideline for Physical Restraint

Abstract

Abstract
Physical restraint is still a necessary treatment procedure in the hospital for the benefit of safety for both patients and others or for the benefit of getting medical treatment. However, negative consequences may occur as the adverse effects of physical restraint. The Siriraj Hospital Physical Restraint Committee, a multidisciplinary team, developed a Clinical Practice Guideline for Physical Restraint (CPG for Physical Restraint) with the objectives for: 1) minimizing the physical restraint only for the necessary cases 2) maximizing the safety of physical restraint 3) the patients getting adequate standard of nursing care and 4) reducing the negative consequences from physical restraint. In this article, we reviewed the process of
developing the CPG for Physical Restraint. Trials of CPG in pilot inpatient units and satisfaction surveys were performed to increase mutual participation and acceptance of CPG utility. Most of
the CPG users felt that the CPG was useful for improvement patient standard of care. The patients who needed to receive physical restraint at Siriraj Hospital shall receive the medical and nursing care according to the CPG for Physical Restraint with the consideration of patientûs right and maximum benefit of the patient.