If a resident is in restraints, how often should restraints be checked?

• A. Every 4 hours.
• B. Every 2 hours.
• C. Every Hour.
• D. Only when the nurse checks.

Answer: (C)

Hourly checks are essential because restraints can lead to safety risks and tissue injury very quickly. Each check should verify the restraint is secure but not too tight, and assess the restrained limb for circulation and sensation. Look for changes in color, temperature, numbness, tingling, swelling, or any signs of pressure or edema. Ensure padding is in place and that two fingers can fit between the restraint and the skin to prevent constriction. Observe for signs the resident is uncomfortable, confused, or attempting to remove the restraint, and monitor respirations and breathing comfort. Also confirm there’s a plan for repositioning and care needs, including toileting, and document the check and report any concerns to the nurse. This ongoing monitoring helps catch problems early and keeps the resident as safe as possible.