So you’re caring for a client who requires restraints…after you’ve applied the ordered restraint, what else do you need to do? You guessed it: document! ✍️ It’s important to note the: 👉 REASON the restraints are needed 👉 START and STOP times of the restraints 👉 PLAN of care for the client 👉 and of course ASSESS (and document!) the skin under the restraints! ✨NCLEX® TIP✨ Restraints should be removed at least every 2 hours in order to fully assess the skin and reduce the risk of skin breakdown