What guideline should a nurse include when updating protocols for the use of belt restraints?

When updating protocols for the use of belt restraints, it is essential to include the guideline to document the client's condition every 15 minutes. Regular documentation is critical to ensure that the patient's safety and well-being are continually monitored. By documenting frequently, nurses can promptly identify any changes in the patient's condition, assess the effectiveness of the restraints, and determine whether they need to be adjusted or removed. This practice helps protect the patient from potential harm associated with prolonged restraint use, ensuring that it is only applied when necessary and for the shortest time possible.

Frequent documentation also provides an objective record that may be essential for legal compliance, ensuring transparency in the care provided, and facilitating communication among the healthcare team about the patient's status. Monitoring the condition helps prevent complications that could arise from restraint use, such as pressure ulcers or diminished circulation. Therefore, rigorous documentation supports both patient safety and accountability in clinical practice.