Before using a restraint on a patient, it is recommended that the nurse assess the patient to determine possible reasons for their agitation. After assessing the patient, the nurse should try to use alternative methods, i.e., distractions, reorientation, providing a calm environment, and reassessing basic needs. The nurse should document all attempts at alternative methods and their results. If alternative methods do not work, the nurse can request a restraint prescription (the least restrictive first). If the restraint request is approved, the nurse will check the patient's restraint every 30 to 60 minutes for chafing or injury, and remove the restraint every 2 hours to turn it around, reposition it and going to the toilet (Ignatavicius, 2013). Some establishments require that the prescription for the use of restraint be re-evaluated