A nurse orders a vest restraint because a resident keeps trying to get out of bed at night. Before applying it, the CNA knows that under federal restraint rules:
Explanation
42 CFR §483.12(a)(2) prohibits restraints imposed for discipline or staff convenience and requires they be used only to treat the resident's medical symptoms after less restrictive interventions (bed alarms, low beds, frequent rounding, toileting schedule) have been tried. A physician order, documented assessment, informed consent, and ongoing monitoring are required. Routine use (b) or order-alone (c) violate the regulation; family consent (a) does not substitute for medical necessity and least-restrictive analysis.
Law Reference: 42 CFR §483.12(a)(2); CMS State Operations Manual Appendix PPThis topic, taught in full in the Certified Nursing Assistant (CNA) guide. CNA — Complete Study Guide (2026) — PDF + EPUB, $19.99 · 14-day refund →
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