In what situation may a licensed nurse authorize the use of restraints for up to 24 hours?

The ability of a licensed nurse to authorize the use of restraints for up to 24 hours is primarily justified in situations where there is an emergency that requires immediate measures to protect the resident. This context is crucial because it emphasizes the importance of ensuring the safety of both the resident and others in the environment. In emergency situations, restraints may be necessary when a resident poses an immediate risk of harm to themselves or others, necessitating swift action to mitigate potential dangers.

When considering restraint use in emergencies, it is essential to adhere to established guidelines and institutional policies that prioritize the resident's safety while also ensuring that the use of restraints is appropriate, justified, and the least restrictive option available. Such decisions are typically made in the context of acute or unforeseen circumstances where there is no time for prior assessment or consultation.

In other contexts, like medical procedures or behavioral management, the use of restraints may involve a more structured approach that generally requires additional consent or assessment by healthcare professionals and may not fall under the immediate emergency provision that allows for a nurse to authorize restraint use for up to 24 hours. During transport, similar principles apply, where measures need to be evaluated based on the situation and might not automatically warrant a blanket authorization for restraint.