Restraint of Infants for Treatment or Procedures

 

Authorised by Charge Nurse - Newborn
May 2006
Clinical Guidelines Back Newborn Services Home Page

Restraint category

Form required

Application

Type of Restraint

Watch points/ monitoring

Physical No IV/LL/Peripheral IA
  • Limb immobilised: held by nursing/medical staff during insertion.
  • Splint applied to limb across appropriate joint to ensure immobility and thus maintenance of therapy lines.
  • Hourly site checks.
Physical No UAC/UVC insertion
  • Restrained in folded nappies as per RBP for duration of insertion.
  • Cardiac/SpO2 monitoring.
  • Frequent checks of infant.
Physical No Lumbar puncture
  • Infant held on side with spine curved to enable safe insertion of spinal needle.
  • Occasionally infants may be held sitting flexed forward.
  • Protection of airway paramount.
  • Appropriate respiratory support commenced before procedure commenced.
  • Cardiac/SpO2 monitoring if appropriate.
Physical/ chemical No Intubation
  • Infant held still with neck extended to facilitate rapid safe intubation of airway.
  • Sedated/muscle relaxed with medication to aid correct insertion of ET tube easily.
  • Cardiac/SpO2 monitoring.
Physical No Chest drain insertion
  • Infant held on side with limbs immobilised to facilitate insertion of trochar into pleural space.
  • Infant sedated and local anaesthetic used as appropriate.
  • Cardiac/SpO2 monitoring.
Physical No Transports
  • Infant transported in appropriate equipment according to gestation and complexity of care required:
    • Transport incubator: infant restrained in harness to ensure safety while travelling via ambulance/aircraft.
    • Cot: infant restrained with harness within cot and appropriate restraint of cot in ambulance.
    • Car seat: infant restrained with appropriate harness and seat-belt to ensure safety during transport.
  • Infant's comfort and safety paramount.
  • Appropriate monitoring for gestation and complexity.