Restraint category

Form required

Application

Type of Restraint

Watch points/ monitoring

• 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.

• Restrained in folded nappies as per RBP for duration of insertion.

• Cardiac/SpO₂ monitoring.
• Frequent checks of infant.

• 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.

• 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.

• 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.

• 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.