What is the nurse's priority when a patient is placed in seclusion or restraints?

The priority is maintaining patient safety and dignity while using the least restrictive intervention for the shortest time possible. Restraints require a face-to-face provider assessment within one hour and must be reordered every four hours for adults. The nurse must assess the patient at least every two hours for circulation, sensation, movement, skin integrity, vital signs, hydration, nutrition, toileting, and emotional status. Document the behavior necessitating restraint, alternatives tried first, the type of restraint, times of assessment, and the patient's response.