The identification of the need for a change in the use of physical restraint is the first step towards transformation. The data gathered clearly shows that the behavior of initiating and using a restraint is concerning. Just one month alone, five patients were on restraint at the acute respiratory unit. Three out of five had two types of restraints on and only one type of restraints had been ordered by the physician. One patient was noted to have no renewal order. The “indiscriminate or inappropriate use of these devices is widely regarded as suboptimal care” (Wagner, McDonald, & Castle, 2012, p. 547). Information gathered from a verbal conversation with a couple of nurses indicates insufficient knowledge on when and how to use restraint,
