What is a safe practice when applying restraints to a juvenile?

• A. Ensure restraints do not impair breathing, avoid chest or neck compression, monitor for distress, and reposition as soon as safe.
• B. Apply restraints tightly to prevent escape.
• C. Leave restraints in place for hours without monitoring.
• D. Move the juvenile against their will to adjust chairs.

Answer: (A)

Focus on keeping airway and breathing safe while using restraints. Restraints should be applied so they do not compress the chest, abdomen, or neck, because any restriction in airflow or circulation can quickly become dangerous for a juvenile. While restrained, there must be continuous monitoring for signs of distress—difficulty breathing, unusual skin color, agitation, or changes in consciousness—and if distress or compromised breathing is noted, repositioning to improve ventilation should be done as soon as it is safe and the restraints adjusted or removed as soon as practicable. Use the minimum level of restraint necessary and for the shortest time possible, with trained staff supervising and clear plans for ongoing observation and reassessment.

Tightly applied restraints, especially to prevent escape, can directly impair breathing and circulation. Leaving restraints in place for hours without monitoring ignores safety needs, and moving a juvenile against their will to adjust seating or chairs can cause physical harm or escalating risk.