SKILL TEST PROCEDURE-3 APPLYING A MUMMY RESTRAIN

MUMMY RESTRAIN

A mummy restraint is appropriate for short-term restraint of an infant or small child to control the child’s movements during examination or to provide care for the head and neck. Restraints should be used only after less-restrictive methods have failed.

Step- 1,2 MUMMY RESTRAIN

Step-3 MUMMY RESTRAIN

EQUIPMENT

• Small blanket or sheet

ASSESSMENT

• Assess patient’s behavior and need for restraint.

• Assess for wounds or therapeutic devices that may be affected by the restraint.

• Evaluate the appropriateness of the least restrictive restraint device. Another form of restraint may be more appropriate to prevent injury.

NURSING DIAGNOSIS

• Risk for Injury

• Anxiety

• Impaired Physical Mobility

PLANNING

• Patient is constrained by the restraint, remains free from injury, and the restraint does not interfere with therapeutic devices.

• Examination and treatment is provided without incident.

• Patient’s family will demonstrate an understanding about the use of the restraint and its role in the patient’s care.

IMPLEMENTATION

1. Determine need for restraints. 

Assess patient’s physical condition, behavior, and mental status.

2. Confirm for application of restraints. 

Secure an order from the primary care provider, or validate that the order has 

been obtained within the required time frame.

3. Perform hand hygiene .

4. Identify the patient.

5. Explain the reason for use to the patient and family. Clarify how care will be 

given and how needs will be met. Explain that restraint is a temporary measure.

6. Open the blanket or sheet. Place the child on the blanket, with the edge of blanket at or above neck level.

7. Position the child’s right arm alongside the child’s body. Left arm should not be 

constrained at this time. Pull the right side of the blanket tightly over the child’s right 

shoulder and chest. Secure under the left side of the child’s body.

Pulling blanket over Right Shoulder and chest and securing under patient's left side 

8. Position the left arm alongside the child’s body. Pull the left side of the blanket tightly over the child’s left shoulder and chest. Secure under the right side of the child’s body.

Securing Blanket Under Right Side of Body

9. Fold the lower part of blanket up and pull over the child’s body. Secure 

under the child’s body on each side or with safety pins.

Securing lower corner of blanket under each side of  patient's body

10. Stay with the child while the mummy wrap is in place. Reassure the child and parents at regular intervals. 

Once examination or treatment is completed, unwrap the child.

11. Perform hand hygiene.

EVALUATION

• Restraint prevents injury to patient or others.

• Examination or treatment is provided without incident.

• The family demonstrate an understanding of the rationale for the 

mummy restraint.

DOCUMENTATION

1. Document alternative measures attempted before applying restraint. 

Document patient assessment before application. Record patient and family education and understanding regarding restraint use. 

2. Document family consent, if necessary, according to Hospital policy. 

3. Document reason for restraining patient, date and time of application, 

type of restraint, times when removed, and result and frequency of 

nursing assessment.