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Based on Policy and Procedure #2.26, clinical record review (1 of 1) and interview, it was determined there was not a physician's order for restraint. The failed practice had the potential to affect all patients admitted to the facility. Findings follow:

A. Policy #2.26 revealed restraint orders were time limited to five days and must have a physician's order.
B. Clinical record #1 revealed there was not a signed physician's order for the restraint. The Patient Restraint Order Sheet was checked for soft wrist restraint for patient safety to protect the integrity of lines, tubing and equipment. The order was not signed or dated by the physician.
C. Clinical record #1 revealed the patient was in soft wrist restraints from 0100 on 04/12/10 through 2100. Documentation reflected the patient was in soft wrist restraints from 1900 on 04/12/10 through 0200 on 04/13/10. At 0300 on 04/14/10 documentation reflected the patient was in mittens until 1800 on 04/14/10.
D. The electronic medical record was reviewed with the Nurse Leader at 1100 on 06/24/10. The Nurse Leader confirmed in interview at 1100 on 06/24/10 there was not an order for restraints signed, dated and timed by the physician.