Are CNAs allowed to apply restraints without a licensed nurse's order?

• A. No. Restraints require a specific order, regular monitoring, and must be used only as a last resort with proper documentation and consent.
• B. Yes, if resident is agitated.
• C. Always allowed with family permission.
• D. Only if physician is present.

Answer: (A)

Restraints require a licensed clinician’s order and safeguards. A CNA cannot apply restraints without that order. They must be used only after trying safer, less restrictive options and when there is a clear safety need, with ongoing monitoring, proper documentation of the reason, and consent from the resident or their representative. Being agitated, having family permission, or a physician being present at the moment does not substitute for a formal order.