JCAHO explained that during the
treatment of certain specific conditions
(for example, post-traumatic brain
injury) or certain specific clinical
procedures (for example, intubation),
restraints might often be necessary to
prevent significant harm to the patient.
For those conditions or procedures,
protocols for the use of restraint may be
established based upon the frequent
presentation of patient behavior that
seriously endangers the patient or
compromises the effectiveness of the
So that answers my question. In the ER, we don't have these protocols, but I'm sure ICU's must.