Quote from dalmatianmancer
Do you always use chemical restraints before physical restraints?
No, it really depends on the circumstances.
Generally, if we're going with chemical restraints, the physical restraints (at least the lap belt) are already in place - or they're initiated as part of giving the chemical restraints.
We often use physical restraints without chemical restraints (e.g., somebody pulling at their Foley or IV line) but it's rare to go the other way around.
I don't care for the term "chemical restraint" because I don't think it's accurate, except in the case of paralytics.
We go as light and easy as we can and then escalate as needed for the safety of the staff and the safety of the patient.