I'm all for the concept of avoiding the use of restraints, in theory, but in practical terms, pulling techs from the floor to sit with out of control patients is shortchanging the rest of the patients.
I worked a 12 hour shift on my regular unit, had one of my confused patients with a one on one, but no tech on the floor for over 20 patients because all the techs are being diverted to one on ones. Then I stayed over 4 hours of OT to help out another unit, a patient whom I was picking up was in the process of going ballistic, another one on one ordered, no tech for that unit either!
Now isn't this a typical American concept? The rights of the individual supersede the good of the group. Actually, that seems to sum up much of what is wrong with healthcare in America today.
Also, regulatory goals are made in a vacuum, with no consideration for the impact they have within the reality of the time/space continuum or their impact on allocation of available resources.
I don't think restraints should be a last resort when pulling a tech to sit with a patient will deprive other patients of needed care.