Hello, I am trying to find information about restraint and seclusion standards in pa. I am specifically looking for if there are standard discontinue criteria for restaint patients. I am a strong advocate of there are only 2 reasons ever to restrain a patient (for behavior, not talking medical) harm to self harm to others Thats it, end of story. Now the question has come up about what happens when a patient in restraints falls asleep while restrained. It is my opinion that once a patient has fallen asleep you must start to discontinue restraints. Not all at once, if there are in 4 points then you might do one limb, then a 2nd in 10 minutes Then if they are still sleeping and or calm you take the last two off. I really believe that is the standard in NJ but I am unable to google and find something specific for the state of Pa. any thoughts anyone? does anyone have any helpful links that could lead me in the right direction? I will be emailing http://www.mentalhealthamerica.net/go/home to see about some answers thanks frank