(1) Roll of gauze or gauze pads
(3) Safety pins or other securing device
(1) Open gauze and fold in half lengthwise to reinforce material.
(2) Wrap wrist or ankle with gauze at least three
times to create secure restraint. Caution: Do not
wrap gauze too tight; this might interfere with
(3) Use adhesive tape to ensure that gauze does not
(4) Secure restraint to mattress, blanket, or light
a. Purpose: Thumbless device to restrain or cover
hand; eliminate infant’s ability to grasp and possibly
dislodge necessary treatment regimens (IV access,
feeding tube, endotracheal tube, etc.), prevent
infant from scratching self or removing dressings,
interfering with maintenance of skin integrity
Fig. 4.1. A: Mummy restraint: Steps (1)–(3). B: Mummy restraint: Step (4). C: Mummy restraint: Step
(5). D: Mummy restraint: Step (6).
Chapter 4 ■ Methods of Restraint 29
(1) Stockinette material (cut to fit individual infant)
(3) Safety pins or other securing device (optional)
(1) Place infant’s hand inside stockinette.
(2) Secure stockinette by applying tape to stockinette material and fastening around infant’s
wrist. Caution: Do not wrap tape too tight; this
might interfere with distal circulation.
(3) Tie end of stockinette in order to isolate fingers
inside the stockinette material.
(4) Secure restraint to mattress, blanket, or light
sandbag with safety pin (optional).
3. Elbow restraint (freedom splint) (Fig. 4.4)
a. Purpose: Reduces ability of infant to flex elbow
Fig. 4.2. A, B: Neowrapi: Wrap to immobilize arms and legs
before placement of umbilical catheters (Patent pending; picture
provided courtesy of M. Peesay, MD and C. Papageorgopoulos,
BSN, RN). C: Lumbar Wrapi: wrap to immobilize baby prior to
lumbar puncture (Patent pending; picture provided courtesy of M.
Peesay, MD and C. Papageorgopoulos, BSN, RN).
Fig. 4.3. Extremity restraint (wrist).
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