This male patient with chronic cognitive impairment was admitted with severe sepsis of unclear source and altered mental status was admitted evening shift.Patient acutely confused and extremely restless and not sleeping at all.Initially in a roll vest and soft bilateral wrist restraints were placed on patient as patient constantly attempting to get out of bed and pulling at lines.Patient ripped though wrist restraint and pulled out iv.Torn restraint was removed and replaced with new one.Ripped restraint given to manager.
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