**6. Restraint discontinuation and resource de-escalation**

With continual monitoring and reassessment of patients, the overarching goal is to have the patient removed from restraints as soon as it is safe for the patient and staff to do so [37]. It is recognized that the utilization of a direct observer while the patient's restrained and the repeated, frequent need for reassessment and documentation can be onerous and deplete ED resources. For these and other reasons, it is advantageous to discontinue restraint orders as soon as possible.
