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Where should the restraints be secured when a patient is in need of wrist restraints in order to prevent injury?

A Directly to the bed frame

When restraints are needed it needs to be secured to an area of the bed that is not moveable, such as the bed frame. The side rails of a bed can be moved, and anything behind the bed might be too far of a stretch. The same is true for any kind of fixture next to the bed. The frame is the best option and most secure method.