What is the maximum duration for a prone or supine personal restraint transitional hold?

• A. One minute
• B. Five minutes
• C. Ten minutes
• D. Fifteen minutes

Answer: (A)

The main idea here is that restraints should be tightly time-limited and always monitored. Holding a prone or supine transitional restraint for a very short period—about one minute—allows staff to quickly assess the person’s breathing, consciousness, and distress, and to transition to a safer, less restrictive position as soon as possible. Prolonged restraint increases risks such as breathing difficulties and positional asphyxia, plus general medical complications, so longer durations (five, ten, or fifteen minutes) are not considered safe practice. Training emphasizes de-escalation, prompt release when safe, and continuous observation after release, hence the maximum duration is one minute.