Protective mitts & restraints
Safety devices used when a patient could unintentionally be injured
What is it, and what does it do?
A soft protective mitt can make it harder to grab or accidentally pull breathing tubes, IVs or catheters. Some mitts and other movement-limiting devices count as restraints under hospital rules. Restraints should be used only when necessary and under appropriate oversight.
Why might someone need it?
- A person is confused, frightened, restless or at risk of accidentally pulling essential medical equipment.
- Attempts to use less restrictive safety measures have not been sufficient.
- Short-term safety measures are being reviewed by the clinical team.
What might families notice?
- Padded coverings on hands, sometimes secured to prevent removal.
- Nurses checking skin, circulation, comfort and the ongoing need for the device.
- Efforts to address pain, delirium, unmet needs, or use family reassurance where appropriate.
What does it mean for my loved one?
Mitts do not necessarily mean a patient is aggressive or dangerous. They must never be punishment or used for staff convenience; families can ask why they are needed and whether alternatives have been tried.
What to look for: common versions and parts
Some loose mitts may not qualify as restraints in some settings; restrictions vary.
Wrist restraints restrict arm movement more directly and require special safeguards.
Reorientation, observation and addressing discomfort may reduce the need for restraint.
Descriptions are for recognition only. They do not identify or verify a particular patient's equipment.
For safety at the bedside
Don't remove restraint devices without talking to the nurse; if you are concerned about their use or comfort, speak with the care team or patient advocate.
Questions you can ask the ICU team
- What immediate safety risk are we trying to prevent?
- What alternatives have been tried?
- How often is the need for the mitts reassessed?
- Could pain, delirium, sleep problems or communication needs be contributing?
Written from patient-education references. Content and images clinically reviewed by an advanced practice nurse, October 2026. Educational content may be updated as guidance changes.
MedlinePlus: Use of restraintsCarePath provides general educational information and does not replace advice or decisions from your healthcare team. Legal & Educational Disclaimer
General education only. Equipment, medications, alarms and care plans differ from patient to patient. Never adjust or disconnect equipment. The treating team can explain the specific situation.