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Determine if reducing restraint use is a better option.         Use these YES Are there alternatives to restraint use? NO Will reducing restraint use increase patient safety? YES Will reducing restraint use increase employee safety YES Will reducing restraint use reduce financial loss? YES YES Stop four point restraints but keep seclusion and chemical restraints. Use the alternatives such as de-escalation techniques.     Make the decision to reduce restraint use.     An alternative to reducing restraint use is leaving restraint use at the amount used now. Should restraint usage be left alone? NO This leads to reduced patient safety and dignity.