A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?

Clients in restraints must be monitored and reassessed at least every 15 minutes (per The Joint Commission standards) to assess circulation, skin integrity, comfort, and continued need for restraint. PRN restraint orders are not permitted — each episode of restraint requires a new provider order. Restraints must be removed, and ROM exercises performed, every 2 hours (not every 4 hours). Restraints must never be attached to bed rails — they must be tied to the non-movable part of the bed frame.