The registered nurse must notify the treating physician before or immediately after placing the patient in restraints and obtain an order within one hour. If the physician is unable to place the order, a verbal order may be obtained, as long as the policy for verbal orders is followed. The restraint order must be reordered every calendar day that the patient remains in restraints. Even if the patient was only in restraints for a brief period of time, an order for that calendar day is still required. If there is not an order, the restraint must be removed. Only physicians are able to order restraints. NPs, APRNs and PAs cannot write restraint orders.