The aim of this study was to report outcomes of a hospital restraint loaner program for transporting children treated with spica casts. Fifty-two patients were studied. Appropriate restraints were selected by a therapist, consisting of 17 E-Z-On vest, 17 hippo car seat, five spelcast device, four family owned car seat, and nine transported using an ambulance. The cost to the hospital for the restraints ranged from $150 to $750 and $1200 for ambulance transportation. A car seat loaner program is a practical model to provide safe patient care for children in a spica cast.