now considered a restraint? - page 3

We have recently had a mock survey at the LTC.Seems that now the low chair (adirondack style) is considered a restraint.When I first started using them years ago I understood that they are not a... Read More

  1. Visit  bucksandra profile page
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    Please refer to Federal Tag 221. This has to do with Physical Restraints. By definition, a physical restraint is ANYTHING that is fastened to or around the Resident that prevents the Resident from rising or having NORMAL access to their body. A low chair is not a restraint Unless, the Resident cannot rise every single time and on demand. Hope this helps.
  2. Visit  cathy54 profile page
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    There is one question I would like answered. How is a floor mat a restraint. Unless, I read it wrong, I cannot figure it out.
    The BS and stupidity of management is what finally has made me want to go to Home Health. I love working geriatrics, but when common sense flies out the window, it is time to go.
  3. Visit  CapeCodMermaid profile page
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    If you make the resident sleep on the mat instead of the bed so they can't stand up then it's a restraint. If you put a mat on the floor to prevent a serious injury if they [B]do[B]get out of bed, it is NOT a restraint.(just make sure it's documented and keep it off the floor when the resident or an ambulatory roomate is out of bed)
    Last edit by CapeCodMermaid on Mar 11, '07 : Reason: more to say (of course)
  4. Visit  cathy54 profile page
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    This is what I mean by common sense. I totally agree that State should have to come in and work with the residents for at least a month, before passing out guidelines
  5. Visit  regulating and lovin profile page
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    First of all, Surveyors do not make up the "guidelines". All nurses should familiarize themselves with the rules and regs of the area they choose to work. These regs are in place to protect Residents. There are some of us that remember the elderly being tied with sheets around the waist in a wheelchair. We've come a long way. On the flip side, and yes, I've been on both sides...in some areas, we've gone to the extreme. LTC is so heavily regulated that sometimes its hard to do "whats right for your Resident." There must be assessments and a Comprehensive Plan of Care in place. Take credit for the things you've tried. More often than not, there is nothing in the chart to show that non-restricitve measures have been tried. Just keep all of this in mind.
  6. Visit  brendamyheart profile page
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    Quote from CapeCodMermaid
    According to the MDS a restraint would be a 'chair that prevents rising'...doesn't say anything about slowing someone down. I would argue this one with the surveyors.
    Ditto!!!!!!!!!!!!!
  7. Visit  brendamyheart profile page
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    Quote from cthy1954
    This is what I mean by common sense. I totally agree that State should have to come in and work with the residents for at least a month, before passing out guidelines
    I would buy tickets to see that!!
  8. Visit  brendamyheart profile page
    0
    Quote from CapeCodMermaid
    If you make the resident sleep on the mat instead of the bed so they can't stand up then it's a restraint. If you put a mat on the floor to prevent a serious injury if they [b]do[b]get out of bed, it is NOT a restraint.(just make sure it's documented and keep it off the floor when the resident or an ambulatory roomate is out of bed)
    Did you know if a resident falls of the mat, it is considered a fall!!!!!!!!!
  9. Visit  morte profile page
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    i can understand the mats being a restraint, if the patient is minimally ambulatory...and they try to walk on the mat and cant.....esp in the places that use mattresses instead of high density foam mats.....i think the biggest issue is documenting the non ambulatory status....and yes, somewhere along the line it changed and now if they roll onto the mat it is considered a fall;---if they are in a low bed- it makes no @#%@ sense to me.
  10. Visit  nightmare profile page
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    We have exactly the same problems,we use bed rails to protect an epileptic lady from falling out of bed when she has a seizure.She is not physically able to get out of bed but it is seen as a restraint.We have a temporary care plan which is signed daily stating that the bed rails are for protection only.When we put bumpers on the bed rails to prevent her from injuring herself while having a seizure the commission said we were restricting her vision and isolating her! You really can't do good for doing bad in this job!
  11. Visit  withasmilelpn profile page
    0
    Quote from bucksandra
    Please refer to Federal Tag 221. This has to do with Physical Restraints. By definition, a physical restraint is ANYTHING that is fastened to or around the Resident that prevents the Resident from rising or having NORMAL access to their body. A low chair is not a restraint Unless, the Resident cannot rise every single time and on demand. Hope this helps.
    Yes I really want the low chair to act as a restraint truthfully for my residents who think they can walk but can not. Do they actually? They haven't made a chair that can keep them from doing anything. It hopefully slows them down enough so that when their alarm sounds and I am at the end of the hall I may make it in time to prevent the skin tear, bruise, broken hip or amazingly nothing but paperwork, paperwork, paperwork scenario that happens again and again. Yes I understand all the interventions and documentation required and I am dutiful in this respect. Only one on one is truly effective and who has that staff? And what about the poor, sweet lady that beats you when you try to prevent her from killing herself? Often times I'll take the person with me while I pass meds. Then I'm out of compliance with my med pass times, right, but what else is new? Can't win!
  12. Visit  nightmare profile page
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    Ah different countries,same d@*n problems!!We also use bean chairs for the forgetful ones who think they can walk.Recliners are not as good as they tend to get stuck in parts of them,not the intended outcome you want really.We are only to use lap straps on wheelchairs when the chair is moving.We use a lot of call mats but by the time you get to the room your resident could be on the floor or tottering around in danger of falling onto furniture in the room.I wish the Care Commission would come in and care for some of these confused residents for a whole day,maybe then they would appreciate our dilemma and not accuse us of using restraint all the time :angryfire
  13. Visit  withasmilelpn profile page
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    Bean chairs were great for one resident we had, but they said it was 'undignified?' I guess a bump on the head is?


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