RE: Survey

[Faye Jones]

My survey team, upstate NY the definition has many components 1)       limits normal functional ability 2)       limits access to ones body 3)       limits freedom of movement within the device. 4)       Resident is unable to remove with “purposeful intent”.  They do judge this by the expectation that the resident will be able to remove on command.  We argued r/t those residents they observed removing the device and throwing them around at will.  They stated this is “a behavior” for most of residents and not a conscious effort to remove for any specific intent.  Made sense after we thought it over. 5)       Also, side rails need to be assessed for visual field cut/socialization issues etc. I found this whole concept easier to swallow once I reached the realization that the true intent of the MDS is care planning and that is what is behind the whole thing.  To make sure we have care planned all interventions to provide high level of care to resident. We redid our whole policy and procedure using these guidelines a couple of years ago and have not even had “honorable mention” at exit conference since.   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of mdsc Sent: Tuesday, October 28, 2003 5:57 AM To: [EMAIL PROTECTED] Subject: Re: Survey   I thought for a device to meet the definition of restraint it had to restrict movement and resident could not remove.   Timma ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, October 27, 2003 7:15 PM Subject: RE: Survey   According to state inspectors, there is only one criteria for restraint and that is "if the resident cannot remove on command, it is a restraint".  comments please. We have been told the same thing...it is hard to understand because many of these residents cannot remove the "restraint" on command but if THEY WANT to  they certainly CAN remove them (I am talking mainly about seat belt alarms - I think seat belt alarms are very effective but state hated them!!) /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the  American Association of Nurse Assessment Coordinators       "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your          questions posted to NAC News and FAQs.     For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the  American Association of Nurse Assessment Coordinators       "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your          questions posted to NAC News and FAQs.     For more info visit us at http://www.aanac.org -----------------------------------------------------------/