RE: oltc training

[Faye Jones]

Yes I do because your statement is what we believed prior to our survey a couple of years ago and we got creamed---over a gait belt that kept a resident from sliding out of the w/c.� She was unable to remove r/t cognition therefore limited movement within chair and access to body so even if an enabler-restrained the resident.� We even got cautioned r/t �-1/2 side rails.� We of course said it didn’t stop anyone from getting out of bed and had it pointed out to us that it would matter if the resident was 4’10”.� They even wanted to see an assessment of the positioning wedges we use for T&P.� I drew the line at that-did that then mean if using pillows (Like I learned in Nsg School) we would have to assess them!!!� I find this whole area very frustrating. Okay-enough venting—we all have to deal with our own reality! Right?!?   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of gerry pickle Sent: Wednesday, October 29, 2003 8:01 AM To: [EMAIL PROTECTED] Subject: Re: oltc training   Don't you wish ALL surveyors from ALL states would get on the same page! One state gets cited, another one doesn't........how are facilities expected to keep up when you never know from one surveyor to the other what is expected or acceptable Off my box and on to work ----- Original Message ----- From: sheppard70057rn To: [EMAIL PROTECTED] Sent: Tuesday, October 28, 2003 10:39 PM Subject: Re: oltc training   Recently attended an inservice on restraints given by a health care review group who is working closely with surveyors and stated that the definition in the RAI manula is being read into too much.  A person could have a belt on and not beable to remove but not be a restraint.  There example was a resident who does not try to get out of the wheel chair  but has tendency to lean over and play with her feet has a belt on that would be considered an enabler.  Rationale:  it is not prohibiting her access to her body or the task of continuing to leanover in chair it is just on her so she doesn't flip out of chair.   Dawn Sheppard, RN, CRNAC ----- Original Message ----- From: mdsc To: [EMAIL PROTECTED] Sent: Tuesday, October 28, 2003 7:08 PM Subject: oltc training   Ok Went to RAI training sponsered by OLTC and they said that a restraint was anything that limits mobility or access to body  or that is unable to be easily removed by the resident......not  AND like the RAI manual reads. Is this your understanding?   Also vitamins are to be counted as nutritional supplements if given for  dietary supplementation and a medication if given as a medicine???