I have already commented on this issue in regard to CA regulations. However, I caution everyone to be very careful with terminology.
"Responsible party," is a touchy issue with me
1. Is the Financial agent?
2. Is this the person legally responsible for the health care decisions of the resident?
3. Is this the next of kin?--did your follow correct lines of consanguinity?
4. Is the legally appointed conservator of the person only?
5. Is this the executor of the estate?
6. Is the legally appointed conservator of the property only?
7. Is this the power of attorney for health care agent?
I am of the opinion that our admission records are obsolete. We should be designating the person responsible for all of the above as well as who should be notified in an emergency. And this should be a person designated by the resident or a CONSENSUS of the significant others.
Delores
Restraints cannot be dictated by responsible party. The responsible party
can, however, say they do not want this. documentation is needed for
application re; medical/psychiatric reason i.e. sensory deficit related to
dementia, weakness of LE R/T CVA, risk of hurting self or others R/T
delusional thinking.
We explain to families on admission our policy and have them or Rt. sign if
they do or do not wish restraints if in fact they are needed. The risks and
benefits and reduction policy are explained as well. Despite this, some
families will say they want full side rails, often not seeing that as a
restraint. No perfect but working pretty well
Delores L. Galias, RN, RHIT
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