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Margie White, NHA, RHIA, CPHQ
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----- Original Message -----
Sent: Saturday, February 28, 2004 11:10
AM
Subject: Re: Restraints
I wish AANAC would come up with THE definitive resourse book for this
issue!!
I am finding myself in a similar situation-& asking all staff to read
the MDS Manual has not been enough. I am unaware of any program/document that
answers your questions or raises your important points/problems. I have been
putting together a "restraints/enablers/positioner" resourse book that will
primarily be for staff, but include admission, ongoing education material for
resident & families. I hope to include info from the "Hospital
bed safety work group" working with the FDA, the group "Untie the
Elderly" I believe in Louisianna( I might not have the names correct
yet), the U. Penn nurses who published a book in the '80's about
restraint free N.H.-still very important today-among others, that all can
read.
One of the biggest problems is dispelling the myths & misconceptions,
as well as what certain words actually mean. For example, I firmly
believe that just because a device is an enabler & used for clear &
correct medical reasons-if it also has the effect of restraining that
person-it must be documented as a restraint. It has been very difficult
to get all to understand this point-& it is important (with this safety
issue), that folks understand-not just do as they are told)
So, if anyone out there has a program/educational material I too would be
interested, & be very happy to share what I
have.
<[EMAIL PROTECTED]> wrote:
Restraints....
I am
currently working in a SNF in Ohio and wondered if anyone has any
ideas for me.
We are trying to come up with some way to notify
families we are attempting to be totally restraint free on
admit.
Was thinking of some kind of brochure or something to give
patients and their families on admit.
Any ideas out there? How
could I work it to be effective but not too overpowering.
Any
ideas out there for restraint alternatives other than lab buddies,
seat belts, hand mitts, ect.
What do you do when the families
call the doctor and insist on them and then he phones in orders for
them such as full side rails.
We have several of these...when the
families of new admits see them, they can't understand why that person
has a lap buddy on or full siderails and their family member can't.
What do you do with that?
What's the feeling on siderails...we
have no where for storage to remove th! em completely?
Are sidrails
as enablers OK? What do you do if physician insists on t hem and not
used as an enabler...what reason would the order
read?
If
restraints are insisted on by the doctor how often do you have family
sign a consent for them that they are aware of the risks?
Should
the doctor sign the consent also?
Thanks ahead for any help
with this
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