Here are some thoughts: 1. Read the Guidance to surveyors material and use it in discussions with families and doctors. 2. Get all clinical staff and you Medical Director on board and knowledgeable. Have the Medical Director discuss with covering physicians. 3. Buddy up with a facility in your area who has done this already and see if they will share policies/procedures as well as consult with you on specific issues. 4. Don't accept doctor's orders for restraints unless the doctor is able to identify the medical condition he is trating. Make him write it for a short period of time, like 5 days and immediately engage him in discussions about alternative.
>>> [EMAIL PROTECTED] 02/28 10:38 AM >>> 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 them completely?Are sidrails as enablers OK? What do you do if physician insists on them and not used as an enabler....what reason would the o rderread? 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 _______________________________________________ Join Excite! - http://www.excite.com The most personalized portal on the Web! /---------------------------------------------------------- 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 -----------------------------------------------------------/
