RE: sitting question to group thank you

[Theresa A Lang]

From the Draft of the revised Guidelines to Surveyors ( has not be accepted YET) "The time interval for repositioning a resident is different if the resident is sitting instead of lying down. Residents should not sit in a chair in the same position for more than one hour at a time. A momentary relief of pressure and return to the same position (microshift of 5 or 10 degrees or a 10-15 second lift from a seated position) is not adequate to allow sufficient capillary refill and tissue perfusion. Residents who can be taught, should be taught to shift their weight every 15 minutes while sitting in a chair. Moreover, attention should be given to postural alignment, weight distribution, sitting balance and stability, and pressure reduction when positioning residents in chairs. " They do not cite the source- but this appears to more stringent than every 30 minutes   Theresa Lang Specialized Medical Services, Inc. Milwaukee WI -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED] Sent: Sunday, March 07, 2004 6:29 PM To: [EMAIL PROTECTED] Subject: Re: sitting question to group thank you In a message dated 3/2/04 1:16:04 PM Eastern Standard Time, [EMAIL PROTECTED] writes: A friend who is a Risk manager at a large nursing home recently attended a seminar in which the State regulatory agency made a presentation.  In the presentation, the surveyor said that it was a "standard of care....to change the position of a sitting patient/resident every 30 minutes".  You read it right.  Sounds like a wonderful idea but I have got to say, it is a new one to me.  I have heard this same statement.  When I heard it, it was made at a seminar for Legal Nurse Consultants and involved a case where the resident had a stage 4 decube on the sacrum and wanted to be up in a chair all the time.  I don't recall the state, but it was out west somewhere.  And q30 min was the SOC noted for that facility/state (not sure).  The facility lost the case, btw.  Whether this is actually a SOC or not, I don't know.  It may be a policy of a facility.  SOC's are usually written by Associations and ANA, ect., if used nationally.  Would be interesting to know if it was just specific to a certain facility rule or actual SOC.  Sorry I'm not more help.   Sherri