RE: Restraint or not?

[Pam Allen]

Title: Who does the unskilled MDS's and Careplans???

The way I explain it is that this type of device is used to maintain proper seating position while sitting in the chair. It does prevent resident from sliding out of the chair and/or falling.  My question is did your therapist evaluate the need for this device, and does their notes state it is to be used to maintain proper seating position while in the chair?  I would not code for a restraint since it does not meet the definition. The only part of the body it restricts the resident to is the crotch. :0) Also, if this device is the least restrictive device to keep the resident safe then document to that point. Hope this helps. Pam -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Hixenbaugh, Melissa Sent: Wednesday, March 10, 2004 10:19 AM To: [EMAIL PROTECTED] Subject: Restraint or not? Hello everyone,         I have a question that I need an answer for.  I have a resident who has a pummel cushion in her chair.  I have always coded this as a restraint because she could not get out of the chair easily due to this cushion.  Now she requires extensive assistance to get out of the chair.  Is this still considered a restraint?  Any help would be appreciated.   Melissa Hixenbaugh RN,RAC-C  ([EMAIL PROTECTED]) "You must always see with the heart. And after, you will live forever in the stars" "You only see the important things with the heart...not the eyes. Or the head"