A little tip I share is I've never seen a citation for siderails being left down. We only use siderails if a pt is alert and oriented and residents request, not family and if they are in need for assistance in regard to mobilization. None of the patients with dementia have side rails at all. I ran an Alzhemer unit a few years ago and had maintenance remove all siderails from the unit.
Family requests are not allowed in regard to restraints and safety unless it falls in line with state and federal guidelines. We use to put residents with fall risk mattress' on the floor. Families had a fit and threatened us with lawsuits. Never a problem with any lawyer or surveyor because the best interest of the patient was held highest. And those residents never had another fall.. Pts who are immbobile while in bed also do not have siderails. -----Original Message----- From: Wiedemann, Betty R [mailto:[EMAIL PROTECTED] Sent: Monday, March 29, 2004 9:58 AM To: '[EMAIL PROTECTED]' Subject: RE: side rail restraint? the reason" family request" is not allowed here. We provide all the data we have to educate on issues of entrapement. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Monday, March 29, 2004 2:43 PM To: [EMAIL PROTECTED] Subject: side rail restraint? Hello, I was wondering how everybody else are writing the orders for side rails when the only reason there up is because of family request? Any help would be deeply appreciated. once again to all nancy /---------------------------------------------------------- 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 -----------------------------------------------------------/ This message is intended for the sole use of the individual to whom it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. /---------------------------------------------------------- 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 -----------------------------------------------------------/
