Are they full or half side rails? Does the resident use the side rails for positioning, etc. We have many residents who want side rails to help them turn in bed, enable them to get oob easier, etc. I would evaluate these areas and then make my decision. If the resident only wants them due to seizures, the side rails could be harmful to her if she has the seizure and then rolls into the open space between the bed and side rail which could cause strangulation.
Brenda W. Chance, RN, RAC-C MDS Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: Dorthy Wolfe [mailto:[EMAIL PROTECTED] Sent: Friday, April 09, 2004 11:32 AM To: [EMAIL PROTECTED] Subject: Re: Side Rails Thaks, I'm aware of the issues of familey etc requesting restraints and staff wanting them for convenience, but in this case, the res. has spacicity and a hx of seizures. Res is own RP and quite capable of directing own care. This is still not an acceptable reason? Maybe I'm beating this to death, but this is not a case of placating relatives or making life easy for staff. If I were in Res place and the SR weren't given to me, I'd be calling state to complain that I feel my rights are being violated and I'm in an unsafe environment. -----Original Message----- From: carol maher <[EMAIL PROTECTED]> Sent: Apr 9, 2004 11:19 AM To: [EMAIL PROTECTED] Subject: Re: Side Rails See page 3-200 of the RAI manual under the heading "Request for Restraints" : "While a resident, family member, legal representative or surrogate may request that a restraint be used, the facility has the responsibility to evaluate the appropriateness of that requrest, as they would a request for any type of medical tratement. As with other medical treatments, such as theuse of prescription drugs, a resident family member, legal representative or surrogat has the right to refuse treatment, but not to demand it used when not deemed medically necessary. According to the Codee of Federal Regulation (CFR) at 42 CFR 483.13(a). "The resident has the right ot be free from any physical or chemical restraints imposed for the purposes of discipline or convenience and not required to treat the residnent medical symptoms." -----Original Message----- From: Dorthy Wolfe <[EMAIL PROTECTED]> Sent: Apr 9, 2004 8:03 AM To: [EMAIL PROTECTED] Subject: Side Rails I'm having a discussion with our PT, who says that a resident's request to have side rails is not reason enough to give the resident side rails. She says there is a reg, but can't produce it. I disagree and say if the resident can verbalize that they want side rails, they can have them. What say yee and is there a reg somewhere I can refer to? Thanks, Dorothy Dorothy Wolfe, BSN, MDS Coordinator The Virginia Home 1101 Hampton St. Richmond, VA 23220 Phone: 804-359-4093 X227 Fax: 804-358-4075 [EMAIL PROTECTED] This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If this message contains protected health information (PHI), it should not be forwarded to any other recipient without the authorization of the original sender and should be encrypted when possible. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the email address or telephone number above and delete this email from your computer. /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
