|
In the state of Washington it
is not. You must first assess that the resident is safe to use a
rail. No restlessness, no potential for seizure, no arms/legs over the
side of the bed while sleeping etc. The resident can be
cognitively able to understand the risk vs the benefits of the rail but if you
deem them at risk, you can not use the rail. The surveyors stated on last
survey, that this is the one time that CMS allows safety too overide resident
rights. With the deaths by siderails and now the death in Montana of a
resident using a transfer device attached to the bed, I would prefer nothing
attached to the bed. We are using more transfer poles.
Gail
"Isn't it a violation of the
resident's rights to be denied side rails if the resident is cognitively able
to make a decision that they want them/ verbalize their reasoning; "I feel
safer with them up." and this can all be documented?"
Right!
The resident has the right to have
side rails up upon request. Yes,
And if the family is the
legal guardian they can also request it.
Careplans, nurses notes, and MD
orders are needed.
I had this discussion recently with
ACHA. email me if any questions.
Happy Easter to all.
Respectfully,
Marti Ann Benenfeld, RN, FNC, ALA,
LTC
The Long Term Care Ombudsman
Council
North Miami Dade,
Fl
Nurse Consultant, Long Term
Care
Assisted Living Administrator: Core
Trained
Family Council Consultant
Research and
Development nurse
Business Office: 305-
626-6144
Personal Office: 305-
792-7979
Mobile Office: 786-797-8686
Fax:
305-633-7593
Ombudsman: 1997 to
Present
Ombudsman of the Year:
2001
Ombudsman Chairwoman: 2003-2004
2004 Golden choice award
ADVICE FOR THE DAY: Be nice to your kids.
They will choose your
Nursing home one day!
Notice: This message, and any
attached file, is intended only for the use of the individual or entity to
which it is addressed, and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If the
reader of this message is not the intended recipient, you are hereby notified
that any dissemination, distribution or copying of this communication is
strictly prohibited. Nothing in this e-mail message should be construed
as a legal or nursing opinion. If you have received this communication
in error, please notify me immediately by reply e-mail
:[EMAIL PROTECTED] or [EMAIL PROTECTED] and delete all copies of the
original message. Thank you very much and have a super wonderful
day.
Attachments protected by
Norton and McAfee
|
