In a message dated 4/19/2004 5:58:03 AM Pacific Daylight Time, [EMAIL PROTECTED] writes:
We use half
side rails on resident's with PEG tubes due to the increased risk for them
sliding sideways out of bed and due to the risk for involuntary movements,
(due to the need for elevation of the HOB >45*) I have always coded this in
section P4b due to the definition of side rails. I am now being told that
they are not to be coded in such a way. (My DON is an ex-surveyor) and she
says the surveyors will not "nail" us due to the use if they are used in
this fashion. I feel that even though the resident has no voluntary movement
and we use them for "bed boundaries" we still need to code them as they are.
If the resident is truly unable to transfer by himself out of the bed, the 1/2 siderails are NOT a restraint. They are not preventing him from doing something (that he cannot do).

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