This is similar to what led to our last citation.  Don't forget also
included is freedom of movement (within the chair too).  IF he cannot
remove it to move around in chair it does restrict movement.  Also, if
he cannot move it to adjust clothing, scratch or whatever else he might
want to do it does limit access to his body.  FYI-another issue we had
was Velcro lap trays.  We had a couple of cognitively impaired residents
who could remove them (and did several times, right in front of
surveyor) but not with intent or purpose and the surveyor considered
them a restraint stating their removal of tray was a "behavior" not an
ability to meet their own needs.  Upon thinking about it-they had their
point.    

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
Stacee Kunse
Sent: Wednesday, April 21, 2004 2:28 PM
To: [EMAIL PROTECTED]
Subject: survey/restraint

Me again, surveyors still here.  We have not coded our velcro belt for a
resident as a restraint.  He cannot remove it, but is also unable to
stand, ambulate, etc.  Should it be coded.  I cannot figure out how it
is restricting access to his body or how it is restraining him.  Any
input????



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Stacee Kunse, RN
MDS Coordinator
Tuscola County Medical Care Facility
1285 Cleaver Road
Caro, MI  48723
Phone: (989)673-4117
Fax:   (989)673-6665
Email: [EMAIL PROTECTED]
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/----------------------------------------------------------
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
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