Yes it was the same team.  We changed teams 2 years ago.  The first year
we got the new team they cited us and last year they didn't.  Yes their
interpretation was stricter than the previous team but so be it.
Despite the fact that we argued tooth and nail (LOL) when we stopped
being defensive and thought about it they had their point. 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
[EMAIL PROTECTED]
Sent: Tuesday, April 27, 2004 3:45 PM
To: [EMAIL PROTECTED]
Subject: RE: survey/restraint �"remove on command"?

In a message dated 4/27/2004 8:02:58 AM Eastern Daylight Time, "Faye
Jones" <[EMAIL PROTECTED]> writes:

>When we had our survey they told us the resident had to be able to
>remove the device when asked to do so (on command) as an indication
that
>the resident would be able to remove it with intent and purpose to have
>freedom of movement, access to ones body. �At the time, we had several
>Velcro lap trays assigned to moderately cognitively impaired residents
>who could and did remove them multiple times a day however since they
>could not when asked remove it and get up/adjust clothing etc. it was
>felt that the "task"
>was actually behavioral and not an indication of "ability to meets ones
>own needs". �For it to not be a restraint they have to be able to
remove
>and perform independently of any assistance. For instance if someone is
>in their room with a Velcro lap tray and can not remove it until
someone
>comes in to even give them verbal instructions it is still a restraint,
>if someone is in a personal recliner in the reclined position and needs
>someone to come in and tell them to move the lever, use their legs to
go
>upright, it is still a restraint. �I know we had difficulty wrapping
our
>minds around this one but last year there were no issues r/t devices so
>I think we got it!!!
>
> Faye, Just a question. Was it the same surveyor(s) this year as last?
>
>-----Original Message-----
>From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
>MDS
>Sent: Tuesday, April 27, 2004 7:08 AM
>To: [EMAIL PROTECTED]
>Subject: RE: survey/restraint "remove on command"?
>
> 
>
>Deb, 
>
>Hi, I'm jumping in the middle of this thread with a question. I have
>seen this response before & it always puzzles me. Where is it
documented
>"can or cannot remove on command"? The reason I ask is because a
>moderately demented person may not be able to remove a restraint,
>therefore it "is a restraint", but with cueing they can.. Does that
make
>less of a restraint, if someone has to tell them to remove it? Just one
>of those questions that keep haunting me. Appreciate any other input.
>
>Thanks, Dawn
>
> 
>
>-----Original Message-----
>From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
>[EMAIL PROTECTED]
>Sent: Monday, April 26, 2004 8:50 PM
>To: [EMAIL PROTECTED]
>Subject: Re: survey/restraint
>
> 
>
>stacee,
>
>it he doesn't get up or stand then why are you using it. if the
resdient
>cannnot remove it on command then it is a restraint.
>
>deb d 
>
>
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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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