Releasing Restraints Durinbg Activities

[Guest Guest_townhallestate]

I was notified friday by our rehab dept, that they would be attending activiites to monitor residents with restraints. They told me we were to unrestrain all residents

during activities. I have been under the impression that we did not remove restraints that were "self release" or from residents who have the potential of falling. Does anyone know the answer to this as far as state is concerned?

Really need to know..............expecting full book anytime. :-?

[Jen 0]

My understanding is that it should be care planned & restraints should only be removed with close supervision. The Activity Dept. should not be the only staff involved in your restraint release program. Nursing could release restraints while feeding the resident, etc. Releasing all residents with restraints in the entire room does't sound appropriate or safe. I do it only 1:1 supervision & only with certain residents-not those with very poor trunk control or those who are in constant motion. Hope this helps.

[Diana 0]

We have drastically reduced our restraints, so at any given time, I only have a small handful of people in an activity with an actual restraint on.

 

I have always understood that restraints are to be released during activities, but if I am not there, I do not release due to safety of resident (such as if volunteers are conducting an activity). But yes, if State comes in and sees a resident in an activity and a restraint is preventing that resident from properly participating, that is a State tag.

 

If the amount of residents who are on restraints is too much, your facility might consider a restraint reduction committee - which is probably the purpose of your Rehab Director for observing the activity to see how feasable it is to actually have the AD release all restraints during any specific activity.

 

I hope this helps!

[hcornell 0]

I think you are very lucky that the team will be assisting with this. Getting the residents out of restraints is the only way to go. Think of that word even. It makes the resident sound like a prisoner!!!! We are supposed to be helping them function at highest practicable level, how can that happen when they are locked in to a chair? Safety? BAH!! I call it barbaric and cruel. Do you want a seatbelt for your dining room chair? Neither do I..

[Dixie 0]

Read your care plan...........if it says release during activity.......than you have to according to state....the care plan is your plan of care....if you do not follow and something happens the fault lays on you!!!!!!!!

If is does say that activities are to release ....I would have your consultant review care plans and bring need changes to care plan meeting.........