nurse on duty between 10pm and 7am. 90 days Criterion 2.2.3.2 PA Low The restraint policy requires that Overall residents with a t belt approved Ensure restraints restraint be only put in place where it is have this approved for up to two at are only applied Approved restraint is only clinically indicated and justified. The any one time. However, one resident for the duration for applied as a last resort, with the policy requires that restraint, if used, be has a t belt restraint approved for a which they have least amount of force, after monitored closely and this is done daily maximum of one hour at a time. been approved alternative interventions have using a monitoring form or for hand Restraint records show that this had been considered or attempted holding in the progress notes. The been applied three times over the last and determined inadequate. assessment for restraint includes month for a period of two hours. 60 days The decision to approve exploring alternatives, risks, other restraint for a consumer should needs and behaviours. Three files of be made: psychogeriatric residents were reviewed (a) Only as a last resort to for residents with intermittent restraint maintain the safety of (two with t belt and one arm restraint). consumers, service providers or The review identified clear instructions others; for use approval process, risks and (b) Following appropriate monitoring requirements on the planning and preparation; assessment and in the care plans. (c) By the most appropriate Eleven of 12 restraint monitoring forms health professional; reviewed complied with the approved (d) When the environment is monitoring requirements. appropriate and safe for successful initiation; (e) When adequate resources are assembled to ensure safe initiation.
nurse on duty between 10pm and 7am. 90 days Criterion 2.2.3.2 Approved restraint is only applied as a last resort, with the least amount of force, after alternative interventions have been considered or attempted and determined inadequate. The decision to approve restraint for a consumer should be made: (a) Only as a last resort to maintain the safety of consumers, service providers or others; (b) Following appropriate planning and preparation; (c) By the most appropriate health professional; (d) When the environment is appropriate and safe for successful initiation; (e) When adequate resources are assembled to ensure safe initiation. PA Low The restraint policy requires that restraint be only put in place where it is clinically indicated and justified. The policy requires that restraint, if used, be monitored closely and this is done daily using a monitoring form or for hand holding in the progress notes. The assessment for restraint includes exploring alternatives, risks, other needs and behaviours. Three files of psychogeriatric residents were reviewed for residents with intermittent restraint (two with t belt and one arm restraint). The review identified clear instructions for use approval process, risks and monitoring requirements on the assessment and in the care plans. Eleven of 12 restraint monitoring forms reviewed complied with the approved monitoring requirements. Overall residents with a t belt approved have this approved for up to two at any one time. However, one resident has a t belt restraint approved for a maximum of one hour at a time. Restraint records show that this had been applied three times over the last month for a period of two hours. Ensure restraints are only applied for the duration for which they have been approved 60 days