held against their will; (f) Maintaining culturally safe practice; (g) Desired outcome and criteria for ending restraint (which should be made explicit and, as much as practicable, made clear to the consumer); (h) Possible alternative intervention/strategies. HDS(RMSP)S.2008 Standard 2.2.3: Safe Services use restraint safely PA Restraint Use Moderate Criterion 2.2.3.2 Approved restraint is only PA (i) Two of the six restraint files (i) Ensure restraint use and the 90 HDS(RMSP)S.2008 applied as a last resort, with the Moderate sampled do not have restraint management of the risks of least amount of force, after use identified in the care plan. restraint is documented in the alternative interventions have One further file does not have care plan. (ii), (iii) and (iv) been considered or attempted interventions to guide staff in Ensure monitoring frequency is and determined inadequate. restraint use and managing the documented and that The decision to approve risks of restraint. (ii) Four of six monitoring occurs in the stated restraint for a consumer should restraint files sampled do not timeframes. be made: document the frequency of (a) Only as a last resort to monitoring required. (iii) One of maintain the safety of six restraint files does not have a consumers, service providers or record of monitoring for the use others; of a lap belt. (iv) Four of six (b) Following appropriate restraint monitoring forms planning and preparation; sighted have not had monitoring (c) By the most appropriate completed two to three hourly, or health professional; hourly for one resident with a (d) When the environment is documented monitoring appropriate and safe for frequency of hourly. successful initiation; (e) When adequate resources are assembled to ensure safe initiation. HDS(RMSP)S.2008 Standard 2.2.4: Services evaluate all episodes PA Low Evaluation of restraint.
held against their will; (f) Maintaining culturally safe practice; (g) Desired outcome and criteria for ending restraint (which should be made explicit and, as much as practicable, made clear to the consumer); (h) Possible alternative intervention/strategies. HDS(RMSP)S.2008 Standard 2.2.3: Safe Restraint Use Services use restraint safely PA Moderate HDS(RMSP)S.2008 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 Moderate (i) Two of the six restraint files sampled do not have restraint use identified in the care plan. One further file does not have interventions to guide staff in restraint use and managing the risks of restraint. (ii) Four of six restraint files sampled do not document the frequency of monitoring required. (iii) One of six restraint files does not have a record of monitoring for the use of a lap belt. (iv) Four of six restraint monitoring forms sighted have not had monitoring completed two to three hourly, or hourly for one resident with a documented monitoring frequency of hourly. (i) Ensure restraint use and the management of the risks of restraint is documented in the care plan. (ii), (iii) and (iv) Ensure monitoring frequency is documented and that monitoring occurs in the stated timeframes. 90 HDS(RMSP)S.2008 Standard 2.2.4: Evaluation Services evaluate all episodes of restraint. PA Low
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