Restraint and Seclusion is a hot spot with both CMS and the Joint Commission and a common area where hospitals are cited for being out of compliance. The restraint policy is one of the hardest to write and understand in healthcare today.
CMS made significant changes in restraints in 2019. Specifically, CMS changed the term from LIP - licensed independent practitioner to LP (licensed practitioner). The change allows PAs to write orders for restraints in states where they are considered dependent practitioners. The changes will be discussed in detail. The number one area of deficiencies for a specific requirement in the CMS CoP is regarding restraints. CMS permits access to the deficiencies against hospitals which is updated quarterly. This program will discuss the most problematic standards in the restraint section.
Did you know any physician or provider who orders restraint must be trained in the hospital’s policy? Did you know that both CMS and Joint Commission require hospital staff to be educated on restraint and seclusion interpretive guidelines on an annual basis? This program can be used to help hospitals meet this requirement. CMS also says that restraint training must be ongoing so you cannot just provide training at orientation and forget about it. CMS has ten pages of training requirements.
This program will discuss the requirements for an internal log and what must be in the log for patients who die in one or two soft wrist restraints. It will include what must be documented in the medical record also. It will also discuss the new electronic reporting requirements for patients who die in restraints and within 24 hours of being in a restraint.
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