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This program can help you and your institution meet the Centers for Medicare and Medicaid Services, (CMS) new rules and stricter standards on the use of restraints. These guidelines are designed to address concerns about the improper use of restraints and seclusion, and to help guard the right of patients to freedom of movement. The program will discuss finding alternatives to restraints in any medical facility, and the safe use of restraints and seclusion when no alternatives have proven effective.

  • Agenda

  • Read the Overall and Course Objectives.
  • Study the Terminology.
  • Study the Content.
  • Complete the Learning Activity.
  • Complete the Post Test with a passing score of 80% or more.

    The material is organized around the following categories:

  • Introduction
  • Rigorous Training
  • Standards for Use
  • Orders for Evaluation
  • Documentation for Violent and Self-destructive Behavior
  • Training the Care Team
  • General Suggestions
  • Investigating Problem Behavior
  • Mitts and Limb Restraints
  • Chair Restraints
  • Safe Application
  • Dangers of Restraints
  • Most Restrictive Restraints
  • Conclusion

    The purpose of this program is to provide nurses with a review of the latest guidelines on the proper use of restraints and seclusion, as well as essential guidance on finding alternatives to restraints. The program also offers guidance on the safe application, use and monitoring of restraints when alternatives have proven ineffective.

    After completing this course, the learner should be able to:

  • Describe the basis for the rules on the use of restraints and seclusion
  • Identify the types of facilities where the CMS rules apply
  • Describe the type and extent of training required for healthcare professionals authorized to use restraints and seclusion
  • Take steps to ensure the proper ordering and evaluation of restraints and seclusion
  • Complete appropriate and timely documentation when restraints and seclusion are used
  • Identify the types of patients that restraints have traditionally and most commonly been used on.
  • Participate in appropriate assessments of patients with the goal of finding alternatives to the use of restraints.
  • Describe the training requirements for medical staff that can help reduce the use of restraints.
  • Participate in careful, individualized care planning to find alternatives for those who might otherwise require the use of restraints.
  • Describe the importance of investigating patients’ problem behaviors to get a clearer understanding of their true needs and find alternative solutions to the use of restraints.
  • Select restraints that are the least restrictive intervention that will be effective, based on an individualized assessment of the person.
  • Identify and use a variety of the least restrictive restraints, including limb restraints and chair restraints.
  • Conduct safe and appropriate application and monitoring of restraints.
  • Identify and avoid the dangers associated with the use of restraints.

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