Your first priority, as an employee of a long-term care home is to provide a safe environment designed to help each resident achieve the highest level of physical, mental, and psychosocial well-being possible. The use of restraints in long-term care contradicts this priority as it has a negative impact on residents’ quality of life. Restraints can result in physical or psychological harm - even severe injury or death. In fact, research over the last several years has shown that restraints are more harmful than they are helpful. Because of the potential for harm, most long-term care homes have adopted a restraint-free policy. Therefore, it is important for you to understand what restraints are and how you can help your home create a restraint-free environment. In this course, you will learn about the two types of restraints, appropriate restraint use, and the steps to creating a restraint-free environment.
Section 1: Introduction A. About This Course B. Learning Objectives Section 2: Physical and Chemical Restraints A. Meet Joyce B. History Lesson C. Definitions D. Trivia E. Other Examples F. Real Life Consequences G. A Word about Side Rails H. Summary Section 3: Utilizing Restraints A. Appropriate Uses B. Falls and Restraints C. The IDT D. Guidelines for Use E. Practice F. Summary Section 4: Creating a Restraint-Free Environment A. al Long-Term Care Homes Commitment B. Restraint Reduction Team C. Restraint Reduction Plan D. Assessment E. Alternative to Restraints F. A Word about Alarms G. Implementation and Evaluation H. Review I. Summary Section 5: Conclusion A. Summary B. Course Contributor C. Resource D. References E. Congratulations
Jennifer Moore, RN-BC, CDP, WCC started working in the senior care industry in 2000. She is a certified Gerontological Nurse, a Certified Dementia Practitioner, and Wound Care Certified. She has held positions including MDS Coordinator, Director of Nursing, Medicare Nurse Coordinator, Nurse Consultant, Area Manager, and Director of Quality Assurance. Her overall responsibility within each of these positions was to ensure residents received the highest quality of care. This included active participation in quality improvement initiatives, review of clinical records to identify areas of weakness, corroboration with the medical director to institute policies and procedures for resident care, and staff education/training. Additionally, she was responsible for maintaining an effective compliance program under a Quality of Care Corporate Integrity Agreement with the Office of Inspector General for a period of five years. She currently serves as the Director of Curriculum Design & Research for Relias. Within this position, her responsibility is to oversee the development of online training modules across the healthcare continuum. She has served as the subject matter expert for courses on re-hospitalization, clinical skill reviews, leadership, management, and various OSHA and regulatory compliance topics. In addition, she has presented at various state conferences on mandatory compliance, quality assessment and assurance (QA&A), and quality assurance and performance improvement (QAPI). Disclosure: Jennifer Moore, RN-BC, CDP, WCC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Expert Reviewer: Peggy Hewson, BScN, MaED
Peggy is a Health Services professional with over 38 years of progressive Nursing, Education, and Health Management experience including Critical Care Emergency Nursing, Case Management, and Home Care Senior Management. As Director of Product Management, Ontario Association of Community Care Access Centre’s, she was responsible for overseeing all aspects of software product delivery including implementation and constant improvement of a provincial home care solution and assessment solution for the Province of Ontario. Peggy is highly skilled in all aspects of communication and education, including facilitation, presentations, Disclosure: Peggy Hewson, BScN, MaED has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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