{"ref":"GA-HSP-PR-04","title":"Restraints and Positioning Devices","category":"Client rights","summary":"Sets the Georgia rule that patients receive treatment free from restraints unless a physician determines a restraint is necessary for a temporary period to protect the patient from injury, and the steps that must all be completed before and during any restraint: less restrictive measures, specific consent, a time-limited physician order, a plan of care with release at least every two hours, monitoring records and trained staff.","inShort":["We do not use restraints, including bed rails, belts, tied sheets or drugs to restrict movement, unless every step of this policy is done first.","Try less restrictive measures first and write them down.","A restraint needs specific consent, a time-limited physician order and a plan of care before it is used.","Release the restraint at least every two hours and record every application on Form GA-HSP-PR-04-B.","Only use a device you have been trained and checked on. Train family caregivers and document it.","Report any injury linked to a restraint to the director of nursing at once."],"primaryCitation":"Ga. Comp. R. & Regs. 111-8-37-.15(6)","citations":["Ga. Comp. R. & Regs. 111-8-37-.15(6)","Ga. Comp. R. & Regs. 111-8-37-.10(1)(e)","Ga. Comp. R. & Regs. 111-8-37-.03(cc)","Ga. Comp. R. & Regs. 111-8-37-.09(2)(d)"],"federalCitations":["42 CFR §418.52(b)(4)","42 CFR §418.110(n)-(o)"],"surveyorAsks":["Do you use restraints? Show me your policy and any restraint used in the last year.","For this restraint, show me the less restrictive measures tried, the consent specific to the type of restraint, and the physician’s time-limited order."],"forms":[{"ref":"GA-HSP-PR-04-A","title":"Consent to Use of a Restraint"},{"ref":"GA-HSP-PR-04-B","title":"Restraint Application and Monitoring Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Ga. Comp. R. & Regs. 111-8-37-.15(6))","5. Before Any Restraint: Less Restrictive Measures","6. When a Physician Determines a Restraint Is Necessary","7. Monitoring, Release and Records","8. Positioning or Securing Devices","9. Drugs Used as Restraints","10. Restraints in Other Settings","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"ga-hospice","state":"Georgia","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}