{"ref":"MI-HC-SAF-01","title":"Client Safety, Falls, Safe Transfers, and Prohibition of Restraints","category":"Service delivery","summary":"Prohibits restraints, seclusion and restrictive interventions for every client (bed rails or bed canes only where an assessed need is documented), and sets how direct care workers keep clients safe at home: a home safety check on Form MI-HC-SAF-01-A at the start of services and at supervisory visits, daily fall prevention, what to do when a client falls, safe transfers and body mechanics, fire, smoking and oxygen safety, and clients who wander or cannot be left alone.","inShort":["Never restrain, tie, lock in or hold down a client, even if someone asks you to.","Keep paths clear, use the client's walker and lock wheelchair brakes before transfers.","If a client falls, do not move them; check for injury and call 911 if in doubt.","Never lift a client off the floor alone.","Do not smoke in a client's home, and keep flames away from oxygen.","Report hazards, near misses and falls to your supervisor the same day."],"primaryCitation":"MPM MI Choice Waiver §9.5","citations":["MPM MI Choice Waiver §9.5","MPM MI Choice Waiver §4.1.D","MPM MI Choice Waiver §4.5","MPM MI Choice Waiver §9.12.E","MPM MI Choice Waiver §10.4.A","MPM Home Help §2.1","MPM Home Help §8.2"],"federalCitations":["42 CFR §441.301"],"surveyorAsks":["Does your agency ever use restraints? What does a worker do if she sees a family member restrain a participant?","Show me the home safety check for this client. What did you do about the hazards you found?"],"forms":[{"ref":"MI-HC-SAF-01-A","title":"Home Safety Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (MPM MI Choice Waiver §9.5)","5. No Restraints, Seclusion or Restrictive Interventions","6. Home Safety Check","7. Preventing Falls","8. When a Client Falls","9. Safe Transfers and Body Mechanics","10. Fire, Smoking and Oxygen Safety","11. Clients Who Wander or Cannot Be Left Alone","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"mi-hca","state":"Michigan","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}