Restraints and Positioning Devices
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.
About this policy
- Policy number
- GA-HSP-PR-04
- Version
- 1.0
- Main rule
- Ga. Comp. R. & Regs. 111-8-37-.15(6)
- Library
- Georgia hospice · 60 policies
- Category
- Client rights
- Sections
- 18
In short
- 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.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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.
See Cura Core with your agency's name on it.
Choose your state and type of agency, buy your Policy Pack online and get your sign-in by email. Already a customer? Sign in to your portal.