2019 - CMS Restraint and Seclusion (Most Problematic Standard for Hospitals and 2019 Change)

This webinar will cover the 50 pages of restraints standards that hospitals must follow according to CMS. It will cover all the CMS requirements on restraints which includes the following sections:
Right to be free from restraint
Number of deficiencies
Providing copy of right to patients
Restraint protocols
Proposed changes in the hospital improvement act
PA to order and change from LIP to LP
CMS deficiency reports
CMS changes effective to internal log and soft wrist restraints
Most current manual
Medical restraints
Behavioral health restraints
Violent and self-destructive behavior
Definition of restraint and seclusion
Manual holds of patients
Leadership responsibilities
Two soft wrist restraints, internal log and documentation
Culture of safety
Drugs used as a restraint
Standard treatment
Learning from each other
Restraints does not include
Side rails, forensic restraints, freedom splints, immobilizers
Assessment
Need order ASAP
Order from LIP and notification of attending physician ASAP
Documentation requirements
Least restrictive requirements
Alternatives
RNs and One hour face to face assessment
Training for RN doing one hour face to face assessment
New training requirements
New death reporting requirements
Ending at earliest time
Revisions to the plan of care
PI requirements
Time limited orders
Renewing orders
Staff education
First aid training requirement
Stricter state laws
Monitoring of patient in R/S
Joint Commission Hospital Restraint standards and differences from CMS