Restraint and seclusion is a hot spot with both CMS and the Joint Commission and a common area where hospitals are cited for being out of compliance. CMS issued a memo summarizing all of the deficiencies against hospitals which is updated quarterly. Did you know that the number one area of deficiencies in the CMS CoP is regarding restraints?
CMS has issued interpretive guidelines on restraint and seclusions for hospitals. Does your staff understand all 50 pages of the CMS interpretive guidelines? Did you know that both CMS and Joint Commission require hospital staff to be educated on restraint and seclusion interpretive guidelines? CMS says that restraint training must be on-going so you can’t just provide training at orientation and forget about it. Did you know any physician or provider who orders restraint must be trained in the hospital’s policy? Did you know that CMS has ten pages of training requirements? If a CMS surveyor showed up at your hospital tomorrow would you be prepared? The restraint policy is one of the hardest to write and understand in healthcare today.
Every hospital that accepts Medicare patients will have to comply with the interpretive guidelines even if the hospital is accredited by the Joint Commission, HFAP, CIHQ, or DNV Healthcare. Hospitals will need to make sure their policies and procedures comply with these. Joint Commission and CMS both require that you provide restraint training to staff. There is also a requirement that physicians and anyone who writes an order for restraints will have to be educated on the hospital’s policy.
The guidelines explain the training requirements for the RN doing the one hour face to face visits for patients who are violent and/or self-destructive. There are basically 21 rules covered by the CMS interpretive guidelines. The Joint Commission standards on restraint and seclusion will be reference and are now closer in the crosswalk. Patient safety is at risk and patients have been injured or have died from improper restraint usage.
Join this session, where medico-legal consultant Sue Dill Calloway will discuss the most problematic standards in the restraint section. Sue will discuss the proposed changes to restraints published in the hospital improvement rule.
This session will discuss the requirements for an internal log and what must be in the log for patients who die in one or two soft wrist restraints. It will also include what must be documented in the medical record. The session will discuss the reporting requirements for patients who die in restraints and within 24 hours of being in a restraint.
The session will simplify and take the mystery out of the 50-page restraint and seclusion interpretive guidelines. It will provide a crosswalk to the Joint Commission standards. Avoid the restraint nightmare now and take the mystery out of these confusing regulations with this session.
Session Highlights
Session Outline
In this session, you will learn about:
Who Should Attend
- Sue Dill Calloway
- Sue Dill Calloway
- Sue Dill Calloway
- Sue Dill Calloway
- Sue Dill Calloway
- Duane C. Abbey
- Duane C. Abbey
1-866-458-2965
1-919-287-2643
Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus on medico-legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. She was a director for risk management and patient safety for five years for the Doctors Company. She was the...
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