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

Summary

  • Know the CMS restraint requirement of what a hospital must document in the internal log if a patient dies within 24 hours with having two soft wrist restraints on
  • Why CMS requires that all physicians and others who order restraints must be educated on the hospital policy?
  • Understand CMS’ requirements for education of staff on restraint
  • What are specific things that CMS requires to be documented in the medical record for the one hour face to face evaluation on patients who are violent and/or self-destructive?

Overview

This program will discuss the most problematic standards in the restraint section. It will cover the 50 pages of restraints standards that hospitals must follow according to CMS.

Who should attend?

All nurses with direct patient care, Compliance Officer, Chief Nursing Officer, Chief of Medical Staff, COO, Nurse Educator, ED Nurses, ED Physicians, Medical staff coordinator, Risk Manager, Patient Safety Officer, Senior Leadership, Hospital Legal Counsel, Chief Risk Officer, PI director, Joint Commission Coordinator, Nurse Manager, Quality Director, Chief Medical Officer, Security Guard, Accreditation and Regulation Staff and others responsible for compliance with hospital regulations and anyone involved in the restraint or seclusion of patients. Persons responsible for rewriting the hospital policies and medical staff bylaws should attend. This also includes staff who remove and apply them as part of their care such as radiology techs, ultra sound technologists, transport staff and others.

Sue Dill Calloway

Expert

Sue Dill Calloway, RN, MSN, JD, is a nurse attorney, a medical legal consultant and the past chief learning officer for the Emergency Medicine Patient Safety Foundation. She is the immediate past director of Hospital Patient Safety and Risk Management for The Doctors Company. She is currently president of Patient Safety and Health Care Education and Consulting. Sue was a medical malpractice defense attorney for many years and a past director of risk management for the Ohio Hospital Association. She was in-house legal counsel for a hospital in addition to being the privacy officer and compliance officer.

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