The CMS Restraint and Seclusion Webinar

Overview: 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. The restraint policy is one of the hardest to write and understand in healthcare today. CMS has issued interpretive guidelines on restraint and seclusions for hospitals on April 11, 2008 and October 17, 2008. These are extensive covering 50 pages. This program will simplify and take the mystery out of the restraint and seclusion interpretive guidelines. It will provide a crosswalk to the July 1, 2009 Joint Commission standards. Avoid the restraint nightmare now and let us take the mystery out of these confusing regulations by attending this program.

Every hospital that accepts Medicare patients will have to comply with the interpretive guidelines even if the hospital is Joint Commission accredited. Hospitals will need to revise their policies and procedures to comply with these and will need to 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 new 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 issues covered by the new CMS interpretive guidelines. The Joint Commission standards on restraint and seclusion will be reference also be covered since these must be included in the hospital’s policy and procedure. It is important to recognize which is the most stringent.

Objectives:
• Define the changes to the CMS restraint guidelines including that the requirement that all deaths that occur while the
   patient is in restraints or within 24 hours after must be reported to CMS.
• Recall that CMS requires that all physicians and others who order restraints must be educated on the hospital policy,
• Describe the new CMS restraint education requirements for staff including the hospital requirement for first aid training
  and what training the RN who does the one hour face to face visit must have.

Target Audience: Compliance officers, CNOs, chiefs of medical staff, COOs, nurse educators, medical staff coordinators, RMs, patient safety officers, senior leadership, hospital legal counsel, PI directors, Joint Commission coordinators, nurse managers, quality directors, chief medical officers and others responsible for compliance with hospital regulations. Persons responsible for rewriting the hospital policies and medical staff bylaws should also attend.

Topics:
• Right to be free from restraint
• Providing copy of right to patients
• Restraint protocols
• Medical restraints
• Behavioral health restraints
• Violent and self destructive behavior
• New definition of restraint and seclusion
• Manual holds of patients
• Leadership responsibilities
• 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 required
• Stricter state laws
• Monitoring of patient in R/S
• Joint Commission Hospital Restraint standards and differences from CMS

Registration: Educate Your Entire Staff Quickly and Economically!
Register for this program to educate your entire staff in a short period of time without incurring multiple registration fees or travel expenses. The registration is $195 and includes one toll-free telephone connection and one free internet connection to the presentation. You can gather numerous staff members in one room to “attend” for one economical price. Prior to the program, you will receive a detailed slide presentation and handout materials which you can distribute to all participants, along with the log-in information.