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

  • Webinar

  • 180 Minutes
  • March 2019
  • Compliance Online
  • ID: 4900015
Why Should You Attend:

Do you know that the number one area of deficiencies in the CMS CoP is regarding restraints? CMS issued a memo summarizing all of the deficiencies against hospitals which is updated quarterly.

This program by expert speaker Sue Dill Calloway, RN, MSN, JD, will discuss the most problematic standards in the restraint section. This program also discusses the proposed changes to restraint published in the Hospital Improvement Act. This will help you assess your preparedness if a CMS surveyor shows up at your hospital tomorrow, and enhance your staff’s understanding of all of the 50 pages of the CMS interpretive guidelines.

This session will also 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. Additionally, it will include what must be documented in the medical record and discuss the reporting requirements for patients who die in restraints and within 24 hours of being in a restraint.

Areas Covered in the Webinar:

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

Speakers

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.

She has done many educational programs for nurses, physicians, and other health care providers. She has authored over 102 books and numerous articles. Sue is a frequent speaker and is well known across the country in the area of healthcare law, risk management, and patient safety. She has taught many educational programs and written many articles on compliance with the CMS and Joint Commission restraint standards.