| 6400.207(5)(III) | On 12/11/24, the agency presented a physician's prescription, dated 9/29/11, providing for the use of bedrails on Individual #1's bed to prevent injuries from seizures, thus, restricting the movement or function of the individual's body. Individual #1's current assessment completed on 7/22/24, does not address if they can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual. Additionally, Individual #1's Individual Support Plan, last updated on 10/29/24, indicates that they utilize bedrails that do not go the entire length of the bed, but does not include the periodic relief of the device to allow freedom of movement. On 12/11/24, the agency presented a physician's script, dated 12/11/24, providing for the use of bedrails on Individual #2's bed for safety purposes, thus, restricting the movement or function of the individual's body. Individual #2's current assessment completed on 3/14/24, does not address if Individual #2 can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual. Additionally, Individual #2's Individual Support Plan, last updated on 5/30/24, does not indicate the use of bedrails or the periodic relief of the device to allow freedom of movement. | A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement. | On 12/12/24, the Clinical Manager created an addendum to the assessments to include an assessment of bed rails. Once assessed, the Clinical Manager resent the assessment to the teams on 12/13/24, requesting the ISPs be updated with the required information. The Clinical Manager will follow up with the SCs on 1/2/25 if the ISPs has not yet been updated. |
01/02/2025
| Implemented |