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Catalog Number : ncd1411
Title : CMS Hospital Conditions of Participation: Restraint & Seculsion Standards
Speaker : Sue Dill

Duration : 90 minutes

Webplay Recording Date : 9-28-2015
Webplay Price : $ 150 for two weeks viewing

Webinar Overview:

Did you know that both CMS and Joint Commission require hospital staff to have on-going educated on the regulation, interpretive guidelines, and standards on restraint and seclusion? 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. This webinar will provide a crosswalk to the Joint Commission standards. This program can be used to help hospitals meet this requirement.

Target Audience:

  • Compliance Officer
  • Chief Nursing Officer
  • Chief of Medical Staff
  • COO
  • Nurse Educator
  • Medical Staff Coordinator
  • Risk Manager
  • Patient Safety Officer
  • Senior Leadership
  • Hospital Legal Counsel
  • Chief Risk Officer
  • PI director
  • Joint Commission Coordinator
  • Nurse Managers
  • Quality Director
  • Chief Medical Officer
  • others responsible for compliance with hospital regulations
  • Persons responsible for rewriting the hospital policies and medical staff bylaws should attend

Webinar Objectives:

  • Define the CMS restraint requirement that all deaths that occur while the patient is in restraints or within 24 hours after must be reported to the CMS regional office
  • Recall that CMS requires that all physicians and others who order restraints must be educated on the hospital policy
  • Describe the CMS restraint education requirements for staff including the hospital requirement for first aid training
  • Discuss what must be documented in the medical record for the one hour face to face evaluation on patients who are violent and or self-destructive

Webinar Agenda:

  • 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

Contact Hours:

  • Nursing participants: Instruct-online has approved this program for 1.8 contact hours, Iowa Board of Nursing Approved Provider Number 339.
  • All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

Refund Policy:

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.