Since federal and state surveys have identified resident accidents as one of the top ten most frequently cited deficiencies, the Centers for Medicare and Medicaid Services (CMS) identified accidents as one of the 24 Quality Indicators. Focusing on the QIO 8th scope of work (physical restraints), the speakers will describe the philosophical rationale and implications of not restraining residents with special attention given to individualized and environmental alternatives, and proper assessments and interventions for psychotropic medication review. The program will also address the issue of accidents or falls by identifying risk factors and suggesting ways to reduce the numbers of falls in this process. Woven throughout the program will be the importance of the role of the certified nursing assistant.

Learner Objectives:
At the end of the program, participants will be able to:
1. Describe physical and emotional problems associated with the use of physical restraints and identify the advantages of providing restraint-free care.
2. Explain the change process for implementing a restraint free policy.
3. Determine appropriate/inappropriate situations for use of psychoactive medications.
4. Conduct assessments on residents who are at high risk for falls and identify risk factors.
5. Understand the importance of the CNA’s role in restraint-free practices.
6. Explain alternatives to physical restraints that could be implemented in a long term care facility.
7. Understand how successful restraint elimination leads to development of other care practices that positively impact resident care.