No I never did it solo I suppose more as an extra pair of hands to hold someone down and put the restraints on - like one person on each arm. But yeah Ive done it. Am I trained? No I suppose Ive never done a module on it.
But whys that such a no no? Like I feel Im missing something big like it's a huge violation of something but I cant quite grasp it.
So no you're violating joint commission standards and you and the hospital could get in quite a bit of trouble if anyone found out you had been doing this and had never been trained on safe restraints and physical holds. This doesn't matter if it's a psychiatric patient or a non-psychiatric patient, this generally applies to all restraints. It's also a requirement of CMS conditions of participation, which ultimately can result in termination of federal funding...so if it's you or that, they'll dump your ass real fast.
Joint Commission Standard
Standard PC.03.05.17: The [organization] trains staff to safely implement the use of restraint or seclusion.
Joint Commission Element of Performance
1. The hospital trains staff on the use of restraint and seclusion, and assesses their competence, at the following intervals:
– At orientation
– Before participating in the use of restraint and seclusion
– On a periodic basis thereafter
2. Based on the population served, staff education, training, and demonstrated knowledge focus on the following:
– Strategies to identify staff and patient behaviors, events, and environmental factors that may trigger circumstances that require the use of restraint or seclusion
– Use of nonphysical intervention skills
– Methods for choosing the least restrictive intervention based on an assessment of the patient’s medical or behavioral status or condition
– Safe application and use of all types of restraint or seclusion used in the hospital, including training in how to recognize and respond to signs of physical and psychological distress (for example, positional asphyxia)
– Clinical identification of specific behavioral changes that indicate that restraint or seclusion is no longer necessary
– Monitoring the physical and psychological well-being of the patient who is restrained or secluded, including, but not limited to, respiratory and circulatory status, skin integrity, vital signs, and any special requirements specified by hospital policy associated with the in-person evaluation conducted within one hour of initiation of restraint or seclusion
– Use of first-aid techniques and certification in the use of cardiopulmonary resuscitation, including required periodic recertification (See also PC.03.05.07, EP 1)
3. Individuals providing staff training in restraint or seclusion have education, training, and experience in the techniques used to address patient behaviors that necessitate the use of restraint or seclusion.
4. The hospital documents in staff records that restraint and seclusion training and demonstration of competence were completed.
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