Providing a Quality Life While Avoiding Restraints
PDF Version of BQA 00-021
(PDF, 6 KB)
Date: February 11, 2000 -- DSL-BQA-00-021
To: Nursing Homes NH
Facilities for the
Developmentally Disabled FDD 07,
Nurse Aide Training Programs NATP 03
From: Jan Eakins, Chief, Provider Regulation and Quality
cc: Susan Schroeder, Director, Bureau of Quality Assurance
This clinical practice guideline (PDF,
497 KB) was developed to assist nursing homes in training
families, staff, hospitals and physicians about the benefits of freedom from restraints
and the risks of using restraints. Many different types of providers are currently dealing
with restraint reduction issues and will benefit from using the concepts and resources in
the guideline, especially hospitals and facilities for the developmentally disabled.
Providers, provider associations, the Board on Aging and Long Term Care (the Ombudsman
program) and the Bureau of Quality Assurance (BQA) collaboratively developed this
resource. The guideline was successfully piloted in five different types of Wisconsin
nursing homes and these nursing homes were able to reduce restraints without an increase
in serious injuries.
This guideline (PDF,
497 KB) is not a regulatory requirement, but it is
consistent with federal and state regulations if properly implemented. It is a tool for
quality improvement that providers can integrate into their policies, procedures and
training programs for clinical practice. The guideline will soon be available on the
Department of Health and Family Services (DHFS) web site at: http://www.dhs.wisconsin.gov/rl_DSL/Publications/BQAnodMems.htm
A videotape of provider presentations about their piloting experience is available.
This video is not a training video that would "stand alone," but it would be
useful for trainers to view before using the guideline. For information on borrowing this
video, please call Leann Graffin at (608) 267-1438.
Information on obtaining the videotape training series "Everyone Wins" is in
Appendix B of the guideline.
Questions about the guideline may be directed to Dinh Tran, Social Services Consultant,
Provider Regulation and Quality Improvement at (608) 266-6646.
You are encouraged to copy and distribute this information.
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