Use of Restraints in Long-Term Care: Difference between revisions
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Use of Restraints in Long-Term Care (view source)
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The ''Residential Care Regulation'' sets out the general requirements for how and when restraints can be used in long-term care: | The ''Residential Care Regulation'' sets out the general requirements for how and when restraints can be used in long-term care: | ||
* Restraints can only be used if they are needed to protect the adult or others from imminent harm, and not for discipline or the convenience of staff. | * Restraints can only be used if they are needed to protect the adult or others from imminent harm, and not for discipline or the convenience of staff.([[{{PAGENAME}}#References|1]]) | ||
* Restraints must be as minimal as possible. | * Restraints must be as minimal as possible. | ||
* Other options must have been tried before restraints can be used. | * Other options must have been tried before restraints can be used. | ||
* The adult being restrained must be monitored to protect their “safety and physical and emotional dignity” | * The adult being restrained must be monitored to protect their “safety and physical and emotional dignity”([[{{PAGENAME}}#References|2]]) | ||
These requirements must be met in every instance that restraints are used. In addition, the ''Residential Care Regulation'' sets out specific requirements for both emergency and non-emergency use of restraints. | These requirements must be met in every instance that restraints are used. In addition, the ''Residential Care Regulation'' sets out specific requirements for both emergency and non-emergency use of restraints. | ||
If restraints are used in a non-emergency situation, the regulation requires prior consent from the resident or, if they are incapable of making decisions about restraint use, from their substitute decision-maker. | If restraints are used in a non-emergency situation, the regulation requires prior consent from the resident or, if they are incapable of making decisions about restraint use, from their substitute decision-maker.([[{{PAGENAME}}#References|3]]) The resident’s physician or nurse practitioner must also agree. The resident or their substitute decision-maker and the health practitioner must both consent in writing. Note that the Public Guardian and Trustee cannot provide substitute consent for the use of restraints.([[{{PAGENAME}}#References|4]]) | ||
If restraints are used in an emergency, the regulation states: | If restraints are used in an emergency, the regulation states: | ||
* Prior agreement is not required if the adult or others are at imminent risk of harm. | * Prior agreement is not required if the adult or others are at imminent risk of harm.([[{{PAGENAME}}#References|5]]) | ||
* The use of restraints must be documented in the care plan; and | * The use of restraints must be documented in the care plan; and | ||
* After the restraint has been used, the facility must share information and advice regarding the restraint use, in a manner that fits the person’s skills and abilities, with: | * After the restraint has been used, the facility must share information and advice regarding the restraint use, in a manner that fits the person’s skills and abilities, with: | ||
** the resident, | ** the resident, | ||
** anyone who witnessed the restraint use, and | ** anyone who witnessed the restraint use, and | ||
** any employees involved in the restraint use. | ** any employees involved in the restraint use.([[{{PAGENAME}}#References|6]]) | ||
During restraint use, regular reassessments are required: | During restraint use, regular reassessments are required: | ||
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* The need for the restraint must be reassessed within the first 24 hours of using it. | * The need for the restraint must be reassessed within the first 24 hours of using it. | ||
* If the restraint is used in an emergency and continues for more than 24 hours, the adult or their substitute decision-maker and the adult’s doctor or nurse practitioner must agree to it. | * If the restraint is used in an emergency and continues for more than 24 hours, the adult or their substitute decision-maker and the adult’s doctor or nurse practitioner must agree to it. | ||
* If the restraint is used with prior consent, reassessment must occur based on what is listed in the care plan or when the adult or substitute decision-maker has specified, whichever is earlier. | * If the restraint is used with prior consent, reassessment must occur based on what is listed in the care plan or when the adult or substitute decision-maker has specified, whichever is earlier.([[{{PAGENAME}}#References|7]]) | ||
==References== | ==References== | ||
# ''Residential Care Regulation,'' BC Reg 96/2009, s 74, online: <canlii.ca/t/89ln>. | |||
# ''Residential Care Regulation,'' BC Reg 96/2009, s 73, online: <canlii.ca/t/89ln>. | |||
# ''Residential Care Regulation,'' BC Reg 96/2009, s 74, online: <canlii.ca/t/89ln>. | |||
# ''Residential Care Regulation,'' BC Reg 96/2009, ss 74-75, online: <canlii.ca/t/89ln>. | |||
# ''Residential Care Regulation,'' BC Reg 96/2009, s 74, online: <canlii.ca/t/89ln>. | |||
# ''Residential Care Regulation,'' BC Reg 96/2009, s 73, online: <canlii.ca/t/89ln>. | |||
# ''Residential Care Regulation,'' BC Reg 96/2009, s 75, online: <canlii.ca/t/89ln>. | |||
{{REVIEWED | reviewer = Seniors First BC, February 2024}} | {{REVIEWED | reviewer = Seniors First BC, February 2024}} | ||
{{Navigating Home Care and Senior Housing: An Advocacy Guide Navbox}} | {{Navigating Home Care and Senior Housing: An Advocacy Guide Navbox}} |