Special thanks to Kirk Miyake from Kokoro Assisted Living for this week’s Tuesday Tip.
There may be times when a resident requires the use of a tray, soft tie, or other device to maintain body position and balance, or to improve mobility. RCFE regulation 87608 and CCL policy refer to these devices as postural supports and outline requirements that must be followed if they are being used by a resident, including:
- Not a restraint: The use of a postural support must not restrict movement or otherwise be used to restrain a resident. Under no circumstances shall the use of postural include tying, depriving, or limiting the use of the resident’s hands or feet.
- Physician’s order: A written physician order for the postural support must be maintained in the resident’s record. According to CCL policy the order use be updated every 90 days.
- Quick release: The postural support must be fastened or tied in a manner that permits quick release by the resident.
- Fire clearance: According to CCL policy a resident using a postural support is considered nonambulatory; ensure appropriate fire clearance.
- Check the resident every 30 minutes: According to CCL policy, a resident must be checked at least every 30 minutes while using a postural support and this check must be documented.