HospitalInspections.org

Based on interview and record review, the facility failed to document behavioral restraint application training competency for 3 (U, V, W) of 4 security staff files reviewed, resulting in the potential for less than optimal patient outcomes for all patients placed in behavioral restraints. Findings include:

On 8/19/19 at approximately 1000, interview with Security Officer E in the Emergency Department revealed that only security staff place behavioral restraints on patients after ordered by the physician and/or nurse in an emergency. The behavioral restraints used at the facility were padded plastic restraints with Velcro and were in the possession of security staff. Interview with Assistant Manager N on 8/19/19 at approximately 1400 verified that security officers were called to place behavioral restraints on patients in the medical unit, and nursing staff monitored and checked the patients, but were not involved in placing the behavioral restraints on the patients.

On 8/20/19 at 1530, review of Security Staff files with Human Resource Staff P revealed that Security Officers U,V, and W lacked documentation of training competency on behavioral restraint application. Interview with Lead Security Officer V, on 8/20/19 at 1630, revealed that the staff went over the applications upon hire and had a policy and procedure in place to review, but verified that the restraint training competencies had not been documented in the employee file.