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SENTARA RMH MEDICAL CENTER
PATIENT RIGHTS: RESTRAINT OR SECLUSION
Tag No.: A0166
Based on medical record and facility document review, the facility staff failed to update a patient's Restraint Plan of Care for one (1) of three (3) patient records sampled.
The finding include:
On 10/17/24 a review of three (3) sampled patient records was completed. Patient #6 was placed in "most restrictive restraints" on 8/7/24 from 2:51 AM to 6:41 AM. Patient #6's Plan of Care was not modified to include the restraint use and goals to discontinue.
A review of the facility's policy "Restraint and Seclusion Management - Most Restrictive Restraints", revised 2/20/24 indicated in part: "...19. Modify the patient's Plan of Care to include restraint use and goal to discontinue, as soon as possible...".
The findings were discussed with Staff Member #1 at the exit conference on 10/17/24 at 3:00 PM.