Class Author

Debra Collins
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As CEO and President of LTCS Books, Inc., Debra maintains a knowledge base and writes weekly articles on long term care and home health care federal regulatory changes.


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This inservice is designed for long term care nursing assistants, CNA's, and home health aides, and outlines long term care federal regulations and facility protocols for restraint use.

Each kind of restraint is defined and described. Alternatives to restraint use are outlined. Instructions are given for restraint care, monitoring for resident needs, documenting restraint care, and preventing potential negative outcomes of restraint use.


  1. Outline long term care federal regulations and facility protocols for restraint use. 
  2. Name six kinds of physical restraints. 
  3. Describe three kinds of chairs that prevent rising. 
  4. Explain how bed rails can be used as restraints.
  5. List six alternatives to restraint use. 
  6. Describe essential restraint care and documentation. 
  7. Name five resident needs to assess during restraint use.


Chapter 1: Facility Restraint Reduction Programs

Federal Regulations
Facility Restraint Protocols
Nursing Assessment
Medical Reasons for Restraints
Physician’s Orders 

Chapter 2: Types of Restraints

Physical Restraint Definition
Trunk Restraint
Limb Restraint
Chair that Prevents Rising
Bed Rails
Other Restraining Practices 

Chapter 3: Alternatives to Restraints

Restraint Alternatives
Alternative Interventions 

Chapter 4: Monitoring Restraint Use

Check, Release, and Monitor Protocol
Assessing Resident Needs
Potential Negative Outcomes
Documenting Restraint Care
Interventions for Restraint Care

Chapter 5: References

Course Snapshot

Cost: $ 10.00
Contact Hours: 0.75


Upon successful completion the Home Health Aid or Nurse Assistant will receive a Certificate of Completion for 0.75 inservice contact hour(s).
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