Safety & Infection ControlQuestion 60 of 200

Which is NOT a least-restrictive alternative to a physical restraint?

a.Low bed with floor mat
b.Bed/chair alarm and frequent rounding
c.Wedge cushion to maintain alignment in a wheelchair
d.Tying the resident's wrists to the bedrails 'just in case'

Explanation

Least-restrictive interventions include low beds, floor mats, alarms, scheduled toileting, recliner positioning, activity engagement, and environmental modifications. Wrist ties (d) are physical restraints, not alternatives, and may only be used when less-restrictive interventions have failed and a documented medical symptom justifies restraint under 42 CFR §483.12(a)(2). 'Just in case' use is prohibited and may constitute false imprisonment and abuse.

Law Reference: CMS F-tag 604; restraint alternatives

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