Tips from TSE: Identifying competent restraint trainers

Staff Development Weekly: Insight on Evidence-Based Practice in Education, September 25, 2009

One of the Joint Commission issues that triggers the most questions is the use of restraints. Joint Commission standards require that restraints or seclusion be initiated only when clinically justified or when needed to protect the patient, staff members, or others with whom the patient has contact. This involves training staff members, but how should educators identify competent restraint trainers?

The Joint Commission (formerly JCAHO) does not mandate specific criteria for trainers, other than that they must have sufficient experience in the appropriate use of restraints and seclusion. Avoid using staff members such as nurse managers, who have knowledge of policies and procedures but are not directly involved in the clinical use of restraints and seclusion often enough to be considered competent trainers. The trainer must have frequent experience in the use of restraints as well as procedural and policy knowledge.

Editor's note: This excerpt was adapted from the September issue of The Staff Educator. Discover all the benefits of subscribing to The Staff Educator!

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