The Omnibus Reconciliation Act (OBRA) was enacted to protect patients from unnecessary restraint in long-term care facilities. According to OBRA regulations, one reason to restrain a patient would be:
1. if staffing is inadequate and nurses are unable to check on the patient at regular intervals.
2. if the patient is verbally abusive to the nursing staff.
3. if the patient is at extremely high risk for a fall that is life-threatening.
4. to allow medical procedures to be performed when the patient is not being coop-erative.
3
The only people who are considered restrainable are the following: (1) those who are at high risk for a fall that is life-threatening; (2) those who need postural support for safety, comfort, or both; (3) those who may be a serious hazard to themselves, objects, or others; (4) those who have life-threatening medical symptoms and for whom a restraint may be used temporarily to provide necessary treatment.
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