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DateTimeFromToMessage
2020-09-22 07:11:11 PM jadehsmith assessment
2020-09-22 07:11:17 PM ahicks Assessment tool
2020-09-22 07:11:17 PM miguele care plans
2020-09-22 07:11:18 PM pjbell assessment
2020-09-22 07:11:20 PM dana1 Talking to the resident
2020-09-22 07:11:21 PM thomasodougherty Assessments!
2020-09-22 07:11:21 PM srolle assessmwnt tool
2020-09-22 07:11:21 PM smithtammyl assessment form
2020-09-22 07:11:23 PM sarahwms initial assessment
2020-09-22 07:11:24 PM chanelrheubottom ppc
2020-09-22 07:11:26 PM kathrynlsvec our assessments
2020-09-22 07:11:26 PM stepha630 care plan team
2020-09-22 07:11:28 PM perrylori viloence check list
2020-09-22 07:11:31 PM susanpmazziotta Activity assessement and care plan
2020-09-22 07:11:32 PM eckhartdanielle The assessments, interviews, conversations with family
2020-09-22 07:11:35 PM dana1 baseline
2020-09-22 07:11:37 PM srolle and care plan idt team meeting
2020-09-22 07:11:38 PM nicholashuffman You use your basic care plan when a resident arrives.
2020-09-22 07:11:39 PM sjohnson35 poc
2020-09-22 07:11:40 PM perrylori violence
2020-09-22 07:11:41 PM ahicks MDS 3.0
2020-09-22 07:11:44 PM thomasodougherty Assessments are a very powerful tool used to get to know our Residents.
2020-09-22 07:11:49 PM davidsonc sit with them and talk with them they will tell you
2020-09-22 07:11:52 PM smithtammyl yes
2020-09-22 07:12:17 PM perrylori along with assessment yes
2020-09-22 07:12:20 PM ahicks I wish the assessments concisted of more then the things they like to do
2020-09-22 07:12:44 PM sarahwms ours do....we have a complete background
2020-09-22 07:12:49 PM thomasodougherty We learn about their history. Whether that invovles drug/alcohol abuse, phsyical/sexual abuse, trauma, etc.
2020-09-22 07:12:50 PM aprilw i ask more questions when i do my section f
2020-09-22 07:12:59 PM smithtammyl yes
2020-09-22 07:13:01 PM sarahwms of course, for dementia residents, the family completes it
2020-09-22 07:13:03 PM jadehsmith assesments also have resident history as well so does social service inial history assesment
2020-09-22 07:13:06 PM perrylori we do the assessment then the F form as well which is more entailed
2020-09-22 07:13:14 PM chanelrheubottom I play games to get to know them better
2020-09-22 07:13:15 PM thomasodougherty Yes! Use other assessments!
2020-09-22 07:13:29 PM thomasodougherty Or, someone mentioned, Care Plans.
2020-09-22 07:13:33 PM sjohnson35 challeneg their mines to knowing them
2020-09-22 07:13:38 PM smithtammyl yes
2020-09-22 07:13:42 PM jadehsmith family shouldnt complete it the resident should be asked as much information as possible if the resident is unable to complete the assesment then ask family
2020-09-22 07:13:43 PM susanpmazziotta We recently discussed trauma informed care at work-this is important to consider
2020-09-22 07:13:44 PM eckhartdanielle Impactful experiences we have shape our behaviors
2020-09-22 07:13:44 PM srolle yes we can look at the residents history , iI call the family too
2020-09-22 07:13:46 PM smithtammyl look at care plan
2020-09-22 07:14:02 PM ahicks Is it ok to gather other info...I know it is important to stay in our scope of practice
2020-09-22 07:14:04 PM pjbell or it might be something new
2020-09-22 07:14:12 PM smithtammyl adjust it if need be
2020-09-22 07:14:25 PM jadehsmith resdent history is our scope of practice ahicks
2020-09-22 07:14:40 PM pjbell look at all careplans
2020-09-22 07:14:44 PM thomasodougherty As long as the information is pertinent to your purposes and you don't step out of your scope of practice, it doesn't hurt to engage in conversation with your Residents.
2020-09-22 07:14:49 PM aprilw ask the cna's they are hands on everyday
2020-09-22 07:14:55 PM eckhartdanielle Agreed
2020-09-22 07:14:59 PM smithtammyl agree
2020-09-22 07:15:04 PM kreese828 I actually gree with April
2020-09-22 07:15:08 PM thomasodougherty It's important that that conversation doesn't turn to your giving advice and proposing treatment plans.
2020-09-22 07:15:08 PM srolle yes i agree
2020-09-22 07:15:10 PM kreese828 agree*
2020-09-22 07:15:11 PM ahicks perfect..thank you
2020-09-22 07:15:26 PM pjbell true
2020-09-22 07:15:26 PM smithtammyl true
2020-09-22 07:15:27 PM srolle yes agree
2020-09-22 07:15:31 PM susanpmazziotta agreed
2020-09-22 07:15:31 PM perrylori true
2020-09-22 07:15:51 PM eckhartdanielle Take note and use info to give the best care possible
2020-09-22 07:16:15 PM thomasodougherty If you come across something that you feel requires the attention of a professional with another scope of practice, don't hesitate to voice your thoughts to them so that they may determine whether further inquiry is required.
2020-09-22 07:16:30 PM aprilw ok
2020-09-22 07:16:31 PM smithtammyl true
2020-09-22 07:16:37 PM jadehsmith morning meeting
2020-09-22 07:16:37 PM vzamora7871 Valerie Z- very true
2020-09-22 07:16:39 PM srolle ok
2020-09-22 07:16:41 PM dana1 ok
2020-09-22 07:16:42 PM stepha630 truth
2020-09-22 07:16:44 PM pjbell report to nursing like depression
2020-09-22 07:16:53 PM sjohnson35 yes because every eye counts when it comes to the residents
2020-09-22 07:17:02 PM jadehsmith Clinical meeting
2020-09-22 07:17:07 PM perrylori i always go to the social workder if i have anything im not sure about and she always is very helpful
2020-09-22 07:17:15 PM chanelrheubottom i report everything to the nurse if i see any change
2020-09-22 07:17:23 PM ahicks I found that working hand in hand with the social worker helps a lot.
2020-09-22 07:17:24 PM dana1 we are there advocate.
2020-09-22 07:17:29 PM miguele Me too chanel
2020-09-22 07:17:30 PM dana1 their
2020-09-22 07:17:38 PM pjbell yes
2020-09-22 07:17:42 PM sjohnson35 without a social worker us ethe don
2020-09-22 07:17:42 PM thomasodougherty Alright, Resident X is having a behavior similar to a behavior they had last week. You employed an intervention that worked flawlessly.Should you expect that this intervention is going to work this time?
2020-09-22 07:17:57 PM chanelrheubottom we dont have a social worker now
2020-09-22 07:17:58 PM aprilw nope
2020-09-22 07:17:58 PM dana1 not always
2020-09-22 07:17:59 PM jadehsmith no
2020-09-22 07:18:00 PM sarahwms not necessarily
2020-09-22 07:18:01 PM pjbell maybe yes maybe no
2020-09-22 07:18:02 PM smithtammyl no
2020-09-22 07:18:02 PM kathrynlsvec no way
2020-09-22 07:18:02 PM stepha630 no
2020-09-22 07:18:04 PM perrylori would try it first
2020-09-22 07:18:05 PM nicholashuffman No, just because something works once doesn't mean it works a second time.
2020-09-22 07:18:14 PM susanpmazziotta not necessarily, but it should provide direction
2020-09-22 07:18:20 PM eckhartdanielle No, expect trial and error and Plan A B C D etc haha
2020-09-22 07:18:24 PM perrylori and go from there
2020-09-22 07:18:27 PM dana1 lol
2020-09-22 07:18:36 PM thomasodougherty Perfect answers.
2020-09-22 07:18:36 PM ahicks should not expect that. Just because it worked once does not mean it will next time...but it could again in the future
2020-09-22 07:18:42 PM krystalthompson No not really
2020-09-22 07:18:45 PM stepha630 you can implement it but it may not work
2020-09-22 07:19:01 PM smithtammyl try and try again lol
2020-09-22 07:19:03 PM stepha630 you may need to come up with a different intervention
2020-09-22 07:19:11 PM pjbell try different things so they dont get bored of one
2020-09-22 07:19:16 PM thomasodougherty Let's say this intervention worked for Resident X, should we expect it to work for the same behavior exhibited by Resident Y?
2020-09-22 07:19:24 PM stepha630 no
2020-09-22 07:19:25 PM dana1 no
2020-09-22 07:19:26 PM smithtammyl no
2020-09-22 07:19:28 PM jadehsmith no
2020-09-22 07:19:29 PM aprilw no
2020-09-22 07:19:29 PM seanj We have these sheets around our facitly that you can grab and jot down notes for the nurses and DON. They guide you in pinpointing what you're observing and who you might need to speak with.
2020-09-22 07:19:30 PM srolle no
2020-09-22 07:19:30 PM kreese828 Not at all
2020-09-22 07:19:31 PM pjbell maybe
2020-09-22 07:19:34 PM jadehsmith every person is different
2020-09-22 07:19:39 PM krystalthompson No
2020-09-22 07:19:43 PM taherrens No
2020-09-22 07:19:44 PM jadehsmith all we can do is try
2020-09-22 07:19:44 PM kathrynlsvec no becasue you don't know the difference in their background and experiences
2020-09-22 07:19:44 PM ahicks no..every resident is different...every care plan is different
2020-09-22 07:19:46 PM pjbell you never know
2020-09-22 07:19:46 PM sjohnson35 no and because they are two different people
2020-09-22 07:19:47 PM perrylori can try it you never know. again if you know resident
2020-09-22 07:19:52 PM miguele It might not work this time, you even have to be creative,,
2020-09-22 07:19:57 PM stepha630 we can try it but it doesnt mean the outcome will be the same
2020-09-22 07:20:07 PM seanj No. That's where the care planning and resident driven goals come in/
2020-09-22 07:20:20 PM pjbell but their intersts can change
2020-09-22 07:20:32 PM thomasodougherty Again, spot on answers!
2020-09-22 07:20:32 PM ashanter435 Yes every person is different with the new regs it focuses on person centered care
2020-09-22 07:20:44 PM stepha630 yes
2020-09-22 07:21:06 PM thomasodougherty It's important that we remain flexible and understanding to each situation. Patience is paramount!
2020-09-22 07:21:14 PM davisr yes!
2020-09-22 07:21:17 PM smithtammyl true
2020-09-22 07:21:18 PM chanelrheubottom yes it is
2020-09-22 07:21:24 PM srolle so true
2020-09-22 07:21:26 PM pjbell yes
2020-09-22 07:21:30 PM dana1 amen to that
2020-09-22 07:21:33 PM eckhartdanielle Behaviors and people are complex and these issues deserve critical thinking for every case
2020-09-22 07:21:36 PM perrylori doesnt mean that if yyou tried on one that it wont work on the next one. all you can do is try it. then try something diffterent trial and error
2020-09-22 07:21:57 PM aprilw yes
2020-09-22 07:22:07 PM eckhartdanielle Keep a close record of which solutions have proven to work and which haven't
2020-09-22 07:22:17 PM thomasodougherty We've identified dementia Residents, Residents that sense a loss of control, how do we address Residents with Psychosis?
2020-09-22 07:22:21 PM perrylori again if you know the resident you know how to approach them too
2020-09-22 07:22:34 PM srolle yes love it echart
2020-09-22 07:22:35 PM susanpmazziotta Documentation is always necessary
2020-09-22 07:22:51 PM jadehsmith im currently working in a nursing home with young residents most past alcholics and addicts
2020-09-22 07:22:53 PM aprilw know their history
2020-09-22 07:23:15 PM eckhartdanielle If you think it will help speak calmly with them
2020-09-22 07:23:18 PM seanj Yes. How do we?! Because I am having the time of my life with my new resident and psychosis!
2020-09-22 07:23:20 PM ahicks The same way??
2020-09-22 07:23:28 PM susanpmazziotta Patients with psychosis should be regularly be seen by their mental health professional to stay on top of the condition
2020-09-22 07:23:34 PM davidsonc always document any thing you see from the resident and inform the person in charge like a nurse
2020-09-22 07:23:47 PM pjbell know social history and leisure pursuits, approach in a calm matter and soothing voice
2020-09-22 07:23:54 PM srolle be calm make sure you have looked up their history
2020-09-22 07:24:20 PM perrylori i guess play into it with them. ive had to do it
2020-09-22 07:24:20 PM thomasodougherty I'm seeing "Documentation" a lot. Absolutely! Document anything and everything. It is better to have too much than not enough.
2020-09-22 07:24:20 PM aprilw calming voice, eye contact
2020-09-22 07:24:38 PM srolle yes agree
2020-09-22 07:24:51 PM aprilw 100%!!
2020-09-22 07:24:52 PM ahicks approach in an unhurried manner
2020-09-22 07:24:59 PM stepha630 document what we see not what someone else saw
2020-09-22 07:25:00 PM smithtammyl speak camly
2020-09-22 07:25:00 PM chanelrheubottom That my problem i write to much
2020-09-22 07:25:02 PM kreese828 agreed
2020-09-22 07:25:04 PM smithtammyl yes
2020-09-22 07:25:07 PM perrylori respond calmly support them and listen
2020-09-22 07:25:15 PM jadehsmith we also have to take into consideration these are adults not children we need to treat them with dignity
2020-09-22 07:25:21 PM thomasodougherty Let's say the psychosis is paranoid schizophrenia who is being told they need to harm their roommate and then themselves?
2020-09-22 07:25:34 PM perrylori omg
2020-09-22 07:25:37 PM thomasodougherty Well said @jadehsmith
2020-09-22 07:25:41 PM dana1 wow
2020-09-22 07:25:42 PM pjbell get assistance immediatly
2020-09-22 07:25:46 PM smithtammyl try to redirect them
2020-09-22 07:25:48 PM eckhartdanielle Get them away from other residents and call for assistance
2020-09-22 07:25:51 PM jadehsmith you need to remove them from the situation immediatly
2020-09-22 07:25:52 PM chanelrheubottom report that
2020-09-22 07:25:59 PM pjbell but dont leave
2020-09-22 07:26:01 PM aprilw calmly ask why, let's talk
2020-09-22 07:26:02 PM ahicks first they would no longer have a room mate and they would be on 24 hr watch
2020-09-22 07:26:02 PM nicholashuffman Yeah, probably should make sure the other resident is safe then attempt to redirect.
2020-09-22 07:26:03 PM vzamora7871 Valerie Z- bring in the charge nurse
2020-09-22 07:26:05 PM smithtammyl calm them down in a soft voice
2020-09-22 07:26:10 PM nicholashuffman Got to make sure your residents are safe.
2020-09-22 07:26:32 PM perrylori take them out of the room and keep them from room mate immediately
2020-09-22 07:26:34 PM sjohnson35 keep them in eyesight at all times
2020-09-22 07:26:35 PM thomasodougherty Redirection is always a good option and some of you also mentioned reporting this.
2020-09-22 07:26:45 PM davisr it depends on how strong they are
2020-09-22 07:26:49 PM smithtammyl walk with them away from resident
2020-09-22 07:26:50 PM srolle we always need to make sure the residents are compatible
2020-09-22 07:26:51 PM aprilw walking them out of their room and going for a snack and talk
2020-09-22 07:26:59 PM davidsonc calm them down remove roommate and get help
2020-09-22 07:26:59 PM miguele We need the assistance of nurse along with meds..
2020-09-22 07:26:59 PM jadehsmith you need to keep all of your resident safe
2020-09-22 07:27:02 PM smithtammyl yes
2020-09-22 07:27:08 PM perrylori oh yes document the incident and get ahold of supervisor in charge
2020-09-22 07:27:11 PM thomasodougherty Again, great answers.
2020-09-22 07:27:13 PM stepha630 yes
2020-09-22 07:27:15 PM davidsonc yes
2020-09-22 07:27:17 PM pjbell i would take the roomate out because could be a risk to others
2020-09-22 07:27:19 PM eckhartdanielle They shouldn't be left unsupervised
2020-09-22 07:27:21 PM susanpmazziotta It is imperative that these situations be recorded and tracked to determine if there is a change in occurances.
2020-09-22 07:27:27 PM thomasodougherty This would be one of those "out of our scope of practice" situations.
2020-09-22 07:27:38 PM ahicks for sure
2020-09-22 07:27:41 PM smithtammyl yes
2020-09-22 07:27:42 PM dana1 yes
2020-09-22 07:27:44 PM perrylori always remove the resident that is causing the disruption
2020-09-22 07:27:50 PM pjbell yes been there
2020-09-22 07:27:52 PM srolle yes it will
2020-09-22 07:28:07 PM susanpmazziotta Certainly is out of our scope and the DON needs to be involved
2020-09-22 07:28:09 PM thomasodougherty However, we would find ourselves in a unique position to gather more information for the professional whose scope of practice it falls into.
2020-09-22 07:28:11 PM perrylori remove the problem sorta speak
2020-09-22 07:28:25 PM jadehsmith not exactly its everyones job to keep residents safe, removing the resident from the situation and then address with nursing
2020-09-22 07:28:25 PM smithtammyl true
2020-09-22 07:28:34 PM thomasodougherty Engage, but don't provoke.
2020-09-22 07:28:43 PM smithtammyl yes
2020-09-22 07:28:43 PM srolle so true
2020-09-22 07:28:49 PM ahicks and we would be the ones implementing interventions
2020-09-22 07:28:51 PM pjbell if in a room its safer to romove roomate so the other residents are not at risk
2020-09-22 07:28:56 PM susanpmazziotta We always can provide observations
2020-09-22 07:28:58 PM davidsonc we had that happen then the resident threten to hit the other resident i had to write a qmm on her for her behaivor.
2020-09-22 07:28:59 PM kreese828 ask questions
2020-09-22 07:29:01 PM jadehsmith social services for psych not just nursing
2020-09-22 07:29:15 PM chanelrheubottom jadeh i agress 100% with you
2020-09-22 07:29:23 PM seanj Social Services is a big help in our building.
2020-09-22 07:29:28 PM aprilw I am a cna so I would feel comfortable in doing the 1:1. Done it many of times. Sometimes it's works and others help comes along
2020-09-22 07:29:31 PM smithtammyl same here
2020-09-22 07:29:32 PM ahicks jaden we are a part of social services
2020-09-22 07:29:35 PM thomasodougherty Take them to a safe place, away from others ideally (or someone mentioned getting their roommate out of the room if possible is good), and gather information that you can relay.
2020-09-22 07:29:52 PM jadehsmith no ahicks we are activites thats why we are activites not social services
2020-09-22 07:30:02 PM smithtammyl yes
2020-09-22 07:30:12 PM jadehsmith do you do BIMMS ahicks no, because we are activities
2020-09-22 07:30:14 PM eckhartdanielle Yes, the basic situation should be relayed to all involved departments so no mistakes are made
2020-09-22 07:30:21 PM perrylori sometimes i feel like a social worker in activities
2020-09-22 07:30:29 PM davidsonc we are both if you think about it
2020-09-22 07:30:31 PM seanj I've been using the recordedr on my phone to capture observations in real time and it has helped me with my documentation tremendously.
2020-09-22 07:30:33 PM thomasodougherty Activities is a lot like Social Services.
2020-09-22 07:30:33 PM jadehsmith we work with social serices, we work with all departments.
2020-09-22 07:30:35 PM perrylori yes we are
2020-09-22 07:30:46 PM vzamora7871 Valerie z- it really is
2020-09-22 07:30:47 PM davisr We have a lady that would throw furniture and throw plates and cups and anything she can get her hands on at residents/staff because she thought we stoll her baby but her strenght wasnt up to par. so it was easier to handle but a man that still has strenght or a women with strenght would make it hard
2020-09-22 07:30:48 PM srolle yes the resident will have to be in a private room to you come to a conclusion
2020-09-22 07:30:49 PM smithtammyl yes
2020-09-22 07:30:56 PM ahicks activities and social services is the same time our care plans run off of social services behaviors...we are under the social service section with state surveys
2020-09-22 07:30:59 PM srolle yes activities is
2020-09-22 07:31:20 PM thomasodougherty I took on Activities after some time in Social Services, because of how important psycho social well-being is in Activities.
2020-09-22 07:31:36 PM srolle ok
2020-09-22 07:31:41 PM chanelrheubottom ok
2020-09-22 07:31:42 PM jadehsmith activites is nothing like social services,lets make that clear, we both support residents psycho social well being correct but social services tackle different aspects of resident care
2020-09-22 07:31:42 PM smithtammyl great
2020-09-22 07:31:44 PM sjohnson35 ok
2020-09-22 07:31:51 PM kreese828 I could never give up activities
2020-09-22 07:31:58 PM stepha630 same
2020-09-22 07:32:11 PM smithtammyl i enjoy it
2020-09-22 07:32:12 PM perrylori they come to us like wwe are god and we can solve all the problems they have. i love it.
2020-09-22 07:32:24 PM seanj So true, Lori!
2020-09-22 07:32:28 PM pjbell yes we do
2020-09-22 07:32:32 PM smithtammyl they smile when they see me
2020-09-22 07:32:43 PM davisr We have a resident on friday she was so happy did all the activities and really enjoyed the day with us and that same night she had tried to kill herself with a knife.
2020-09-22 07:32:44 PM pjbell faces light up
2020-09-22 07:32:47 PM thomasodougherty Back to our Resident with psychosis. Medication is often invovled with these individuals. It isn't in our scope, but for the sake of conversation: is more medication the answer?
2020-09-22 07:32:48 PM perrylori family count on us as well especially through this pandemic
2020-09-22 07:32:58 PM stepha630 no
2020-09-22 07:32:58 PM jadehsmith never
2020-09-22 07:33:00 PM smithtammyl wow
2020-09-22 07:33:08 PM dana1 no
2020-09-22 07:33:08 PM aprilw no way
2020-09-22 07:33:08 PM susanpmazziotta My experience has been that my observations through activities and guest services have played significant assistance to the the nursing staff.
2020-09-22 07:33:09 PM srolle no
2020-09-22 07:33:09 PM davisr no I dont think medication is always the case
2020-09-22 07:33:11 PM chanelrheubottom no
2020-09-22 07:33:15 PM pjbell not all the timie
2020-09-22 07:33:17 PM davidsonc i love my job and my residents love me we have that trust for each other
2020-09-22 07:33:20 PM ahicks No. MAybe reevaluating the current meds
2020-09-22 07:33:20 PM seanj I don't think so. In fact, I think we need to be constantly strviing to decrease meds.
2020-09-22 07:33:20 PM nicholashuffman No, you need to find the proper balance for your residents. It's against the residents rights to be chemically restrained.
2020-09-22 07:33:31 PM smithtammyl no
2020-09-22 07:33:34 PM srolle try different methods
2020-09-22 07:33:39 PM davisr sometimes coping skills
2020-09-22 07:33:48 PM seanj SOmetimes they medicate the life out of them.
2020-09-22 07:33:52 PM thomasodougherty Can changing medications lead to behaviors?
2020-09-22 07:33:53 PM eckhartdanielle Studies show medications can be reduced without negative side effects
2020-09-22 07:33:54 PM jadehsmith thats a tag
2020-09-22 07:33:56 PM perrylori thats where documentation comes and communication with the nurses on at the time so they can document and maybe med change is necessary
2020-09-22 07:33:58 PM stepha630 yes
2020-09-22 07:33:59 PM kathrynlsvec definitely
2020-09-22 07:34:01 PM dana1 YES
2020-09-22 07:34:01 PM pjbell yes
2020-09-22 07:34:02 PM kreese828 definitely
2020-09-22 07:34:03 PM srolle yes
2020-09-22 07:34:05 PM jadehsmith yes
2020-09-22 07:34:13 PM smithtammyl meds can cause the behavior
2020-09-22 07:34:14 PM aprilw try different things, music, food, tv etc.. before more meds
2020-09-22 07:34:15 PM davidsonc yes big time
2020-09-22 07:34:15 PM susanpmazziotta more medication is not necessarily the answer, changes may be necessary and that is why regular monitoring by professionals is important
2020-09-22 07:34:17 PM miguele yes they do, sometimes meds needs time to adjust or work in the body
2020-09-22 07:34:18 PM kathrynlsvec everything has a different side effect and can interact with other medications, etc.
2020-09-22 07:34:19 PM ahicks yes for sure...especially considering medications for mental illness take time to work
2020-09-22 07:34:31 PM davisr yes some residents can have bad reactions to behaviors
2020-09-22 07:34:32 PM seanj Alternate meds or a holistic appraoch would be nice.
2020-09-22 07:34:34 PM sjohnson35 documention is always key
2020-09-22 07:34:36 PM taherrens left the chat room
2020-09-22 07:34:42 PM thomasodougherty How about restraints? When are restraints acceptable?
2020-09-22 07:34:46 PM sjohnson35 left the chat room
2020-09-22 07:34:49 PM smithtammyl never
2020-09-22 07:34:49 PM perrylori never
2020-09-22 07:34:50 PM davisr no
2020-09-22 07:34:51 PM stepha630 no
2020-09-22 07:34:51 PM ahicks NEVER
2020-09-22 07:34:52 PM aprilw never
2020-09-22 07:34:52 PM davisr never
2020-09-22 07:34:52 PM seanj Never.
2020-09-22 07:34:53 PM pjbell never
2020-09-22 07:34:54 PM srolle never
2020-09-22 07:34:57 PM kreese828 never
2020-09-22 07:35:04 PM thomasodougherty Never!
2020-09-22 07:35:04 PM miguele Not allow in AL
2020-09-22 07:35:17 PM ahicks even though medications to me are a restraint....
2020-09-22 07:35:23 PM susanpmazziotta Against regulations and not smart
2020-09-22 07:35:23 PM aprilw good lort i remember being able to use them back in the day.... WOW
2020-09-22 07:35:26 PM eckhartdanielle Nope
2020-09-22 07:35:36 PM seanj I agree. Sometimes that medicine is a prison.
2020-09-22 07:35:56 PM perrylori but meds cant be over used either with the law
2020-09-22 07:36:12 PM thomasodougherty Let's say there is a Resident is constantly combative, abusive toward Staff and Residents, socially disrtuptive, etc.
2020-09-22 07:36:15 PM jadehsmith restraints are so much more, weighted blackets can be a restraint, having both bed reails up ect.

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