Cal. Code Regs. Tit. 22, § 87608 - Postural Supports
(a)
Based on the individual's preadmission appraisal, and subsequent changes to
that appraisal, the facility shall provide assistance and care for the resident
in those activities of daily living which the resident is unable to do for
himself/herself. Postural supports may be used under the following conditions.
(1) Postural supports shall be limited to
appliances or devices such as braces, spring release trays, or soft ties, used
to achieve proper body position and balance, to improve a resident's mobility
and independent functioning, or to position rather than restrict movement
including, but not limited to, preventing a resident from falling out of bed, a
chair, etc.
(A) Physician -prescribed
orthopedic devices such as braces or casts, used for support of a weakened body
part or correction of body parts, are considered postural
supports.
(2) Postural
supports shall be fastened or tied in a manner that permits quick release by
the resident.
(3) A written order
from a physician indicating the need for the postural support shall be
maintained in the resident's record. The licensing agency shall be authorized
to require other additional documentation if needed to verify the
order.
(4) Prior to the use of
postural supports that change the ambulatory status of a resident to
non-ambulatory, the licensee shall ensure that the appropriate fire clearance,
as required by Section
87202, Fire Clearance has been
secured.
(5) Under no circumstances
shall postural supports include tying, depriving, or limiting the use of a
resident's hands or feet.
(A) A bed rail that
extends from the head half the length of the bed and used only for assistance
with mobility shall be allowed.
(B)
Bed rails that extend the entire length of the bed are prohibited except for
residents who are currently receiving hospice care and have a hospice care plan
that specifies the need for full bed rails.
Notes
Note: Authority cited: Section 1569.30, Health and Safety Code. Reference: Sections 1569.1, 1569.2, 1569.31 and 1569.312, Health and Safety Code.
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