1. Physical Restraint Jeopardy

2. 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt True or False Risk Factors Let’s Get Specific! Alternatives “Tying” it all Together!

3. True or False If a device restricts freedom of movement or access to one’s body, it is considered a restraint. 100 points – True or False

4. TRUE 100 points

5. True or False Placing a resident’s bed against the wall may be a restraint. 200 points – True or False

6. TRUE 200 points

7. True or False Bean bags are not considered a restraint. 300 points – True or False

8. FALSE 300 points

9. True or False The facility must attempt the use of restraint alternatives prior to the use of a restraint. 400 points – True or False

10. TRUE 400 points

11. True or False Restraints may put a resident at higher risk of injury. 500 points – True or False

12. TRUE 500 points

13. List three conditions that would put a resident at risk for restraint use 100 points – Risk Factors

14. Dementia Unsteady Gait Decline in Mobility Wandering Falls Agitation 100 points

15. List three environmental factors to consider when providing care to someone at risk for restraint use 200 points – Risk Factors

16. Make sure pathways are clear Free room of clutter Arrange room to assist the resident in being more independent and safe Adjust bed and toilet height to appropriate levels Provide adequate lighting Provide overhead trapeze and non-skid surfaces as appropriate 200 points

17. Name two Care Practices that your facility can use to minimize the use of restraints for those residents at risk. 300 points – Risk Factors

18. Fall Prevention Programs Restorative Exercises Rehabilitation programs Distraction Activity boxes Television Social events 300 points

19. Name three risks that are potential outcomes of using a physical restraint. 400 points – Risk Factors

20. Pressure Ulcers Agitation Permanent loss of mobility Depression Loss of independence Increased incontinence Increased seriousness of fall related injuries Strangulation Circulation impairment Social isolation Contractures Death 400 points

21. True or False Prevention is the best care you can give to a person who is at high risk for restraints. 500 points – Risk Factors

22. True 500 points

23. What is “any manual method, physical or mechanical device, material, or equipment attached or adjacent to the resident’s body that the individual cannot remove easily which restricts freedom of movement or normal access to one’s body” called? 100 points – Let’s Get Specific

24. Physical Restraint 100 points

25. Give three examples of mechanical devices that could be used as a restraint 200 points – Let’s Get Specific

26. Table Siderails Chairs Walls Sheets Canes stuck through spokes of w/c Trays 200 points

27. Name three examples of physical restraints 600 points – Let’s Get Specific

28. Lap trays / Lap buddies Lap cushions Vest restraints Hand mitts Geri chair / recliner 600 points

29. Tucking in or using velcro to hold a sheet, fabric, or clothing tight to restrict movement. Is the following a Restraint or an Enabler? 400 points – Let’s Get Specific

30. Restraint 400 points

31. Give an example of a double restraint. 500 points – Let’s Get Specific

32. When more than one restraint is being used such as a seatbelt and then a table tray. Placing someone with a lap buddy close to a wall so the wall prevents the resident from rising or voluntarily moving. 500 points

33. Name three ways to enhance sleep that may reduce the need for restraints. 100 points – Alternatives

34. Reduce noise Establish bedtime rituals/routines Individual toileting plan at night Avoid waking if possible Avoid caffeine in evening Avoid fluids after 7pm Room temp to comfort of resident Lighting 100 points

35. Name two ways to physically strengthen a resident to decrease/avoid falls 200 points – Alternatives

36. Restorative Aide Program PT/OT Therapy Walk to Dine programs Exercise programs with restorative exercises and activities Arrange room to encourage ambulation and movement Balance and fall education 200 points

37. Name two restraint alternatives for a resident that frequently falls out of bed. 300 points – Alternatives

38. Low bed Mat on floor Scoop mattress Body pillow or item to define edge of bed Review individualized toileting program Assess reasons for getting up Anticipate needs-know your residents Night light 300 points

39. Name two restraint alternatives for a resident that slides out of their chair. 400 points – Alternatives

40. PT/OT evaluation Assess if trying to get up or lack of body control Evaluate sleep/rest patterns Keep resident in area with staff supervision Involve in activities as desired Strengthening programs /posture control programs Alternative seating, slant cushions, wedges, high back chair, solid seat, dycem (nonslip mat), pommel cushion, trunk bolsters, ½ lap tray, armed chairs Assess chair for proper fit and size 400 points

41. Of the following restraint alternatives, which one would not be considered a restraint Half Rails Body Alarms Body pillow or wedge cushion used in bed Non skid strips on the floor 500 points – Alternatives

42. Non-skid strips on the floor 500 points

43. Laws require that individuals who are restrained be released every ___ hours for 15 minutes of exercise. 100 points – “Tying” it all Together

44. Two 100 points

45. It is estimated that approximately ____ individuals per year die from strangulation or suffocation as a result of restraint use. 200 points – “Tying” it all Together

46. 200 200 points

47. The general public can view a NH’s restraint score along with their other Quality Measures at what internet site? 600 points – “Tying” it all Together

48. Nursing Home Compare www.www.www.medicare.gov/NHcompare 600 points

49. Residents have the right to be free of physical restraints not required to treat a medical _________. 400 points – “Tying” it all Together

50. Condition 400 points

51. Restraint reduction efforts must focus on the ___________ and the underlying issue that initiated the application of a physical restraint 500 points – “Tying” it all Together

52. Individual 500 points

53. Jeopardy Game Template adapted from the work of Susan Collins and Eleanor Savko, District Resource Teachers for Hardin County Schools: www.hardin.k12.ky.us/res_techn/sbjarea/math/MathJeopardy.htm www.hardin.k12.ky.us/res_techn/sbjarea/math/MathJeopardy.htm This material was prepared by the Kansas Foundation for Medical Care, Inc. (KFMC), the Medicare Quality Improvement Organization for Kansas, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication #10SOW-KS-NH_PR-11-14