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Restraints - Physical Restraint, Safety Restraints, Patient Restraint

Medical restraints are sometimes necessary to ensure that loved ones are safe when their decisions may lead to injury or worse. A caregiver's supervision may not be 100 percent preventative, which is why restraints may be needed to avoid certain dangers that may include getting lost while in a confused state, falling from a bed or self-inflicted injuries. Vitality Medical carries top brands of safe restraints, including those by Humane Restraint and Posey. There are a variety of different types of medical restraints and safety restraints that include: Belt Restraints, Vest Restraints, Institutional Restraints, and Seating Restraints , all designed to ultimately keep the patient in place and to reduce risk of injury. These different designs are also made of different materials chosen to be both safe and strong. These materials are usually constructed of a nylon fabric or a leather base material. To become familiar with specific criteria, restrictions and points of information on these products, read our Restraint FAQ's. Call Vitality Medical at (800) 397-5899 to check if there are specific regulations for your state on the purchase of this product.

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Restraint FAQ's

What Should I Know About Medical Restraints?

Protecting Loved Ones from Fall InjuriesThe FDA reported, in 1992, that over half a million patients in health care facilities need hospital restraints. Because of the increasingly aging population, it's likely that number has increased. Medical restraints are generally used to prevent falls and, less commonly, to address behavioral problems.

Restraints are generally made of a durable material such as nylon or leather. The majority of the restraints are machine washable. In the case of the leather medical restraints, sterilization can be achieved through the use of at least 70% isopropyl (rubbing) alcohol. Methods of sterilization such as autoclaving, steam and BTO gas are not recommended.

What Kind of Restrictions are there on Selling Medical Restraints?

Federal law requires that anyone purchasing Medical Restraints must either be a physician, a medical facility, or have an order from a physician. In order to process your order, Vitality Medical must receive a copy of the prescription. Prescriptions may be faxed to 801-733-5797. Orders will not be shipped without a prescription. Before purchasing, see Vitality Medical's Return Policy.

How Do I Know What Type of Restraint to Get?

Your physician or the treating physician will know what type of restraint to get. Accordingly to, the Joint Commission on Accreditation of Healthcare Organizations(JCAHO) classifies restraints into three categories:

Class I Class II Class III
  • Wrist restraints only
  • Roll belt only
  • Geriatric wheelchair with table top
  • Mitts
  • Full bed rails
  • Any combination of geriatric wheelchair, wrist restraint, and roll belt
  • Vest restraint
  • Restraints, opposite limbs
  • Locked restraint, including leather
  • Locked seclusion
  • Enclosed bed
  • Restraints, 4 limbs with or without roll belt
  • Body net

You may want to ask some questions of the treating physician, such as:
  • What type of medical restraint is needed (hand, ankle, seating, etc.)
  • What type of material should the medical restraint be made out of (leather, nylon, etc.)?
  • Does it need a lock? Not all restraints come with a lock.

You may also need to take a patient's measurement to ensure an accurate fit. When measuring, make sure not to hold the measuring tape too tight or too loose around the patient. Most medical restraints are adjustable, so a reasonably accurate measurement should be sufficient to purchase the correct medical restraint.

Does My Insurance/Medicare/Medicaid Reimburse for Medical Restraints?

Insurance/medicare/medicaid reimbursement varies. Contact your insurance representative before purchasing medical restraints. Be aware that some insurance companies or institutions periodically review medical restraint reimbursement claims to ensure the medical restraints are being used properly. Vitality Medical does not bill insurance/medicare/medicaid for medical restraints or any other product.

What are Restraint Alternatives?

Protective Restriants for Medical Purposes

Restraint Alternatives are products that aren't traditional medical restraints. Currently, Vitality Medical sells two kinds of restraint alternatives: the Posey Roll Guard.

The Posey Restraint Net is used for patients who pose extreme harm to themselves. The restraint net fits comfortably across the body and securely fixes the patient's arms and legs. The next is made of nylon and is machine washable.

The Posey Roll Guard is designed for patients who fall out of bed, but do not need restraints. Each Roll Guard acts as a cushion obstacle to prevent falling. The Roll Guards can also be placed in various places on the bed to relieve pressure on the patient. Each Roll Guard is has a machine-washable nylon and the vinyl inner pillows can be washed with liquid detergent.

Another alternative restraint worth considering is the Posey Roll Belt. This belt goes around the torso to protect the patient from rolling out of bed and falling to the floor. The Posey Roll Belt comes in various sizes to fit the needs of the individual patient.

Below are two videos about preventing falls without restraints and some restraint options to help protect patients from injury.

Preventing Injuries with Recovering Patients - Video

Additional Resources

Physical Restraints - Citizens for Better Care

Judicious Use of Physical Restraint - BNET

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