All treatments, equipment, medications, etc. must be documented in the patients’ individualized care plan prior to being given, placed or initiated. Written orders are required in healthcare facilities from the patients’ Attending Physician, Physical Therapist, Nurse Practitioners or other qualified care providers before the order/placement or initiation of medical equipment, medicines, and other treatments.

WHEN TO USE:

The use of thigh belts is often medically necessary and prescribed for patients who require:

1) Positioning device for added safety while seated in a wheelchair

2) Positioning device used in conjunction with Broda’s Huntington’s Specialty Padding (HSP) package

3) Enhanced patient safety in accordance with the individualized care plan and following the attainment of a physician’s order

WHEN NOT TO USE:

1) Do not use if less restrictive measures are available and will maintain patient safety (CFR 482.13(e)(1) ¹

2) If the patient is left unattended/unsupervised following the placement of the thigh belt

3) If the patient presents  a condition that may cause use the of the thigh belt to become unsafe

4) Do not use with a patient who is or may become highly aggressive, combative, agitated or suicidal

5) Discontinue use if redness, irritation or swelling occurs to the thigh area following the placement of the thigh belt

6) Do not use if the patient presents with wounds, irritation or swelling of/or at the site of placement as doing so could cause symptoms to worsen

7) Caution must be taken when the use of a thigh belt is for patients with a colostomy bag, foley catheter, post-surgical incisions or other conditions that would render the use of the thigh belt unsafe

BRODA Tip To Remember:

Following USA regulations CFR482.13 (e)(1) ¹, a physician’s order is required for the use of restraints. In addition, the individualized care plan must prove medical necessity for use of restraints and document need for the restraint.

1) Document education and training provided to staff for proper use of the thigh belt

2) Always document observation/safety checks following the placement of the thigh belt

3) Review and document continued need of the thigh belt at each care plan meeting following placement of the thigh belt

4) Always use the thigh belt as ordered and in accordance with facility protocol, State, and Federal Regulations

Sources:

1) ELECTRONIC CODE OF FEDERAL REGULATIONS SUBPART B 482.13

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