KWAN YUE ELDER NURSING HOME

Under Section 33(2) of the Residential Care Homes (Elderly Persons) Regulation, a medicine that is prescribed by a registered medical practitioner, a registered Chinese medicine practitioner or a listed Chinese medicine practitioner for a resident of an RCHE may only be administered to the resident in accordance with the prescription.  An RCHE shall adhere to the proper procedures in the drug management and assisting residents in using drugs (including oral, topical and injectable drugs), including the storage and preparation of drugs, giving drugs and maintenance of drug records.  For details, please refer to the "Guidelines on Drug Management in Residential Care Homes" which jointly compiled by the Social Welfare Department, the Department of Health and the Hospital Authority (HA).

Under Paragraph 12.7.4(a) of Chapter 12 of the Code of Practice, the regulations for the RCHEs to assess the residents' need in use of restrain, allied health professionals should conduct assessments of the needs and risk factors of individual residents, the contributing factors that place the residents/other residents in peril rendering necessity for restraints, alternative attempts made, proposed types of restraints to be used and the time of application, the assessment includes self-injury and harassment (e.g. confusion, disorientation, etc.).
 

Under Paragraph 12.7.6(b) and (c) of Chapter 12 of the Code of Practice, the regulations of intervention plan and written consent, before application of restraints, the type, size and material of the physical restraint intended to be used should suit the individual need of residents, and a wrist restraint with soft padding is suggested, or consult healthcare professionals for advice when neccessary, so as to ensure that the application of physical restraint will not cause discomfort or injury to the residents; the type and duration of the restraint intended to be applied should be determined by the principle of least restraint.

Under Section 33A of the Residential Care Homes (Elderly Persons) Regulation, paragraph 12.7.7(b) and paragraph 12.7.8(b) of Chapter 12 of the Code of Practice, RCHEs must apply restraints in a safe and proper manner as per the requirements in this Code of Practice.  Staff members of RCHEs must take note of the following points when applying restraints : RCHEs should consult healthcare professionals on the types and designs of the physical restraints to be used.  Bandages, nylon ropes or strips of cloth must not be used as physical restraints to ensure that no discomfort, abrasions or physical injury will be caused to the residents when applying restraint; observation shall be conducted during the period of applying physical restraint(s) as follows : the staff concerned shall keep a record and sign immediately after observing and examining the condition of every resident, the staff should report to the home manager/nurse/health worker immediately for further checking and assessment.  The resident should be arranged to seek medical advice timely if necessary.