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A well designed performance improvement project can create a cascade of positive effects. Implemented with intention, a project focused on removing position alarms can provide a concrete and targeted framework to practice individualizing care and enhancing mobility, as the quotes on the right suggest. Here are a few resources to keep handy if this is an opportunity for you.


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There is no evidence that the use of physical restraints, including, but not limited to, bed rails and position change alarms, will prevent or reduce falls. Additionally, falls that occur while a person is physically restrained often result in more severe injuries...
“Without alarms we had to learn to anticipate the needs of our residents.”
-Nurse in Charge
"We heard, ‘What do you need,’ instead of ‘Sit down’.”
-Family Member

“Without alarms we had to pay closer attention to the residents.”
-Maintenance Engineer

“…the use of position change alarms that are audible to the resident(s) may have the unintended consequence of inhibiting freedom of movement. For example, a resident may be afraid to move to avoid setting off the alarm and creating noise that is a nuisance to the resident(s) and staff, or is embarrassing to the resident. For this resident, a position change alarm may have the potential effect of a physical restraint.”
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This material was prepared by Telligen, National Nursing Home Quality Improvement Campaign contractor, 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. 11SOW-CO-NNHQIC-03/18-001