Title: Explain when a medication is a chemical restraint.
Course: Medication Aide (14051-36) > Section: Examining Special Issues in Medication Administration

Explanation should include

- the VDSS definition of chemical restraint (§ 22VAC40-73-10)
- the dangers of chemical restraints (i.e., physical harm, psychosocial harm)
- common reasons for chemical restraints

  - lack of understanding of what the client is trying to communicate through behavior
  - lack of understanding of behavior management techniques
  - inadequate staffing

- behavior management

  - “resident rights” for assisted living facilities
  - communication

- communicating with the healthcare team:

  - Clearly describe what the client is doing.
  - Do not use words like “agitated” or “angry.”
  - State facts, not opinions.
  - If attempts to manage behavior fail, document every effort made to manage it per facility protocol.
  - Transfer to another facility may be required.

Process/Skill Questions:

- What steps must be taken before using a chemical restraint?
- When is a medication classified as a chemical restraint vs. a therapeutic treatment?

Teacher Resource: Assisted Living Facilities (ALF), Virginia Department of Social Services (VDSS)