Seat guard

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A seat guard is the implementation of individual care (1: 1 care code ) for a person subject to supervision, usually within a medical facility, e.g. hospitals, psychiatric clinics, etc. A seat guard must be prescribed by a doctor.

Duties of a seat guard

The seat guard as “constant personal accompaniment” has the purpose of protecting the patient to be cared for from injuries, recognizing emergencies in good time and supporting him in his basic needs, as the person who is subject to supervision may not be able to do so. In addition, the seat guard is intended to promote and stabilize the psychological challenge of the patient's position (he is fixed) through the permanent presence of the patient who is fixed, for example.

A seat guard must ensure continuous visual contact with the patient to be cared for. Leaving the patient out of sight is prohibited. For visits to the toilet, breaks, cigarette breaks or other work interruptions, the seat guard must be relieved by another supervisor. Seat guards must recognize emergencies and call for help if the patient being cared for is in danger. You must be familiar with the problems and risks of restraint, as well as basic knowledge of various psychiatric diseases.

Problems of the seat guards

The seat guard can lead to the expectation of the hospitals that the seat guard looks after the patient who is subject to supervision "all around" and also carries out all nursing interventions, such as giving food, changing position in bed, etc. Experience has shown that patients who are seated on guard receive less attention from the hospital's health and nursing staff.

The hospital's health and nursing staff responsible for the patient always remains responsible for the implementation of other nursing services.

Legal bases and funding

This article or paragraph presents the situation in Germany . Help us to describe the situation in other countries.

In Germany, the seat guard must be prescribed by a doctor and the service provider must make advance payments. The acute hospitals with health insurance approval have the option of partially refinancing the costs incurred for a seat guard by means of appropriate documentation using the care complex measures score (PKMS) .

The legal bases are § 1 GG (avoidance of restraints) and § 39 Paragraph 2, No. 5, Sentence 3 PsychKG (constant personal accompaniment without specification of a qualification). A seat guard must not have any other tasks than the constant personal accompaniment of the patient. This results from the wording "constantly" of the PsychKG (Mental Illness Act Berlin). A certain qualification e.g. B. in the nursing area is not mandatory in order to be able to carry out maintenance measures correctly. The performance of the seat guard is essentially limited to the supervision for the safety of the patient.