Professional Documents
Culture Documents
Federal - Laws On Restraint & Seclusion
Federal - Laws On Restraint & Seclusion
- See www.jcaho.org
Federal Statutory & Regulatory
Protections Regarding Restraint
and Seclusion
Federal Regulations regarding
Restraint and Seclusion
Can not use for discipline, staff convenience or as a substitute for active
treatment, and no PRNs.
1. Physical Restraint
2. Mechanical Restraint
3. Drug Used as a Restraint
4. Seclusion/Escort
CMS shares these reports with P&As. About 75 deaths have been
reported to date nationwide.
General Provisions for Federally Funded
Health Care Facilities (CHA)
Orders - R/S may only be imposed upon the written order of a physician or
other licensed independent practitioner permitted by the state and the
facility to order such restraint or seclusion, that specifies the duration and
circumstances under which the restraints are to be used.
General Provisions for Federally Funded
Health Care Facilities (CHA)
restrained or in seclusion,
occurring within 24 hours after the patient has been removed from restraints or
seclusion, or
where it is reasonable to assume that a patient’s death is a result of such
seclusion or restraint.”
resident death,
serious injury to a resident (as defined in the regulations); or
suicide attempt of a resident.
Press Articles
http://courant.ctnow.com/projects/restraint/ - The
Hartford Courant articles that revitalized the battle to
regulate the use of restraint. Includes valuable data base
tracking deaths from the use of restraint across the
nation.
http://www.aradvocate.com/News119.html - Article on
the improper use of restraint in nursing homes in
Louisiana.
Links to Restraint Materials on the Web