| (a) Except for restraints addressed in §343.818
of this title, all restraints shall be fully documented and the documentation
shall be maintained. Documentation shall include an accurate description
of the restraint event, including:
(1) the name of the resident;
(2) the name and title of each staff member who administered
the restraint;
(3) a narrative description of the restraint event
from each staff member who participated in the restraint;
(4) the date of the restraint;
(5) the duration of each type of restraint (e.g., personal,
mechanical), including notation of the time each type of restraint
began and ended;
(6) the location of the restraint;
(7) the events and behavior that prompted the initial
restraint and any continued restraint;
(8) de-escalation efforts and all restraint alternatives
attempted;
(9) the type of restraint(s) applied, including, as
applicable:
(A) the specific type of personal restraint hold applied;
(B) the type of mechanical restraint device(s) applied;
and
(C) the type of chemical restraint(s) used; and
(10) whether or not any injury occurred during the
restraint and a description of any injuries.
(b) The facility shall maintain a restraint log. The
log shall be organized chronologically by date and document the following
information:
(1) name of the resident;
(2) type of restraint applied (e.g., personal, mechanical);
(3) name of staff member(s) who administered the restraint;
(4) time and date the restraint began; and
(5) time and date the restraint ended.
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