Documentation. Except as required by §351.48(c) of this title, all restraints shall be fully documented and maintained. Written documentation regarding the use of restraints shall require at a minimum: (1) name of resident; (2) staff member(s) name and title(s) who administered the restraint; (3) date of the restraint; (4) duration of the restraint including notation of the time the restraint began and ended; (5) location of the restraint; (6) description of preceding activities; (7) behavior which prompted the restraint; (8) type of restraint applied; (9) efforts made to de-escalate the situation and alternatives to restraint that were attempted; and (10) any injury that occurred during the restraint. |
