US · guidance
CMS SOM App. A, Tag A-0204
[The hospital must require appropriate staff to have education, training, and demonstrated
knowledge based on the specific needs of the patient population in at least the following:]
§482.13(f)(2)(v) - Clinical identification of specific behavioral changes that indicate that restraint
or seclusion is no longer necessary.
Interpretive Guidelines §482.13(f)(2)(v)
The use of restraint or seclusion must be ended at the earliest possible time regardless of the length of
time identified in the order. Staff must be trained and demonstrate competency in their ability to
identify specific patient behavioral changes that may indicate that restraint or seclusion is no longer
necessary and can be safely discontinued.
Survey Procedures §482.13(f)(2)(v)
Does the hospital educational program address identification of specific behavioral changes that may
indicate that restraint or seclusion is no longer necessary?
Interview staff to determine if they are able to demonstrate the abilities addressed in this requirement.
History
Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
a889e1dfd1c50f545108fc604c582ac749b5434f9846974810b7c2a549a4db45
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