US · guidance
CMS SOM App. A, Tag A-0205
[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)(vi) - Monitoring the physical and psychological well-being of the patient who is
restrained or secluded, including but not limited to, respiratory and circulatory status, skin
integrity, vital signs, and any special requirements specified by hospital policy associated with the
1-hour face-to-face evaluation.
Interpretive Guidelines §482.13(f)(2)(vi)
Staff must be trained and demonstrate competency in monitoring the physical and psychological well-being of a patient who is restrained or secluded, including but not limited to, respiratory and circulatory
status, skin integrity, vital signs, and as well as any special requirements specified by hospital policy
associated with the 1-hour face-to-face evaluation.
Survey Procedures §482.13(f)(2)(vi)
• Does the hospital educational program address monitoring the physical and psychological needs
of patients who are restrained or secluded, including but not limited to, respiratory and
circulatory status, skin integrity, vital signs, and any special requirements specified by hospital
policy associated with the 1-hour face-to-face evaluation?
• Does the hospital educational program address the specific requirements for the training of RNs
and PAs that the hospital authorizes to conduct the 1-hour face-to-face evaluation?
• Interview staff to determine if they are able to demonstrate the competencies addressed in this
regulation.
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
9aa8d6d653efb36ea24f10eba55988c5c07aa54466aba1adbdf9169fc0cc7958
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