CMS SOM App. FC, Tag M0170

In facilities where restraint and seclusion are permitted,

all appropriate client care staff working in the CMHC must be trained and able to

demonstrate competency in the application of restraints, implementation of seclusion,

monitoring, assessment, and providing care for a client in restraint or seclusion and use of

alternative methods to restraint and seclusion. In facilities where restraint and seclusion are

not permitted, appropriate client care staff working in the CMHC must be trained in the use

of alternative methods to restraint and seclusion.

Training will occur as follows:

Interpretive Guidelines §485.910(f)(1)

In order to verify that staff have “demonstrated competency,” each of the above training

sessions must include a hands-on portion. “Appropriate staff” would be considered all staff

who, because of their roles working directly with the client, may be involved with the

application or monitoring of seclusion or restraint or conducting observations of a client in

restraint or seclusion.

Verify through training records that all appropriate staff have successfully completed the

hands-on portion of the seclusion and restraint training curriculum (application,

implementation, monitoring, assessment, and providing care) as well as any written or

oral examination as required by CMHC policy.

If there are any issues or concerns regarding the timing, content or post training evaluations

of the restraint/seclusion training identified during the course of the survey, request the

facility policy for restraint and seclusion training to ensure that the training is provided

consistent with the policy.