US · guidance
CMS SOM App. J, Tag W296
§483.450(d)(1)(ii) As an emergency measure, but only if absolutely necessary to protect client
or others from injury; or
Guidance §483.450(d)(1)(ii)
Physical restraint may be used as an emergency intervention only in situations where the client
is exhibiting behaviors which:
1) the client has not exhibited before;
2) were not identified in the functional analysis of behavior; or
3) are harming other people or themselves.
When there are repeated episodes of the use of physical restraint as an emergency safety
measure, these episodes should be assessed for their predictability by the IDT, and revisions to
the IPP considered addressing the behaviors through a formal behavior plan in order to
reduce/eliminate the use of physical restraint.
History
Rev. 135, Issued: 02-27-15, Effective: 04-27-15, Implementation: 04-27-15
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
87fadaa20402832de4679d1380c6a907d3658c5e478de956b74fb466614414a5
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