US · guidance
CMS SOM App. N, Tag N0141
§483.358(b) If the resident's treatment team physician is available, only he or she can
order restraint or seclusion.
Interpretive Guidelines§ 483.358(b)
The treatment team physician is the physician who is responsible for the management
and care of the resident. If the treating physician does not give the order for the
emergency intervention, it is important that the facility staff consult with the treating
physician, as soon as he/she is available, because information regarding the resident’s
history may have a significant impact on the selection of seclusion or restraint
intervention. If the physician ordering the use of restraint and seclusion is not the
resident’s treatment team physician, then the ordering physician or other licensed
practitioner must consult with the resident’s treatment team physician as soon as possible
from the time the order was given by the alternate practitioner and in a signed written
form in the resident’s record.
History
Rev. 131; Issued: 01-16-15, Effective: 01-16-15, Implementation: 01-16-15
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
9bb93d9d34ba19f28c4fb6c58a61418ba6484a8afde06546acdb7991e76a8fc1
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