CMS SOM App. N, Tag N0160

If a physician or other licensed practitioner permitted by the state and the facility to

order restraint or seclusion orders the use of restraint or seclusion, that person must

contact the resident's treatment team physician, unless the ordering physician is in fact

the resident's treatment team physician. The person ordering the use of restraint or

seclusion must—

§483.360(a) Consult with the resident's treatment team physician as soon as possible

and inform the team physician of the emergency safety situation that required the

resident to be restrained or placed in seclusion; and

Interpretive Guidelines§ 483.360(a)

The treatment team physician is the physician who is responsible for the management

and care of the resident on a day-to-day basis. When an alternate practitioner orders

restraint or seclusion in lieu of the treatment team physician he/she has an obligation to

inform the treatment team physician of the events that transpired and led to the order for

an emergency safety intervention and in a signed written form in the resident’s record.

They are also responsible for updating the treatment team physician with any

complications that may have resulted from the emergency safety intervention and the

resident’s physical and mental status at the time the report is made. Because the

emergency safety intervention/situation and its outcomes may greatly affect the resident’s

treatment plan, it is important to consult with the treatment team physician, as soon as

possible from the time the order was given by the alternate practitioner