Here are key changes in restraint standards
New restraint and seclusion standards from the Joint Commission on Accreditation of Healthcare Organizations include the following changes:
• Staff are trained and competent to minimize the use of restraints and seclusion, and in their safe use. Staff must demonstrate an understanding of the factors that influence behavior and may result in the need for restraints and seclusion.
• All individuals placed in restraints or seclusion, regardless of age, must have an order for restraints and seclusion issued by a licensed independent practitioner within one hour of the initiation of the restraints or seclusion.
• The length of the initial and any subsequent order for restraints and seclusion cannot exceed one hour for children under age 9 and four hours for adults.
• Upon expiration of an order for restraints or seclusion, a new order — written or verbal — must be issued by a licensed independent practitioner within every hour for children under age 9 and within every four hours for adults.
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