Section 250.1075  Use of Restraints and Seclusion

a)         Each hospital licensed under the Act and this Part shall have a written policy to address the use of restraints and seclusion in the hospital.  Each hospital policy shall include periodic review of the use of restraints and seclusion in the hospital. (Section 6.20 of the Act)

b)         The hospital's policy governing the use of restraints and seclusion shall be

            consistent with 42 CFR 482.213(e) and (f).  (Section 6.20 of the Act)

c)         In hospitals, restraints or seclusion may only be ordered by a physician licensed to practice medicine in all its branches or a registered nurse with supervisory responsibilities as authorized by the medical staff.  The medical staff of a hospital may adopt a policy specifying the requirements for the use of restraints or seclusion and identifying whether a registered nurse with supervisory responsibilities may order restraints or seclusion in the hospital when the patient's treating physician is not available.  (Section 6.20 of the Act)

d)        Registered nurses authorized to order restraints or seclusion shall have appropriate training and experience as determined by medical staff policy.  The treating physician shall be notified when restraints or seclusion is ordered by a registered nurse.  Nothing in this Section requires that a medical staff authorize a registered nurse with supervisory responsibilities to order restraints or seclusion.  (Section 6.20 of the Act)

e)         When hard restraints are employed, all nursing and patient care staff assigned to that unit must have a restraint key in their possession for the duration of their shift.

(Source:  Amended at 27 Ill. Reg. 13467, effective July 25, 2003)