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  <FDSYS>
    <CFRTITLE>42</CFRTITLE>
    <CFRTITLETEXT>Public Health</CFRTITLETEXT>
    <VOL>3</VOL>
    <DATE>2002-10-01</DATE>
    <ORIGINALDATE>2002-10-01</ORIGINALDATE>
    <COVERONLY>false</COVERONLY>
    <TITLE>Monitoring of the resident in and immediately after restraint.</TITLE>
    <GRANULENUM>483.362</GRANULENUM>
    <HEADING>Section 483.362</HEADING>
    <ANCESTORS>
      <PARENT HEADING="Title 42" SEQ="4">Public Health</PARENT>
      <PARENT HEADING="CHAPTER IV" SEQ="3">CENTERS FOR MEDICARE &amp; MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES-(Continued)</PARENT>
      <PARENT HEADING="SUBCHAPTER G" SEQ="2">STANDARDS AND CERTIFICATION</PARENT>
      <PARENT HEADING="PART 483" SEQ="1">REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES</PARENT>
      <PARENT HEADING="Subpart G" SEQ="0">Condition of Participation for the Use of Restraint or Seclusion in Psychiatric Residential Treatment Facilities Providing Inpatient Psychiatric Services for Individuals Under Age 21</PARENT>
    </ANCESTORS>
  </FDSYS>
  <SECTION>
    <SECTNO>§ 483.362</SECTNO>
    <SUBJECT>Monitoring of the resident in and immediately after restraint.</SUBJECT>
    <P>(a) Clinical staff trained in the use of emergency safety interventions must be physically present, continually assessing and monitoring the physical and psychological well-being of the resident and the safe use of restraint throughout the duration of the emergency safety intervention.</P>
    <P>(b) If the emergency safety situation continues beyond the time limit of the order for the use of restraint, a registered nurse or other licensed staff, such as a licensed practical nurse, must immediately contact the ordering physician or other licensed practitioner permitted by the state and the facility to order restraint or seclusion to receive further instructions.</P>
    <P>(c) A physician, or other licensed practitioner permitted by the state and the facility to evaluate the resident's well-being and trained in the use of emergency safety interventions, must evaluate the resident's well-being immediately after the restraint is removed.</P>
    <CITA>[66 FR 7161, Jan. 22, 2001, as amended at 66 FR 28117, May 22, 2001]</CITA>
  </SECTION>
</CFRGRANULE>
