Restraint and Seclusion - Telemedicine
Is the use of a telemedicine link allowed by the Licensed Practitioner who conducts the in-person evaluation of an individual in restraint or seclusion for the management of violent or self-destructive behavior?
Any examples are for illustrative purposes only.
No. A telemedicine link does not fulfill the in-person requirement for the evaluation by a Licensed Practitioner (LP) of the individual in restraint or seclusion for the management of violent or self-destructive behavior. The in-person evaluation must be face-to-face and completed by a physician, clinical psychologist, or other licensed practitioner responsible for the care of the patient. A registered nurse may conduct the in-person evaluation within one hour of the initiation of restraint or seclusion as long as this individual is trained in accordance with the requirements in PC.03.05.17, EP 3.
When the in-person evaluation (performed within one hour of the initiation of restraint or seclusion) is done by a trained registered nurse, they must consult with the attending physician or other licensed practitioner responsible for the care of the patient as soon as possible after the evaluation, as determined by hospital policy. This evaluation must be completed within one hour of the initiation of restraint or seclusion used for the management of violent or self-destructive behavior that jeopardizes the physical safety of the patient, staff, or others.
No. A telemedicine link does not fulfill the in-person requirement for the evaluation by a Licensed Practitioner (LP) of the individual in restraint or seclusion for the management of violent or self-destructive behavior. The in-person evaluation must be face-to-face and completed by a physician, clinical psychologist, or other licensed practitioner responsible for the care of the patient. A registered nurse may conduct the in-person evaluation within one hour of the initiation of restraint or seclusion as long as this individual is trained in accordance with the requirements in PC.03.05.17, EP 3.
When the in-person evaluation (performed within one hour of the initiation of restraint or seclusion) is done by a trained registered nurse, they must consult with the attending physician or other licensed practitioner responsible for the care of the patient as soon as possible after the evaluation, as determined by hospital policy. This evaluation must be completed within one hour of the initiation of restraint or seclusion used for the management of violent or self-destructive behavior that jeopardizes the physical safety of the patient, staff, or others.
Manual:
Critical Access Hospital
Chapter:
Provision of Care Treatment and Services PC
Last reviewed by Standards Interpretation: July 12, 2022
Represents the most recent date that the FAQ was reviewed (e.g. annual review).
First published date: April 11, 2016
This Standards FAQ was first published on this date.
This page was last updated on August 15, 2022
with update notes of: Editorial changes only
Types of changes and an explanation of change type:
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Reflects new or updated requirements: Changes represent new or revised requirements.
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