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Understanding restraints and seclusion

Staff Development Weekly: Insight on Evidence-Based Practice in Education, November 12, 2004

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The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires staff to receive training and demonstrate competence that they can:

• minimize the use of restraint
• apply the restraints safely whenever necessary
• consider developmental, cultural, gender, and abuse history of patients
• initiate first aid/CPR

The elements of performance are detailed and establish the training requirements for

• direct care staff
• staff authorized to physically apply restraint, physical holding techniques and take down procedures
• staff authorized to perform 15-minute assessments
• staff authorized to order emergency use of restraint, release patients from restraint before the current order expires, or determine the need for a new order.

The training also incorporates the perceptions of persons who have experienced restraint as patients.

Editor's note: The above case scenario is from the online course "JCAHO survey series: Understanding restraints and seclusion--the JCAHO and CMS" For more information on this and other courses in our Accreditation library, go to www.hcprofessor.com and click on Accreditation/Survey Preparation.

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