TJC category
Restraint Seclusion
Requirements and context about restraint, seclusion, monitoring, orders, and patient protections.
Cascade
Source collection
TJC
Category group
Patient Rights Safety
Category
Restraint Seclusion
Grouped by instrument
Expand an instrument to inspect matching provisions
Instruments
2
Shown
11
Citation
TJC NPG.11.01.01
The hospital manages security risks.
Requires the hospital to control access to security-sensitive areas, develop security incident policies including infant or pediatric abduction, monitor and investigate specified safety and security incidents, and coordinate care decisions for patients under legal or correctional restrictions.
Group
Physical Environment Life Safety
Category
Physical Environment
Domain
Facility Operations
Topics
Security risk management, Access control
Citation
TJC PC.13.02.01
The hospital uses restraint or seclusion only when it can be clinically justified or when war...
The hospital restricts the use of restraint or seclusion to situations where it is clinically justified or necessary to protect the physical safety of the patient, staff, or others.
Group
Patient Rights Safety
Category
Restraint Seclusion
Domain
Patient Rights
Topics
Restraint and seclusion criteria, Least restrictive intervention
Citation
TJC PC.13.02.03
The hospital uses restraint or seclusion safely.
The hospital must ensure that restraint or seclusion is implemented safely by trained staff according to a modified plan of care.
Group
Patient Rights Safety
Category
Restraint Seclusion
Domain
Patient Rights
Topics
Safe restraint techniques, Restraint plan of care
Citation
TJC PC.13.02.05
The hospital initiates restraint or seclusion based on an individual order.
The hospital requires individual physician orders for restraint or seclusion and mandates specific time limits and evaluation requirements for renewals.
Group
Patient Rights Safety
Category
Restraint Seclusion
Domain
Patient Rights
Topics
Restraint order requirements, Physician evaluation
Citation
TJC PC.13.02.07
The hospital monitors patients who are restrained or secluded.
Requires physicians, other licensed practitioners, or trained staff to monitor the condition of patients who are restrained or secluded.
Group
Patient Rights Safety
Category
Restraint Seclusion
Domain
Nursing
Topics
Restraint monitoring, Seclusion monitoring
Citation
TJC PC.13.02.09
The hospital has written policies and procedures that guide the use of restraint or seclusion.
The hospital must maintain written policies and procedures that define the use, training, and monitoring requirements for restraint or seclusion.
Group
Patient Rights Safety
Category
Restraint Seclusion
Domain
Patient Rights
Topics
Restraint policy requirements, Staff training policy
Citation
TJC PC.13.02.11
The hospital evaluates and reevaluates the patient who is restrained or secluded.
Requires in-person evaluation of patients in restraint or seclusion for violent or self-destructive behavior within one hour of initiation, including assessment of the patient's condition and need for continued use.
Group
Patient Rights Safety
Category
Restraint Seclusion
Domain
Nursing
Topics
Restraint evaluation, Seclusion evaluation
Citation
TJC PC.13.02.13
The hospital continually monitors patients who are simultaneously restrained and secluded.
Requires the hospital to continually monitor patients who are simultaneously restrained and secluded, using trained staff in person or via close-proximity video and audio.
Group
Patient Rights Safety
Category
Restraint Seclusion
Domain
Nursing
Topics
Restraint and seclusion monitoring, Continuous observation
Citation
TJC PC.13.02.15
The hospital documents the use of restraint or seclusion.
The hospital must document the use of restraint or seclusion in the medical record, including patient behavior, interventions attempted, and patient response.
Group
Records Health Information
Category
Medical Records
Domain
Records
Topics
Restraint documentation, Medical record requirements
Citation
TJC PC.13.02.17
The hospital trains staff to safely implement the use of restraint or seclusion.
The hospital must provide and document training for staff on the safe use of restraint and seclusion, including nonphysical interventions and monitoring.
Group
Patient Rights Safety
Category
Restraint Seclusion
Domain
Patient Rights
Topics
Staff training, Competency assessment