HospitalInspections.org

Based on a review of six open and five closed medical records, including three restraint and seclusion records, and hospital policy titled #HOSP1005 "Patient Restraint Devices" (10/2016) on the date of the survey, no evidence was found hospital staff obtained an order for restraints in two of three restraint patients reviewed.

Patient #10 (Pt# 10) arrived at 1715 hrs on an Emergency Petition basis due to an acute psychotic episode. Pt#10 was placed in Violent Restraints at 1800 hrs. While nursing documentation of violent restraint monitoring was present, no evidence was found in Pt# 10's medical record of a physician or licensed independent provider (LIP) order for restraints for violent or assaultive behaviors "either during the application of restraint or immediately thereafter" (per hospital policy #HOSP1005). Pt# 10 remained in restraints until 2015 hrs.

Patient #11 was admitted with sepsis and respiratory distress. Pt# 11's medical record contained multiple episodes of 2-point Non-Violent Restraints throughout a 22-day hospital stay. Further review of the patient's medical record presented no evidence of an order by a physician or LIP for three 24-hour restraint periods on 7/9/17, 7/11/17 and 7/16/17.

Based on a review of six open and five closed medical records, including three restraint and seclusion records, it was determined the hospital failed to conduct a Face-to-Face evaluation by a physician or Licensed Independent Provider (LIP) within one hour of initiation of restraints for violent and assaultive behaviors for 1 of 3 restraint records reviewed.


Patient #10 (Pt# 10) arrived at 1715 hrs on an Emergency Petition basis due to an acute psychotic episode. Pt#10 was placed in restraints for violent and assaultive behavior at 1800 hrs and remained in those restraints until 2015 hrs. Review of the patient's medical record revealed no evidence of a Face-to-Face evaluation by a physician or LIP within one hour of initiation of the restraints.