Question

For hospitals that use JC accreditation for deemed status purposes, the requirements regarding restraints for violent or self-destructive behavior that jeopardizes the physical safety of the patient, staff members, or others stipulates that the one-hour face-to-face assessment

A. must be performed within one hour of restraint application by the licensed independent practitioner or a trained nurse

B. includes a debriefing session that must take place within one hour after the conclusion of restraint use

C. can be performed via a telemedicine link to fulfill the in-person evaluation with the LIP

Answer 1

The requirements for hospitals using JC accreditation dictate that a face-to-face assessment for restraints must be conducted within one hour by a licensed practitioner or trained nurse, and cannot be replaced by telemedicine.

Step-by-step explanation:

For hospitals that use Joint Commission (JC) accreditation for deemed status purposes, the requirements regarding restraints for violent or self-destructive behavior that jeopardizes the physical safety of the patient, staff members, or others, specify that the one-hour face-to-face assessment:

• Must be performed within one hour of restraint application by the licensed independent practitioner (LIP) or a trained nurse.
• Includes a debriefing session, although the specific timing of the debriefing session is not dictated to be within one hour after the conclusion of restraint use.
• May not be substituted by a telemedicine link unless explicitly permitted under specific circumstances, such as a lack of available LIP to perform the in-person evaluation.

It is essential for healthcare professionals, including the surgeon, nurse, and anesthesia professional, to review key concerns for recovery and care of the patient once restraints have been used. Additionally, the Prevention and Treatment Act (42 U.S.C. 5204() (2) (B) (4)) requires the Secretary to outline best practice standards for risk and safety assessment within two years of the date of the order.