When a physician or licensed practitioner (other than the resident's treatment team physician) orders restraint or seclusion, they must consult with the treatment team physician as soon as possible and inform them of the emergency safety situation. The ordering practitioner must document the date and time of that consultation in the resident's record. This requirement applies within the context of psychiatric residential treatment facilities for individuals under age 21.
View official source§ 483.360 Consultation with treatment team physician. If a physician or other licensed practitioner permitted by the state and the facility to order restraint or seclusion orders the use of restraint or seclusion, that person must contact the resident's treatment team physician, unless the ordering physician is in fact the resident's treatment team physician. The person ordering the use of restraint or seclusion must— (a) Consult with the resident's treatment team physician as soon as possible and inform the team physician of the emergency safety situation that required the resident to be restrained or placed in seclusion; and (b) Document in the resident's record the date and time the team physician was consulted. [66 FR 7161, Jan. 22, 2001, as amended at 66 FR 28117, May 22, 2001]