This regulation requires that clinical staff trained in emergency safety interventions be physically present in or immediately outside the seclusion room at all times to continually monitor the resident's physical and psychological well-being; video monitoring is not sufficient. The seclusion room must allow full staff visibility of the resident and be free of hazardous conditions. If seclusion extends beyond the ordered time limit, a registered nurse or licensed staff must immediately contact the ordering practitioner for further instructions. A physician or other qualified licensed practitioner must evaluate the resident's well-being immediately after removal from seclusion.
View official source§ 483.364 Monitoring of the resident in and immediately after seclusion. (a) Clinical staff, trained in the use of emergency safety interventions, must be physically present in or immediately outside the seclusion room, continually assessing, monitoring, and evaluating the physical and psychological well-being of the resident in seclusion. Video monitoring does not meet this requirement. (b) A room used for seclusion must— (1) Allow staff full view of the resident in all areas of the room; and (2) Be free of potentially hazardous conditions such as unprotected light fixtures and electrical outlets. (c) If the emergency safety situation continues beyond the time limit of the order for the use of seclusion, a registered nurse or other licensed staff, such as a licensed practical nurse, must immediately contact the ordering physician or other licensed practitioner permitted by the state and the facility to order restraint or seclusion to receive further instructions. (d) A physician, or other licensed practitioner permitted by the state and the facility to evaluate the resident's well-being and trained in the use of emergency safety interventions, must evaluate the resident's well-being immediately after the resident is removed from seclusion. [66 FR 7161, Jan. 22, 2001, as amended at 66 FR 28117, May 22, 2001]