Reporting And Data

Restraint or Seclusion


Latest Update: June 21, 2023

Training Information

The patient has the right to safe implementation of restraint or seclusion by trained staff.

Responsible Party

Who Must Complete Training?

CAH - The CAH must provide patient-centered, trauma informed competency-based training and education of CAH personnel and staff, including medical staff, and, as applicable, personnel providing contracted services in the CAH, on the use of restraint and seclusion.

(2) The training must include alternatives to the use of restraint/seclusion.

All Medical Facilities - Members of the staff of the facility who are authorized to carry out and monitor physical restraint and mechanical restraint.



When Do I Need to Complete?
Upon orientation and ongoing.


The legal mandate requiring reporting
CAH - 42 CFR 485.614(f)

All Facilities - NRS 449A.251  Education and training of members of staff of facility.

      1.  Each facility shall develop a program of education for the members of the staff of the facility to provide instruction in positive behavioral interventions and positive behavioral supports that:

      (a) Includes positive methods to modify the environment of patients to promote adaptive behavior and reduce the occurrence of inappropriate behavior;

      (b) Includes methods to teach skills to patients so that patients can replace inappropriate behavior with adaptive behavior;

      (c) Includes methods to enhance a patient’s independence and quality of life;

      (d) Includes the use of the least intrusive methods to respond to and reinforce the behavior of patients; and

      (e) Offers a process for designing interventions based upon the patient that are focused on promoting appropriate changes in behavior as well as enhancing the overall quality of life for the patient.

      2.  Each facility shall provide appropriate training for the members of the staff of the facility who are authorized to carry out and monitor physical restraint and mechanical restraint to ensure that those members of the staff are competent and qualified to carry out the procedures in accordance with NRS 449A.200 to 449A.263, inclusive.

      (Added to NRS by 1999, 3250)—(Substituted in revision for NRS 449.782)

Although many of these requirements apply to individual medical professionals and other types of hospitals and health care facilities, the information is presented solely to support Critical Access Hospitals. The reporting requirements and legal mandates on this site are not an exhaustive list and Nevada Rural Hospital Partners, Inc. bears no responsibility or liability for any hospitals' or providers' failure to comply with Federal or State laws or regulations.