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For Behavioral Health Care Restraint and Seclusion, when must an LIP, (licensed independent practitioner) perform a face-to-face assessment of the patient?

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For Behavioral Health Care Restraint and Seclusion, when must an LIP, (licensed independent practitioner) perform a face-to-face assessment of the patient?

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A. When a patient/resident/client is placed in restraint or seclusion it is done in a crisis situation and usually in the absence of an LIP to protect a patient/resident/client from injury to self or to others. The organization determines who is competent to make this decision in the absence of an LIP. However, if the hospital uses accreditation for deemed status purposes a physician or other LIP must evaluate the patient within one hour of the initiation of the restraint or seclusion, as required by CMS’s Interim rule for Patient Rights (effective August 1, 1999).

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