Medicare No Longer Accepting Old ID Numbers

For All Inpatient Physicians and Nurses

Effective Dec. 16

On Monday, Dec. 16, a revision goes into effect for provider restraint orders and nurse clinical justifications for non-violent and violent restraints. These changes require further clarification of the patient’s behavior necessitating the need for restraint or seclusion.

Non-Violent Restraint Revision

Providers

• Select one or more of three options for the restraint reason when entering the order.

  Attempting to remove tubes/lines.

• Attempting to interrupt treatment.

• Other – Specify.

Nurses

Select from the same three options that providers have, within Clinical Justification.

Note: The general comment field allows you to enter additional information specific to the patient’s behavior. For example, if a patient is pulling at an IV line, select both attempts to remove tubes/lines and attempts to interrupt treatment. Then document that the patient is pulling at the IV line, in the general comment field.

Violent Restraint Revision

Providers

You have an additional option of selecting Danger to Self and Others as a restraint reason when entering the order.

Nurses

Select one or more options under Clinical Justification from a new drop-down list of specific behaviors. If a specific behavior is not listed, select Other and document the behavior.

Note: The general comment field allows you to enter additional information specific to the patient’s behavior. For example, if a patient is kicking staff, select Imminent Risk to Others and Kicking. Then document that the patient is kicking staff, in the general comment field.