a) Physical restraints shall only be used when required to treat the residents' medical symptoms or as a therapeutic intervention, as ordered by a physician, and based on:

1. 1) the assessment of the resident's capabilities and an evaluation and trial of less restrictive alternatives that could prove effective (Section 2-106(c) of the Act);
2. 2) the assessment of a specific physical condition or medical treatment, that requires the use of physical restraints, and how the use of physical restraints will assist the resident in reaching his or her highest practicable physical, mental or psychosocial well being (Section 2-106(c) of the Act);
3. 3) consultation with appropriate health professionals, such as rehabilitative nurses and occupational or physical therapists, which indicates that the use of less restrictive measures or therapeutic interventions has proven ineffective; and
4. 4) demonstration by the care planning process that using a restraint as a therapeutic intervention will promote the care and services necessary for the resident to attain or maintain the highest practicable physical, mental or psychosocial well being. (Section 2-106(c) of the Act, see P.A. 88-413, effective August 20, 1993)

f) Whenever a period of use of a physical restraint is initiated, the resident shall be advised of his or her right to have a person or organization of his or her choosing, including the Guardianship and Advocacy Commission, notified of the use of the physical restraint. A period of use is initiated when a physical restraint is applied to a resident for the first time under a new or renewed informed consent for the use of physical restraints. A recipient who is under guardianship may request that a person or organization of his or her choosing be notified of the restraint, whether or not the guardian approves the notice. If the resident so chooses, the facility shall make the notification within 24 hours, including any information about the period of time that the physical restraint is to be used. Whenever the Guardianship and Advocacy Commission is notified that a resident has been restrained, it shall contact the resident to determine the circumstances of the restraint and whether further action is warranted. (Section 2-106(e) of the Act, see P.A. 88-413, effective August 20, 1993) If the resident requests that the Guardianship and Advocacy Commission to be contacted, the facility shall provide the following information in writing to the Guardianship and Advocacy Commission:

1. 1) the reason the physical restraint was needed;
2. 2) the type of physical restraint that was used;
3. 3) the interventions utilized or considered prior to physical restraint and the impact of those interventions;
4. 4) the length of time the physical restraint was to be applied; and
5. 5) the name and title of the facility staff person who should be contacted for further information.