Healthcare workers that use restraints on residents must have adequate training, according to a new rule published by the Centers for Medicare & Medicaid Services.

The rule, which has been expected since 1999, requires more rigorous training for those who employ restraints and seclusion in healthcare facilities. These facilities include long-term care, psychiatric, rehabilitation and other hospitals participating in Medicare and Medicaid.

It also allows trained registered nurses and physician assistants to conduct the evaluation within an hour of a resident being restrained. But the RN or PA who conducts the evaluation must consult a physician as soon as possible.