CLNC
Medical chronologyMerit screeningStandard of care review
+1 more
Psychiatric
$125/hr
Testifies
Plaintiff
Restraint and seclusion injury case review
Restraints are supposed to be a last resort, ordered for a specific reason and time, with the patient checked often and released as soon as possible. Injuries and deaths in restraints, from strangulation, positional asphyxia, skin breakdown or falls while trying to get free, turn on whether those rules were followed. A psychiatric, emergency or long-term care nurse reviews the order, the monitoring and the alternatives tried first.
Start with a merit screen
A psychiatric nurse's read on whether the nursing care raises real concerns
$850–2,400
Estimate · usually 5–7 business days
Get a nurse's read on this case Not sure? Answer a few questions firstFree to post · you pick the nurse and the price
What the nurse reviewer examines
- The restraint or seclusion order: reason, type, time limit and renewals
- Face-to-face evaluation and physician involvement within the required time
- Monitoring frequency: circulation, skin, breathing, hydration and toileting
- Less restrictive alternatives tried and documented first
- Chemical restraint: medications given to control behavior, and the monitoring that followed
- Release criteria and how quickly the patient was released when they were met
- For nursing homes: whether restraints were used for staff convenience
Records to request
A starting checklist; the reviewer will flag what's missing once they have the chart.
- Restraint and seclusion orders with renewals
- Restraint monitoring flowsheets
- Nursing notes and behavior logs around the episode
- MAR, including as-needed psychotropics
- Incident reports and any security or video logs
- Facility restraint policy
- Care plan and MDS (nursing homes)
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How these cases usually progress
- 1 Case merit screeningFrom $850 · 5–7 business days Request →
- 2 Standard of care reviewFrom $1,250 · 2–3 weeks Request →
- 3 Medical chronologyFrom $1,000 · 5–10 business days Request →
- 4 Nurse expert witnessFrom $1,450 · Report in 2–4 weeks; testimony by agreement Request →
Questions attorneys ask
Are hospital restraint rules the same everywhere?
Federal rules for hospitals that take Medicare set baseline requirements for orders, monitoring and face-to-face evaluation, and facilities add their own policies. A reviewer compares the care with both. State law can add more.
Is a sedating medication a restraint?
It can be, when it is given to control behavior or restrict movement rather than to treat a condition. The reviewer looks at why it was ordered and how the patient was monitored.
Nurses who review these cases
Medical chronologyRecord summaryStandard of care review
+1 more
Psychiatric
$175/hr
Testifies
Plaintiff & Defense
Medical chronologyMerit screeningExpert witness
Long-term care / SNFPsychiatric
$110/hr
Testifies
Defense
Medical chronologyMerit screeningExpert witness
Long-term care / SNFPsychiatric
$135/hr
Testifies
Plaintiff
Medical chronologyRecord summaryExpert witness
Psychiatric
$175/hr
Testifies
Plaintiff
Medical chronologyRecord summary
Perioperative / OROncologyPsychiatric
$95/hr
Plaintiff & Defense
Deadline in under 10 days? Mark it rush.
Rush ($199) lists your case first and alerts every available consultant at once. Priority ($99) lists it first for a week. Either is refunded if no proposal arrives within 48 hours.
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Describe the case without names. License-verified nurses in the right specialty send proposals with their experience and rate. Records are shared only after you hire, in an encrypted workspace.
Need a physician for causation or a certificate of merit? Request one from the case. Already work with a nurse consultant? Bring them into the same workspace on a plan.