Physical restraints may be used only: As an integral part of an individual medical treatment plan; If absolutely necessary to protect the resident or others from injury; If prescribed by a physician or administered by another health care professional practicing within the scope of their license; and If less restrictive alternatives were considered and appropriately ruled out by the physician. Use of Physical Restraints. When a facility uses physical restraints, personnel: Trained in the use of restraints shall check a resident in restraint at least every 2 hours, and maintain a record of the checks and usage; and Shall provide opportunities for motion and exercise during each 2-hour period in which physical restraint is used, and shall monitor the use of the restraint use and maintain a record of it. The attending physician shall ensure that treatment plans include provisions for the progressive elimination of physical restraints. Use of Psychopharmacologic Drugs. When a physician prescribes psychopharmacologic drugs for a resident, the resident's clinical records shall contain all of the following documentation: A physician's indication that the dosage, duration, indication, and monitoring are clinically appropriate and the reasons why they are clinically appropriate; Indication that the resident is being monitored for adverse complications of the drug therapy; Confirmation that previous attempts at dosage reduction have been unsuccessful, if applicable; Evidence of the resident's subjective or objective improvement, or maintenance or function, while taking the medication; Evidence that the resident's decline or deterioration, if applicable, has been evaluated by the interdisciplinary team to determine whether a particular drug, a particular dosage, or duration of therapy may be the cause; Evidence of why the resident's age, weight, or other factors would require a unique drug dose, drug duration, indication, or monitoring; or Other evidence that substantiates the use of the restraint.