Based on typical guidelines from multiple jurisdictions and standards, the documentation for each seclusion or restraint episode must support: contraindications for restraint or seclusion, the justification that the use is necessary given the patient’s behavior, and a detailed account of the event including monitoring, attempts at de-escalation, and staff involved. Below is a concise, practical synthesis. Direct answer

• The documentation must support that restraint or seclusion was indicated and necessary (including the behavior that led to the intervention) and that all reasonable, less restrictive alternatives were attempted or documented as attempted.
• It must document contraindications or reasons why restraint or seclusion is considered appropriate for the specific episode, to show that the intervention aligns with safety and policy.
• It must provide a complete account of the episode, including:
  • Date, time, duration, and setting of the intervention.
  • Type of intervention (physical hold, mechanical restraint, seclusion method) used.
  • All staff involved, including the orders and assessments/monitoring performed.
  • The patient’s status, behavior changes, and outcomes during and after the intervention.
  • Any medications administered, injuries (to patient or staff), and actions taken in response to injuries.
  • De-escalation attempts and alternatives offered or attempted, with results.
  • Immediate and ongoing monitoring plans and the results of those assessments.
• In short, documentation must support the necessity, safety, and proper management of the episode, including all clinical judgments, safety checks, and debriefing elements.