MO SB1056

Physician assistants in collaborative practice arrangements with attending physicians may authorize physical or chemical restraint, isolation, or seclusion of patients in mental health facilities when necessary to protect health and safety

Applies to department-operated facilities, hospitals providing only psychiatric care, and dedicated psychiatric units of general acute care hospitals

Restraint episodes must be reviewed in-person by the attending physician if they exceed 4 hours for patients under 18, or 8 hours for adults 18 and older

All orders issued by physician assistants must be reviewed by the attending physician within 24 hours or the next regular working day and documented in clinical records

Security escort devices and extraordinary measures during disasters are excluded from restraint definitions under this section