5.4.9. A psychiatric organization shall maintain appropriate registers on the use and discontinuation of use of physical restraints or isolation or tranquilization methods. The registers shall be maintained properly, with their pages bound together and sealed, without deletions and omissions, and shall contain the justifications for the use of restraint measures, information on their effectiveness, information on injuries sustained by the patient or the medical personnel, and the psychological assistance provided. Medication Tranquilization 5.4.10. The methods and application procedure of medicationbased tranquilization are defined in the relevant legal act. Types of medication not specified in such legal act may not be used. 5.4.11. Registers shall be maintained, documenting the justification of a decision to use or to discontinue the use of medication-based tranquilization methods. 5.4.12. When medication-based tranquilization is used, such use shall be registered, including the medication use frequency and duration and the person's consent. Use of Physical Force 5.4.13. Physical force can be used for restraining or immobilizing a patient. 5.4.14. Sometimes, the use of physical force may precede the use of a physical restraint or medication-based tranquilization.  Physical force may be used in a limited number of cases, for example to remove a patient from an unauthorized area, or to ensure the safety of other persons with mental health issues or the safety of 60