Title 37, Chapter 3, Section 165
( 37-3-165)
(a) Mistreatment, neglect, or abuse in any form of any patient is
prohibited. Medication in quantities that interfere with the
patient's treatment program is prohibited. All medication,
seclusion, or physical restraints are to be used solely for the
purposes of providing effective treatment and protecting the safety
of the patient and other persons. (b) Physical restraints shall not be applied unless they are
determined by an attending physician, a psychologist involved in the
care and treatment of a patient, or a clinical nurse specialist in
psychiatric/mental health involved in the care and treatment of the
patient to be absolutely necessary in order to prevent a patient
from seriously injuring himself or herself or others and are
required by the patient's medical needs. Such determination shall
expire after 24 hours. An attending physician, a psychologist
involved in the care and treatment of a patient, or a clinical nurse
specialist in psychiatric/mental health involved in the care and
treatment of the patient must then make a new determination before
the restraint may be continued. Every use of a restraint and the
reasons therefor shall be made a part of the clinical record of the
patient. A copy of each such entry or a summary of such entries
shall be forwarded to the chief medical officer for review. A
patient placed in physical restraint shall be checked at least every
30 minutes by staff trained in the use of restraints and a written
record of such checks shall be made. When the application of a
restraint is necessary in emergency situations to protect the
patient from immediate injury to himself or herself or to others,
restraints may be authorized by attending staff who must immediately
report the action taken to the physician and any psychologist
involved in the care and treatment of the patient. The facility
shall have written policies and procedures which govern the use of
restraints and which clearly delineate, in descending order, the
personnel who can authorize the use of restraints in emergency
situations. (c) For the purposes of this Code section, those devices which
restrain movement, but are applied for protection from accidental
injury or required for the medical treatment of the patient's
physical condition or for supportive or corrective needs of the
patient, shall not be considered physical restraints. However,
devices used in such situations must be authorized and applied in
compliance with the facility's policies and procedures. The use of
such devices shall be a part of the patient's individualized service
plan. |