Section 400.10177. Resident restraint.

(1) The facility shall establish and follow written policy and procedures specifying the use of resident restraint.

(2)   The written policy shall limit the uses of resident restraint to the following:

(a)   As a precaution against escape during transfer.

(b)   For medical reasons by direction of the medical officer.

(c)   To prevent self-injury, injury to others, or property damage.

(3)      The  written  resident   restraint  policy     shall    prescribe    the maintenance of written records of the routine and emergency distribution and use of restraint equipment.

(4)    Restraint equipment and physical restraint techniques shall    not    be used for punishment.

(5)   Resident restraint shall only be applied for the minimum time necessary to accomplish the purpose for its use as specifically permitted in subrule (2) of this rule and shall only be applied with the approval of the facility administrator or administrative designee. Approval shall be obtained within 20 minutes after the restraint has been initiated.

(6)   A staff member shall  be   present  continuously   while  material  or mechanical restraint equipment is being used on a resident.

(7)   Each use of material or  mechanical   restraint  equipment   shall  be documented in a written record and shall include  all of the following information:

(a)   The name of the resident.

(b)     The name of the administrator or designee who authorized the use   of the equipment, and the time of the authorization.

(c)   The time the restraint equipment was applied.

(d)    The  name  of  the  staff  member  who was responsible for  the application.

(e)   A description of the specific behavior that necessitated its use.

(f)  The name of the staff person who was continuously with the resident.

(g)   The date and the time of removal of the equipment and  the  name  of the person removing the equipment.

History: 1992 AACS.