Kan. Admin. Regs. § 28-39-231 - Resident behavior and facility practices
(a) Psychotropic
medication shall only be prescribed and used for a resident's treatment program
following:
(1) Receipt of informed consent
from the resident, or the resident's legal representative;
(2) documentation in the resident's record of
the rationale for the use of the medication; and
(3) implementation of an objective monitoring
system to determine the impact of the medication on the resident's behavior.
(b) Seclusion shall not
be utilized in nursing facilities for mental health.
(c) Restraints shall not be applied to a
resident unless it is determined to be required to prevent substantial body
injury to the resident or others, and a physician's order and informed consent
for the use of the restraint has been obtained.
(1) The extent of the use of restraints shall
be the least restrictive necessary to prevent injury.
(2) Standing or "prn" orders for restraint
shall be prohibited.
(d) The record of each resident for whom
restraint is used shall contain complete information about restraint use that
includes:
(1) The informed consent of the
resident or the resident's legal representative for the use of the restraint;
(2) the clinical assessment done
before the resident was restrained;
(3) the circumstances that led to the use of
the restraint;
(4) an explanation
of less restrictive measures used before restraint was applied;
(5) the physician's orders for the restraint;
(6) recordings of consistent
observation of the resident at least every 15 minutes, or more frequently if
needed, to monitor general well-being including vital signs, respirations,
circulation, positioning and alertness as medically indicated;
(7) a description of the resident's activity
at the time of observation that includes verbal exchanges and behavior;
(8) a description of safety
procedures taken at restraint implementation;
(9) a recording of release from the
mechanical restraint and exercise and massage every two hours;
(10) recordings of intake of food and fluid;
and
(11) recording of use of the
toilet.
(e) A resident
shall not be allowed to participate in the restraint of another resident.
(f) There shall be written
policies that address the basic assumption and philosophy that govern the use
of restraint and who may authorize the use of restraint.
(g) During any period of restraint, the
facility shall provide for the emotional and physical needs of the resident.
(h) The resident shall be informed
of the reason for the restraint and the conditions for release. The resident's
legal representative shall be notified within 24 hours of initiation of the use
of restraints.
(i) Only persons
who have documented training in restraint theory and techniques shall be
authorized to assist with the restraint of a resident.
(j) Behavior management programs shall
emphasize positive modification practices utilizing current reinforcement
theory standard of practice.
(k)
Motivation systems shall be based on the principles of positive reinforcement.
(l) Facility motivational systems
shall not implement group punishment for the inappropriate behavior of a
resident or more than one resident.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.