Mich. Admin. Code R. 400.1414 - Resident behavior management; use of physical restraint, physical restraint report
Rule 14.
(1)
Excluding those forms of behavior management prohibited in
R 400.1412, physical restraint may
be used when it has been determined that any of the following exists:
(a) Substantial risk or an occurrence of
self-destructive behavior.
(b)
Substantial risk or an occurrence of serious physical assault.
(c) Substantial risk or an occurrence of
destruction of property.
(2) Physical restraint shall be used to the
minimum extent and the minimum duration necessary, and then only after less
restrictive means of protection have failed.
(3) Physical restraint shall be employed to
allow the resident the greatest possible comfort and to avoid physical injury
and mental distress.
(4) If a
resident requires the repeated and prolonged use of physical restraint or
time-out within a 24-hour period, the licensee shall initiate a review process
which includes all responsible persons and the resident's designated
representative and responsible agency to evaluate the need for a more intensive
treatment setting.
(5) All uses of
physical restraint shall be noted in the resident's record. This notation shall
include all of the following information:
(a)
The nature of the physical restraint used.
(b) The reason for the use of physical
restraint.
(c) The types of less
restrictive alternatives which were tried.
(d) The person authorizing the physical
restraint.
(e) The times and dates
physical restraint was administered.
(6) A licensee shall make available reports
of all uses of physical restraint when requested by the resident's designated
representative, responsible agency, or the department.
Notes
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