15 Miss. Code. R. 16-1-51.30.3
The facility shall have written policies and procedures that govern the use of restraint or seclusion.
1. The use of restraint or seclusion shall
require clinical justification and shall be employed only to prevent a patient
from injuring himself or others, or to prevent serious disruption of the
therapeutic environment. Restraint or seclusion shall not be employed as
punishment or for the convenience of staff.
2. The rationale for the use of restraint or
seclusion shall address the inadequacy of less restrictive intervention
techniques.
3. To ascertain that
the procedure is justified, a physician shall conduct a clinical assessment of
the patient before writing an order for the use of restraint or
seclusion.
4. A written order from
a physician shall be required for the use of restraint.
5. A written order from a physician shall be
required for the use of seclusion for longer than one hour.
6. Written orders for the use of restraint or
seclusion shall be time-limited.
7.
The written approval of the head of the professional staff and/or his or her
designee shall be required when restraint or seclusion is utilized for longer
than 24 hours.
8. PRN orders shall
not be used to authorize the use of restraint or seclusion.
9. All uses of restraint or seclusion shall
be reported daily to the head of the professional staff and/or his or her
designee.
10. The head of the
professional staff and/or his or her designee shall review daily all uses of
restraint or seclusion and investigate unusual or possibly unwarranted patterns
of utilization.
11. Staff, who
implement written orders for restraint and seclusion shall have documented
training in the proper use of the procedure for which the order was
written.
12. Restraint or seclusion
shall not be used in a manner that causes undue physical discomfort, harm, or
pain to the patient.
13.
Appropriate attention shall be paid every 15 minutes to a patient in restraint
or seclusion, especially in regard to regular meals, bathing, and use of the
toilet.
14. There shall be
documentation in the patient's record that such attention was given to the
patient.
15. Under the following
conditions, restraint or seclusion may be employed in an emergency without a
written order from a physician:
16.
The written order for restraint or seclusion is given by a member of the
professional staff who is qualified by experience and training in the proper
use of the procedure for which the order is written;
17. The professional staff member writing the
order has observed and assessed the patient before writing the order;
and
18. The written order of the
physician who is responsible for the patient's medical care is obtained within
not more than 24 hours after initial employment of the restraint or
seclusion.
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.