Nev. Admin. Code § 449.3628 - Protection of patients; use of physical restraints
1. A
governing body shall develop and carry out policies and procedures that prevent
and prohibit:
(a) Verbal, sexual, physical
and mental abuse of patients; and
(b) The involuntary seclusion of a patient
without clinical justification for that seclusion.
2. The governing body shall develop and carry
out policies and procedures that prevent and prohibit neglect and
misappropriation of the personal property of a patient.
3. The governing body shall develop policies
and procedures for the identification and investigation of neglect and abuse of
patients.
4. The governing body
shall develop and carry out organizational policies and procedures that limit
the use of physical restraints on patients to only those situations in which
the use of physical restraints is appropriate and for which there is adequate
clinical justification.
5. The
governing body shall ensure that the use of any physical restraints on a
patient is initiated only pursuant to a physician's order or protocols approved
by the medical staff and the hospital administration.
6. If the use of physical restraints is
permitted pursuant to approved protocols, the approved protocols must include:
(a) A thorough assessment of the patient
before the use of physical restraints is initiated;
(b) A provision that requires the initiation
of the use of the physical restraints by a registered nurse or other authorized
person according to hospital policy;
(c) A provision for notifying the physician
within 12 hours after the use of the physical restraints is
initiated;
(d) A requirement that a
verbal or written order of the physician be obtained and entered into the
medical record of the patient; and
(e) A requirement that the continued use of
physical restraints beyond the first 24 hours be authorized by the physician
through the renewal of the original order. The issuance of an order for the
continued use of physical restraints on a patient must occur no less often than
once each calendar day.
7. Organizational policies and procedures,
protocols, physician's orders and the individual needs of a patient must be
used to establish the frequency, nature and extent of monitoring of a patient
upon whom physical restraints are being used.
8. The hospital shall have a process for
quality improvement to identify appropriate opportunities for reducing the use
of physical restraints. The process for quality improvement must include areas
for measurement and assessment to identify opportunities to reduce the risks
associated with the use of physical restraints through the introduction of
preventive strategies, innovative alternatives to the use of physical
restraints and improvements to the process of using physical
restraints.
Notes
NRS 449.0302
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