N.H. Admin. Code § Cor 502.02 - Emergency Response to a Psychiatric Emergency

(a) As soon as possible after a suspected psychiatric incident, the treatment staff of the facility and the resident shall develop a crisis plan to:

(1) Identify the resident's preferred response to a psychiatric emergency situation in order to avoid more restrictive interventions;

(2) Identify the resident's history of physical, sexual, or emotional trauma, if any; and

(3) Minimize the possibility of involuntary emergency measures.

(b) Involuntary emergency treatment, seclusion, or restraint in a facility shall not be implemented unless a physician or APRN determines that a personal safety emergency exists.

(c) A physician or APRN shall authorize involuntary emergency treatment, seclusion, or restraint without consent of the resident only following personal examination or observation, except as provided in Cor 502.03 or Cor 502.04.

(d) No involuntary emergency treatment shall be administered pursuant to Cor 502 unless it is to take effect within 24 hours and is expected to alleviate or ameliorate the status or condition which has caused the emergency.

(e) The emergency response that is administered pursuant to Cor 502 shall be an intervention that:

(1) Is expected to be effective;

(2) Considers whether any of the following factors regarding the resident's condition would require special accommodation to ensure necessary communication and the individual's safety:

a. Medical factors;

b. Psychological factors; and

c. Physical factors, including:

1. Blindness or other limitations of sight;

2. Deafness or other limitations of hearing; and

3. Any other physical limitation that would require special accommodation;

(3) Is the least restrictive of the resident's freedom of movement; and

(4) Gives consideration to the resident's preferred response to a psychiatric emergency situation.

(f) Involuntary emergency treatment, seclusion, or restraint ordered following a personal safety emergency shall be authorized for no more than is necessary, but in no case for more than 24 hours.

Notes

N.H. Admin. Code § Cor 502.02

Derived from Volume XXXIX Number 24, Filed June 13, 2019, Proposed by #12793, Effective 5/25/2019, Expires 5/25/2029.