Tenn. Comp. R. & Regs. 0940-03-09-.01 - PURPOSE
(1) Isolation, mechanical restraint, or
physical holding restraint may be used only in an emergency safety situation to
assure the physical safety of the service recipient or others nearby or to
prevent significant destruction of property, if the process of destroying the
property puts the service recipient or persons nearby in danger. Isolation,
mechanical restraint, or physical holding restraint may be used only when all
less intrusive or restrictive methods have been ineffective or determined to be
inappropriate. Isolation, mechanical restraint, or physical holding restraint
must be performed in a manner that is safe, proportionate, and appropriate to
the service recipient's age; size; gender; physical, medical, and psychiatric
condition; and personal history. Isolation, mechanical restraint, or physical
holding restraint must be evaluated continuously and ended at the earliest
possible time based on the assessment and evaluation of the service recipient's
condition and behaviors. Isolation, mechanical restraint, or physical holding
restraint must not be imposed in any form as a means of coercion, discipline,
convenience of or retaliation by staff or for lack of staff presence or
competency.
Notes
Authority: T.C.A. §§ 4-4-103, 4-5-202 and 204, 33-1-302, 305, 309, and 33-3-120; 42 C.F.R. §483.356 (a) (1) and (3) (ii), and C.F.R. §483.356(b).
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