Utah Admin. Code R432-150-13 - Restraint Policy
(1) Each resident
has the right to be free from physical and chemical restraints imposed for
purposes of discipline or convenience, or not required to treat the resident's
medical symptoms.
(2)
(a) The licensee shall have written policies
and procedures regarding the proper use of restraints.
(b) The licensee shall ensure physical and
chemical restraints are only used to assist a resident to attain and maintain
optimum levels of physical and emotional functioning.
(c) The licensee shall ensure physical and
chemical restraints are not used as substitutes for direct resident care,
activities, or other services.
(d)
The licensee shall ensure restraints do not hinder evacuation of the resident
in the event of fire or other emergency.
(e) If use of a physical or a chemical
restraint is implemented, the licensee shall ensure the resident and
responsible person are informed of the reasons for the restraint, the
circumstances that allow the restraint to be discontinued, and the hazards of
the restraint, including potential physical side effects.
(3) The licensee shall develop and implement
policies and procedures that govern the use of physical and chemical
restraints, promote optimal resident function, minimize adverse consequences of
restraint use and incorporate and address:
(a)
examples of the types of restraints and safety devices that are acceptable for
the specified use and possible resident conditions when the restraint may be
used;
(b) govern the use of
physical and chemical restraints;
(c) incorporate and address:
(i) resident assessment criteria that
includes:
(A) appropriateness of
use;
(B) behavior management and
modification protocols including possible alterations to the physical
environment;
(C) less restrictive
alternatives before the use of more restrictive measures;
(D) procedures for use; and
(E) purpose and nature of the
restraint;
(d)
minimize adverse consequences of restraint use;
(e) physical restraint guidelines for
periodic release and position change or exercise, with instructions for
documentation of this action; and
(f) safely and therapeutically promote
optimal resident function.
(4) The licensee shall ensure emergency use
of physical and chemical restraints comply with:
(a) a physician, a licensed health
practitioner, the director of nursing, or the health services supervisor
authorizes the emergency use of restraints;
(b) the attending physician is notified as
soon as possible, but at least within 24 hours of the application of the
restraints;
(c) the circumstances
necessitating emergency use of the restraint and the client's response is
documented in the resident's record; and
(d) the director of nursing or health
services supervisor is notified no later than the beginning of the next day
shift of the application of the restraints.
(5) The licensee shall ensure:
(a) any medication given to a resident is
administered according to the requirements of professional and ethical practice
and according to the policies and procedures of the facility;
(b) chemical restraints are authorized in
writing by a licensed practitioner and incorporated in the resident's care plan
in conjunction with an individualized behavior management program;
(c) each resident receiving chemical
restraints is monitored for adverse effects that significantly hinder verbal,
emotional, or physical abilities;
(d) leather restraints, straight jackets, or
locked restraints are prohibited;
(e) physical restraints are authorized in
writing by a licensed practitioner and incorporated in the resident's care
plan;
(f) staff application of
physical restraints do not cause injury or allow a potential for
injury;
(g) staff application of
physical restraints ensures minimal discomfort to the resident and allow
sufficient body movement for proper circulation;
(h) the resident care conference team reviews
and documents the use of chemical restraints during each resident care
conference and upon receipt of renewal orders from the licensed
practitioner;
(i) the resident care
conference team reviews and documents the use of physical restraints, including
simple safety devices, during each resident care conference, and upon receipt
of renewal orders from the licensed practitioner; and
(j) the resident's care plan includes:
(i) the frequency of release;
(ii) the length of time to be used;
(iii) the type of exercise or ambulation
provided; and
(iv) the type of
physical restraint or safety device.
(6) The licensee shall initiate gradual drug
dosage reductions as outlined in Subsection
R432-150-15(13)(c).
(7) The licensee shall include criteria for
admission and retention of a resident who requires behavior management program
in the facility policy.
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.