Section 16.03.14.230 - RESTRAINT AND SECLUSIONThe hospital must establish a clearly explained process for restraint and/or seclusion. The hospital must follow its restraint and seclusion policies.
01.Patient's Right to be Free From Restraint and Seclusion. All patients have the right to be free from restraint or seclusion, of any form, imposed as a means of coercion, discipline, convenience, or retaliation by staff.02.Use of Restraint or Seclusion. Restraint and/or seclusion may only be imposed to ensure the physical safety of the patient, a staff member, or others. Restraint and/or seclusion must be discontinued at the earliest possible time, when the patient no longer presents an immediate risk of harm to self or others.03.Policy and Procedures. Restraint and seclusion policies and procedures must include: a. Definitions for restraint and seclusion as defined in these rules.b. Specification of:i. Which personnel may assess patients to determine the need for restraint and/or seclusion;ii. Which personnel may perform formal face-to-face evaluations for episodes of restraint and/or seclusion; andiii. Which personnel may evaluate patients for the need to continue restraint and/or seclusion.c. How patients will be assessed for the need for restraint and/or seclusion, including the types of restraint to be used and time frames for reassessment.d. How patients will be monitored while in restraints and/or seclusion to ensure their well-being.e. A requirement that restraint and/or seclusion may only be used when less restrictive interventions have been determined to be ineffective to protect the patient, staff members, or others from harm.f. A requirement that the type or technique of restraint used must be the least restrictive intervention that will be effective to protect the patient, staff members, or others from harm.g. How services will be provided to patients while in restraint and/or seclusion, including time frames for general assessments, taking vital signs, offering fluids and nourishment, toileting/elimination, systematic release of restrained limbs to provide range of motion and exercise of those limbs, and other care as needed.h. A requirement that specifies when restraint or seclusion is applied, the patient's plan of care is changed to direct staff on how to care for the patient while in restraint or seclusion and how to prevent further episodes.i. The training requirements for staff who participate in the use of restraints and/or seclusion, including training requirements for persons who may order restraints and for persons who perform face-to-face examinations. Policies must address initial and ongoing training requirements.j. A requirement that restraint or seclusion must be discontinued when the patient no longer presents an immediate risk of harm to themselves or others.k. Documentation requirements for staff caring for patients in restraint and/or seclusion, including the documentation of assessments and behaviors following episodes of restraint or seclusion.04.Investigation of Injuries. A procedure for the hospital to investigate injuries that occur during the application or use of restraint or seclusion. The investigation procedure must include recommendations for the prevention of future injuries from restraint or seclusion.Idaho Admin. Code r. 16.03.14.230