Md. Code Regs. 10.21.12.03

Current through Register Vol. 51, No. 12, June 14, 2024

Section 10.21.12.03 - Use of Restraint

A. Staff authorized under the provisions of Regulation .05A of this chapter shall use a restraint only to:

(1) Prevent and reduce serious, destructive, and damaging actions by a patient to the patient or to another;

(2) Prevent serious disruption of the therapeutic environment.

B. Staff may not use a restraint:

(1) As a mode or course of treatment;

(2) As punishment; or

(3) For convenience.

C. Staff shall use a restraint:

(1) In a humane, safe, and effective manner; and

(2) Without intent to harm or create undue discomfort to the patient.

D. Staff authorized under the provisions of Regulation .05A of this chapter may order the use of a restraint only if the physician, following a clinical evaluation of the patient, determines that:

(1) The patient's behavior poses:

(a) An emergency situation; or

(b) A serious disruption to the therapeutic environment; and

(2) Less restrictive or alternative approaches have been considered and, if clinically indicated and reasonable, have been attempted, and are considered ineffective.

E. The approaches referred to in §D(2) of this regulation may include, but are not limited to:

(1) Clinical interventions;

(2) Quiet room; or

(3) Medication or medications.

Md. Code Regs. 10.21.12.03