The facility shall have written policies and procedures that govern the use of restraint or seclusion.
1. The use of restraint or seclusion shall require clinical justification and shall be employed only to prevent a patient from injuring himself or others, or to prevent serious disruption of the therapeutic environment. Restraint or seclusion shall not be employed as punishment or for the convenience of staff.2. The rationale for the use of restraint or seclusion shall address the inadequacy of less restrictive intervention techniques.3. To ascertain that the procedure is justified, a physician shall conduct a clinical assessment of the patient before writing an order for the use of restraint or seclusion.4. A written order from a physician shall be required for the use of restraint.5. A written order from a physician shall be required for the use of seclusion for longer than one hour.6. Written orders for the use of restraint or seclusion shall be time-limited.7. The written approval of the head of the professional staff and/or his or her designee shall be required when restraint or seclusion is utilized for longer than 24 hours.8. PRN orders shall not be used to authorize the use of restraint or seclusion.9. All uses of restraint or seclusion shall be reported daily to the head of the professional staff and/or his or her designee.10. The head of the professional staff and/or his or her designee shall review daily all uses of restraint or seclusion and investigate unusual or possibly unwarranted patterns of utilization.11. Staff, who implement written orders for restraint and seclusion shall have documented training in the proper use of the procedure for which the order was written.12. Restraint or seclusion shall not be used in a manner that causes undue physical discomfort, harm, or pain to the patient.13. Appropriate attention shall be paid every 15 minutes to a patient in restraint or seclusion, especially in regard to regular meals, bathing, and use of the toilet.14. There shall be documentation in the patient's record that such attention was given to the patient.15. Under the following conditions, restraint or seclusion may be employed in an emergency without a written order from a physician:16. The written order for restraint or seclusion is given by a member of the professional staff who is qualified by experience and training in the proper use of the procedure for which the order is written;17. The professional staff member writing the order has observed and assessed the patient before writing the order; and18. The written order of the physician who is responsible for the patient's medical care is obtained within not more than 24 hours after initial employment of the restraint or seclusion.15 Miss. Code. R. 16-1-51.30.3
Miss. Code Ann. § 43-11-13