Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.14 - HOSPITALS › Section 16.03.14.230 - RESTRAINT AND SECLUSION

Current through August 31, 2023
The hospital must establish a clearly explained process for
				restraint and/or seclusion. The hospital must follow its restraint and
				seclusion policies. (3-17-22)
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. (3-17-22)
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. (3-17-22)
03.
Policy
			 and Procedures
. Restraint and seclusion policies and procedures must
			 include: (3-17-22)
a. Definitions for
			 restraint and seclusion as defined in these rules. (3-17-22)
b. Specification of: (3-17-22)
i. Which personnel may assess patients to
			 determine the need for restraint and/or seclusion; (3-17-22)
ii. Which personnel may perform formal
			 face-to-face evaluations for episodes of restraint and/or seclusion; and
			 (3-17-22)
iii. Which personnel may
			 evaluate patients for the need to continue restraint and/or seclusion.
			 (3-17-22)
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.
			 (3-17-22)
d. How patients will be
			 monitored while in restraints and/or seclusion to ensure their well-being.
			 (3-17-22)
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. (3-17-22)
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. (3-17-22)
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.
			 (3-17-22)
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. (3-17-22)
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. (3-17-22)
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.
			 (3-17-22)
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. (3-17-22)