Kansas Administrative Regulations › Agency 26 - KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES › Article 52 - CRISIS INTERVENTION CENTERS › Section 26-52-27 - Restraints and seclusion

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Each applicant
			 and each licensee shall establish and implement written policies and procedures
			 pursuant to
			 K.S.A.
			 59-29c11, and amendments thereto, that govern
			 the use of patient restraints at the crisis intervention center. Restraints
			 policies shall include the following requirements:
(1) "Restraints" shall mean the application
			 of any device, other than human force alone, to any part of the body of a
			 patient for the purpose of preventing the patient from causing injury to self
			 or other persons;
(2) restraints
			 used by each center shall be preapproved by the secretary;
(3) subject to subsection (d) of this
			 regulation, restraints shall only be used for a patient if each use of
			 restraints has been approved by the clinical director, the clinical director's
			 designee, a physician, or a psychologist;
(4) restraints shall be used only to prevent
			 immediate substantial bodily harm to each patient or other persons, including
			 other patients, staff members, volunteers, and visitors;
(5) restraints shall be used only if other
			 less restrictive methods are not sufficient to prevent immediate substantial
			 bodily harm to each patient or other persons;
(6) the type of restraints used shall be the
			 least restrictive measure necessary to prevent injury to the patient or other
			 persons;
(7) restraints shall never
			 be used as punishment of a patient or for the convenience of staff
			 members;
(8) the clinical director
			 or designee, a physician, or a psychologist shall sign an order for each
			 patient explaining the treatment necessity for the use of restraints, which
			 shall be filed in the patient's record;
(9) restraints shall not be used for more
			 than three consecutive hours without medical reevaluation of its necessity,
			 except medical reevaluation is not required between the hours of 12:00 midnight
			 and 8:00 a.m. unless determined necessary by the clinical director or
			 designee;
(10) each patient's
			 condition shall be monitored at a frequency determined by the clinical director
			 or designee, a physician, or a psychologist, which shall be no less than once
			 every 15 minutes. For purposes of this regulation, "interactive intervention"
			 shall mean that a staff member or volunteer interacts or communicates with the
			 patient in a manner designed to elicit a verbal or physical response from the
			 patient. At the time of each check of the patient, all of the following
			 requirements shall be met:
(A) Interactive
			 intervention shall be attempted, unless the patient is sleeping;
(B) the result of the interactive
			 intervention shall be recorded in the patient's record; and
(C) the patient's mental and physical
			 condition shall be recorded in the patient's record;
(11) at least one direct care staff member
			 shall be stationed in proximity to each patient in restraints, with direct,
			 physical observation at all times of the patient;
(12) electronic or auditory devices shall not
			 be used to replace the direct supervision of each patient in restraints;
			 and
(13) each outgoing direct care
			 staff member assigned to monitor a patient in restraints and each outgoing
			 professional staff member shall provide a verbal report of the condition and
			 orders relating to each patient in restraints to each oncoming professional
			 staff member and each oncoming direct care staff member during any change of
			 shifts of staff, staff breaks, or at any other time a change of staff members
			 occurs who are assigned to monitor the patient or provide supervision over the
			 patient's care and treatment.