Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 22 - SPECIAL TREATMENT PROCEDURES › Rule 15-16-1-40.22.3

Current through June 25, 2024
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 (1) 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:
a. 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;
b. the professional staff member writing the
					 order has observed and assessed the patient before writing the order; and
c. the written order of the
					 physician who is responsible for the patient's medical care is obtained within
					 not more than eight (8) hours after initial employment of the restraint or
					 seclusion.