New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 11 - CRISIS TRIAGE CENTERS › Section 8.321.11.80 - RISK ASSESSMENT

Current through Register Vol. 35, No. 13, July 16, 2024
Use of physical restraint must be consistent with federal and
				  state laws and regulations and must include the following:
A. Physical restraints of youth are
				implemented only by staff who have been trained and certified by a state
				recognized body in the prevention and use of physical restraint. This training
				emphasizes de-escalation techniques and alternatives to physical contact with
				clients as a means of managing behavior. Clients and youth do not participate
				in the physical restraint of other clients and youth.
B. Youth treatment plans document the use of
				physical restraints and include: consideration of the client's medical
				condition(s); the role of the client's history of trauma in their behavioral
				patterns; the treatment team's solicitation and consideration of specific
				suggestions from the client regarding prevention of future physical
				interventions.
C. Physical
				restraints orders for youth are issued by a restraint clinician within one hour
				of initiation of physical restraint and include documented clinical
				justification for the use of physical restraint.
D. If the youth has a treatment team
				physician or advanced practice registered nurse and they are available, only
				they can order physical restraint.
E. If physical restraint is ordered by
				someone other than the youth's treatment team physician or advanced practice
				registered nurse, the restraint clinician will consult with the youth's
				treatment team physician or advanced practice registered nurse as soon as
				possible and inform them of the situation requiring the youth to be restrained
				and document in the youth's record the date and time the treatment team
				physician or advanced practice registered nurse was consulted and the
				information imparted.
F. The
				restraint clinician must order the least restrictive emergency safety
				intervention that is most likely to be effective in resolving the
				situation.
G. If the order for
				physical restraint is verbal, the verbal order must be received by a restraint
				clinician or a New Mexico licensed registered nurse (RN) or practical nurse
				(LPN). The restraint clinician must verify the verbal order in a signed,
				written form placed in the youth's record within 24 hours after the order is
				issued.
H. A restraint clinician's
				order must be obtained by a restraint clinician or New Mexico licensed RN or
				LPN prior to or while the physical restraint is being initiated by staff, or
				immediately after the situation ends.
I. Each order for physical restraint must be
				documented in the youth's record and will include:
(1) the name of the restraint clinician
				ordering the physical restraint;
(2) the date and time the order was
				obtained;
(3) the emergency safety
				intervention ordered, including the length of time;
(4) the time the emergency safety
				intervention actually began and ended;
(5) the time and results of any one-hour
				assessment(s) required; and
(6) the
				emergency safety situation that required the client to be restrained;
				and
(7) the name, title, and
				credentials of staff involved in the emergency safety intervention.