5122-26-16.2 Physical restraint.

(A) The purpose of this rule is to state the specific requirements applicable to physical restraint.

(B) Physical restraint may be used as a response to an emergency only.

(C) Provisions of this rule shall be carried out by qualified staff only.

(1) Training for staff implementing physical restraint shall include but not be limited to:

(a) Current certification in CPR and first aid;

(b) The identification and utilization of less restrictive alternatives; and

(c) Each staff member shall experience physical restraint as part of training.

(D) Documentation of each episode of the use of physical restraint shall be made in the clinical record and shall include:

(1) Reason for implementation of the physical restraint;

(2) Less restrictive interventions attempted first, if the situation allowed;

(3) Notation that a review and description of any known contraindications for the use of physical restraint was conducted;

(4) Explanation to the person for the reason for implementation of physical restraint and the required behaviors of the person which would indicate sufficient behavioral control so that the physical restraint could be discontinued;

(5) Upon conclusion of the physical restraint, assessment of the need for ambulating, fluid intake, toileting, and other needs;

(6) Results of a check for injury;

(7) Documentation of staff’s efforts to process the circumstances surrounding the physical restraint with the individual; and

(8) Notation of any concerns for the subsequent utilization of physical restraint.

(E) Clinically appropriate reason(s) for the inability to carry out any portion of paragraph (D) of this rule shall be documented in the clinical record.

HISTORY: Eff 1-1-91; 4-16-01

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 5119.01(G), 5119.01(I), 5119.22, 5119.61(M)

Rule amplifies: RC 5119.01(G), 5119.01(I), 5119.22, 5119.61(M) Replaces: 5122-26-16 RC 119.032 review dates: April 15, 2006