(a) Original order. A physician may order restraint
or seclusion in response to a behavioral emergency for a period of
time not to exceed:
(1) 15 minutes for personal restraint;
(2) one hour for mechanical restraint or seclusion
for individuals under the age of 9;
(3) two hours for mechanical restraint or seclusion
for individuals ages 9 - 17; and
(4) four hours for mechanical restraint or seclusion
for individuals age 18 and older.
(b) Order continuing use of restraint or seclusion.
If the original order has not yet expired and the registered nurse
has evaluated the individual face-to-face and determined the continuing
existence of a behavioral emergency, the registered nurse must contact
the physician. The physician shall conduct a face-to-face evaluation
before issuing an order that continues the use of the restraint or
seclusion. A physician may renew the original order provided it would
not result in the use of:
(1) personal restraint beyond 15 minutes total from
the time of initiation of the original personal restraint;
(2) mechanical restraint or seclusion beyond two hours
total from the time of initiation of the original mechanical restraint
or seclusion, for individuals under age 9;
(3) mechanical restraint or seclusion beyond four hours
total from the time of initiation of the original mechanical restraint
or seclusion, for individuals ages 9 - 17; or
(4) mechanical restraint or seclusion beyond eight
hours total from the time of initiation of the original mechanical
restraint or seclusion, for individuals age 18 and older.
(c) Issuing and renewal documentation. The physician
shall document the clinical justification for continuing the restraint
or seclusion before issuing or renewing an order that continues the
use of restraint or seclusion.
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