| (viii) the minor's condition after the restraint was
discontinued;
(B) within 24 hours after the use of the restraint,
written documentation regarding the use of the restraint and the RN
assessment conducted immediately after the use of the restraint is
included in a minor's medical record;
(C) documentation of nursing director and administrator
oral and written notifications as described in subparagraphs (E) and
(I) of this paragraph, including nursing director and administrator
signatures acknowledging receipt of notifications must be included
in the minor's medical record;
(D) documentation of parent oral and written notifications
as described in subparagraphs (F) and (J) of this paragraph, including
a parent signature acknowledging receipt of notifications must be
included in the minor's medical record;
(E) immediately after the restraint is used, the administrator
and director of nursing are notified orally that the restraint occurred;
(F) on the day the restraint is used, the minor's parent
is notified orally that the restraint occurred;
(G) on the day the restraint is used, the center's
staff responsible for psychosocial treatment and services is notified
orally that the restraint occurred;
(H) immediately after the RN assessment is conducted
in accordance with paragraph (6)(E) of this subsection, if the assessment
determines a change in the minor's condition or a negative reaction
to the restraint has occurred, the minor's physician is notified of
the restraint and the minor's condition, including:
(i) the minor's medical condition;
(ii) the minor's reaction to the restraint; and
(iii) the minor's psychosocial condition;
(I) within one hour after the use of the restraint,
the administrator and director of nursing are notified in writing
of the restraint, including the information in subparagraph (A) of
this paragraph; and
(J) within one day after the use of the restraint,
the minor's parent is notified in writing, in a language and format
the parent understands, of the restraint, including the information
in subparagraph (A) of this paragraph;
(8) The IDT must review, on an annual basis or more
frequently as needed, all behavioral emergencies that occurred at
the center during the time period being reviewed to determine the
appropriateness of the center's response and to identify strategies
for reducing behavioral emergencies at the center.
(9) A center must maintain documentation of compliance
with this section.
|
| Source Note: The provisions of this §550.207 adopted to be effective September 1, 2014, 39 TexReg 6569; transferred effective May 1, 2019, as published in the Texas Register April 12, 2019, 44 TexReg 1875 |
