(a) Emergency medical condition. If an individual experiences
an emergency medical condition while in restraint or seclusion, the
staff member providing continuous face-to-face observation of the
individual or other staff member must release the individual from
restraint or seclusion as soon as possible, as indicated by the emergency
medical condition, and the medical condition shall be assessed and
treated.
(1) The facility shall ensure that the individual's
emergency medical condition is promptly addressed and that aid is
rendered to the extent possible in accordance with the facility's
policies and procedures for management of emergency medical conditions.
(2) Unlocking the seclusion room door or fully releasing
the restraints ends the episode.
(3) If the situation continues to meet the criteria
for a behavioral emergency after the individual's emergency medical
condition is addressed, a staff member must obtain a new order for
restraint or seclusion.
(b) Emergency evacuation. If an emergency evacuation
or evacuation drill occurs while an individual is in restraint or
seclusion, the staff member providing continuous face-to-face observation
of the individual or other staff member must release the individual
from restraint or seclusion as soon as possible, as indicated by the
circumstances that prompted the emergency evacuation or the evacuation
drill, and staff members shall implement the facility's established
procedures to ensure the individual's safety.
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