|(a) Escort or brief physical prompt. An individual
may be assisted to move from one location to another when guidance
is needed if the individual agrees verbally or with gestures and is
able to cooperate with the staff member who is attempting to assist
the individual to move.
(b) Activities of daily living. A staff member may
assist an individual who is willing and able to cooperate with toileting,
bathing, dressing, eating, or other personal hygiene activities that
normally involve the use of touch.
(c) Immediate danger of harm. A staff member may escort,
prompt, or move an individual who is unable to respond in the affirmative
or negative or is unable to move due to his or her psychiatric or
medical condition if there is an imminent danger of harm to the individual
because of a circumstance in the individual's immediate environment.
(d) Immobilization during medical, dental, diagnostic,
or surgical procedure. A positioning or securing device used to maintain
the position of, limit mobility of, or temporarily immobilize an individual,
with the individual's consent, during medical, dental, diagnostic,
or surgical procedures and that is a standard part of the procedure
is not considered a restraint. The care of the individual shall be
based on a rationale that reflects consideration of the individual's
medical needs and health status.
(1) Facility policies and procedures on the use of
immobilization during medical, dental, diagnostic and surgical procedures
(A) the frequency of assessment of the individual during
(B) how the individual's circulation, hydration, elimination
needs, level of distress and agitation, mental status, cognitive functioning,
cardiac functioning, skin integrity, nutrition, exercise, and range
of motion of extremities are to be assessed during immobilization.
(2) The plan for monitoring the individual and the
rationale for the frequency of monitoring shall be documented in the
individual's medical record.