Iowa Administrative Code
Agency 481 - Inspections and Appeals Department
Inspections Division
Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License
Rule 481-63.28 - Crisis Intervention
Current through Register Vol. 47, No. 6, September 18, 2024
If a facility utilizes physical restraints, the facility shall have written policies that define the uses of physical restraints, designate the administrator or designee as the person who may authorize their use, establish a mechanism for monitoring and controlling their use, and provide staff with proper training. (I, II)
(1) Temporary physical restraint of residents shall be used only under the following conditions: (I, II)
(2) Authorization for the use of physical restraints must be prior to or immediately after application of the restraint. (I, II)
(3) Prone restraint is prohibited. Staff persons who find themselves involved in the use of a prone restraint when responding to an emergency must take immediate steps to end the prone restraint. (I, II)
(4) The rationale and authorization for the use of physical restraint and staff action and procedures carried out to protect the resident's rights and to ensure safety shall be clearly set forth in the resident's record by the responsible staff persons. (I, II)
(5) The primary care provider, the interdisciplinary team and the resident's responsible party shall be notified of any restraints administered. (I, II, III)
(6) The facility shall provide to the staff a department-approved training program by qualified professionals on physical restraint techniques. (I, II)
(7) Residents shall not be kept behind locked doors. (I, II)
(8) Mechanical restraint is prohibited. Staff persons who find themselves involved in the use of a mechanical restraint when responding to an emergency must take immediate steps to end the mechanical restraint. (I, II)
