Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 07 - HOSPITALS
Chapter 10.07.09 - Residents' Bill of Rights: Comprehensive Care Facilities and Extended Care Facilities
Section 10.07.09.14 - Physical and Chemical Restraints
Universal Citation: MD Code Reg 10.07.09.14
Current through Register Vol. 51, No. 19, September 20, 2024
A. Physical restraints may be used only:
(1) As an integral part of an individual
medical treatment plan;
(2) If
absolutely necessary to protect the resident or others from injury;
(3) If prescribed by a physician or
administered by another health care professional practicing within the scope of
their license; and
(4) If less
restrictive alternatives were considered and appropriately ruled out by the
physician.
B. Use of Physical Restraints.
(1) When a facility uses
physical restraints, personnel:
(a) Trained in
the use of restraints shall check a resident in restraint at least every 2
hours, and maintain a record of the checks and usage; and
(b) Shall provide opportunities for motion
and exercise during each 2-hour period in which physical restraint is used, and
shall monitor the use of the restraint use and maintain a record of
it.
(2) The attending
physician shall ensure that treatment plans include provisions for the
progressive elimination of physical restraints.
C. Use of Psychopharmacologic Drugs. When a physician prescribes psychopharmacologic drugs for a resident, the resident's clinical records shall contain all of the following documentation:
(1) A physician's indication that the dosage,
duration, indication, and monitoring are clinically appropriate and the reasons
why they are clinically appropriate;
(2) Indication that the resident is being
monitored for adverse complications of the drug therapy;
(3) Confirmation that previous attempts at
dosage reduction have been unsuccessful, if applicable;
(4) Evidence of the resident's subjective or
objective improvement, or maintenance or function, while taking the
medication;
(5) Evidence that the
resident's decline or deterioration, if applicable, has been evaluated by the
interdisciplinary team to determine whether a particular drug, a particular
dosage, or duration of therapy may be the cause;
(6) Evidence of why the resident's age,
weight, or other factors would require a unique drug dose, drug duration,
indication, or monitoring; or
(7)
Other evidence that substantiates the use of the restraint.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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