Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.12 - Use of Quiet Room and Use of Restraint
Section 10.21.12.02 - Definitions
Universal Citation: MD Code Reg 10.21.12.02
Current through Register Vol. 51, No. 19, September 20, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) Category I Restraint.
(a) "Category I restraint" means a device
identified by the facility which limits a patient's mobility to the extent that
the patient would not be able to independently reposition himself or herself or
would otherwise be rendered helpless in an emergency.
(b) "Category I restraint" includes, but is
not limited to, four-point restraints and safety suits.
(2) "Category II restraint" means any device
which is not considered by the facility as a category I restraint and includes,
but is not limited to, mittens and camisoles.
(3) "Chief executive officer (CEO)" means the
individual responsible for the overall management of a facility.
(4) "Child" means an individual younger than
12 years old.
(5) "Clinical
director" means the psychiatrist in charge of the clinical care of all
psychiatric patients in the facility.
(6) "Emergency situation" means a situation
in which a patient's behavior poses a serious and imminent danger to the
physical safety of self or others.
(7) "Facility" means any public or private
hospital, clinic, or other institution that provides or purports to provide
treatment or other services for a mental disorder, except an acute general
hospital that does not have a separately identified inpatient psychiatric
service.
(8) "Full view" means the
unobstructed view by the assigned staff of a restrained patient.
(9) "Patient" means an individual receiving
services for a mental disorder in a facility and includes any student receiving
care and treatment in that facility.
(10) "Physician" means an individual who is
authorized to practice medicine under Health Occupations Article, Title 14,
Annotated Code of Maryland.
(11)
"Protective device" means any adaptive or assistive device or devices which
restrict the movement of the whole or a portion of a patient's body for the
purpose of preventing unintentional harm to self or others or which are used
for promoting or maintaining normative body functions.
(12) "Quiet room" means an unlocked room that
patients are not physically prevented from leaving, which is designated for
patients' voluntary use to allow them time out of the company of other
patients.
(13) "Registered nurse"
means an individual who is licensed to practice registered nursing under Health
Occupations Article, Title 8, Annotated Code of Maryland.
(14) Restraint.
(a) "Restraint" means a mechanical device or
devices approved by the facility which restrict the movement of the whole or a
portion of a patient's body for the purpose of preventing intentional harm to
self or others and is grouped into two categories, category I and category
II.
(b) "Restraint" does not
include helmets when used as a sole form of restraint, chemotherapy, protective
devices, or cold wet sheet packs used as a treatment procedure ordered by a
physician.
(15)
"Seclusion" means the involuntary confinement of a patient under the direction
of a physician or registered nurse alone in a room which a patient is
physically prevented from leaving.
(16) "Serious disruption to a therapeutic
environment" means imminent danger of damage to the physical environment, or
behavior of such a grave or protracted nature that significantly interferes
with the emotional well-being of other patients or with their
treatment.
(17) "Treatment team"
means the patient's treatment team as defined in COMAR
10.21.03.02C.
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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