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 10.21.12.03 - Use of Restraint
Universal Citation: MD Code Reg 10.21.12.03
Current through Register Vol. 51, No. 19, September 20, 2024
A. Staff authorized under the provisions of Regulation .05A of this chapter shall use a restraint only to:
(1) Prevent and reduce
serious, destructive, and damaging actions by a patient to the patient or to
another;
(2) Prevent serious
disruption of the therapeutic environment.
B. Staff may not use a restraint:
(1) As a mode or course of
treatment;
(2) As punishment;
or
(3) For convenience.
C. Staff shall use a restraint:
(1) In a humane, safe, and effective manner;
and
(2) Without intent to harm or
create undue discomfort to the patient.
D. Staff authorized under the provisions of Regulation .05A of this chapter may order the use of a restraint only if the physician, following a clinical evaluation of the patient, determines that:
(1) The patient's behavior poses:
(a) An emergency situation; or
(b) A serious disruption to the therapeutic
environment; and
(2)
Less restrictive or alternative approaches have been considered and, if
clinically indicated and reasonable, have been attempted, and are considered
ineffective.
E. The approaches referred to in §D(2) of this regulation may include, but are not limited to:
(1) Clinical
interventions;
(2) Quiet room;
or
(3) Medication or
medications.
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