Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.13 - Use of Quiet Room and Use of Seclusion
Section 10.21.13.06 - Clinical Interventions During Seclusion
Universal Citation: MD Code Reg 10.21.13.06
Current through Register Vol. 51, No. 19, September 20, 2024
A. While the patient is secluded, in order to provide appropriate clinical care, at a minimum, clinically trained staff shall:
(1) Observe the patient at least every
15 minutes, and document each observation by the observer;
(2) Unless contraindicated by circumstances
as assessed and documented by a physician or registered nurse, at least hourly,
make and document personal contact with the patient for the purpose of
determining if the patient has any special needs which need
attention;
(3) Unless
contraindicated by circumstances as assessed and documented by a physician or
registered nurse, offer or provide the following:
(a) Toilet facilities, at least every 2
hours;
(b) Bathing and oral
hygiene, at least once during a 24-hour period;
(c) Meals, at the regularly scheduled hours
and under the supervision of nursing personnel; and
(d) Fluids, at least every 2 hours;
and
(4) As clinically
indicated, record temperature, pulse, blood pressure, and
respirations.
B. At least once every 2 hours, a physician or registered nurse shall assess the appropriateness of continuing the seclusion and document the factors supporting the assessment in the patient's medical record.
C. Unless circumstances suggest a medical problem may exist, staff may not disrupt a patient's sleep during the night to implement the clinical procedures described in §§A and B of this regulation.
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
