Current through Register Vol. 56, No. 18, September 16, 2024
(a) The
resident's treatment team physician shall order the use of personal restraint,
as follows:
1. If someone other than the
treatment team physician orders the personal restraint, the treatment team
physician shall be contacted as soon as reasonably possible and shall be
informed that the order was placed.
2. If the treatment team physician is
unavailable, a licensed member of the child's treatment team or other member of
the treatment team authorized by the facility to order a personal restraint,
shall order the use of a personal restraint. In-State facilities may use
on-call or per diem staff; however, the treatment team physician shall be
notified as soon as reasonably possible, but no later than the next regular
business day.
3. Out-of-State
facilities providing services to New Jersey Medicaid/NJ FamilyCare
beneficiaries shall follow the state Medicaid program requirements of the state
in which they are located.
(b) An order for personal restraint shall not
be written as a standing order or on an as-needed (PRN) basis. Each order shall
be limited to a period of time which is no longer than necessary to resolve the
emergency safety situation.
(c) The
order placed shall be for the least restrictive intervention that is the most
likely to be effective in resolving the situation, based on consultation with
staff.
(d) The ordering
practitioner shall provide written orders whenever possible, but may provide
verbal orders over the phone under the following conditions:
1. For in-State facilities, a member of the
treatment team who is not precluded from receiving such an order and who is
permitted by the facility to receive the order, a registered nurse or other
licensed staff as permitted by State law, shall receive the verbal
order;
2. The order shall be
received while the emergency safety intervention is being initiated by staff or
immediately after the emergency safety situation ends;
3. The practitioner giving the order shall be
available to the staff, at a minimum by telephone, for consultation throughout
the entire period of the intervention; and
4. The practitioner shall, as soon as
possible, document, sign and date the verbal order, and shall document the
circumstances requiring the order.
(e) Each order shall include the licensed
practitioner's name and title, the date and time the order was obtained, and
the emergency safety intervention ordered, including the length of time
authorized for the use of the intervention.
