Oklahoma Administrative Code
Title 450 - Department of Mental Health and Substance Abuse Services
Chapter 30 - Standards and Criteria For State-Operated Inpatient Services
Subchapter 9 - Role of State-Operated Inpatient Psychiatric Units
Section 450:30-9-9 - Mechanical Restraints
Universal Citation: OK Admin Code 450:30-9-9
Current through Vol. 42, No. 1, September 16, 2024
(a) Mechanical restraints shall not be used on a non-consenting individual unless an inpatient psychiatric facility licensed physician personally examines the individual and determines their use to be required for the safety and protection of the consumer or other persons. This shall not prohibit the emergency use of restraint pending notification of the physician.
(b) The inpatient psychiatric facility shall have a written protocol for the use of mechanical restraints which includes, but is not limited to:
(1) Criteria to be met
prior to authorizing the use of mechanical restraints;
(2) Signature of the licensed physician
authorizing use;
(3) Time limit of
said authorizations;
(4)
Circumstances which automatically terminate an authorization;
(5) Setting a time period, not to exceed
every fifteen (15) minutes, an individual in mechanical restraints shall be
observed and checked by a designated staff under the on-site supervision of a
registered nurse;
(6) Requiring in
every use of mechanical restraints documentation the specific reason for such
use, the actual start and stop times of use, authorizing inpatient psychiatric
facility licensed physician signature, and record of times the consumer was
observed and checked and by whom;
(7) A chronological log including the name of
every consumer placed in mechanical restraints, and the occurrence date. In
accordance with 43 A O.S. § 4-106, the inpatient psychiatric facility
director, or designee shall be responsible for insuring compliance with record
keeping mandates;
(8) A process of
peer review to evaluate use of mechanical restraints; and
(9) The items listed in (1) through (6) of
this rule shall be made a part of the consumer record.
Added at 21 Ok Reg 1086, eff 7-1-04
Disclaimer: These regulations may not be the most recent version. Oklahoma 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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