Pennsylvania Code
Title 55 - HUMAN SERVICES
Part IV - Adult Services Manual
Subpart D - Nonresidential Agencies/Facilities/Services
Chapter 2390 - VOCATIONAL FACILITIES
RESTRICTIVE PROCEDURES
Section 2390.178 - Physical restraint
Current through Register Vol. 54, No. 44, November 2, 2024
(a) A physical restraint, defined as a manual method that restricts, immobilizes or reduces a client's ability to move the client's arms, legs, head or other body parts freely, may only be used in the case of an emergency to prevent a client from immediate physical harm to the client or others.
(b) Verbal redirection, physical prompts, escorting and guiding a client are permitted.
(c) A prone position physical restraint is prohibited.
(d) A physical restraint that inhibits digestion or respiration, inflicts pain, causes embarrassment or humiliation, causes hyperextension of joints, applies pressure on the chest or joints or allows for a free fall to the floor is prohibited.
(e) A physical restraint may not be used for more than 30 cumulative minutes within a 2-hour period.
The provisions of this §2390.178 issued under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. §§ 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
