South Dakota Administrative Rules
Title 46 - Department of Human Services
Article 46:17 - ICF/MR
Chapter 46:17:04 - Service standards
Section 46:17:04:12 - Physical restraints

The ICF/IID may employ physical restraint only as an integral part of an ISP that is intended to lead to less restrictive means of managing and eliminating the behavior for which the restraint is applied, or as an emergency measure, but only if necessary to protect the person supported or others from injury.

Any authorization to use or extend restraints as an emergency must be in effect no longer than 12 consecutive hours and obtained as soon as the person is restrained. The ICF/IID may not issue orders for restraint on a standing or as needed basis.

Any person placed in restraint must be checked at least every 30 minutes or more frequently, as prescribed by the approved behavior treatment plan, by staff trained in the use of restraints, and released from the restraint as quickly as possible. Staff shall make a record of these checks and usage of the restraints.

Restraints must be designed and used so as not to cause physical injury to the person and so as to cause the least possible discomfort. If the person's range of motion is affected, the person shall be given an opportunity for motion and exercise for a period of not less than ten minutes within each two hour period in which the restraint is employed, and a record of such activity must be kept.

General Authority: SDCL 27B-2-26(3).

Law Implemented: SDCL 27B-8-55, 42 C.F.R. § 483.450 (October 1, 2002).