Current through Register Vol. 24-18, September 15, 2024
(1) The licensee shall assure seclusion and
restraint are used only to the extent and duration necessary to ensure the
safety of patients, staff, and property, as follows:
(a) Staff shall not inflict pain or use
restraint and seclusion for retaliation or personal convenience;
(b) Staff shall document all assaultive
incidents in the clinical record and review each incident with the appropriate
supervisor;
(c) Staff shall observe
any patient in restraint or seclusion at least every fifteen minutes,
intervening as necessary, and recording observations and interventions in the
clinical record;
(d) Staff shall
notify, and receive authorization by, a physician, physician assistant, or
psychiatric advanced registered nurse practitioner within one hour of
initiating patient restraint or seclusion;
(e) A physician, physician assistant, or
psychiatric advanced registered nurse practitioner shall examine each
restrained or secluded patient and renew the order for every twenty-four
continuous hours of restraint and seclusion; and
(f) A mental health professional or
registered nurse shall evaluate the patient when secluded or restrained more
than two continuous hours, and reevaluate the patient at least once every eight
continuous hours of restraint and seclusion thereafter.
(2) The licensee shall provide adequate
emergency supplies and equipment, including airways, bag resuscitators,
intravenous fluids, oxygen, sterile supplies, and other equipment identified in
the policies and procedures, easily accessible to patient-care staff.
(3) When research is proposed or conducted
involving patients, the licensee shall:
(a)
Document an initial and continuing review process by a multidisciplinary
treatment team;
(b) Require
approval by the patient prior to participation;
(c) Allow the patient to discontinue
participation at any time; and
(d)
Ensure policies and procedures are in accordance with Title 42 Code of Federal
Regulations, chapter 1, Part 2, 10/1/89 edition.
(4) The licensee shall prohibit the use of
any patient for basic maintenance of the hospital or equipment, housekeeping,
or food service in compliance with the Federal Fair Labor Standards Act, 29
U.S.C., paragraph 203 et al., and 29 C.F.R., section 525 et al., except:
(a) Cleaning or maintaining the patient's
private living area, or performing personal housekeeping chores; or
(b) Performing therapeutic activities:
(i) Included in and appropriate to the
comprehensive treatment plan;
(ii)
As agreed to with the patient;
(iii) Documented as part of the treatment
program; and
(iv) Appropriate to
the age, physical, and mental condition of the patient.
(5) The licensee shall assure the
safety and comfort of patients when construction work occurs in or near
occupied areas.
Statutory Authority: Chapter 71.12 RCW and RCW 43.60.040.
95-22-012, § 246-322-180, filed 10/20/95, effective
11/20/95.
