Washington Administrative Code
Title 246 - Health, Department of
FACILITY STANDARDS AND LICENSING
Chapter 246-341 - Behavioral health agency licensing and certification requirements
CERTIFICATION AND SERVICE STANDARDS FOR COMPETENCY RESTORATION SERVICES
Section 246-341-1158 - Competency evaluation and restoration-Seclusion and restraint
Universal Citation: WA Admin Code 246-341-1158
Current through Register Vol. 24-18, September 15, 2024
(1) An individual receiving either competency evaluation or restoration treatment services, or both has the right to be free from seclusion and restraint, including chemical restraint except as otherwise provided in this section or otherwise provided by law. The agency must do all of the following:
(a) Develop, implement, and maintain policies
and procedures to ensure that seclusion and restraint procedures are used only
to the extent necessary to ensure the safety of an individual and in accordance
with WAC 246-322-180 or
246-337-110, whichever is
applicable.
(b) Ensure that the use
of seclusion or restraint occurs only when there is imminent danger to self or
others and less restrictive measures have been determined to be ineffective to
protect the individual or other from harm and the reasons for the determination
are clearly documented in the individual's individual service record.
(c) Ensure staff members notify and receive
authorization by a physician, physician assistant (PA) or advanced registered
nurse practitioner (ARNP) within one hour of initiating an individual's
seclusion or restraint.
(d) Ensure
the individual is informed of the reasons for use of seclusion or restraint and
the specific behaviors which must be exhibited in order to gain release from a
seclusion or restraint procedure.
(e) Ensure that an appropriate clinical staff
member observes the individual at least every 15 minutes and the observation is
recorded in the individual's individual service record.
(f) If the use of seclusion or restraint
exceeds 24 hours, ensure that a physician has assessed the individual and has
written a new order if the intervention will be continued. This procedure must
be repeated for each 24 hour period that seclusion or restraint is
used.
(2) The agency must ensure all assessments and justification for the use of either seclusion or restraint, or both, are documented in the individual's individual service record.
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