(2) A telephone order may be accepted for medication intended for use as a chemical restraint in an emergency situation only.

pennsylvania state regulations on dating a patient-45

Restraints do not include general protective security measures adopted in various institutions, including locked wards; special security measures adopted in Youth Development Centers and Youth Forestry Camps, maximum security State hospital or forensic units in State mental hospitals; or specific security measures ordered by a court. (a) Restraints shall be employed only when necessary to protect the patient/resident from injuring himself or others, or to promote normal body positioning and physical functioning.

The provisions of this § 13.1 amended June 17, 2016, effective June 18, 2016, 46 Pa. (a) Restraints include devices and techniques designed and used to control acute or episodic aggressive behavior or involuntary movement of patients/residents. Procedures for employing restraints, as defined in § § 13.4 and 13.5 (relating to use of restraints to control involuntary movement due to organic causes or conditions and use of restraints to control acute or episodic aggressive behavior) depend upon whether acute or episodic aggressive behavior or involuntary action is controlled.

Until a physician arrives, appropriate staff shall monitor the patient’s/resident’s physical well being.

(3) In a nonemergency situation, a physician shall examine the patient/resident prior to ordering medication as a chemical restraint with due attention being paid to the patient’s/resident’s prior mental and physical status and his history before drugs are administered.

(4) The patient’s/resident’s chart shall document that this subsection has been followed. Chemical restraint shall mean the use of drugs or chemicals for the specific and exclusive purpose of controlling acute or episodic aggressive behavior by a patient/resident.

Drugs administered on a regular basis, as part of the treatment plan and for the purposes of treating the symptoms of mental, emotional or behavioral disorders and for assisting the patient/resident in gaining self control over his impulses, are not to be considered chemical restraints. (1) No chemical restraints may be administered except upon the order of the physician. The plan must be submitted through the appropriate Regional Deputy Secretary and Regional Program Commissioner for approval by the Executive Deputy Secretary and appropriate program Deputy Secretary. (e) Each institution must prepare a restraint plan describing specific procedures for use by employes in implementing this chapter.Employes shall attempt to prevent this behavior by recognizing indications of impending behavior and intervening in a positive, constructive manner to prevent hyperactivity or assaultiveness. (1) Restraints shall be used to control acute or episodic aggressive behavior when a patient/resident is acting in a manner as to be a clear and present danger to himself, to other patients/residents, or to employes, and only when less restrictive measures and techniques have proven to be or are less effective.(2) The use of restraints, the conduct necessitating the restraint, and alternative methods which were unsuccessful in controlling the behavior shall be noted in the patient’s/resident’s chart. Restraints shall not be applied unless other available techniques or resources have failed, and the least possible restrictions shall be used.