Cal. Code Regs. Tit. 22, § 76868 - Developmental Program Services-Application of Restraints
(a) In the use of physical restraints, each
of the following requirements shall be met:
(1) Restraints shall be applied in such a
manner that they can be speedily removed in case of emergency.
(2) A client placed in restraint shall be
checked at least every 15 minutes by staff to assure that the restraint is
properly applied. Written documentation of these checks identifying staff
responsible for performing the check shall be kept in the Unit Client
Record.
(3) Physical restraints
shall be designed and used in such a way as not to cause physical injury and to
assure the least possible discomfort to the client. Opportunity for motion and
exercise shall be provided for a period of not less than 10 minutes during each
2 hours in which restraint is applied. The exercise periods shall be documented
in the client's record.
(4) Clients
in restraint shall remain in staff's constant line of vision and shall be
protected from other clients.
(b) If chemical restraints are used, each of
the following requirements shall be met:
(1)
Chemical restraints shall not be used as punishment, for the convenience of
staff, as a substitute for active treatment, or in quantities that interfere
with a client's ability to participate in program activities.
(2) Psychotherapeutic or behavior-altering
drugs shall be used only as an integral part of an individual service plan that
is designed by an interdisciplinary professional staff/team to lead to a less
restrictive way of managing maladaptive behavior and ultimately to the
elimination of those behaviors for which the drugs are employed. Each
individual service plan utilizing a psychotropic drug:
(A) Shall specify the behavior to be managed
and be a time-limited prescription of no more than 30 days, ordered by a
physician. Each renewal order shall include written justification by the
physician for the continued use of the drug.
(B) Shall include a written plan for
gradually diminishing the dosage of the drug and its ultimate
discontinuance.
(3) PRN
(as needed) prescriptions for psychotherapeutic or behavior-altering drug use
shall be subject to the requirements of Section
76896.
Notes
Note: Authority cited: Sections 208.4 and 1267.7, Health and Safety Code. Reference: Section 1276, Health and Safety Code.
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