Md. Code Regs. 10.07.14.37 - Restraints
A. The resident has
the right to be free of restraints used in violation of this chapter.
B. A protective device as defined in
Regulation .02B of this chapter is not considered a restraint.
C. Improper Use of Chemicals or Drugs.
Chemicals or drugs may not be used for residents in the following ways:
(1) In excessive dose, including duplicate
drug therapy;
(2) For excessive
duration, without adequate monitoring;
(3) Without adequate indications for its use;
or
(4) In the presence of adverse
consequences which indicate the dose should be reduced or
discontinued.
D.
Improper Use of Physical Restraints. Residents may not be physically
restrained:
(1) For discipline or convenience;
or
(2) If a restraint is not
ordered by a physician to treat the resident's symptoms or medical
conditions.
E. Restraint
Orders.
(1) Any restraint shall be ordered by
a physician and shall specify:
(a) The purpose
of the restraint;
(b) The type of
restraint to be used; and
(c) The
length of time the restraint shall be used.
(2) A resident may not have an as-needed
restraint order.
(3) Orders for the
use of a restraint shall be time specific.
(4) A resident may not remain in a restraint
for more than 2 hours without a change in position and toileting
opportunity.
(5) If an order for
the use of a restraint is to be continued, the order shall be renewed at least
every 7 days by a physician.
(6)
The delegating nurse shall provide training to staff in the appropriate use of
the restraint ordered by the physician.
F. Bed Rails. Bed rails may be considered
restraints depending upon the reason for the use of bed rails and how the bed
rails are used. This determination is based upon the resident and the effect
that bed rails would have upon the resident, as documented in the resident's
record.
G. The program shall notify
the resident's family or the resident's representative each time a restraint is
used.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.