§ 13.5. Use of restraints to control acute or episodic aggressive behavior.
(a) General policy. Restraints designed to control acute or episodic aggressive behavior of patients/residents shall be employed only in accordance with the procedures and standards set forth in subsection (b). Individual program plans shall attempt to treat the behavior necessitating the use of restraints. 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.
(b) Standards.
(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. The monitoring of patients/residents under restraint shall be recorded in the chart.
Cross References This section cited in 55 Pa. Code § 13.2 (relating to definitions of abuse); and 55 Pa. Code § 13.4 (relating to use of restraints to control involuntary movement due to organic causes or conditions).
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