§ 6400.200. Mechanical restraints.

 (a)  A mechanical restraint is a device used to control acute, episodic behavior that restricts the movement or function of an individual or portion of an individual’s body. Examples of mechanical restraints include anklets, wristlets, camisoles, helmets with fasteners, muffs and mitts with fasteners, poseys, waist straps, head straps, restraining sheets and similar devices.

 (b)  The use of a mechanical restraint is prohibited except for use of helmets, mitts and muffs to prevent self-injury on an interim basis not to exceed 3 months after an individual is admitted to the home.

 (c)  If a mechanical restraint is used as specified in subsection (b), the following apply:

   (1)  The use of a mechanical restraint may not exceed 2 hours, unless a licensed physician examines the individual and gives written orders to continue use of the restraint. Reexamination and new orders by a licensed physician are required for each 2-hour period the restraint is continued. If a restraint is removed for any purpose other than for movement and reused within 24 hours after the initial use of the restraint, it is considered continuation of the initial restraint.

   (2)  A licensed physician shall be notified immediately after a mechanical restraint is used.

   (3)  The restraint shall be checked for proper fit by a staff person at least every 15 minutes.

   (4)  The physical needs of the individual shall be met promptly.

   (5)  The restraint shall be removed completely for at least 10 minutes during every 2 hours the restraint is used, unless the individual is sleeping.

   (6)  There shall be training for the individual aimed at eliminating or reducing the need for the restraint in the future.

   (7)  Documentation of compliance with subsection (b) and paragraphs (1)—(6) shall be kept.

 (d)  A device used to provide support for functional body position or proper balance and a device used for medical treatment, such as sand bags to limit movement after medical treatment, a wheelchair belt that is used for body positioning and support or a helmet for prevention of injury during seizure activity, are not considered mechanical restraints.


   The provisions of this §  6400.200 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595.

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