OAR 309-033-0730: Seclusion and Restraint Procedures

(1) Certified facilities shall not use seclusion and restraint except in an emergency and only then subject to the conditions and limitations of these rules. (2) General procedures: (a) Only a Licensed Independent Practitioner (LIP), physician assistant, or registered nurse may initiate seclusion or restraint procedures; (b) Each use of seclusion or restraint shall be monitored and supervised by a LIP or a registered nurse; (c) A LIP responsible for the patient’s care must order the use of seclusion or restraint within one hour of the administration of the procedure. This approval must be documented in the person's medical record. The LIP's order may occur by the following methods: (A) Verbally, in person or via telephone; (B) By Electronic Medical Record; or (C) By a written order. (d) Within one hour after the initiation of the seclusion or restraint intervention, the patient must be seen face-to-face by a LIP, a registered nurse or physician assistant who has been trained in accordance with these rules; (e) If the face-to-face evaluation is performed by a registered nurse or physician assistant, the evaluator must consult with the attending LIP as soon as possible following the face-to-face evaluation; (f) The face-to-face evaluation must include the following: (A) An evaluation of the patient's immediate situation; (B) The patient's reaction to the intervention; (C) The patient's medical and behavioral condition; and (D) The need to continue or terminate the restraint or seclusion.