OAR 309-033-0733: Documentation

(1) No later than the end of their work shifts, the persons who obtained authorization and carried out the use of restraint shall document in the person's chart including but not necessarily limited to the following: (a) The specific behavior(s) which required the intervention of seclusion or restraint; (b) Less restrictive alternatives used before deciding seclusion or restraint was necessary; (c) The methods of intervention used and the patient's responses to the interventions; and (d) Findings and recommendations from the face-to-face evaluation discussed in OAR 309-033-0730(d) through (f) above. (2) Within 24 hours after the incident resulting in the use of restraint, the treating Licensed Independent Practitioner (LIP) who ordered the intervention must review and sign the order. (3) Each use of restraint must be reported daily to the health care supervisor. (4) Any death that occurs while a patient is in seclusion or restraint must be reported to the Division within 24 hours of the death. (5) Restraint/Seclusion Review Committee. Each facility must have a Restraint/Seclusion Review Committee. The committee may be one formed specifically for the purposes set forth in this rule, or the duties prescribed in this rule may be assigned to an existing committee. The purpose and duty of the Restraint/Seclusion Review Committee is to review and evaluate, at least quarterly, the appropriateness of all such interventions and provide its findings to the healthcare supervisor in a written report: (a) The committee shall evaluate incidents of seclusion and restraint for alternative approaches and interventions where a resident required seclusion or restraint. (b) In Class 1 facilities, the committee shall evaluate all incidents wherein a resident requiring restraint or seclusion was transferred to another facility for the administration of seclusion and restraint.