(a) Restraint use should be:

1. (1) Implemented in the least restrictive manner possible;
2. (2) Applied in accordance with safe and appropriate techniques; and
3. (3) Ended at the earliest possible time.

(b)

1. (1) Each order for the application of restraints shall:

   1. (A) Be time-limited; and
   2. (B) Include the type of restraint to be used.

2. (2) Restraint orders shall not be written:

   1. (A) As a standing order; or
   2. (B) On an as-needed basis (PRN).

(c)

1. (1) Restraints, either physical or chemical, shall be applied only after less-restrictive measures have failed.

2. (2) Restraints shall not be used as a:

   1. (A) Matter of convenience for the staff; or
   2. (B) Tool for disciplining the patient.
3. (3) When the use of a restraint is clinically indicated, it shall be used only in accordance with the order of a physician or nonphysician licensed medical professional who has been appropriately credentialed by the medical staff with approval by the governing body.

(d) Documentation of a comprehensive assessment and modification to the plan of care shall include:

1. (1) The less-restrictive measures attempted;
2. (2) Justification for the continued need of restraint; and
3. (3) That the patient and/or significant other has been informed of the reason for restraint use.