(b) Physical restraints are not to be used to limit resident mobility:

1. (1) For the convenience of staff;
2. (2) As a means of punishment; or
3. (3) When not medically required to treat the resident's medical symptoms.

(d) The facility's written policy and procedures governing the use of restraint shall specify which staff members may authorize the use of restraints and must clearly specify the following:

1. (1) Orders shall indicate the specific reasons for the use of restraints;
2. (2) Use of restraints must be temporary and the resident will not be restrained for an indefinite or unspecified amount of time;

3. (3) Application of restraints shall not be allowed for longer than twelve (12) hours unless:

   1. (A) The resident's condition warrants; and
   2. (B) Specified medical authorization is maintained in the resident's medical record;

4. (4)

   1. (A) A resident placed in restraints shall be checked at least every thirty (30) minutes by appropriately trained staff.
   2. (B) A written record of this activity shall be maintained in the resident's medical record.
   3. (C) The opportunity for motion and exercise shall be provided for a period of not less than ten (10) minutes during each two (2) hours in which restraints are employed, except at night;

5. (5) Reorder, extensions, or reimposition of restraints shall:

   1. (A) Occur only upon review of the resident's condition by the physician; and
   2. (B) Be documented in the physician's progress notes;

6. (6) The use of restraints shall not be employed:

   1. (A) As punishment;
   2. (B) For the convenience of staff; or
   3. (C) As a substitute for supervision;

7. (7) Mechanical restraints must be employed in such manner as to:

   1. (A) Avoid physical injury to the resident; and
   2. (B) Provide a minimum of discomfort; and

8. (8) The practice of locking residents behind doors or other barriers:

   1. (A) Also constitutes physical restraint; and
   2. (B) Must conform to the policies and procedures for the use of restraints.