Restraints and other restrictive interventions
Arkansas Code § 20-48-205; Arkansas Code § 20-76-201; Arkansas Code § 25-10-129
(a)
- (1) A provider cannot use a restraint on a beneficiary unless the restraint is required as an emergency safety intervention.
(2) An emergency safety intervention is required when:
- (A) An immediate response with a restraint is required to address an unanticipated beneficiary behavior; and
- (B) The beneficiary’s behavior places the beneficiary or others at serious threat of harm if no intervention occurs.
- (3) The use of seclusion for a beneficiary is strictly prohibited.
(4) The use of the following types of restraints on a beneficiary are strictly prohibited:
- (A) Mechanical restraint; and
- (B) Chemical restraint.
(b) If a provider uses a restraint, the provider must:
(1) Comply with the use of the restraint as prescribed by the beneficiary’s:
- (A) Behavioral prevention and intervention plan, if applicable; and
- (B) Positive behavior support plan, if applicable;
- (2) Continuously monitor the beneficiary during the entire use of the restraint; and
- (3) Maintain in-person visual and auditory observation of the beneficiary by an employee during the entire use of the restraint.
(c)
- (1) A provider must document each use of a restraint whether the use was permitted or not.
(2) The documentation must include at least the following:
- (A) The behavior precipitating the use of the restraint;
- (B) The length of time the restraint was used;
- (C) The name of the individual that authorized the use of the restraint;
- (D) The names of all individuals involved in the use of the restraint; and
- (E) The outcome of the use of the restraint.