1. A. While the patient is secluded, in order to provide appropriate clinical care, at a minimum, clinically trained staff shall:

   1. (1) Observe the patient at least every 15 minutes, and document each observation by the observer;
   2. (2) Unless contraindicated by circumstances as assessed and documented by a physician or registered nurse, at least hourly, make and document personal contact with the patient for the purpose of determining if the patient has any special needs which need attention;

   3. (3) Unless contraindicated by circumstances as assessed and documented by a physician or registered nurse, offer or provide the following:

      1. (a) Toilet facilities, at least every 2 hours;
      2. (b) Bathing and oral hygiene, at least once during a 24-hour period;
      3. (c) Meals, at the regularly scheduled hours and under the supervision of nursing personnel; and
      4. (d) Fluids, at least every 2 hours; and
   4. (4) As clinically indicated, record temperature, pulse, blood pressure, and respirations.
2. B. At least once every 2 hours, a physician or registered nurse shall assess the appropriateness of continuing the seclusion and document the factors supporting the assessment in the patient's medical record.
3. C. When the patient's behavior no longer places the patient or others in serious threat of violence or injury, the patient shall be released from seclusion.

Authority: Health-General Article, §§10-101(g) and 10-701, Annotated Code of Maryland

Effective date: October 25, 1993 (20:21 Md. R. 1654)

Regulation .01 amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .02B amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .03 amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .04 amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .05C amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .05I adopted effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .06C amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .07 amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .08D amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .01D, F amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .12B amended effective November 24, 2025 (52:23 Md. R. 1139)