1. (a) A physical restraint, defined as a manual method that restricts, immobilizes or reduces a client’s ability to move the client’s arms, legs, head or other body parts freely, may only be used in the case of an emergency to prevent a client from immediate physical harm to the client or others.
2. (b) Verbal redirection, physical prompts, escorting and guiding a client are permitted.
3. (c) A prone position physical restraint is prohibited.
4. (d) A physical restraint that inhibits digestion or respiration, inflicts pain, causes embarrassment or humiliation, causes hyperextension of joints, applies pressure on the chest or joints or allows for a free fall to the floor is prohibited.
5. (e) A physical restraint may not be used for more than 30 cumulative minutes within a 2-hour period.

Authority

The provisions of this § 2390.178 issued under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).

Source

The provisions of this § 2390.178 adopted October 4, 2019, effective in 120 days, 49 Pa.B. 5777.