Each facility shall have written policies and procedures for all restraint use. The use of restraints must be based on a comprehensive assessment of the resident's physical and cognitive abilities, evaluation and effectiveness of less restrictive alternatives, and an involvement of the resident in weighing the benefits and consequences. Restraint use requires a physician's, physician assistant's, or nurse practitioner's order that specifies time frames and types of restraints. Continued use of the restraint and reorders may be given only by an order of a physician, physician assistant, or nurse practitioner and following an assessment of the resident's condition by the interdisciplinary team. Restraints must be physically checked as ordered and documented by nursing personnel. Restraints may not be used to limit mobility, for convenience of personnel, for punishment, or as a substitute for supervision. Restraints may not hinder evacuation of the resident during fire or cause injury to the resident.

Source: 26 SDR 96, effective January 23, 2000; 27 SDR 59, effective December 17, 2000; 28 SDR 83, effective December 16, 2001; transferred from § 44:04:04:11.02 , 42 SDR 51, effective October 13, 2015 ; 51 SDR 53, effective November 11, 2024 .

General Authority: SDCL 34-12-13 .

Law Implemented: SDCL 34-12-13 .

Prior versions effective: 2015-10-13.