Each facility shall have written policies and procedures for all seclusion use. The use of seclusion must be based on a comprehensive assessment of the patient’s behaviors to prevent harm to self and others. Seclusion use requires a physician’s, physician assistant’s, or nurse practitioner’s order specifying time frames and type of seclusion. Continued use of seclusion and reorders may be given only by a physician, physician assistant, or nurse practitioner after a review of the patient’s condition. Seclusion may not be used to limit mobility, for convenience of staff, for punishment, or as a substitute for supervision. Seclusion may not hinder evacuation of the patient during fire or cause injury to the patient. Patients in seclusion must be visually monitored by staff at all times. A facility may not rely solely on the use of video surveillance of a patient in seclusion to meet the requirement for visual monitoring.

Source: 50 SDR 62, effective November 27, 2023 .

General Authority: SDCL 34-12-13 (14).

Law Implemented: SDCL 34-12-13 .