1. (1) A licensed practitioner may renew the original order, including a verbal order, if a service recipient continues to need isolation, mechanical restraint, or physical holding restraint beyond the time limit of the original order. Renewals must comply with 0940-03-09-.07 and 0940-03-09-.08. Under no circumstance may isolation, mechanical restraint, or physical holding restraint exceed twenty-four (24) continuous hours.
2. (2) Isolation, mechanical restraint, and physical holding restraint may not be ordered on a PRN basis or as a standing order. Mechanical restraint or physical holding restraint may not be used simultaneously with isolation.

Authority: T.C.A. §§ 4-4-103, 4-5-202, 4-5-204, 33-1-302, 33-1-305, 33-1-309, and 33-3-120; and 42 C.F.R. §§ 483.356(a)(2) and (4), 483.362(b), and 483.364(c). Administrative History: Original rule filed March 3, 2008; effective May 17, 2008.