Section He-M 305.06 - Review and Documentation of Emergency Response(a) At the time that any emergency treatment, seclusion, or restraint is administered in a facility pursuant to He-M 305, the physician administering or directing such treatment, or a person acting under his or her direction, shall promptly record the circumstances pertaining to the personal safety emergency.(b) The person completing a record pursuant to (a) above shall include the following: (1) The individual's name;(2) The date and time when the report is completed;(3) The physician's name;(4) A description of the individual's physical or mental status and the act or pattern of behavior which constitutes the emergency;(5) The names of any witnesses other than the individual;(6) A description of any alternatives attempted or considered prior to declaring a personal safety emergency;(7) Any treatment limitations;(8) A description of the specific emergency treatment, seclusion, or restraint ordered; and(9) The physician's signature.(c) As soon as possible following an involuntary emergency treatment, seclusion, or restraint, facility medical or nursing staff, or both shall advise the individual's treating physician regarding the emergency intervention if such intervention was not ordered by the treating physician.(d) As soon as possible following the resolution of the emergency situation, nursing staff shall: (1) Address any physical injuries or trauma that might have occurred as a result of the episode;(2) Hold and document a discussion with the individual to:a. Review the circumstances that led up to the emergency with the individual involved;b. Ascertain the individual's willingness or desire to involve family or other caregivers in a debriefing to discuss and clarify their perceptions about the episode and to identify additional alternatives or treatment plan modifications;c. Hear and document the individual's perspective on the episode;d. Discuss and clarify any possible misperceptions the individual or staff might have concerning the incident;e. Identify with the individual any environmental changes or alternative interventions to reduce the potential for additional episodes; andf. Ascertain whether the individual's rights and physical well-being were addressed during the episode and advise the individual of the process to address perceived rights grievances; and(3) Support the individual's re-entry into the treatment setting.(e) Within one business day, nursing staff shall, after discussion with the individual, modify the treatment plan as needed through a treatment team review including areas noted in (d) (1) -(3) above and seek an informed decision on that plan by the individual.(f) An executive review of the clinical appropriateness of the use of seclusion or restraint shall be conducted: (1) As authorized by the facility's chief executive officer;(2) On the next business day following a personal safety emergency;(3) To assess compliance with the requirements of He-M 305;(4) To consider and take any action needed to prevent the recurrence of the same or similar personal safety emergencies; and(5) To include: a. A member of the individual's treatment team;b. A member of nursing management; andc. The medical director or designee.(g) If the individual subject to seclusion or restraint is a child, information shall be collected and notification made pursuant to RSA 126-U:7 and 126-U:10.N.H. Admin. Code § He-M 305.06
#3095, eff 8-19-85; EXPIRED: 8-19-93
New. #5204, eff 8-22-91, EXPIRED: 8-22-97
New. #7183, eff 12-24-99, EXPIRED: 12-24-07
New. #9120, eff 4-3-08
Amended by Volume XXXVI Number 23, Filed June 9, 2016, Proposed by #11102, Effective 5/25/2016, Expires 11/21/2016.Amended by Volume XXXVII Number 2, Filed January 12, 2017, Proposed by #12077, Effective 12/28/2016, Expires 12/28/2026.