Section He-M 305.07 - Training(a) Facilities shall provide training for leadership in strategies toward the elimination of seclusion and restraint.(b) At a minimum, facilities shall provide training at the following intervals to all staff who will be involved in the use of any type of restraint or seclusion: (1) During initial orientation; and(2) During annual competency evaluation.(c) Staff shall not perform any action relative to restraint or seclusion without having been trained in the use of such methods, in accordance with (d) below.(d) Training in the use of restraint or seclusion shall address at least the following: (1) Techniques to identify behaviors, events, and environmental factors regarding individuals and staff that might trigger circumstances that require restraint or seclusion;(2) Use of non-physical interventions;(3) How to identify and choose positive behavioral supports and the least restrictive intervention based on an individualized assessment of the individual's medical or behavioral status or condition;(4) How to ensure that the individual and staff are able to communicate effectively;(5) Safe application and use of all types of restraint or seclusion, including mitigating positional risks that can result in asphyxia or airway obstruction, in accordance with individual needs;(6) How to monitor the physical and psychological well-being of the individual who is restrained or secluded;(7) How to recognize and respond to signs of physical and psychological distress;(8) How to identify clinical changes that indicate that restraint or seclusion is no longer necessary;(9) How to monitor respiratory and circulatory status, skin integrity, and vital signs during restraint; and(10) Training in first aid techniques and certification in cardiopulmonary resuscitation (CPR), including CPR recertification every two years.(e) Training shall be given by a person who: (1) As defined in writing by the facility, possesses the requisite qualifications based upon education, training, experience, and certification to teach the assessment of, and response to, an individual's medical or behavioral status or condition;(2) Is certified by a nationally recognized program, such as the American Heart Association, as an instructor in CPR; and(3) Is trained in crisis prevention utilizing a nationally recognized program or comparable curriculum.N.H. Admin. Code § He-M 305.07
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.