Each facility must have written policies and procedures for all restraint use, including emergency restraints, bedrails, and locked doors. The use of restraints shall be based on a comprehensive assessment of the patient's physical and cognitive abilities, evaluation and effectiveness of less restrictive alternatives, and an involvement of the patient in weighing the benefits and consequences. Restraint use requires a physician's physician assistant's, or nurse practitioner's order including specific time frames and types of restraint. Continued use of the restraint and reorders may be given only by the physician's, physician assistant's, or nurse practitioner's order and a review of the patient'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 staff, for punishment, or as a substitute for supervision. Restraints may not hinder evacuation of the patient during fire or cause injury to the patient.
S.D. Admin. R. 44:75:04:12
General Authority: SDCL 34-12-13(14).
Law Implemented: SDCL 34-12-13(14).