<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s123a5c7f-e690-4cec-bf83-f684e12a46ecP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s123a5c7f-e690-4cec-bf83-f684e12a46ecC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s123a5c7f-e690-4cec-bf83-f684e12a46ecC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s123a5c7f-e690-4cec-bf83-f684e12a46ecC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s123a5c7f-e690-4cec-bf83-f684e12a46ec000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s123a5c7f-e690-4cec-bf83-f684e12a46ecC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecP0"><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:04:15"><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0-000000">44:73:04:15</span></a><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0-000001">.  Restraints.</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> </span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">Each facility shall have</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> written policies and procedures for all restraint use. The use of restraints </span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">must</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> be based on a comprehensive assessment of the resident's physical and cognitive abilities, evaluation and effectiveness of less restrictive alternatives, and an involvement of the resident in weighing the benefits and consequences. Restraint use requires a physician's, physician assistant's, or nurse practitioner's order </span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">that specifies</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> time frames</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> and types of restraints</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">. Continued use of the restraint and reorders may be given only by </span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">an order of a</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> physician, physician assistant, or nurse practitioner </span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">and following an assessment of the resident's condition by</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> the interdisciplinary team. Restraints </span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">must</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> be physically checked as ordered and documented by nursing personnel. Restraints </span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">may</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> not be used to limit mobility, for convenience of </span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">personnel</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">, for punishment, or as a substitute for supervision. Restraints </span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">may</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> not hinder evacuation of the resident during fire or cause injury to the resident.</span></p><p dir="ltr" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecP0"><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ec000002"> </span></p><p dir="ltr" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecP0"><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">    </span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0-000001">Source:</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> 26 SDR 96, effective January 23, 2000; 27 SDR 59, effective December 17, 2000; 28 SDR 83, effective December 16, 2001; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:04:11.02"><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0-000003">44:04:04:11.02</span></a><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">, 42 SDR 51, effective October 13, 2015</span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">; 51 SDR 53, effective November 11, 2024</span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">.</span></p><p dir="ltr" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecP0"><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">    </span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0-000001">General Authority:</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0-000003">34-12-13</span></a><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">.</span></p><p dir="ltr" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecP0"><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">    </span><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0-000001">Law Implemented:</span><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0-000003">34-12-13</span></a><span class="s123a5c7f-e690-4cec-bf83-f684e12a46ecC0">.</span></p><p dir="ltr" class="s123a5c7f-e690-4cec-bf83-f684e12a46ecP0"><span xml:space="preserve" class="s123a5c7f-e690-4cec-bf83-f684e12a46ec000002"> </span></p></div></body></html>