<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.sbbd6da6a-2bfa-40a5-bca6-4edb799769a8P0 { margin-top: 0; line-height: 12.0pt; 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; } span.sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sbbd6da6a-2bfa-40a5-bca6-4edb799769a8000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0-000003 { 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="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8P0"><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:04:12"><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0-000000">44:75:04:12</span></a><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0-000001">.  Restraints.</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> </span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">Each facility must have</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> written policies and procedures for all restraint use, including emergency restraints, bedrails, and locked doors. The use of restraints </span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">must</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> 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</span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">, physician assistant's,</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> or </span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">nurse</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> practitioner's order </span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">specifying</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> time frames</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> and types of restraints</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">. Continued use of the restraint and reorders may be given only by </span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">a</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> physician</span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">'s, physician assistant's,</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> or </span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">nurse</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> practitioner's order and </span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">a review of the patient condition by </span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">the interdisciplinary team. Restraints </span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">must</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> 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. </span></p><p dir="ltr" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8P0"><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8000002"> </span></p><p dir="ltr" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8P0"><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">    </span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0-000001">Source:</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> 42 SDR 51, effective October 13, 2015</span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">; 50 SDR 62, effective November 27, 2023</span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">.</span></p><p dir="ltr" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8P0"><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">    </span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0-000001">General Authority:</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0-000003">34-12-13</span></a><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">(14).</span></p><p dir="ltr" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8P0"><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">    </span><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0-000001">Law Implemented:</span><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0-000003">34-12-13</span></a><span class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8C0">.</span></p><p dir="ltr" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8P0"><span xml:space="preserve" class="sbbd6da6a-2bfa-40a5-bca6-4edb799769a8000002"> </span></p></div></body></html>