MICHIGAN |
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Standard or
Definition
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Division of Child Welfare Licensing R 400.10101 - 400.10639
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Restraint
Definition
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"Resident restraint" means the use of material,
mechanical, medical, or physical techniques for restricting a resident's
behavior or movement.
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Restraint
Exclusions
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None specified.
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Chemical Restraint
Definition
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Not defined.
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Seclusion
Definition
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"Resident confinement room" means a locked or
unlocked room or area that is approved by the licensing authority for the
seclusion or retention of a resident.
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Seclusion
Exclusions
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None specified.
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Criteria for
Restraint and Seclusion
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Resident restraint. Rule 177.
- The facility shall establish and follow written policy
and procedures specifying the use of resident restraint.
- The written policy shall limit the uses of resident
restraint to the following:
- As a precaution against escape during transfer.
- For medical reasons by direction of the medical officer.
- To prevent self-injury, injury to others, or property damage.
- The written resident restraint policy shall prescribe
the maintenance of written records of the routine and emergency distribution
and use of restraint equipment.
- Restraint equipment and physical restraint techniques
shall not be used for punishment.
- Resident restraint shall only be applied for the
minimum time necessary to accomplish the purpose for its use as specifically
permitted in subrule (2) of this rule and shall only be applied with the
approval of the facility administrator or administrative designee. Approval
shall be obtained within 20 minutes after the restraint has been initiated.
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Monitoring
Requirements
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A staff member shall be present continuously while
material or mechanical restraint equipment is being used on a resident.
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Ordering and
Initiation
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None specified.
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In-person
Assessment
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None.
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Debriefing
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None.
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Family &
Guardian Notification
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None.
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Notification of
Rights and Restraint and Seclusion Policies and Procedures at admission
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None.
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Training
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A facility shall establish and follow a written plan of
ongoing staff training related to the facility's function, which shall
include all of the following areas:
- Developmental needs of
children.
- Child management techniques.
- Basic group dynamics.
- Appropriate discipline, crisis intervention,
deescalation techniques, and child handling techniques.
- The direct care worker's and the social service
worker's roles in the facility.
- Interpersonal communication.
- Proper and safe methods and techniques of restraint.
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Documentation
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Each use of material or mechanical restraint equipment
shall be documented in a written record and shall include all of the
following information:
- The name of the resident.
- The name of the administrator or designee who
authorized the use of the equipment, and the time of the authorization.
- The time the restraint equipment was applied.
- The name of the staff member who was responsible for
the application.
- A description of the specific behavior that
necessitated its use.
- The name of the staff person who was continuously with
the resident.
- The date and the time of removal of the equipment and
the name of the person removing the equipment.
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Reporting
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None.
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Quality Improvement
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None.
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