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MINNESOTA
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Standard or
Definition
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CHAPTER 9545
DEPARTMENT OF HUMAN
SERVICES
LICENSING OF
FACILITIES FOR CHILDREN
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Restraint
Definition
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Physical restraint
or restraints. "Physical restraint" or "restraints"
means the use of devices to limit a child's movement or hold a child
immobile.
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Restraint
Exclusions
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Physical holding. "Physical holding" means intervention
intended to hold a child immobile or limit a child's movement by using body
contact as the only source of restraint.
The term “Physical restraint or restraints” does not apply to restraints used for medical
needs such as braces or splints.
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Chemical Restraint
Definition
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None.
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Seclusion
Definition
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Isolation.
"Isolation" means involuntary confinement, either alone or with a
staff member, in a room where the child can be continuously observed but is
prevented from leaving by devices or objects positioned to hold the door
closed.
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Seclusion
Exclusions
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None.
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Criteria for
Restraint and Seclusion
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Isolation and
restraints. A minor patient who has been admitted to a residential
program as defined in section 253C.01 has the right to be free from physical
restraint and isolation except in emergency situations involving a likelihood that the patient will physically harm the
patient's self or others. These procedures may not be used for disciplinary
purposes, to enforce program rules, or for the convenience of staff.
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Monitoring
Requirements
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None specified.
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Ordering and
Initiation
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Prior authorization
for emergency use of isolation or
restraints. "Prior authorization for emergency use of isolation or
restraints" means a written statement by a physician, psychiatrist, or
licensed psychologist who has reviewed a child's medical history, history of
injurious behavior, and other assessments and diagnoses. The statement allows
the use of isolation or restraint in a situation where the child poses a
threat of harm to self or others.
Isolation or restraint may be used only upon the prior
authorization of a physician, psychiatrist, or licensed psychologist, only
when less restrictive measures are ineffective or not feasible and only for
the shortest time necessary.
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In-person
Assessment
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None specified.
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Debriefing
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Quarterly review of
individual treatment plan. A license holder must review a child's
individual treatment plan every 90 days. The quarterly review must document
that:
A. treatment team members participated in the review;
B. the summary of the review addresses the success of the
original plan, whether the child requires the same, or less, or more
treatment than originally projected, whether any prior authorization for the
use of isolation or restraint should be continued, and how the original plan
and discharge date should be modified if change is indicated.
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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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None specified.
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Documentation
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Noted above in the “Debriefing” section.
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Reporting
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None.
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Quality Improvement
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None specified.
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