Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 10. Maryland Department of Health |
Part 3. |
Subtitle 21. MENTAL HYGIENE REGULATIONS |
Chapter 10.21.13. Use of Quiet Room and Use of Seclusion |
Sec. 10.21.13.05. Placement of a Patient in a Seclusion Room
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A. When possible, staff shall advise a patient, in a nonthreatening manner, that continuation of a specific behavior may result in the use of seclusion.
B. When a physician or registered nurse determines that the use of seclusion is appropriate, staff involved shall make a reasonable effort to verbally persuade the patient to enter the seclusion room.
C. To the extent consistent with the patient's safety and the safety of others:
(1) Staff shall place the patient in the seclusion room in as dignified a manner as the situation permits, using the least amount of physical force necessary; and
(2) As necessary, additional staff shall participate in the placement of a patient in seclusion.
D. Unless a physician or registered nurse determines that it is unsafe to do so, staff shall permit the patient to wear all or a portion of the patient's own clothes or another form of attire.
E. Staff shall search the patient for potentially harmful objects.
F. If staff determines a need for objects to be removed pursuant to §E of this regulation, staff shall ask the patient, in a nonthreatening manner, to surrender the objects.
G. Unless contraindicated for safety reasons, staff shall permit the patient to wear eyeglasses, hearing aids, dentures, or prosthetic devices.
H. Staff shall inspect the seclusion room for potentially dangerous conditions and, as appropriate, shall fully secure the room.