Section R. 400.1414 - Resident behavior management; use of physical restraint, physical restraint reportRule 14.
(1) Excluding those forms of behavior management prohibited in R 400.1412, physical restraint may be used when it has been determined that any of the following exists: (a) Substantial risk or an occurrence of self-destructive behavior.(b) Substantial risk or an occurrence of serious physical assault.(c) Substantial risk or an occurrence of destruction of property.(2) Physical restraint shall be used to the minimum extent and the minimum duration necessary, and then only after less restrictive means of protection have failed.(3) Physical restraint shall be employed to allow the resident the greatest possible comfort and to avoid physical injury and mental distress.(4) If a resident requires the repeated and prolonged use of physical restraint or time-out within a 24-hour period, the licensee shall initiate a review process which includes all responsible persons and the resident's designated representative and responsible agency to evaluate the need for a more intensive treatment setting.(5) All uses of physical restraint shall be noted in the resident's record. This notation shall include all of the following information:(a) The nature of the physical restraint used.(b) The reason for the use of physical restraint.(c) The types of less restrictive alternatives which were tried.(d) The person authorizing the physical restraint.(e) The times and dates physical restraint was administered.(6) A licensee shall make available reports of all uses of physical restraint when requested by the resident's designated representative, responsible agency, or the department.Mich. Admin. Code R. 400.1414