Section 0940-03-06-.19 - TRAINING(1) The hospital must identify specific staff, based on their job responsibilities, who are involved in the use of isolation or restraint and must assure that they are adequately trained and are competent in the following areas:(a) Medical/physical and psychological risk factors associated with the use of isolation and restraint,(b) Prevention of and early intervention for assaultive, self-injurious behavior,(c) Specific techniques approved by the hospital for the safe and appropriate application and removal of isolation and restraint, including physical holding,(d) Use of specific devices, materials, and/or equipment approved by the hospital for use as mechanical restraints,(e) Procedures to address problems associated with the use of restraints,(f) Hospital policies and procedures regarding isolation and restraint that are in compliance with this chapter,(g) Needs and behaviors of the population served,(i) Applicable state and federal law and regulations.(2) The hospital must identify specific staff that must be trained before assuming direct care responsibilities. All other identified staff must be trained within six (6) weeks of initial employment. The hospital must provide annual refresher training on all of the above training elements.(3) If diploma, associate, or baccalaureate prepared registered nurses are responsible for the assessment of the service recipient's condition within one (1) hour of the initiation of isolation or physical restraint, the hospital must identify specific registered nurses with this responsibility and must assure that they are adequately trained and are competent in the following areas: (a) Anticipation of adverse medical/physical and psychological service recipient response(s) which had been identified in the risk assessments required in 0940-3-6-.10;(b) Anticipation of adverse medical/physical and psychological response(s) based upon the current condition of the service recipient;(c) Identification and management of adverse medical/physical and psychological response(s) resulting from the use of isolation or physical restraint; and(d) Identification and utilization of the service recipient's mental preparedness to self regulate and objectively appraise the isolation or physical restraint event.Tenn. Comp. R. & Regs. 0940-03-06-.19
Original rule filed October 3, 2002; effective December 17, 2002. Amendment filed December 26, 2007; effective April 29, 2007.Authority: T.C.A. §§ 4-4-103, 4-5-202, 4-5-204, 33-1-120, 33-1-302, 33-1-305, 33-1-309, 33-2-301, and 33-2-302.