OAR 291-071-0040
Authorization
(1)
Therapeutic restraint shall be applied only upon the verbal or written order of a physician. In the absence of a physician, a registered nurse may authorize application of therapeutic restraint for a period not to exceed one hour. The nurse shall document the specific behavior which required application of therapeutic restraint in the inmate’s clinical record.(2)
A physician shall personally assess the inmate prior to or within three hours following application of therapeutic restraint to assess the inmate and evaluate the appropriateness of the use of therapeutic restraint.(3)
Any evaluation of the appropriateness of the use of therapeutic restraint by a nurse and/or physician shall include consideration of the following:(a)
The inmate’s behavior;(b)
The need to protect staff and others in the facility;(c)
The inmate’s present physical ability to engage in violent or destructive behavior;(d)
The inmate’s response to various methods of control;(e)
The risk or degree of physical or psychological harm and discomfort that accompanies the use of therapeutic restraints; and(f)
The risk or degree of interference with the inmate’s treatment program, if any.(4)
The physician shall document the following in the inmate’s clinical record:(a)
The specific behavior which required application of therapeutic restraint;(b)
The inmate’s response to therapeutic restraint; and(c)
The reason the application was appropriate and the extent to which less restrictive measures were inadequate.
Source:
Rule 291-071-0040 — Authorization, https://secure.sos.state.or.us/oard/view.action?ruleNumber=291-071-0040.