OAR 309-033-0732
Time Limits

(1)

The maximum time limit for each restraint or seclusion order — before consideration of a renewal, and up to a maximum of 24 hours — is as follows:

(a)

4 hours for adults 18 years of age or older;

(b)

2 hours for children and adolescents 9 to 17 years of age; or

(c)

1 hour for children under 9 years of age.

(2)

Orders may be renewed according to time limits for a maximum 24 hours verbally, by telephone, facsimile, or thru a computerized medical record. After each 24 hours of continuous restraint or seclusion, and prior to further extension of the restraint or seclusion, an examination and second opinion must occur by a second physician.

(3)

The physician responsible for the care of the patient shall examine a person within 24 hours of the administration of seclusion or restraint and the person must be examined by a nurse every two hours until such time as the physician examines the person and either makes new orders for seclusion nor restraint or for releasing the patient from seclusion or restraint. The physician must document reasons for the use of the seclusion or restraint over the physician’s signature.

(4)

A physician shall not order physical restraint on an as required basis, i.e. a physician shall not make “p.r.n.” orders for physical restraint.

(5)

No form of restraint shall be used as punishment, for the convenience of staff, or as a substitute for activities, treatment or training.

(6)

Medication will not be used as a restraint, but will be prescribed and administered according to acceptable medical, nursing and pharmaceutical practices.

(7)

Patients shall not be permitted to use restraint on other patients.

(8)

Physical restraint must be used in accordance with sound medical practice to assure the least risk of physical injury and discomfort. Any patient placed in physical restraint shall be protected from self-injury and from injury by others.

(9)

15 Minute Checks:

(a)

A patient in restraint or seclusion must be checked at least every 15 minutes.

(b)

15 minute checks include circulation checks, during waking hours adequate range of motion, and partial release of restraint to permit motion and exercise without endangering the patient or staff.

(c)

Attention must be paid to the patient’s basic personal needs (such as regular meals, personal hygiene and sleep) as well as the person’s need for good body alignment and circulation.

(d)

Staff must document that the patient was checked and appropriate attention paid to the person’s needs.

(e)

The patient must be released as soon as the patient is assessed by a nurse, physician, or nurse practitioner to not present imminent dangerousness to themselves or others.

Source: Rule 309-033-0732 — Time Limits, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=309-033-0732.

309–033–0200
Statement of Purpose and Statutory Authority 309–033–0210
Definitions 309–033–0220
General Standards 309–033–0230
Custody of Persons Alleged to Be Mentally Ill Prior to Filing a Notification of Mental Illness 309–033–0240
Initiation of the Civil Commitment Process 309–033–0250
Standards for Custody, Hospital and Nonhospital Holds, Emergency Commitment and Emergency Hospitalization of Persons Under Warrant of Detention 309–033–0260
Diversion from Commitment Hearing 309–033–0270
Provision of Care, Custody and Treatment of Persons Committed to the Division 309–033–0280
Procedures for Committed Persons on Outpatient Commitment or Trial Visit 309–033–0290
Assignment and Placement of Persons Committed to the Division 309–033–0300
Transfers Between Classes of Facilities 309–033–0310
Recertification for Continued Commitment 309–033–0320
Revocation of Conditional Release, Outpatient Commitment or Trial Visit 309–033–0330
Discharge of Committed Persons, Who Are Placed in the Community, from Commitment Status 309–033–0340
Variances 309–033–0400
Statement of Purpose and Statutory Authority 309–033–0410
Definitions 309–033–0420
Transportation and Transfer of Persons in Custody or On Diversion 309–033–0430
Transportation of a Committed Person to a State Hospital, Community Hospital or Nonhospital Facility 309–033–0432
Standards for the Approval of a Secure Transport Provider to Transport a Person in Custody or On Diversion to an Approved Holding Hospital or Nonhospital Facility 309–033–0435
Client Rights with Regards to a Secure Transport Provider 309–033–0437
Mechanical Restraint by a Secure Transport Provider 309–033–0440
Variance 309–033–0500
Statement of Purpose and Statutory Authority 309–033–0510
Definitions 309–033–0520
Classes of Facility that Provide Care, Custody or Treatment to Committed Persons or to Persons In Custody or On Diversion 309–033–0530
Approval of Hospitals and Nonhospital Facilities to Provide Services to Committed Persons and to Persons In Custody and On Diversion 309–033–0540
Administrative Requirements for Hospitals and Nonhospital Facilities Approved to Provide Services to Persons In Custody 309–033–0550
Standards for the Approval of Hospitals Detaining Persons In Custody Pending Transport to an Approved Holding Hospital or Nonhospital Facility 309–033–0560
Variances 309–033–0600
Statement of Purpose and Statutory Authority 309–033–0610
Definitions 309–033–0620
Obtaining Informed Consent to Treatment From a Person and the Administration of Significant Procedures Without the Informed Consent of a Committed Person 309–033–0625
Administration of Medication and Treatment without the Informed Consent of a Person in Custody 309–033–0630
Administration of Significant Procedures in Emergencies Without the Informed Consent of a Committed Person 309–033–0640
Involuntary Administration of Significant Procedures to a Committed Person With Good Cause 309–033–0650
Variances 309–033–0700
Purpose and Scope 309–033–0710
Definitions 309–033–0720
Application, Training and Minimum Staffing Requirements 309–033–0725
Medical Services 309–033–0727
Structural and Physical Requirements 309–033–0730
Seclusion and Restraint Procedures 309–033–0732
Time Limits 309–033–0733
Documentation 309–033–0735
Quarterly Reports 309–033–0740
Variances 309–033–0800
Statement of Purpose and Statutory Authority 309–033–0810
Definitions 309–033–0820
Denial of Payment for Services to Persons In Custody or On Diversion 309–033–0830
Variances 309–033–0900
Statement of Purpose and Statutory Authority 309–033–0910
Definitions 309–033–0920
Certification of Mental Health Investigators 309–033–0930
Investigation of Person Alleged to Be a Mentally Ill Person 309–033–0940
The Investigation Report 309–033–0950
Certification of Mental Health Examiners 309–033–0960
Mental Health Examiner’s Report to the Court 309–033–0970
Variances
Last Updated

Jun. 8, 2021

Rule 309-033-0732’s source at or​.us