units. Each facility with a secured unit shall comply with the following
(1) Each physician's,
physician assistant's, or nurse practitioner's order for confinement that
includes medical symptoms that warrant seclusion or placement shall be
documented in the resident's chart and shall be reviewed periodically by the
physician, physician assistant, or nurse practitioner;
(2) Therapeutic programming
shall be provided and shall be documented in the overall plan of care;
(3) Confinement may not be
used as punishment or for the convenience of the staff;
(4) Confinement and its
necessity shall be based on a comprehensive assessment of the resident's
physical and cognitive and psychosocial needs, and the risks and benefits of
this confinement shall be communicated to the resident's family;
(5) Each locked door shall
conform to § 18.104.22.168.4 and § 22.214.171.124.4 of NFPA 101 Life Safety Code, 2009 edition; and
(6) Any staff assigned to
the secured unit shall have specific training regarding the unique needs of
residents in that unit. At least one caregiver shall be on duty on the secured
unit at all times.
38 SDR 115, effective January 9, 2012.
Authority: SDCL 34-12-13(5) and (14).
Implemented: SDCL 34-12-13(5) and (14).
NFPA 101 Life Safety Code, 2009
edition, § 126.96.36.199.4 and § 188.8.131.52.4 National Fire Protection
Association. Copies may be obtained from the National Fire Protection
Association, P.O. Box 9101, Quincy, MA 02269-9101. Phone: 1-800-344-3555. Cost: