DHS 50.12(4)(e)1.1. A staff member is in a position, such as in a doorway, to prevent a youth from leaving the seclusion area.

DHS 50.12(4)(e)2.2. A door to a seclusion room is latched by positive pressure applied by a staff member’s hand without which the latch would spring back allowing the door to open on its own accord, or a program may use a magnetic door lock or a lock which requires the turn of a knob to unlock a door. Other designs of door locks shall not be used, including pad lock, key lock, or other locks of similar design.

DHS 50.12(5)(a)(a) Physical restraint shall only be administered to a youth during an emergency, when there is a serious threat of violence to other youth or a staff member, personal injury, or attempted suicide.

DHS 50.12(5)(b)(b) At a minimum, 2 staff members trained in the use of emergency safety interventions shall be physically present during the administration of physical restraint, and shall continually monitor the condition of the youth and the safe use of physical restraint throughout the duration of the intervention.

DHS 50.12(5)(c)(c) All of the following are prohibited forms of physical restraint:

DHS 50.12(5)(c)1.1. Pressure or weight on the chest, lungs, sternum, diaphragm, back, or abdomen, such as straddling or sitting on the torso.

DHS 50.12(5)(c)2.2. Pressure, weight, or leverage on the neck or throat, on any artery, or on the back of the head or neck, or that otherwise obstructs or restricts the circulation of blood or obstructs an airway, such as choke holds or sleeper holds.

DHS 50.12(5)(c)11.11. Any other physical restraint that is not administered during an emergency, that is administered for longer than necessary to prevent immediate injury to a youth or others, or that is administered for a purpose other than to prevent immediate injury to a youth or others.

DHS 50.12(5)(d)(d) Immediately, upon the termination of a physical restraint, a medical staff member, such as a physician, advanced practice nurse prescriber, physician assistant, or registered nurse shall conduct a follow-up assessment of the condition of the youth to ensure that the youth was not injured and shall document the finding of the assessment in the youth’s clinical record. If a staff member who is a physician or nurse is not present on site, a licensed treatment professional shall conduct the in-person assessment immediately upon termination of the physical restraint and notify a medical staff consultant.

DHS 50.12(5)(e)(e) If any injury is noted following a physical restraint, a staff member shall notify the youth’s legal representative and make a referral for medical care.

DHS 50.12(6)(a)(a) Unless clinically contraindicated, within 24 hours of administering a seclusion or physical restraint, a clinical staff member shall talk with the youth about each of the following:

DHS 50.12(6)(a)1.1. The circumstances that contributed to the seclusion or physical restraint and an evaluation of the appropriateness of the staff member’s actions.

DHS 50.12(6)(a)3.3. Any modifications that can be made in the youth’s services or treatment plan to prevent seclusion, physical restraint, or both, in the future.

DHS 50.12(6)(b)(b) A YCSF shall notify a youth’s parent or legal representative of any seclusion or physical restraint within 12 hours of it being administered to the youth. The YCSF shall document in the youth’s clinical record any situation in which notification has been attempted and the YCSF has been unable to contact the legal representative.

DHS 50.12(6)(c)(c) Each administration of seclusion or physical restraint shall be documented in the youth’s clinical record and shall specify all of the following: