Page 215

as well as chronological age;

(5) provide organized therapeutic activities with consideration for the interests and needs of the patients;

(6) document in each patient’s medical record the patient’s attitude and response to treatment;

(7) establish and implement guidelines for use of physical restraints and seclusion rooms which include the following requirements:

(A) the location of a seclusion room which allows for direct supervision and observation by staff;

(B) construction of a seclusion room which minimizes opportunity for concealment, escape, injury, or suicide, including locks and doors which open outwards;

(C) recording in a patient’s medical record the time the patient spent in seclusion or restraints;

(D) visiting a patient who is in restraints or seclusion at least hourly, and providing the patient with adequate opportunity for exercise, access to bathroom facilities, and time out of restraints or seclusion;

(E) limiting the use of restraints or seclusion to situations in which alternative means will not protect the patient or others from injury; and

(F) when practicable, consultation with the patient regarding the patient’s preference among available forms of adequate, medically advisable restraints, including medication;

(8) establish and implement guidelines for administration of a drug when given in an unusually high dose or when given for a purpose other than that for which the drug is customarily used, and for circumstances under which electroconvulsive shock therapy may be administered;

(9) provide that each treatment unit within the hospital keeps a confidential log of all referrals it initiates or receives;

(10) provide an area in which a patient can meet with an outside community service provider and other hospital personnel who assist in fulfilling the goals and objectives of the treatment plan;

(11) have a committee of the medical staff periodically evaluate the services provided and make appropriate recommendations to the medical staff and administration; and

(12) establish and implement

(A) controls for contraband;