Page 218

(d) A committee of the medical staff shall periodically evaluate the services provided and make appropriate recommendations to the medical staff and administration. (e) A substance abuse hospital must have written policies regarding the use of restraints which include the following requirements:

(1) recording in a patient’s medical record the time the patient spent in restraints;

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

(3) limiting the use of restraints to situations in which alternative means will not protect the patient or others from injury. (f) A substance abuse hospital must routinely report on patient outreach services and recommendations to any individual, agency, or organization that has assisted in the identification or referral of a substance abuse patient. (Eff. 11/19/83, Register 88) Statutory Authority: Authority: AS 18.20.010 AS 18.20.060 7 AAC 12.225. Rehabilitation hospitals. (a) A rehabilitation hospital or unit of a hospital that is operated primarily for the purpose of assisting in the restoration of persons with physical disabilities, communication, language, or self-image disorders, through an integrated program of medical, psychological, social, and vocational evaluation and services, and in which the major portion of the evaluation and services is furnished within the facility, is a rehabilitation hospital and must comply with the provisions of this section. (b) A rehabilitation hospital must provide, in addition to services required in 7 AAC 12.205, physical therapy and occupational therapy services. (c) A physician who is certified by the American Board of Physical Medicine and Rehabilitation must have responsibility for the general direction and supervision of the medical services provided and the coordination of all services provided. (d) An inpatient must be under the care of a member of the medical staff.