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ARTICLE/SECTIO,, YES NO N/A COMMENTS 1058 Use of Restraint Devices X THIS HOLDING FACILITY DOES NOT PRACTICE USE OF RESTRAINTS NOTED IN (Note: The regulation distinguishes "use offorce" TIS-1055. from use of restraints. Health inspectors should familiarize themselves with this discussion in the Medical-Mental Health Guidelines and contact their BOC Field Representative if there are questions regarding applicability to a particular facility.) Restraints are used only to hold inmates who display behavior that results in the destruction of property or reveals an intent to cause physical harm to self or others. Restraints are not used as discipline or as a substitute X THIS HOLDING FACILITY DOES NOT for treatment. PRACTICE USE OF RESTRAINTS NOTED IN TIS-1055. There are polices and procedures for the use of X THIS HOLDING FACILITY DOES NOT restraint devices including acceptable restraint PRACTICE USE OF RESTRAINTS NOTED IN devices;signs or symptoms which should result in TIS-1055. immediate medical/mental health referral; availability of CPR equipment;protective housing of restrained persons;provisions for hydration and sanitation needs;and exercising of extremities. Inmates are placed in restraints only with approval of X THIS HOLDING FACILITY DOES NOT the facility manager,watch commander,or if PRACTICE USE OF RESTRAINTS NOTED IN delegated,a physician. TIS-1055. All inmates in restraints are housed alone or in a X THIS HOLDING FACILITY DOES NOT specified area for restrained inmates. PRACTICE USE OF RESTRAINTS NOTED IN TIS-1055. Direct visual observation is conducted and logged at X THIS HOLDING FACILITY DOES NOT least twice every 30 minutes. PRACTICE USE OF RESTRAINTS NOTED IN TIS-1055. Continued retention in such restraints is reviewed X THIS HOLDING FACILITY DOES NOT every two hours. PRACTICE USE OF RESTRAINTS NOTED IN TIS-1055. A medical opinion on placement and retention is X THIS HOLDING FACILITY DOES NOT secured as soon as possible but no later than four PRACTICE USE OF RESTRAINTS NOTED IN hours from the time of placement. TIS-1055. Medical review for continued retention in restraint X THIS HOLDING FACILITY DOES NOT devices occurs at a minimum of every six hours. PRACTICE USE OF RESTRAINTS NOTED IN TIS-1055. A mental health consultation is secured as soon as X THIS HOLDING FACILITY DOES NOT possible,but no later than eight hours from the time PRACTICE USE OF RESTRAINTS NOTED IN of placement. TIS-1055. Summary of medical/mental health evaluation: SATISFACTORY ADULT CH-TH MED-MH;9/17/01 MEDICAL/MH PAGE 4 Court And Temp Holding BOC FORM 357(Rev.a,"5/0I)