433.5499 - Use of mechanical restraint on client of forensic facility; requirements; exceptions; report as denial of rights.
433.5499 Use of mechanical restraint on client of forensic facility; requirements; exceptions; report as denial of rights.
1. Except as otherwise provided in subsection 3, mechanical restraint may be used on a person with a disability who is a client of a forensic facility only if:
(a) An emergency exists that necessitates the use of the mechanical restraint;
(b) The client’s behavior presents an imminent threat of causing physical injury to himself or herself or to others or causing severe property damage and less restrictive measures have failed to modify the client’s behavior;
(c) The client is in the care of the facility but not on the premises of the facility and mechanical restraint is necessary to ensure security; or
(d) The client is in the process of being transported to another location and mechanical restraint is necessary to ensure security.
2. If mechanical restraint is used pursuant to subsection 1, the forensic facility shall ensure that:
(a) The mechanical restraint is applied by a member of the staff of the facility who is trained and qualified to apply mechanical restraint;
(b) A member of the staff of the facility continuously monitors the client during the time that mechanical restraint is used on the client;
(c) The record of the client contains a notation that indicates the time period during which the restraint was used and the circumstances warranting the restraint; and
(d) The mechanical restraint is used only for the period that is necessary.
3. Mechanical restraint may be used on a person with a disability who is a client of a forensic facility, and the provisions of subsections 1 and 2 do not apply if the mechanical restraint is used to:
(a) Treat the medical needs of a client;
(b) Protect a client who is known to be at risk of injury to himself or herself because the client lacks coordination or suffers from frequent loss of consciousness;
(c) Provide proper body alignment to a client; or
(d) Position a client who has physical disabilities in a manner prescribed in the client’s plan of services.
4. If mechanical restraint is used in an emergency on a person with a disability who is a client of a forensic facility, the use of the procedure must be reported as a denial of rights pursuant to NRS 433.534, regardless of whether the use of the procedure is authorized by statute. The report must be made not later than 1 working day after the procedure is used.
5. As used in this section, “forensic facility” means a secure facility of the Division for offenders and defendants with a mental disorder who are ordered to the facility pursuant to chapter 178 of NRS.
(Added to NRS by 2001, 2743)