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· immediately prior to the expiration of the deadline for the application of the mechanical restraint measure, the psychiatrist will review the necessity of continuing with the
application of the measure and make appropriate decision, being understood that he
will order that the beneficiary subjected to the restraint is immediately released if no
further application of the measure is required;
· during the application of the mechanical restraint measure, medical staff will provide
increased attention and, to the extent possible, attend the beneficiary subjected to the
mechanical restraint, so that this measure would not include another measure of isolation (solitary confinement);
· the mechanical restraint measure will not be applied in the room accommodating beneficiaries that are not subjected to such measure, nor shall other beneficiaries be allowed
the access to this room;
· the psychiatrist who made a decision to apply the mechanical restraint measure shall
notify the director of the Hospital or any other person authorized by the director without delay, who shall then immediately inform the legal representative of the beneficiary
of the measure applied, or the member of the immediate family of the beneficiary subjected to such measure;
· special records shall be maintained about the application of the mechanical restraint
measure, in which any important information on the application of the measure must be
entered, in particular:
1. reasons for applying the mechanical restraint measure;
2. description of measures applied before the mechanical restraint;
3. type of devices used for mechanical restraint;
4. data about the location (room) where the mechanical restraint measure was
applied;
5. exact time (day/hour/minute) of the beginning of the mechanical restraint;
6. name of the psychiatrist who made the decision to apply the mechanical
restraint;
7. name of the health care worker who, in the absence of the psychiatrist, for
urgency reasons, performed the mechanical restraint of the agitated patient
before such decision was made by the psychiatrist; time of notifying the
psychiatrist about the measure taken; opinion of the psychiatrist regarding
whether the mechanical restraint measure was justified;
8. description of medical measures applied during the mechanical restraint;
9. description of any injuries of the patient subjected to the mechanical
restraint (inflicted before and during the applied measure), including any
injuries caused to other beneficiaries or health staff (during the event that
preceded the mechanical restraint);
10. data about the periodical visits to beneficiary who was subjected to the
measure of mechanical restraint and monitoring his condition by the psychiatrist (number of visits, exact time of visits, actions taken);
11. information about the time of notifying the Home director or other person authorized by him about the applied measure of mechanical restraint
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