(1) Upon an individual’s admission to a facility or program and at least annually thereafter, the facility or provider must obtain information and documents relevant to the use of reactive strategies from a variety of sources for the individual’s records. Appropriate sources include the individual, his or her family members, treating medical professionals, and other informants familiar with the individual. The individual’s records must include the following documentation:
    (a) A physician’s report of medical conditions or physical limitations that would place him or her at risk of physical injury during restraint or seclusion, or otherwise preclude the use of one or more reactive strategies; and,
    (b) Documentation of any history of trauma, such as a history of sexual or physical abuse, that the informants, individual, facility, or providers believe to be relevant to the use of reactive strategies.
    (2) Medical conditions or physical limitations that might create a risk to the individual include, but are not limited to, the following:
    (a) Obesity;
    (b) Cardiac conditions;
    (c) Pregnancy;
    (d) Asthma or other respiratory conditions;
    (e) Impaired gag reflex;
    (f) Back conditions or spinal problems;
    (g) Seizure disorders;
    (h) Deafness;
    (i) Blindness;
    (j) Limitations on range of motion;
    (k) Osteoporosis;
    (l) Osteopenia; and,
    (m) Hemophilia.
    (3) In addition to the annual review, the individual’s file information must be updated whenever there is a change in the individual’s physical or psychological condition that might affect his or her tolerance of one or more reactive strategies, or updated in compliance with any reassessments required by State or Federal law.
Rulemaking Authority 393.501, 393.13(4)(h)2., 916.1093(2) FS. Law Implemented 393.13(4)(h), 916.1093(2) FS. History-New 8-7-08.