This regulation governs the use of restraint and seclusion for adult patients in Oregon State Hospital (a state psychiatric institution). It prescribes policies and procedures for authorizing, ordering, documenting, and monitoring restraint or seclusion, requiring that these interventions be used only to ensure imminent physical safety, discontinued at the earliest possible time, and carried out by trained staff with appropriate physician or nurse practitioner oversight. Facility operators must maintain documentation in patient medical records, provide staff training, and establish a review committee to oversee all uses of restraint and seclusion.
View official sourceOregon Health Authority Health Systems Division: Behavioral Health Services - Chapter 309 Division 112 USE OF RESTRAINT AND SECLUSION FOR PATIENTS IN STATE INSTITUTIONS 309-112-0000 Purpose and Statutory Authority (1) Purpose. These rules prescribe policies and procedures concerning the use of restraint or seclusion in the treatment and in the behavior management of patients in state institutions operated by the Division. In addition to these general rules, other more specific requirements established by federal regulations must be followed where applicable. (2) Statutory Authority. These rules are authorized by ORS 179.040 and 413.042 and carry out the provisions of 426.385. (3) The rules set out in Chapter 309, Division 112 are applicable on and after September 23, 2020. Statutory/Other Authority: ORS 179.040 & 413.042 Statutes/Other Implemented: ORS 426.385 History: BHS 25-2025, amend filed 12/22/2025, effective 12/29/2025 BHS 19-2025, temporary amend filed 07/03/2025, effective 07/03/2025 through 12/29/2025 BHS 16-2022, amend filed 08/11/2022, effective 08/11/2022 BHS 6-2022, temporary amend filed 04/12/2022, effective 04/12/2022 through 10/08/2022 MHS 2-2016, f. & cert. ef. 4-21-16 Reverted to MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHS 6-2015(Temp), f. 10-20-15, cert. ef. 10-21-15 thru 4-15-16 Reverted to MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHS 2-2013(Temp), f. & cert. ef. 1-23-13 thru 7-19-13 MHD 1-1984, f. 1-20-84, ef. 2-1-84 Reverted to MHD 7-1982, f. & ef. 3-29-82 MHD 22-1982(Temp), f. & ef. 9-24-82 MHD 7-1982, f. & ef. 3-29-82 MHD 1-1982(Temp), f. & ef. 1-14-82 309-112-0005 Definitions (1) “Chief Medical Officer” means the physician designated by the superintendent of each state institution pursuant to ORS 179.360(1)(f) who is responsible for the administration of medical treatment at each state institution, or their designee. (2) “Division” means the Division of State Hospitals of the Oregon Health Authority. (3) “Interdisciplinary Team (IDT)” means a group of professional and direct care staff which has primary responsibility for the development of a plan for the care and treatment of an individual patient. (4) “Oregon State Hospital” or “OSH” or “hospital” means any campus of the Oregon State Hospital system providing inpatient care and/or treatment to individual who are 18 years or older whether the program where the individual is receiving care and/or treatment is licensed at hospital level of care or other licensed level of care. (5) “OSH Staff” means OSH employees, contractors, interns, and volunteers who have direct or indirect contact with patients. (6) “Patient” means an individual who is 18 years or older who is receiving inpatient care and/or treatment in a state institution for the mentally ill, whether the program where the individual is receiving care and/or treatment is licensed at hospital level of care or other licensed level of care. (7) “Restraint” means any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely. “Restraint” does not include devices, such as orthopedically prescribed devices, surgical dressings or bandages, protective helmets, or other methods that involve the physical holding of a patient for the purpose of conducting routine physical examinations or tests, or to protect the patient from falling out of bed, or to permit the patient to participate in activities without the risk of physical harm (this does not include a physical escort). (8) “Seclusion” means the involuntary confinement of a patient alone in a locked room or area from which the patient is physically prevented from leaving. Seclusion does not include: (a) When a patient requests to be placed alone in an unlocked room; or (b) When a patient is with others in a locked unit or area. (9) “Seclusion/Restraint Review Committee” means a committee, which may use a different name, appointed by the superintendent of each state institution as provided in OAR 309-112-0030. (10) “Security Area” means any campus of the Oregon State Hospital system in which a program is conducted for higher acuity patients, including those judged guilty except for insanity, those court ordered into a secure program prior to trial, and those court committed patients not manageable in less secure programs. (11) “Security Transportation” means placing a patient in restraint and transporting the patient outside of a security area. (12) “State Institution” means any campus of the Oregon State Hospital system providing inpatient care and/or treatment to individuals who are 18 years or older whether the program where the individual is receiving care and/or treatment is licensed at hospital level of care or other licensed level of care. (13) “Superintendent” means the executive head of the Oregon State Hospital system as listed in section (5) of this rule, or their designee. Statutory/Other Authority: ORS 179.040, 413.042 & ORS 179.360 Statutes/Other Implemented: ORS 426.385 & ORS 179.360 History: BHS 25-2025, amend filed 12/22/2025, effective 12/29/2025 BHS 19-2025, temporary amend filed 07/03/2025, effective 07/03/2025 through 12/29/2025 BHS 16-2022, amend filed 08/11/2022, effective 08/11/2022 BHS 6-2022, temporary amend filed 04/12/2022, effective 04/12/2022 through 10/08/2022 BHS 11-2020, amend filed 09/22/2020, effective 09/23/2020 BHS 5-2020, temporary amend filed 04/20/2020, effective 04/20/2020 through 10/16/2020 MHS 2-2016, f. & cert. ef. 4-21-16 Reverted to MHD 2-1986, f. & ef. 3-31-86 MHS 6-2015(Temp), f. 10-20-15, cert. ef. 10-21-15 thru 4-15-16 Reverted to MHD 2-1986, f. & ef. 3-31-86 MHS 2-2013(Temp), f. & cert. ef. 1-23-13 thru 7-19-13 MHD 2-1986, f. & ef. 3-31-86 MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHD 21-1982, f. & ef. 9-24-82 MHD 11-1982(Temp), f. & ef. 6-10-82 MHD 7-1982, f. & ef. 3-29-82 MHD 1-1982(Temp), f. & ef. 1-14-82 309-112-0010 General Policies Concerning Use of Seclusion or Restraint (1) Seclusion or restraint may only be used on a patient to ensure the imminent physical safety of the patient or others. Neither seclusion nor restraint will be used as a means of coercion, discipline, convenience, or retaliation by staff. (2) Seclusion or restraint must be discontinued at the earliest possible time, regardless of the length of time identified in the seclusion or restraint order. At minimum, the patient must be released as soon as a trained physician, nurse practitioner or registered nurse determines that, if released, the patient will not imminently pose a physical danger to the patient or others. (3) OSH must provide initial and ongoing training on seclusion or restraint to OSH Staff who have direct patient care responsibilities, consistent with hospital policy. (4) Patients must not be permitted to use restraint on other patients. (5) Medication will not be used as a restraint but will be prescribed and administered according to acceptable medical, nursing, and pharmaceutical practices. (6) Restraint must be used in accordance with sound medical practice to assure the least risk of physical injury and discomfort. Any patient placed in restraint must be protected from self-injury and from injury by others. (7) OSH must use the least restrictive, most appropriate intervention that will be effective to protect the patient or others from harm. The determination of the most appropriate intervention requires consideration of at least the following factors: (a) The patient involved (e.g., the present physical ability to engage in violent or destructive behavior and the patient’s reaction to various methods of intervention); (b) The patient’s or legal guardian’s preference under section (8) of this rule; (c) The risk or degree of physical or psychological harm and discomfort that accompany the various methods of restraint; (d) The risk or degree of interference with the individual’s ongoing treatment; and (e) Whether less restrictive interventions will be ineffective to protect the patient or others from harm. (8) Preference of Patient and Legal Guardian: (a) Whenever the interdisciplinary team (IDT) has reason to believe that in the course of a patient’s care, custody, or treatment at a state institution it may become necessary to use seclusion or restraint, a member of the IDT must, if practicable, ask the patient for an expression of preference or aversion to the various forms of intervention. If there is a legal guardian, a member of the IDT must also ask the legal guardian for an expression of preference regarding forms of restraint. The patient’s expression, if any, as well as that of guardian must be relayed to the other IDT members and recorded in the patient’s medical record; and (b) The patient’s or legal guardian’s preferences for or against particular forms of restraint must be respected by the individual authorizing the use of seclusion or restraint, provided that primary consideration must be given to the need to protect the patient and others in the institution. If possible, both the patient’s and legal guardian’s preferences should be taken into consideration. If there is a conflict between the patient’s and the legal guardian’s preferences, the legal guardian’s preference will prevail. (9) A summary of all uses of seclusion or restraint must be sent to the chief medical officer at least monthly. (10) A patient, guardian, or a duly authorized representative of the patient has the right to contest any application of these rules as provided in OAR 309-118-0000 through 309-118-0050 (Grievance Procedures for Use in State Institutions). (11) Violation of the rights, policies, and procedures set forth in these rules by staff at the state institution constitutes cause for disciplinary action. Statutory/Other Authority: ORS 179.040, 413.042 & 179.360 Statutes/Other Implemented: ORS 426.385 & 179.360 History: BHS 25-2025, amend filed 12/22/2025, effective 12/29/2025 BHS 19-2025, temporary amend filed 07/03/2025, effective 07/03/2025 through 12/29/2025 BHS 16-2022, amend filed 08/11/2022, effective 08/11/2022 BHS 6-2022, temporary amend filed 04/12/2022, effective 04/12/2022 through 10/08/2022 BHS 11-2020, amend filed 09/22/2020, effective 09/23/2020 BHS 5-2020, temporary amend filed 04/20/2020, effective 04/20/2020 through 10/16/2020 MHS 2-2016, f. & cert. ef. 4-21-16 Reverted to MHD 2-1986, f. & ef. 3-31-86 MHS 6-2015(Temp), f. 10-20-15, cert. ef. 10-21-15 thru 4-15-16 Reverted to MHD 2-1986, f. & ef. 3-31-86 MHS 2-2013(Temp), f. & cert. ef. 1-23-13 thru 7-19-13 MHD 2-1986, f. & ef. 3-31-86 MHD 16-1985(Temp), f. & ef. 10-9-85 MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHD 21-1982, f. & ef. 9-24-82 MHD 11-1982(Temp), f. & ef. 6-10-82 MHD 7-1982, f. & ef. 3-29-82 MHD 1-1982(Temp), f. & ef. 1-14-82 309-112-0015 Use of Seclusion or Restraint (1) Initial Seclusion or Restraint Authorization: (a) The initial use of seclusion or restraint may be imposed on a patient by any trained OSH staff member when the patient poses an imminent risk of physical danger to the patient or others. (b) If the trained OSH staff member initiating seclusion or restraint does not have legal authority to order seclusion or restraint, a registered nurse or licensed practical nurse must contact a licensed physician or nurse practitioner, who is responsible for the care of the patient and authorized to order seclusion or restraint by hospital policy and in accordance with State law, as soon as it can safely be accomplished. (c) Upon being contacted, the licensed physician or nurse practitioner will determine whether a seclusion or restraint order should be issued. If the licensed physician or nurse practitioner determines that seclusion or restraint should not be continued, the patient must be released immediately from seclusion or restraint. If the licensed physician or nurse practitioner determines that seclusion or restraint should be continued, the seclusion or restraint order must be placed in the patient’s medical record. (d) No later than the end of their work shift, the OSH staff member who authorized and carried out the use of the initial seclusion or restraint must document the following in the patient’s medical record, including but not limited to: (A) A description of the patient’s specific behavior, condition or symptoms that warranted the use of seclusion or restraint; (B) Alternatives or other less restrictive interventions attempted or considered, if any; (C) The type of restraint or seclusion used and the reason it was selected; and (D) The patient’s response to the seclusion or restraint. (e) If the patient remains in initial seclusion or restraint without an order for more than 15 minutes, the OSH staff member who authorized the initial seclusion or restraint must complete and file an incident report. (2) Seclusion or Restraint Order Authorization: (a) Except for an initial seclusion or restraint under section (3) of this rule, seclusion or restraint may only be ordered by a physician or nurse practitioner who is responsible for the care of the patient, authorized to order seclusion or restraint by hospital policy and State law, and has been trained on hospital policy and applicable administrative rules related to the use of seclusion or restraint. (b) Orders for the use of seclusion or restraint must never be written as a standing order or on an as needed basis (PRN). (c) The attending physician or nurse practitioner must be consulted as soon as possible if the attending physician or nurse practitioner did not order the seclusion or restraint. (d) The written order for seclusion or restraint must be placed in the patient’s medical record. The use of a seclusion or restraint should be reflected in the patient’s plan of care or treatment plan based on an assessment and evaluation of the patient. (e) No later than the end of their work shift, the physician or nurse practitioner who issued the seclusion or restraint order must document the following in the patient’s medical record, including but not limited to: (A) A description of the patient’s specific behavior, condition or symptoms that warranted the use of seclusion or restraint; (B) Alternatives or other less restrictive interventions attempted or considered, if any; (C) The type of restraint or seclusion used and the reason it was selected; and (D) The patient’s response to seclusion or restraint. (3) Duration of Seclusion or Restraint Order: (a) An order for seclusion or restraint is for a maximum duration of 4 hours and may be renewed for a total of 24 hours. The physician or nurse practitioner, who authorizes a 4-hour renewal, must ensure the renewal and the rationale for continued use of seclusion or restraint is documented in the patient’s medical record. (b) Before writing a new order for seclusion or restraint after 24 hours, a physician or nurse practitioner, who is responsible for the care of the patient and authorized to order restraint or seclusion by hospital policy in accordance with State law, must conduct a face-to-face assessment of the patient to determine if the patient still poses a risk of imminent physical danger to the patient or others. The new written order for seclusion or restraint must be placed in the patient’s medical record and included in a written modification to the patient’s treatment care plan. (c) No later than the end of their work shift, the physician or nurse practitioner who issued the new seclusion or restraint order must document the following in the patient’s medical record, including but not limited to: (A) A description of the patient’s specific behavior, condition or symptoms that warranted the use of seclusion or restraint; (B) Alternatives or other less restrictive interventions attempted or considered; (C) The type of restraint or seclusion used and the reason it was selected; and (D) The patient’s response to seclusion or restraint; and (E) The rationale for continued use of seclusion or restraint. (d) Seclusion or restraint must be discontinued at the earliest possible time, regardless of the length of time identified in the order. (4) Monitoring: (a) 1-Hour Face-to-Face Assessment After Seclusion or Restraint: (A) Within one hour of seclusion or restraint being imposed, a face-to-face assessment of the patient must be conducted by a: (i) Physician or nurse practitioner; or (ii) Registered nurse who has been trained on seclusion or restraints in accordance with hospital policy. If conducted by a trained registered nurse, the nurse must consult with the attending physician or nurse practitioner, who is responsible for the care of the patient as soon as possible after the completion of this assessment. (B) The 1-hour face-to-face assessment must include the evaluation of: (i) The patient’s imminent situation; (ii) The patient’s reaction to the seclusion or restraint; (iii) The patient’s medical and behavioral condition; and (iv) The need to continue or terminate the seclusion or restraint. (C) The physician, nurse practitioner or registered nurse, who completed the 1-hour face-to-face assessment, must document in the patient’s medical record that the 1-hour face-to-face assessment occurred and the determinations made on the assessment factors in subsection (4)(a)(B) of this rule. (b) Ongoing monitoring: (A) When a patient is in restraint, OSH staff must check on the patient at least every 15 minutes to monitor their health and safety, unless the patient’s condition requires more frequent checks; (i) During the 15-minute check, OSH Staff must review the patient’s basic individual needs (such as regular meals, personal hygiene, and sleep) as well as the patient’s need for good body alignment and circulation, and take any necessary actions to meet the patient’s basic individual needs; and (ii) OSH Staff must document in the patient’s medical record that the patient was checked every 15 minutes, that they reviewed the patient’s basic individual needs, and took any necessary actions to meet the patient’s basic individual needs. (B) When a patient is in seclusion, OSH staff must check on the patient to monitor their health and safety consistent with hospital policy, unless the patient’s condition requires more frequent checks. (i) OSH Staff must review the patient’s basic individual needs (such as regular meals, personal hygiene, and sleep) as well as the patient’s need for good body alignment and circulation, and take any necessary actions to meet the patient’s basic individual needs; and (ii) OSH Staff must document in the patient’s medical record that the patient was checked consistent with hospital policy, that they reviewed the patient’s basic individual needs, and took any necessary actions to meet the patient’s basic individual needs. (C) If the patient is simultaneously in restraint and in seclusion, OSH Staff must continually monitor the patient either by: (i) Face-to-face by an assigned, trained OSH Staff member; or (ii) By trained OSH Staff using both video and audio equipment. This monitoring must be in close proximity to the patient. (c) An awake patient must be provided the opportunity to move and stretch for a period not less than 10 minutes during each two hours of restraint. Partial release of the patient from restraint must be employed as necessary to permit motion without endangering OSH Staff and patients. OSH Staff must document opportunities for exercise in the patient’s medical record. Statutory/Other Authority: ORS 179.040 & 413.042 Statutes/Other Implemented: ORS 426.385 History: BHS 25-2025, amend filed 12/22/2025, effective 12/29/2025 BHS 19-2025, temporary amend filed 07/03/2025, effective 07/03/2025 through 12/29/2025 BHS 16-2022, amend filed 08/11/2022, effective 08/11/2022 BHS 6-2022, temporary amend filed 04/12/2022, effective 04/12/2022 through 10/08/2022 BHS 11-2020, amend filed 09/22/2020, effective 09/23/2020 MHS 2-2016, f. & cert. ef. 4-21-16 Reverted to MHD 2-1986, f. & ef. 3-31-86 MHS 6-2015(Temp), f. 10-20-15, cert. ef. 10-21-15 thru 4-15-16 Reverted to MHD 2-1986, f. & ef. 3-31-86 MHS 2-2013(Temp), f. & cert. ef. 1-23-13 thru 7-19-13 MHD 2-1986, f. & ef. 3-31-86 MHD 1-1984, f. 1-20-84, ef. 2-1-84 Reverted to MHD 7-1982, f. & ef. 3-29-82 MHD 22-1982(Temp), f. & ef. 9-24-82 MHD 7-1982, f. & ef. 3-29-82 MHD 1-1982(Temp), f. & ef. 1-14-82 309-112-0017 Use of Restraint as Part of Planned Treatment or Training Programs Subject to the provisions of these rules, restraint may be used as part of planned treatment program provided the informed consent of the patient is obtained or, if informed consent cannot be obtained, authorization to proceed with necessary treatment is obtained as provided in OAR 309-114-0000 through 309-114-0025. Statutory/Other Authority: ORS 179.040 & 413.042 Statutes/Other Implemented: ORS 426.385 History: BHS 19-2025, temporary suspend filed 07/03/2025, effective 07/03/2025 through 12/29/2025 MHS 2-2016, f. & cert. ef. 4-21-16 Reverted to MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHS 6-2015(Temp), f. 10-20-15, cert. ef. 10-21-15 thru 4-15-16 Reverted to MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHS 2-2013(Temp), f. & cert. ef. 1-23-13 thru 7-19-13 MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHD 21-1982, f. & ef. 9-24-82 MHD 11-1982(Temp), f. & ef. 6-10-82 309-112-0020 Use of Security Transportation The chief medical officer or designee may authorize the use of secure transportation for patients of a secure program when outside the security area. Statutory/Other Authority: ORS 179.040 & 413.042 Statutes/Other Implemented: ORS 426.385 & 427.031 History: MHS 2-2016, f. & cert. ef. 4-21-16 Reverted to MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHS 6-2015(Temp), f. 10-20-15, cert. ef. 10-21-15 thru 4-15-16 Reverted to MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHS 2-2013(Temp), f. & cert. ef. 1-23-13 thru 7-19-13 MHD 1-1984, f. 1-20-84, ef. 2-1-84 Reverted to MHD 7-1982, f. & ef. 3-29-82 MHD 22-1982(Temp), f. & ef. 9-24-82 MHD 7-1982, f. & ef. 3-29-82 MHD 1-1982(Temp), f. & ef. 1-14-82 309-112-0025 Use of Restraint for Acute Medical Conditions (1) During medical treatment for acute physical conditions, personal and physical restraint may be used to prevent a patient from injuring himself or herself. (2) Use of a restraint in the presence of a physician may be authorized verbally; ongoing or continuing use of personal or physical restraint must be ordered in writing by a physician. (3) Treatment staff shall: (a) Attend to the patient’s basic personal needs and exercise needs in accordance with general medical practice; and (b) To the extent practicable, accommodate the patient’s mental disabilities treatment and training regimen. Statutory/Other Authority: ORS 179.040 & 413.042 Statutes/Other Implemented: ORS 426.385 History: BHS 19-2025, temporary suspend filed 07/03/2025, effective 07/03/2025 through 12/29/2025 MHS 2-2016, f. & cert. ef. 4-21-16 Reverted to MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHS 6-2015(Temp), f. 10-20-15, cert. ef. 10-21-15 thru 4-15-16 Reverted to MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHS 2-2013(Temp), f. & cert. ef. 1-23-13 thru 7-19-13 MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHD 7-1982, f. & ef. 3-29-82 MHD 1-1982(Temp), f. & ef. 1-14-82 309-112-0030 Seclusion or Restraint Review Committee (1) Each state institution must have a Seclusion or Restraint Review Committee, which may use a different name. (2) The purpose and duty of the Seclusion or Restraint Review Committee is to review and evaluate at least quarterly the appropriateness of all such interventions and report its findings to the superintendent. Statutory/Other Authority: ORS 179.040 & 413.042 Statutes/Other Implemented: ORS 426.385 History: BHS 25-2025, amend filed 12/22/2025, effective 12/29/2025 BHS 19-2025, temporary amend filed 07/03/2025, effective 07/03/2025 through 12/29/2025 MHS 2-2016, f. & cert. ef. 4-21-16 Reverted to MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHS 6-2015(Temp), f. 10-20-15, cert. ef. 10-21-15 thru 4-15-16 Reverted to MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHS 2-2013(Temp), f. & cert. ef. 1-23-13 thru 7-19-13 MHD 1-1984, f. 1-20-84, ef. 2-1-84 Reverted to MHD 12-1982, f. & ef. 6-10-82 MHD 22-1982(Temp), f. & ef. 9-24-82 MHD 12-1982, f. & ef. 6-10-82 MHD 1-1982(Temp), f. & ef. 1-14-82 309-112-0031 Use of Isolation to Control the Spread of a Serious, Highly Infectious Disease (1) Subject to the provisions of this rule, the chief medical officer or designee may order a patient’s involuntary placement in isolation if: (a) The patient is suspected of or is diagnosed with a serious, highly infectious disease; (b) The patient refuses to or is unable to remain in an unlocked room or area, or refuses to or is unable to follow staff’s instructions related to necessary safety protocols; and (c) Isolation of the patient is temporarily necessary to prevent the spread of the infectious disease to other patients and staff. (2) The chief medical officer’s or designee’s verbal or written order for isolation shall be documented in the patient’s chart. The order shall last only as long as it is medically necessary to prevent the spread of the infectious disease to other patients and staff, as determined by the chief medical officer or designee. The chief medical officer or designee shall review the continued need for the isolation order every 72 hours, and document that in the patient’s chart. (3) For the purposes of this rule, the chief medical officer may designate one or more of the following persons to order isolation: A physician licensed to practice medicine in the State of Oregon, a psychologist, or a psychiatric/mental health nurse practitioner. (4) Prior to ordering the isolation of a patient under this rule, the institution shall attempt to obtain informed consent from the patient or guardian for the patient to remain in a designated room or area and, if medically reasonable, to follow necessary safety protocols to prevent the spread of the infectious disease. If informed consent is obtained from the patient or guardian, it shall be recorded in the patient’s chart. (5) During the patient’s isolation, the state institution shall ensure that its staff: (a) Perform checks on the patient every 1 hour and such checks must be documented in the patient’s chart; (b) Attend to the patient’s basic personal needs and exercise needs in accordance with general medical practice; and (c) To the extent practicable and medically safe to other patients and staff, accommodate the patient’s mental disabilities treatment and training regimen. (6) A patient, guardian, or a duly authorized representative of the patient, or guardian has the right to contest any application of these rules as provided in OAR 309-118-0000 through 309-118-0050 (Grievance Procedures for Use in State Institutions). Statutory/Other Authority: ORS 179.040, ORS 179.360, 413.042 & Executive Order 20-03 (March 30, 2020) Statutes/Other Implemented: ORS 179.360, Executive Order 20-03 (March 30, 2020), ORS 179.630 & 426.385 History: BHS 19-2025, temporary suspend filed 07/03/2025, effective 07/03/2025 through 12/29/2025 BHS 11-2020, adopt filed 09/22/2020, effective 09/23/2020 BHS 5-2020, temporary adopt filed 04/20/2020, effective 04/20/2020 through 10/16/2020 309-112-0035 Notice to Patients and Employees (1) Upon admission, state institutions shall inform patients orally and in writing, of the rights, policies, and procedures set forth in these rules. In addition, a clear and simple statement of the title and number of these rules, their general purpose, and instructions on how to obtain a copy of the rules and how to seek advice about their content shall be prominently displayed in areas frequented by patients in all state institutions. (2) All employees of state institutions shall be notified in writing at the commencement of their employment, or, for present employees, within a reasonable time of the effective date of these rules, of the rights, policies, and procedures set forth in these rules. Statutory/Other Authority: ORS 179.040 & 413.042 Statutes/Other Implemented: ORS 426.385 History: MHS 2-2016, f. & cert. ef. 4-21-16 Reverted to MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHS 6-2015(Temp), f. 10-20-15, cert. ef. 10-21-15 thru 4-15-16 Reverted to MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHS 2-2013(Temp), f. & cert. ef. 1-23-13 thru 7-19-13 MHD 1-1984, f. 1-20-84, ef. 2-1-84 MHD 7-1982, f. & ef. 3-29-82 MHD 1-1982(Temp), f. & ef. 1-14-82