<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.21.09.08" title_num="10" subtitle_num="21" chapter_num="09" heading="Documentation.">
  <paragraph num="A.">
    <text>Incidents.</text>
    <paragraph num="(1)">
      <text>Any visitor behavior that leads to removal of the visitor from the premises shall be documented.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Any incident that requires police intervention shall be reported and documented in accordance with facility procedures.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Whenever a visitor is removed from the facility as a result of their disorderly manner, the treatment team shall review the incident and determine what restrictions, if any, shall be placed on the individual's future visiting privileges.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>If restrictions are placed on an individual's future visiting privileges, the restrictions shall be subject to the requirements identified in Regulation .08B of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Patient Restriction.</text>
    <paragraph num="(1)">
      <text>Visitation shall be restricted only for a medically justified reason, and may not be used as a means of punishment.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The physician's order restricting patient visitation rights shall:</text>
      <paragraph num="(a)">
        <text>Be written as an order in the patient's permanent record;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Be subject to ongoing review;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Automatically expire after 30 calendar days; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Be rewritten, if necessary, subject to the provisions of this subsection.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The rationale for the restriction shall be noted in the patient's permanent record and signed by the physician.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Restrictions shall be documented in the patient's individualized treatment plan as defined in COMAR 10.21.03.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A member of the treatment team shall inform the patient in a timely fashion of the restriction, its rationale, and the length of time the restriction is in effect.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>With the consent of the patient, visitors shall be informed by the facility's Clinical Director, or the Clinical Director's designee, that a patient's visits are restricted and the length of time that the restriction is in effect.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Upon request and with the consent of the patient, a visitor shall receive written notification of the restriction or restrictions.</text>
    </paragraph>
  </paragraph>
</regulation>