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704 KAR 7:160. Use of physical restraint and seclusion in public schools. Autism Society of the Bluegrass April 28, 2014 Malicia Hitch. Physical Restraint. - PowerPoint PPT Presentation
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704 KAR 7:160. Use of physical restraint and seclusion in public schools.
Autism Society of the BluegrassApril 28, 2014Malicia Hitch
Physical Restraint
“means a personal restriction that
immobilizes or reduces the ability
of a student to move the student’s
torso, arms, legs, or head freely…”
Does NOT IncludeTemporary touching/holding
Hand, wrist, arm, shoulder, back
Purpose: move voluntarily to safe location
Behavioral Intervention
Less restrictive physical contact
Physical guidance or promptingTeaching skill or redirecting attention
Chemical RestraintUse of medication to
control behavior or restrict movement.
Includes:OTC off-label use
Does not include prescription meds used in accordance with
professional standards
Mechanical RestraintUse of any device or equipment to restrict a student’s freedom of movement. Does NOT include:
Prescribed medical equipment used as prescribedPositioning deviceVehicle safety restraintOrthopedically prescribed device used as prescribed
Policies/ProceduresNotice to personnel/parentsTraining requirementsProcedural requirements
NoticeDocumentationDebriefing
Notice of injury to KDE and LEComplaint procedureReview/revise
Use of Physical RestraintMay NOT be used
punishment/disciplineforce compliance/retaliationsub for appropriate supportprevent property damage*
routine safety measure convenience of staff
NEVER ImposedMechanical restraintChemical restraint
Aversive behavioral interventions
Life-threatening physical restraint
Prone or supine restraintPhysical if contraindicated
Implemented ONLYImminent danger of physical harmKRS 503.050, 503.070, 503.110CommunicationPhysical/psychological wellbeing monitoredLess restrictive interventions firstStaff appropriately trained
LimitationsOnly amount of force necessary
protect from imminent harm
Must end as soon asno threat ormedical condition
SeclusionMay NOT be used
punishment/disciplineforce compliance/retaliationsub for appropriate supportprevent property damage*routine safety measureconvenience for staffsubstitute for time out
ONLY ImplementedImminent danger of physical harm
Visual monitoring
Less restrictive interventions tried
Staff appropriately trained
Emergency
Seclusion SettingFree of objects and fixturesProvide view of student all timesAdequate lighting and ventilationReviewed by district adminUnlocked and unobstructed doorAnnual fire and safety inspection
DocumentationAll restraints and seclusions
Student nameDescription of behaviorDate/Personnel involvedBeginning/ending timesEvents/Precipitating factorsBehavior duringTechniques usedOther interactions
Documentation Cont.All Injuries to anyone
How behavior = imminent danger
Date parent notifiedDescription of effectiveness
in de- escalatingSchool personnel responsePlanned PBIS used in futureSpecial ed referral, if not
alreadyComplete by end of next
school day
NoticePrincipal: ASAP, but no longer than end of school day
Parents: ASAP within 24 hoursIf parent cannot be reachedWritten notice mailed
DebriefingWho
Implementer2 staff in proximityParentStudentSupervisory/Administrative
WhenAs soon as practicableNo more than 5 school days
after request
Debriefing ContentEvents leading to R/SRelevant informationPlanning of r prevention and reductionConsideration of a referral
Documentation used becomes part of the student’s record
Training – Core StaffDesignated to respondPreventing physical restraintRisk assessmentSimulated experience
administering and receivingEffects of restraintSigns of physical distressDocumentation/notice requirementsDemonstration of proficiency
Data ReportingNumber of uses of physical restraintNumber of students restrainedNumber of uses of seclusionNumber of instances of substantial risk to studentNumber of instances of substantial risk to school personnelNumber of instances SRO/LEO involved
EnforcementRequest a copy of the incident reportRequest a debriefingDistrict complaint procedureReport with local law enforcementComplaint with CPSEthics ComplaintFormal Complaint with KDEFile a civil suit