POLICY AND PROCEDURE- USE OF EMERGENCY CONTROL
Applicable standard or regulation:
(10 C.C.R. 2505-10 section 8.608.4 A)
An emergency control procedure is the unanticipated use of a restrictive procedure in order to keep the person receiving services and others safe. Emergency control procedures are those in which immediate restrictive intervention is necessary to protect a person receiving services or others from physical injury. Behaviors requiring emergency control procedures will usually be infrequent or unpredictable.
Restrictive procedures shall be implemented only by staff whom have been formally trained in its use by a certified instructor in an emergency situation, when absolutely necessary, and when alternative techniques have failed.
Restrictive procedures which may be used for emergency behavior control include:
- Physical restraint
- Contacting emergency personnel
- Redirection away from distractions or dangerous items.
- Interference with an individual's ability to acquire rewarding items or engage in valued
NO PHYSICAL OR MECHANICAL RESTRAINT OF A PERSON RECEIVING SERVICES SHALL PLACE EXCESS PRESSURE ON THE CHEST OR BACK OR INHIBIT OR IMPEDE THE PERSON’S ABILITY TO BREATHE.
Emergency control procedures shall not be used as punishment, for the convenience of staff, or as a substitute for services, supports, or instruction.
The use of posey vests, strait jackets, ankle or wrist restraints or a behavior management room for behavior control is prohibited. The use of psychotropic medications for the purpose of emergency behavior control is prohibited.
- Whenever an emergency control procedure is used, staff and contractors of Angel’s Service LLC shall file an incident report and verbally notify the appropriate involved parties within four (24) hours of the use of the emergency control procedure. The following shall also be documented:
- A description of the emergency control procedure used, including the beginning and ending times;
- An explanation of why the procedure was judged necessary; and,
- An assessment of the likelihood that the behavior that prompted the use of the emergency control procedure will recur.
- The provider shall notify the parent of a minor, guardian, or authorized representative (if within the scope of his/her duties) of the person receiving services or supports.
- The incident report shall be sent to the Community Center Board within three (3) days.
- Staff shall receive training in physical restraint techniques by certified instructors, and any other restrictive technique which will be utilized, as part of a formal curriculum of behavioral and manual intervention. The physical restraint techniques training will be sought out by a reputable source such as CPI training, (Crisis Prevention Institute) www.crisisprevention.com. Other training may be used if clients recommend a well-established resource that they prefer.
- If an individual has a history of dangerous behavior towards self or others a care giver responsible for intervention must be present in the room at time of services as Angel’s Service LLC as in order to perform restraints in a safe manner, multiple people are required..
Published 12/29/2016 by Serena Akinahew