POLICY AND PROCEDURE- USE OF SAFETY CONTROL PROCEDURE
(10 C.C.R. 25-05-10 section 8.608.4 B)
A safety control procedure is a restrictive procedure or restraint that is used to control a previously exhibited behavior which is anticipated to occur again and for which the planned method of intervention is developed in order to keep the person and others safe.
Safety control procedures shall be implemented only by staffs which have been formally trained in its use by a certified instructor when absolutely necessary, and when alternative techniques have failed.
Examples of safety Control Procedures that may be practiced.
- Safety control procedures are not limited to the ones listed, an individual plan may include other procedures so long as they are safe and not contradict any of the procedures not allowed in this policy and are performed with training.
- Redirection to another activity.
- Removal of something that is agitating the client
- Techniques to de-escalate the situation
- Interruption of behavior (such as if a client is banging their head, a pillow may be place in the way)
- If physical harm to client or other person is a concern physical restraints specified in the client’s plan may be used
Safety control procedures will be discussed with the client and family or other connected supervising members of the team. Safety measures will be documented in their file for review.
A safety control procedure is never to be a part of an individual’s Individualized Service and Support Plan.
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.
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.
*If a client has a safe space, such as their room that they benefit from then the client may be allowed to go here but the provider may NOT lock the room, or leave the doorway. The door may be shut if the client requests it and line of sight is not required.
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[GK2] 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.
- Whenever a safety control procedure is used, staff and contractors of Angel’s Service LLC shall file an incident report with the Community Center Board within 3 days of the use of the safety control procedure. The following shall also be documented:
- A description of the safety control procedure used, including the beginning and ending times;
- An explanation of why the procedure was judged necessary.
- If the safety control procedure is used more than three (3) times within the previous thirty (30) days, Angel’s Service LLC will notify the person’s interdisciplinary team to review the situation and to endorse the current plans or to prepare other strategies.
- All safety control procedures must be approved by the Human Rights Committee as soon as possible after its development.
- At this time Angel’s Service requires care givers responsible for providing intervention at times when individuals are a danger to themselves or others. With this being the case, if an individual has a history of needing intervention a family member is required to be close enough to intervene.
Revision History:Published 12/29/2016 by Serena Akinahew