Extreme restraint dating
In the case of chemical restraint use, the oral form of a medication (when an oral form exists) must be offered to any resident prior to the use of any other form of the medication;h.Provisions for constant staff supervision of the resident during the restraint.If a resident is medicated in an emergency situation and the treating physician determines that the medication should continue, then the licensee shall immediately seek the consent of the parent(s) of a resident, where the parents have custody of their child.If parents of the resident do not have legal custody, the licensee shall seek consent of the person or agency that has legal custody or judicial approval where necessary for medicating the resident.Such emergency situations are limited to the occurrence or serious threat of extreme violence, personal injury, or attempted suicide.Predictable crises are not within the definition of emergency.4.The requested use of protective hand mitts or arm splints to prevent self-injury when ordered by a physician and when the child voluntarily accepts such protections will be reviewed under 102 CMR 3.06(11 Unusual or Extraordinary Treatment.
Such vital signs are to be documented in the resident's file;i.
Should a resident who has a variance for chemical or mechanical restraint be discharged, terminated or otherwise leave the program, the variance is not transferable to another program or another resident.
A variance to allow the use of mechanical or chemical restraint for any individual resident will not be considered until the following conditions are met:1. Information on the individual resident, including: name, date of birth, date of admission to the program; referral materials, all diagnoses, previous placement history, treatments utilized, incident reports, current behaviors which may warrant the use of mechanical or chemical restraint; statements from the parent/guardian of the resident and any other information regarding the resident that the program wishes EEC to consider in reviewing their request;b.
The conditions under which the restraint(s) is proposed to be used, including the resident's specific behaviors that will justify the use of the restraint;e .
Procedures for consultation with treating physicians or other treating medical professional licensed to prescribe medications or protective devices in Massachusetts; such consultation to be documented in each resident's file;f.A plan for circulation checks of each resident in mechanical restraint; such circulation checks are to be documented in the resident's file; and a plan for obtaining medical and/or clinical consultation for those situations in which the use of mechanical restraint may exceed one hour in duration;(i) The name of resident; date and time restraint(s) were applied or administered and by whom;(ii) Description of the incident, alternative interventions used prior to initiating the use of restraint(s) and the reasons restraint(s) were required;(iii) Persons notified, when and from whom approval was obtained; staff member(s) assigned to directly supervise the residents and the names and responsibilities of any additional staff;(iv) The date and time restraints were removed or discontinued;(v) All other information required by 102 CMR 3.04(3)(i), Incident Reports.