Cuffing or strapping Emotional Not to be used for behaviour PBS practitioner: Consent: Person with • • to modify or control trauma. management unless specifically Develops the PBSP, capacity to give authorised with relevant powers contributes to the risk consent or their behaviour Physical injury. • as per Section 32 of the assessment. appointed guardian For example, during Violation of • Guardianship and with relevant powers the performance of Medical practitioner/ human rights. Administration Act 1993. as per Section 32 of care tasks and/or to psychiatrist (where the the Guardianship and prevent self-injury or Regular review, with a major restrictive practice is • Administration Act harm to others review occurring within a being used to administer 1993. requires powers as maximum period of 6 months. medical treatment): per Section 32 (1) (c). Prescribes the medical Endorsement: The Explain before use. • treatment and contributes delegated restrictive Conduct risk assessment. • to the PBSP and risk practices compliance Limit use. • assessment as required. officer. Short-term use only (that is, for • Physiotherapist or the duration of care tasks, or for occupational therapist prescribed periods during the adaptive equipment day/night). is used): Prescribes When used without direct adaptive equipment, • supervision (for example, obtains consent, develops splints) clear monitoring relevant support plans and arrangements taking into contributes to risk account safety aspects need to assessment. be made. Ensure adequate padding. • Use correct size. • Last resort. •
Cuffing or strapping to modify or control behaviour For example, during the performance of care tasks and/or to prevent self-injury or harm to others requires powers as per Section 32 (1) (c). • Emotional trauma. • Physical injury. • Violation of human rights. • Not to be used for behaviour management unless specifically authorised with relevant powers as per Section 32 of the Guardianship and Administration Act 1993. • Regular review, with a major review occurring within a maximum period of 6 months. • Explain before use. • Conduct risk assessment. • Limit use. • Short-term use only (that is, for the duration of care tasks, or for prescribed periods during the day/night). • When used without direct supervision (for example, splints) clear monitoring arrangements taking into account safety aspects need to be made. • Ensure adequate padding. • Use correct size. • Last resort. PBS practitioner: Develops the PBSP, contributes to the risk assessment. Medical practitioner/ psychiatrist (where the restrictive practice is being used to administer medical treatment): Prescribes the medical treatment and contributes to the PBSP and risk assessment as required. Physiotherapist or occupational therapist adaptive equipment is used): Prescribes adaptive equipment, obtains consent, develops relevant support plans and contributes to risk assessment. Consent: Person with capacity to give consent or their appointed guardian with relevant powers as per Section 32 of the Guardianship and Administration Act 1993. Endorsement: The delegated restrictive practices compliance officer.