The use of physical force Loss of freedom Conduct risk Develops the Consent: An PBS practitioner: • • and choice. assessment. appointed guardian PBSP, contributes to the risk In order to administer with relevant powers assessment. medical treatment (such Emotional Adherence to • • as per Section 32 of as, holding a person to trauma. the PBSP. Medical practitioner/psychiatrist the Guardianship take blood against their (where the restrictive practice is Injury Regular review. • • and Administration will, give injections to a being used to administer medical Threat to human Use of familiar • • Act 1993 or relevant person against their will or treatment): Prescribes the medical rights and staff. order. force a person to undergo treatment and contributes to the PBSP personal dignity. a medical procedure) Endorsement: The and risk assessment as required. requires relevant powers delegated restrictive Community nurse (where involved as per Section 32 (1) (c). practices compliance in the administration of the medical officer. Contributes to the PBSP treatment): and the risk assessment as required. Restrictive Practices Requiring the Consent of an Appointed Guardian, Substitute Decision-maker or Person Responsible (other than staff of a disability service provider who cannot consent to chemical restraint) Chemical Restraints Chemical Restraints: Restrictive practices requiring the consent of an appointed guardian, substitute decision-maker, or person responsible (other than staff of a disability service provider who cannot consent to chemical restraint). This list is not exhaustive. If a person resists or objects to the administration of any medication, then the additional consent of an appointed guardian with relevant Section 32 powers is also required. of a disability service provider are unable to consent.) Note: Where a medical practitioner or psychiatrist has prescribed medication for the purposes of managing a person’s behaviour (as distinct from prescribing evidenced-based pharmaceutical treatment for a diagnosed medical/psychiatric condition or pre-procedural sedation for the primary purpose of reducing the person’s anxiety about a procedure), a PBSP must also be created to support management of that behaviour. The PBS Practitioner authorised to draft the PBSP must liaise with the prescribing medical practitioner or psychiatrist to ensure optimal integration of the two strategies (medication and behaviour support plan) and support the minimisation of medication being used for behaviour management.
The use of physical force In order to administer medical treatment (such as, holding a person to take blood against their will, give injections to a person against their will or force a person to undergo a medical procedure) requires relevant powers as per Section 32 (1) (c). • Loss of freedom and choice. • Emotional trauma. • Injury • Threat to human rights and personal dignity. • Conduct risk assessment. • Adherence to the PBSP. • Regular review. • Use of familiar staff. 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. Community nurse (where involved in the administration of the medical treatment): Contributes to the PBSP and the risk assessment as required. Consent: An appointed guardian with relevant powers as per Section 32 of the Guardianship and Administration Act 1993 or relevant order. Endorsement: The delegated restrictive practices compliance officer. Restrictive Practices Requiring the Consent of an Appointed Guardian, Substitute Decision-maker or Person Responsible (other than staff of a disability service provider who cannot consent to chemical restraint) Chemical Restraints Chemical Restraints: Restrictive practices requiring the consent of an appointed guardian, substitute decision-maker, or person responsible (other than staff of a disability service provider who cannot consent to chemical restraint). This list is not exhaustive. If a person resists or objects to the administration of any medication, then the additional consent of an appointed guardian with relevant Section 32 powers is also required. of a disability service provider are unable to consent.) Note: Where a medical practitioner or psychiatrist has prescribed medication for the purposes of managing a person’s behaviour (as distinct from prescribing evidenced-based pharmaceutical treatment for a diagnosed medical/psychiatric condition or pre-procedural sedation for the primary purpose of reducing the person’s anxiety about a procedure), a PBSP must also be created to support management of that behaviour. The PBS Practitioner authorised to draft the PBSP must liaise with the prescribing medical practitioner or psychiatrist to ensure optimal integration of the two strategies (medication and behaviour support plan) and support the minimisation of medication being used for behaviour management.
restrictive-practices-reference-guide-south-australian-disability-sector.docx