Strangulation. Conduct risk assessment Seat belt/harness/ Physiotherapist, Consent: Person with capacity to give • • wheelchair trays occupational consent or their guardian, substitute Other injuries. Use pommel or harness. • • therapist or decision-maker or person responsible. Prevent loosening of belt. • registered nurse. If the person is resisting or objecting to Use anti-slip material. • the restriction then relevant powers as Use anti-tipping • per Section 32 of the Guardianship and mechanisms. Administration Act 1993 must be Use in space’ chairs. • ‘tilt obtained. See section on . Endorsement: The delegated restrictive practices compliance officer. Restrictive Recommended Prescribing Practice Potential Risks Consent and Endorsement Controls Person(s) Example Strangulation. Conduct risk assessment Bed canopy Physiotherapist, Consent: Person with capacity to give • • occupational consent or their guardian, substitute Lower bed. • therapist or decision-maker or person responsible. Use floor padding. • registered nurse. If the person is resisting or objecting to Use knee or remove • the restriction then relevant powers as canopy when client is per Section 32 of the Guardianship and sitting in bed. Administration Act 1993 must be obtained. See section on . Endorsement: The delegated restrictive practices compliance officer. Impaired skin Conduct risk assessment Client coordinator. Restrictive Consent: Person with capacity to give • • integrity. clothing consent or guardian, substitute Continence review. • decision-maker or person responsible. Emotional • of alternatives prior • trauma. If the person is resisting or objecting to to use. the restriction then relevant powers as Explain prior to use. •
Seat belt/harness/ wheelchair trays • Strangulation. • Other injuries. • Conduct risk assessment • Use pommel or harness. • Prevent loosening of belt. • Use anti-slip material. • Use anti-tipping mechanisms. • Use ‘tilt in space’ chairs. Physiotherapist, occupational therapist or registered nurse. Consent: Person with capacity to give consent or their guardian, substitute decision-maker or person responsible. If the person is resisting or objecting to the restriction then relevant powers as per Section 32 of the Guardianship and Administration Act 1993 must be obtained. See section on . Endorsement: The delegated restrictive practices compliance officer. Restrictive Practice Example Potential Risks Recommended Controls Prescribing Person(s) Consent and Endorsement Bed canopy • Strangulation. • Conduct risk assessment • Lower bed. • Use floor padding. • Use knee or remove canopy when client is sitting in bed. Physiotherapist, occupational therapist or registered nurse. Consent: Person with capacity to give consent or their guardian, substitute decision-maker or person responsible. If the person is resisting or objecting to the restriction then relevant powers as per Section 32 of the Guardianship and Administration Act 1993 must be obtained. See section on . Endorsement: The delegated restrictive practices compliance officer. Restrictive clothing • Impaired skin integrity. • Emotional trauma. • Conduct risk assessment • Continence review. • of alternatives prior to use. • Explain prior to use. Client coordinator. Consent: Person with capacity to give consent or guardian, substitute decision-maker or person responsible. If the person is resisting or objecting to the restriction then relevant powers as
restrictive-practices-reference-guide-south-australian-disability-sector.docx