the individual’s routine, improving Aversive conditioning, • communications, teaching skills and defined as the application of reinforcing appropriate behavior. startling, painful or noxious Types of restrictive procedures that stimuli. • may be used and the circumstances Pressure techniques, • under which the procedures may be defined as the application of pain used. for the purpose of achieving A target date for achieving the compliance. A clinically-accepted • outcome. bite release technique that is The amount of time the restrictive applied only as long as necessary • procedure may be applied, not to to release the bite is not exceed the maximum time periods considered a pressure point specified in this chapter. technique. Physical problems that require A chemical restraint, • • special attention during the use of defined as a drug used for the restrictive procedures. specific and exclusive purpose of The name of the staff person controlling acute, episodic • responsible for monitoring and behavior. A Pro Re Nata (PRN) documenting progress with the plan. order for controlling acute, In addition, a protocol to eliminate episodic behavior is a chemical the use of restrictive interventions is restraint. required when restrictive A mechanical restraint, • interventions are utilized. The defined as a device used to protocol must address the following: control episodic behavior An assessment to determine the that restricts the movement or • causes or antecedents of the function of an individual or behavior. portion of an individual’s body A protocol for addressing the including a geriatric chair, bedrail • underlying causes or antecedents of that restricts the movement or the behavior. function of the individual, helmet The method and timeline for with fasteners, waist strap, head • eliminating the use of restrictive strap, restraint vest, camisole, procedures. restraint sheet, restraint board, A protocol for intervention or handcuffs, anklets, wristlets, • redirection without utilizing muffs and mitts with fasteners restrictive procedures. and similar devices. A mechanical restraint does not include the
the individual’s routine, improving communications, teaching skills and reinforcing appropriate behavior. • Types of restrictive procedures that may be used and the circumstances under which the procedures may be used. • A target date for achieving the outcome. • The amount of time the restrictive procedure may be applied, not to exceed the maximum time periods specified in this chapter. • Physical problems that require special attention during the use of restrictive procedures. • The name of the staff person responsible for monitoring and documenting progress with the plan. In addition, a protocol to eliminate the use of restrictive interventions is required when restrictive interventions are utilized. The protocol must address the following: • An assessment to determine the causes or antecedents of the behavior. • A protocol for addressing the underlying causes or antecedents of the behavior. • The method and timeline for eliminating the use of restrictive procedures. • A protocol for intervention or redirection without utilizing restrictive procedures. • Aversive conditioning, defined as the application of startling, painful or noxious stimuli. • Pressure techniques, defined as the application of pain for the purpose of achieving compliance. A clinically-accepted bite release technique that is applied only as long as necessary to release the bite is not considered a pressure point technique. • A chemical restraint, defined as a drug used for the specific and exclusive purpose of controlling acute, episodic behavior. A Pro Re Nata (PRN) order for controlling acute, episodic behavior is a chemical restraint. • A mechanical restraint, defined as a device used to control episodic behavior that restricts the movement or function of an individual or portion of an individual’s body including a geriatric chair, bedrail that restricts the movement or function of the individual, helmet with fasteners, waist strap, head strap, restraint vest, camisole, restraint sheet, restraint board, handcuffs, anklets, wristlets, muffs and mitts with fasteners and similar devices. A mechanical restraint does not include the
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