| (a) The following personal restraint techniques are
prohibited:
(1) Restraints that impair the child's breathing by
putting pressure on the child's torso, including restraints that obstruct
the child's lungs from expanding such as leaning a child forward during
a seated restraint;
(2) Restraints that obstruct the child's airway, including
procedures that place anything in, on, or over the child's mouth,
nose, or neck;
(3) Restraints that obstruct a caregiver's ability
to view the child's face;
(4) Restraints that interfere with the child's ability
to communicate or vocalize distress; or
(5) Restraints that twist or place the child's limb(s)
behind the child's back.
(b) Prone and supine restraints are prohibited except:
(1) As a transitional hold that lasts no longer than
one minute;
(2) As a last resort when other less restrictive interventions
have proven to be ineffective; and
(3) When an observer meeting the following qualifications
ensures the child's breathing is not impaired:
(A) Trained to identify risks associated with positional,
compression, or restraint asphyxia;
(B) Trained to identify risks associated with prone
and supine holds; and
(C) Not involved in the restraint. General residential
operations and residential treatment centers with a capacity of 16
or fewer children are exempt from meeting this requirement.
|
| Source Note: The provisions of this §748.2605 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective September 1, 2010, 35 TexReg 7497; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909 |
