| (a) As soon as possible, but no later than 24 hours
after the initiation of the emergency behavior intervention, the caregiver
involved in the intervention must document in the child's record the
following information:
(1) The child's name;
(2) A description and assessment of the circumstances
and specific behaviors that caused the basis for the emergency behavior
intervention;
(3) The de-escalation attempted before and during the
use of the emergency behavior intervention and the child's reaction
to those strategies;
(4) The specific emergency behavior intervention administered;
(5) The date and time the intervention was administered;
(6) The length of time the child was restrained or
secluded;
(7) The name of the caregiver(s) that participated
in the incident that led to the intervention, and who administered
the intervention;
(8) The name of the person(s) who observed the child;
(9) The names of any witnesses to the emergency behavior
intervention, including any child in care who witnessed the intervention;
(10) All attempts to explain to the child what behaviors
were necessary for release from the intervention;
(11) The child's condition following the use of the
medication or release from the intervention, including any injury
the child sustained as a result of the intervention or any adverse
effects caused by the use of the intervention. If the child received
medical assistance or treatment, the caregiver must document the name
of the person(s) who provided medical assistance or treatment; and
(12) The actions the caregiver(s) took to facilitate
the child's return to normal activities following the end of the intervention.
(b) Supervisors of caregivers involved in emergency
behavior intervention of a child must document their review of the
use of the intervention within 72 hours of the incident.
(c) If personal restraint is used, documentation must
also include the specific restraint techniques used, including a prone
or supine restraint used as a transitional hold.
(d) If emergency medication is used, documentation
must also include the specific medication used and the dosage administered
to the child.
(e) If mechanical restraint is used, documentation
must also include:
(1) The specific restraint device used; and
(2) Continuous observation and regular respiration
and circulation checks and times the checks were conducted.
(f) This rule does not apply to short personal restraints.
|
| Source Note: The provisions of this §748.2855 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective September 1, 2010, 35 TexReg 7497; amended to be effective February 7, 2017, 42 TexReg 488; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909 |
