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GEORGIA
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Standard or
Definition
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ORS 290-2-5-. 14
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Restraint
Definition
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Restraint is not
defined.
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Restraint
Exclusions
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None specified.
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Chemical Restraint
Definition
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"Chemical Restraint" means a psychopharmacologic
drug that is used for discipline or convenience and not required to treat
medical symptoms.
Chemical Restraint is prohibited.
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Seclusion
Definition
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Seclusion is not defined, but is referred to as
“isolation.”
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Seclusion
Exclusions
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None.
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Criteria for
Restraint and Seclusion
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If used, time out isolation procedures in
excess of thirty (30) minutes must be approved by the director or designee
and any use of isolation shall not exceed 24 hours of duration unless
approved in writing by the physician who has responsibility for the diagnosis
and treatment of the child's behavior.
If used, an isolation room shall only be used
if a child is in danger of harming himself or herself or others. An isolation
room shall be constructed and used in such ways that the risk of suicide is
minimized.
A child shall not be placed in an isolation
room in excess of 30 minutes unless approved by the director or the staff
member in charge of casework services. Not more than one resident shall be
placed in the room and no child shall be placed in an isolation room for more
than 24 hours in duration.
Residents shall not be permitted to discipline
other residents except as part of an organized therapeutic self-governing
program that is conducted in accordance with written policy and is supervised
directly by designated staff.
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Monitoring
Requirements
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The isolation room shall be equipped with a
viewing window on the door so that staff can monitor the child. A child
placed in an isolation room shall be visually monitored at least every 15
minutes.
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Ordering and
Initiation
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None specified.
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In-person
Assessment
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None.
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Debriefing
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None.
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Family &
Guardian Notification
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None.
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Notification of
Rights and Restraint and Seclusion Policies and Procedures at admission
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A written description of the institution shall be provided
to the child, the parent(s) or guardian(s), or placing agency and shall
include:
iv) The institution's policies and procedures for
discipline and grievances.
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Training
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If physical control techniques are used,
authorized staff shall receive orientation and annual training on the uses,
and appropriate techniques to use as alternatives. Such annual training shall
be part of the twenty-four (24) clock hours of annual training required in
Rule .08(6)(d)2
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Documentation
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An institution whose staff uses physical
control techniques to control and restrain children shall develop and
implement written policies and procedures that describe the techniques used,
under what circumstances they are used, appropriate techniques to use as
alternatives to physical control, and which staff are authorized to use
physical control techniques.
An isolation room monitoring log shall be
maintained and used to record the name of the isolated resident, reason for
isolation, time of placement in room, name and signature of staff member that
conducted visual monitoring, and time of removal from room.
All disciplinary action taken that involves
physical control and isolation, shall be recorded in children's case records
showing the cause for the discipline, the form of discipline administered,
and if needed, approval by the director, the staff member in charge of
casework services, and the physician who has responsibility for the diagnosis
and treatment of the child's behavior. Other forms of discipline administered
by direct care staff should also be documented in case records in order to
insure that such records reflect disciplinary problems.
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Reporting
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None.
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Quality Improvement
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None.
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