Get Restraint Documentation Form

Filling out the Restraint Documentation Form is crucial for accurately documenting incidents of physical restraint in educational settings. This guide will walk you through each step to ensure that the form is completed correctly and thoroughly.

Follow the steps to complete the form accurately

1. Click ‘Get Form’ button to obtain the form and open it for online editing.
2. Begin by filling in the student's name at the top of the form. This identifies the individual involved in the incident.
3. Next, enter the date of the restraint. This provides context regarding when the incident occurred.
4. In the section labeled ‘Antecedent circumstances,’ describe the events leading up to the restraint incident. Be specific and accurate.
5. Proceed to document any interventions that were attempted prior to using physical restraint. This shows the measures taken before resorting to restraint.
6. Clearly define the behaviors exhibited by the student that warranted the use of physical restraint.
7. Indicate the type of physical restraint that was applied. Provide a detailed description to ensure clarity.
8. Record the time of day when the restraint was applied and note its duration. This information is critical for review and assessment.
9. Specify who implemented the restraint and capture the student's reaction during the incident.
10. Outline what led to the end of the restraint and how the student behaved immediately after.
11. Summarize the overall resolution of the event post-restraint. Include any further actions taken.
12. Document any injuries that may have occurred as a result of the restraint, ensuring a complete account.
13. If applicable, note any agreements or plans made with the student following the incident.
14. Once all fields are completed, ensure that the date is filled in along with the signatures of the persons who administered the restraint and the individual completing the documentation.
15. After finishing, save your changes, then choose to download, print, or share the form as required.

Please ensure to complete the Restraint Documentation Form online today.