Get Il Isbe 11-01 2019

Filling out the IL ISBE 11-01 form is an essential step in documenting incidents of physical restraint and time out in educational settings. This guide provides clear instructions to ensure that you complete the form accurately and effectively online.

Follow the steps to successfully complete the IL ISBE 11-01 form.

1. Use the ‘Get Form’ button to obtain the form and access it for editing.
2. Begin by entering the student's information, including their name, date of birth, school, district, race, and gender in the respective fields.
3. Indicate if the student has an Individualized Education Program (IEP) or a 504 Plan by selecting 'Yes' or 'No' for each option.
4. Record details of the incident by documenting the date of restraint, time it started and ended, total time, and location of restraint.
5. If time out was implemented, fill in the date, time started, time ended, total time, and location of time out.
6. Select the reason for restraint or time out from the available options.
7. Provide descriptive details on the events leading up to the incident, interventions used prior to the incident, and the specific behavior that resulted in the restraint.
8. Indicate the type of physical restraint used by checking all applicable options provided in the form.
9. Note any injuries that occurred to anyone involved, followed by the evaluation by the nurse, including their comments and signature.
10. Complete the evaluation section by indicating any needs the student may have post-incident and the assessment by certified or trained staff.
11. Gather signatures from the school personnel who were involved in implementing, monitoring, and supervising the restraint or time out.
12. Document how the parent was notified and the details of the notification.
13. Record if a postvention meeting was held with the student and document details about the scheduled team meeting.
14. Outline future actions that will be taken following the incident.
15. If this is the third incident of restraint or time out, indicate the team's decision regarding further actions needed.
16. Once all sections are filled out, save the document to your hard drive to facilitate future updates, or choose to print it.

Complete necessary documentation online to ensure compliance and proper record-keeping.