Get Mi Documentation Of Emergency Physical Interventions And Emergency Seclusion - Washtenaw 2017-2025

This guide provides a detailed walkthrough on how to effectively fill out the MI Documentation Of Emergency Physical Interventions And Emergency Seclusion form online. Follow the instructions to ensure accurate documentation that reflects the necessary details of any emergency situation.

Follow the steps to complete the form efficiently.

1. Press the ‘Get Form’ button to access the form, ensuring it opens in your preferred online document editor.
2. Begin by entering the student's name and the building where the incident occurred. This ensures clarity regarding the individual involved and the context of the intervention.
3. Fill in the date and the time range during which the emergency intervention took place. Accurate time logging is essential for record-keeping.
4. List the names of the crisis team members involved in the intervention and specify which school personnel initiated the emergency physical intervention.
5. Document the location of the crisis and provide a description of the events that led to the behavior, including identifying any antecedents.
6. Describe the staff interventions used prior to the physical intervention, including any proactive strategies attempted to de-escalate the situation.
7. Detail the behavior exhibited, using objective measurements for frequency, intensity, and duration to ensure clarity in reporting.
8. Record the emergency physical intervention employed, indicating what posed a risk and including the level of intervention used, time frames for each hold (if applicable), and specific abbreviations for the techniques applied.
9. If extended time was required for the physical intervention, explain the reason for the extension and document the time frame.
10. For emergency seclusion, describe the behavior that warranted this intervention and note the maximum time limits applicable before outlining any extension if necessary.
11. Confirm if any injuries were sustained during the intervention and, if so, complete an Accident Report in summary form.
12. Summarize follow-up actions taken with both the student and staff after the intervention; a Debriefing Form should be used for this purpose.
13. Indicate whether a Behavior Intervention Plan is in place and ensure all relevant signatures are acquired, including the administrator’s.
14. Upon completing all fields, save your changes, download the document, print it for records, or share it as needed.

Complete your documentation by filling out the form online today.