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Emergency Use of Seclusion and Physical
Restraint Frequently Asked Questions
Last updated: 9/5/17Michigan Department of EducationState Board of Education
Casandra E. Ulrich, CoP resident
Richard Male,
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How to fill out emergency use of seclusion

How to fill out emergency use of seclusion
01
First, ensure that the use of seclusion is warranted in emergency situations where the individual poses an imminent risk to themselves or others.
02
Follow the guidelines and regulations set forth by your organization, facility, or governing body regarding the use of seclusion.
03
Before initiating seclusion, attempt to de-escalate the situation through verbal communication and other non-restraint interventions.
04
Prepare a designated seclusion area that is safe, clean, and provides privacy for the individual.
05
Ensure that there are trained staff members present during the seclusion and continuously monitor the individual's well-being.
06
Document the reason for seclusion, the actions taken, and the individual's response throughout the process.
07
Notify appropriate personnel, such as supervisors or on-call staff, about the initiation and termination of seclusion.
08
After the seclusion period, engage in debriefing and post-incident analysis to identify ways to prevent future occurrences and support the individual's well-being.
Who needs emergency use of seclusion?
01
Emergency use of seclusion is typically required for individuals who exhibit behaviors that pose an immediate risk of harm to themselves or others.
02
These individuals may have severe mental health conditions, be in a highly agitated state, or have a history of violent or self-destructive behavior.
03
It is important to note that the decision to use seclusion should be made by qualified professionals, based on individual assessments and in accordance with legal and ethical guidelines.
04
The use of seclusion should always be a last resort when all other measures to de-escalate the situation have been exhausted or deemed inappropriate.
05
Additionally, it is crucial to involve the individual's family or support system, if possible, in decision-making and planning for the use of seclusion.
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What is emergency use of seclusion?
Emergency use of seclusion refers to the temporary isolation of an individual to ensure their safety or the safety of others in an emergency situation.
Who is required to file emergency use of seclusion?
The healthcare facility or institution where the emergency use of seclusion occurred is required to file the necessary paperwork.
How to fill out emergency use of seclusion?
The form for emergency use of seclusion typically requires information such as the reason for seclusion, duration, observations, and interventions.
What is the purpose of emergency use of seclusion?
The purpose of emergency use of seclusion is to de-escalate a situation that poses a risk to the individual or others and to provide a safe environment.
What information must be reported on emergency use of seclusion?
Information such as date and time of seclusion, reason for seclusion, duration, interventions used, and follow-up actions must be reported.
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