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Use of Physical Restraint Reporting Form Submit to an administrator within 24 hours of the occurrence of the incident. Multiple incidents cannot be merged into a single report. Student Name: School:Grade:Date
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How to fill out use of physical restraint

01
Consult with healthcare provider to determine if physical restraint is necessary based on patient's condition.
02
Obtain informed consent from patient or patient's legal guardian if possible.
03
Choose appropriate type of physical restraint based on patient's size, condition, and behavior.
04
Ensure physical restraint is applied correctly according to healthcare provider's instructions.
05
Monitor patient regularly and release physical restraint as soon as possible once deemed safe.

Who needs use of physical restraint?

01
Patients who are at risk of harming themselves or others due to mental illness, cognitive impairment, or behavioral issues.
02
Patients who are unable to follow safety instructions and pose a danger to themselves or others.
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Physical restraint is used to prevent harm to an individual or others by restricting their movement or behavior.
Certain facilities or organizations may be required to file reports on the use of physical restraint depending on local laws and regulations.
The use of physical restraint should be documented accurately and thoroughly in accordance with applicable guidelines and procedures.
The purpose of physical restraint is to ensure safety and prevent harm in situations where alternative interventions may not be effective.
Reports on the use of physical restraint typically include details such as date, time, location, individuals involved, and reason for the restraint.
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