
KS Emergency Safety Intervention (ESI) Reporting Form - Sedgwick County 2015-2025 free printable template
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Sped618. org/Parent 20Resources. html CESSATION OF RESTRAINT How restraint ended Determination by staff member that student was no longer a risk to himself/herself or others Intervention by administrator s to facilitate de-escalation Law enforcement personnel arrived Staff sought in-house assistance Community emergency personnel arrived Other describe Post Observation and Support check every 10 minutes for up to one-half hour from cessation of There are no signs of distress If there are signs...
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How to fill out KS Emergency Safety Intervention ESI Reporting

How to fill out KS Emergency Safety Intervention (ESI) Reporting Form
01
Gather necessary information about the incident including date, time, and location.
02
Identify the individuals involved in the incident, including staff and students.
03
Describe the circumstances that led to the use of the emergency safety intervention.
04
Document the specific safety intervention techniques that were used.
05
Record any observations regarding the individual's behavior before, during, and after the intervention.
06
Include any follow-up actions taken after the incident.
07
Sign and date the form, including any witness signatures if applicable.
Who needs KS Emergency Safety Intervention (ESI) Reporting Form?
01
School staff members responsible for student safety.
02
Administrators needing to review safety interventions.
03
Parents or guardians who require information on incidents involving their children.
04
State education agencies for compliance and record-keeping purposes.
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What is KS Emergency Safety Intervention (ESI) Reporting Form?
The KS Emergency Safety Intervention (ESI) Reporting Form is a document used to report incidents involving emergency safety interventions utilized in educational settings to ensure student safety.
Who is required to file KS Emergency Safety Intervention (ESI) Reporting Form?
Teachers, school administrators, and staff members who implement emergency safety interventions are required to file the KS Emergency Safety Intervention (ESI) Reporting Form.
How to fill out KS Emergency Safety Intervention (ESI) Reporting Form?
To fill out the KS Emergency Safety Intervention (ESI) Reporting Form, provide detailed information about the incident, including the date, time, location, individuals involved, nature of the emergency safety intervention, and any follow-up actions taken.
What is the purpose of KS Emergency Safety Intervention (ESI) Reporting Form?
The purpose of the KS Emergency Safety Intervention (ESI) Reporting Form is to document, monitor, and evaluate the use of emergency safety interventions to ensure accountability and improve student safety practices within schools.
What information must be reported on KS Emergency Safety Intervention (ESI) Reporting Form?
The information that must be reported on the KS Emergency Safety Intervention (ESI) Reporting Form includes the date and time of the incident, description of the behavior that led to the intervention, type of intervention used, individuals present during the intervention, and any injuries or damages that occurred.
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