{"ref":"PA-HC-SVC-04","title":"Difficult Behaviors and Prohibition of Restraint","category":"Service delivery","summary":"Prohibits any restraint or seclusion of any consumer, explains how direct care workers understand and respond to difficult behaviors with respect and de-escalation, and sets out how behaviors are recorded, planned for, and reported.","inShort":["Never restrain a consumer: no holding down, tying, locking in, raising bed rails to keep them in bed, or using medication to calm them.","Behavior often means pain, fear, confusion, or a need. Look for the cause and meet the need if you can.","Stay calm, give space, explain each step, and offer choices. If the consumer refuses care, stop and try again later.","If anyone is in danger, move to a safe place and call 911, then the office.","Write down what happened before, during, and after the behavior, and tell your supervisor."],"primaryCitation":"28 Pa. Code §611.55(b)(10)","citations":["28 Pa. Code §611.55(b)(10)","28 Pa. Code §611.55(b)(2)","28 Pa. Code §611.57(a)(1)","55 Pa. Code §52.16","55 Pa. Code §52.3","55 Pa. Code §52.17","55 Pa. Code §52.25(a)(8)","28 Pa. Code §51.3(g)(4)","35 P.S. §10225.103","35 P.S. §10210.103"],"federalCitations":[],"surveyorAsks":["What would a direct care worker do if a consumer with dementia tried to leave the house at night?","Do your workers ever use restraints, lock a consumer in a room, or hold a consumer down? How do they know they must not?"],"forms":[{"ref":"PA-HC-SVC-04-A","title":"Behavior Support Notes"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (28 Pa. Code §611.55(b)(10))","5. What Staff Never Do","6. Understanding Behavior","7. Responding to Difficult Behavior","8. When Someone Is in Danger","9. Recording and Planning","10. Reporting Restraint, Seclusion, and Injuries","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"pa-hca","state":"Pennsylvania","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}