Difficult Behaviors and Prohibition of Restraint
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.
About this policy
- Policy number
- PA-HC-SVC-04
- Version
- 1.0
- Main rule
- 28 Pa. Code §611.55(b)(10)
- Library
- Pennsylvania home care · 49 policies
- Category
- Service delivery
- Sections
- 18
In short
- 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.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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?
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