Restraint Information

The Restraint Information screen allows users to enter information about incidents involving restraints. This screen appears in the Incident First Section if the incident primary category is Physical Restraint or Restraint.

Note: Mandatory fields are marked with an asterisk. In addition, some fields are conditionally mandatory, or in other words, become mandatory based on the response to a previous field. All mandatory fields (including conditionally mandatory fields) must be completed on a screen.

Field Name	Field Description
Was the restraint duration less than one minute?	Select whether the restraint duration was less than one minute.
Time In:	Enter the time the restraint began.
Time Out:	Enter the time the restraint ended.
Restraint Duration (minutes):	Calculated field which populates at the time of document submission based on entries in the ‘Time In:’ and ‘Time Out:’ fields.
Restraint Technique:	Enter the technique used to apply the restraint.
Antecedent:	Select from the drop-down list the antecedent for the behavior leading up to the restraint.
If other, please specify:	If 'Other' was selected for 'Antecedent', please enter the antecedent.
Restraint Reason:	Select from the drop-down list the reason for the restraint.
If other, please specify.	If 'Other' was selected for 'Restraint Reason', please enter the reason.
Description:	Enter a detailed description of the restraint.
Was the Restraint part of an approved Restrictive Procedure Plan (RPP)?	Select whether the restraint was part of an approved restrictive procedure plan.
Has this individual had more than 2 emergency restraints in the past 6 months?	Select whether the individual has had more than 2 emergency restraints during the past 6 months.
Was a prone (face down) position used during this restraint?	Select whether a prone (face down) position was used during the restraint.
Was this an improper use of a restraint?	Select whether this was an improper use of a restraint.
Was this an unauthorized use of a restraint?	Select whether this was an unauthorized use of a restraint.
Was the individual injured as a result of the use of a restraint?	Select whether the individual was injured from the use of this restraint.
If yes, please specify:	If the individual was injured from this restraint, provide details regarding the individual's injury.
Were debriefing activities completed as part of this restraint?	Select whether debriefing activities were completed as part of this restraint.
Please specify debriefing activities or explain why debriefing activities were not completed:	Provide details regarding the debriefing activities or provide an explanation why debriefing activities were not completed.
Is there documentation that all staff involved were trained on the behavioral support plan that was in place at the time of the incident that included this restraint?	Select whether there is documentation that all staff involved were trained on the behavioral support plan that was in place at the time of the incident that included this restraint.
If no, please explain:	If there is no documentation that all staff involved were trained on the behavioral support plan that was in place at the time of the incident that included this restraint, provide an explanation.