Use of Restraints a. Use of any firearms or any chemical agent is absolutely prohibited for all Secure Transport and Escort Services performed under this Agreement.
Use of Restraints. The jail remains in substantial compliance with the provisions in this section. Between January and July of 2016, there were no episodes of psychiatric restraint. In fact, the jail uses restraints so infrequently that the medical staff has difficulty remembering the protocols for monitoring patients in restraints. As a result, the jail has increased its restraint training for medical staff to twice yearly.
Use of Restraints. The State shall require that youth must not be subjected to undue restraints. The State shall create or modify policies, procedures, and practices to require that the use of restraints be limited to exceptional circumstances, as set forth below, where all other appropriate pro-active, non-physical behavioral management techniques have been tried and failed and a youth poses a danger to himself/herself or others. Restraints shall never be used to punish youth. Accordingly, restraints shall be used only in the following circumstances:
Use of Restraints. CDOC agrees to revise its policies regarding the use of restraints on individuals determined to have hearing disabilities pursuant to § 2(f) of this Agreement in accordance with the following terms.
Use of Restraints. The County shall prevent the unnecessary or excessive use of restraints on prisoners with mental illness or requiring suicide precautions. At a minimum, the County shall: Develop and maintain comprehensive policies and procedures for the use of restraints for prisoners with mental illness in accordance with generally accepted standards of care. Status Partial Compliance Discussion To date, the RCDF does not have a policy on use of restraints. The RCDF Administrator drafted a policy and it was subsequently reviewed by SHP officials. The draft policy was recently revised and approved by the Independent Consultant in May 2014. The policy should be implemented in the near future. Recommendations None Evidentiary Basis Provision B.4.b Ensure that a QMHP by preference, and if not available, a QMS provides written approval prior to the use of restraints on prisoners suffering from mental illness or requiring suicide precautions. The QMHP or QMS shall document the basis for and duration of the use of restraints and the performance and results of welfare checks on such restrained prisoners. The parties acknowledge that there may be situations which arise of immediate nature where such prior written approval is not practical for the safety of the inmate, other inmates or the facility staff. In such cases, written approval shall be obtained as soon as practicable and the same documentation obtained. Status Partial Compliance Discussion See discussion above. The recently approved restraint policy has not yet been implemented, and this provision will be fully audited during the next on-site visit. Recommendations None
Use of Restraints a. Policies for the use of restraints on prisoners with mental health needs are continued, further developed, and implemented. Finding: Substantial Compliance Relevant Areas Reviewed: ▪ Policy J-I-01: Restraint and Seclusion (Revised 6/12/14) ▪ 2 restraint reviews from 2014 ▪ Medical records of 2 inmates (D.C. and T.P.) who were restrained in 2014 ▪ Interviews with staff involved in placement and monitoring of restraints ▪ Quality assurance reviews from April and July 2014 Basis for Finding: Use of restraints in the jail remains quite low, and restraints are being used appropriately as a last resort in cases where inmates are at risk of immediate bodily harm. The Restraint Reviews indicate that, in the two cases in 2014, the inmates were monitored every 15 minutes, as required by policy. In both cases, restraints were used for relatively short durations: - Case 1: approximately 3.5 hours - Case 2: approximately 6 hours Since the last site visit, the jail’s restraint policy has been updated to shorten the duration that an inmate can be placed in restraints without an additional physician’s order. The duration is now 12 hours, as opposed to 18. As mentioned in Monitor’s Report #1, the community standard for restraint placement is 4 hours. During the site visit, the parties and I discussed this issue at length so that I could understand the reasons why the jail thought it impractical to reorder restraints every 4 hours. In essence, the jail’s argument is that, since there is no physician on site after hours, there would be no point in having a nurse call the physician every 4 hours to update him about the inmate’s condition, as no physician would ever discontinue restraints based solely on an LPN’s verbal report. It seemed simpler to eliminate the additional phone calls and require restraint renewal every 12 hours, which is consistent with the NCCHC guidelines. In reality, all of this is an academic point, as inmates are very infrequently restrained and already spend relatively short durations in restraints. After reviewing all of the available data, I can support the jail’s current policy allowing for up to 12 hours of restraint use between physician orders. If the jail’s data about restraint use changes substantially in the next reporting period, and inmates are restrained in larger numbers for longer times, we may revisit this issue.
Use of Restraints. CDOC agrees to revise its policies regarding the use of restraints on individuals determined to have hearing disabilities pursuant to § 2(f) of this Agreement in accordance with the following terms. CDOC shall refrain from handcuffing individuals determined to have hearing disabilities pursuant to § 2(f) of this Agreement behind their backs. In general, CDOC will refrain from using black box restraints on individuals in its custody who utilize sign language or handwriting as their primary means of communication. Notwithstanding this provision, CDOC may use black box restraints during transport where an individualized assessment determines that a failure to do so would create unacceptable safety risks. In general, CDOC will refrain from using black box restraints on any individuals in its custody who utilize sign language or handwriting as their primary means of communication during any outside medical appointment. Notwithstanding this provision, CDOC may use black box restraints during outside medical appointments where an individualized assessment determines that a failure to do so would create unacceptable safety risks, or during an emergent security situation.
Use of Restraints. Use of any firearms or any chemical agent is absolutely prohibited for all Secured Transport and Escort Services performed under this agreement. When warranted, to protect the safety and well-being of the consumer, the public and the Escort, the guard is allowed to use handcuffs, a lap belt, and/or leg restraints. If additional restraint is needed, the Authorized Requesting Agency shall contact DBH and request Alaska State Trooper or local police department transport assistance.
Use of Restraints. Use of any firearms or any chemical agent is absolutely prohibited for all Secured Transport and Escort Services performed under this agreement. When Secured Transport and Escort Services elect, concealed protective body armor may be worn for safety. When warranted, to protect the safety and well-being of the consumer, the public and the Escort, the guard is allowed to use handcuffs, a lap belt and/or leg restraints. If additional restraint is needed, the Authorized Requesting Agency shall contact DBH and request Alaska State Trooper or local police department transport assistance. At no time will a Consumer be transported with their arms behind their back in handcuffs or other restraints. Use of a body camera or vehicle mounted camera may be authorized by DBH. Security of recordings must be approved by DBH in conjunction with camera use. Approval to use a body camera or vehicle mounted camera and the method of securing recordings can be requested, in writing, from DBH. DBH approval to use camera equipment is an individualized decision, based on a Provider’s proposal and DBH’s understanding and acceptance of that proposal. Proof of successful completion of training for the use of handcuffs, a lap belt and/or leg restraints, and cameras (if approved), must be provided to DBH and it is the responsibility of all Secured Transport and Escort Services to ensure current and effective training is provided to all staff. Current training timelines shall coincide with national standards and shall not allow for more than 2 years between any training unless an exception is requested, in writing, from DBH by the Secured Transport and Escort Service. It is the provider’s responsibility to provide accurate and timely proof of applicable training to DBH before restraints or technologies are used. Request for reimbursement for some or all of this training may be made to DBH in writing.
Use of Restraints. According to the 0000 Xxxxxx xxxxxxxxx observed use survey, 5.4% of front seat MV occupants do not routinely use restraints. During 2019, crash reports (FARS) indicate 27.6% of motor vehicle occupant fatalities were unrestrained. Improper Use of Safety Belts: Oregon law requires "proper" use of safety belt and child restraint systems. Some adult occupants inadvertently compromise the effectiveness of their belt systems and put themselves or other occupants at severe risk of unnecessary injury by using safety belts improperly. This is most often accomplished by placing the shoulder belt under the arm or behind the back, securing more than one passenger in a single belt system, or using only the automatic shoulder portion of a two-part belt system (where the lap belt portion is manual).
