SECLUSIONRESTRAINT, ELOPEMENTWANDERING, MEDICATION ERRORS

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SECLUSION/RESTRAINT, ELOPEMENT/WANDERING,
MEDICATION ERRORS
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Overview

• Clients Rights
• Seclusion / Use of Restraint
• Elopement / Wandering
• Medication Errors

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CLIENTS RIGHTS

• UCP believes that each person that receives
  services through the Agency has the right to
  use/receive proper professional services, to
  enjoy privacy and confidentiality in the use of
  information about his/herself and to be free from
  embarrassment, discomfort and harassment. People
  have the right to
• Access the established procedures for handling
  their complaints
• Be informed of services available.
• Communication concerning program.
• A safe and humane service environment.
• Be protected from abuse, neglect or mistreatment.
• Privacy which promotes their quality of life.
• Receive appropriate quality service.
• Participate in the planning of their service.
• Prompt and appropriate medical care and emergency
  medical treatment.

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SECLUSION / USE OF RESTRAINT (CHILDREN)

• We practice nonaversive, positive behavior
  management techniques.
• Praising appropriate behavior
• Limits and rules are expressed
• Simple verbal interpretations
• Some bad attention-seeking behaviors are ignored

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SECLUSION / USE OF RESTRAINT (CHILDREN)

• Time Out used when behavior is aggressive or
  persistent
• Time-Out Log Sheet
• Use of seat belts
• Seat Belt Use Log Sheet
• Under no circumstances will the staff of UCP use
  physical punishment or any other procedure which
  might humiliate, hurt or frighten a child.

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SECLUSION / USE OF RESTRAINT (ADULTS)

• It is the policy of UCP that behavior management
  programs be designed according to the individual
  needs of the client and that special attention be
  directed toward the protection of the rights of
  the individual with whom such techniques are
  employed.

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SECLUSION / USE OF RESTRAINT (ADULTS)

• Use of corporal punishments is prohibited
• Physical restraints or isolation are prohibited
  unless the behavior is detrimental to the person,
  the staff or the general public.
• If restraints are needed, it will be noted in the
  clients file.

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ELOPEMENT / WANDERING

• Elopement unassisted, unsupervised departure
  from the facility requiring the implementation of
  a missing person protocol.
• Wandering cognitive impairment resulting in a
  client moving about inside or outside a facility
  without an appreciation for personal safety.

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ELOPEMENT / WANDERING

• Observable Elopement
• Staff will attempt to deter an elopement by using
  the following procedures
• As the client moves away from the site, alert
  other staff members you will be following the
  client and keep the client in your sight at all
  times.
• Return the client to the UCP site as quickly as
  possible

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ELOPEMENT / WANDERING

• Out-of Sight Elopement
• Use crisis protocol
• Begin to look for the client on surrounding
  property. Notify second staff before you leave
  the premises.
• If you are unable to locate the client within 5
  minutes, contact the Program Director.
• Call the police.
• Continue to look for the client until the police
  arrive. Contact the clients emergency contact.
• If the client is found after the police are
  called, but before they arrive, notify them
  immediately.

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ELOPEMENT / WANDERING

• Reporting Adult
• If not located within 30 minutes, contact
  parent/guardian and contact RCS
• Within 24 hours of the incident, fill out an
  Incident Report Form and turn into Safety
  Chairperson.
• Within 72 hours of the incident, fill out a RCS
  written report.
• Within 15 working days of the incident, fill out
  a RCS Investigative Report.

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ELOPEMENT / WANDERING

• Reporting Youth
• If not located within 30 minutes, contact
  parent/guardian immediately.
• Within 24 hours of the incident, fill out an
  Incident Report Form and turn into Safety
  Chairperson.
• Safety Committee
• Responsible for building inspections to determine
  if locks on doors and windows are safe from
  elopement
• Review the missing client protocol annually and
  revise as necessary

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MEDICATION ERRORS (ADULTS)

• Level 1
• Incidences that require no treatment or
  intervention other than observation
• Level 2
• Incidences where the client experiences
  short-term, reversible adverse consequences and
  treatments are needed
• Level 3
• Incidences in which the client experiences
  life-threatening and/or permanent adverse
  consequences

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MEDICATION ERRORS (ADULTS)

• Level 1 Reporting
• File a written report with RCS within 72 hours
• Level 2 Reporting
• Verbal report within 24 hours of the incident
• File a written report with RCS within 72 hours
• Level 3 Reporting
• Verbal report within 24 hours of the incident
• File a written report with RCS within 72 hours
• Will have extensive follow-up with RCS

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MEDICATION ERRORS (CHILDREN)

• Medication Authorizations
• Physical symptoms of an overdose
• Abnormal breathing
• Slurred speech
• Lack of coordination
• Slow or rapid pulse
• Low or elevated body temperature
• Reddish face
• Heavy sweating
• Drowsiness

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ANY QUESTIONS?