______________ Public Schools
Protective Measures Procedures
Staff Training: A core group of educators within each school building have been trained in the principles and philosophy of Physical & Psychological Management Training. (PMT) These staff members are appropriately trained in de-escalation techniques as well as safe and effective protective measures.
_____________ Public Schools mandates that alternative strategies and techniques must be exhausted prior to implementation of a protective measure including but not limited to:
Planned Ignoring
Environmental manipulation
Contingency/Choices
Physical Redirection
If a student is not able to regain self-control following all attempts by the staff to deescalate the student’s behavior and the safety of the student and/or the safety of others is in question, the following procedures should be enacted:
STEP 1:
Immediately notify the office:
The office will notify the appropriate team members and the principal and send them to the room or environment in question. The student should remain under constant supervision to assure that he/she is safe. At least two TEAM members must be present during the intervention.
Pre-approved protective measures as indicated within the PMT training manual |
Escort: | Protective Hold: |
Guide-a-long | Limited Security Hold |
Lower Figure Four | Full Security Hold |
Seated Full Security Hold | |
Seated Full Security Hold (two person) | |
Kneeling Full Security Hold | |
PMT Floor Control |
Protective measures lasting longer than 5 minutes must be approved by an administrator or designee. Holds must be approved each additional 5 minutes up to 20 minutes. Protective measures are not to exceed 20 minutes.
STEP 2:
Administrator will notify parent.
_________________ Public Schools may seek an individual waiver for students who present a high risk of frequent, dangerous behavior that may require the frequent use of protective measures. Parent(s)/guardian(s) may withdraw consent to such waiver at any time without penalty. Protective measures that result in serious injury to a student or program staff member must be reported as described above regardless of any individual waiver.
STEP 3:
Complete Paperwork
Protective Measures Documentation Form
o To be completed before the close of the school day
Protective Measures Report Form
o To be completed no later than the following school day
Reports of these incidents should be submitted to the principal no later than the following school day, with copies sent to the pupil services office.
The principal or his/her designee shall maintain an on-going record of all reported instances of protective measures, which shall be made available for review by the Department of Education, upon request.
The following documentation regarding individual waiver of reporting requirements will be maintained on-site in the student’s file and will be made available for inspection to the Department of Education upon request:
a. Informed written consent of parent(s)/guardian(s) to the waiver, which shall specify those reporting requirements listed above that the parent(s)/guardian(s) agrees to waive; and
b. Specific information regarding when and how the parent(s)/guardian(s) will be informed regarding the administration of all protective measures to the individual student.
______________________________ Public Schools Protective Measures Documentation
Date:_____________ Time:________________ Location:____________________
Student:_________________________ Parent Notification:______________________
Antecedents to the Incident: Demand: ______ Environmental: ______ Denied Access: ______ See Attached: _______ Describe Environment or Activity: ___________________________________ ___________________________________ ___________________________________ | Alternatives to Protective Measure: Ignoring: Environmental Manipulation: Contingency: ____ Physical Redirection: ____ Severity of Behavior Prevents: ____ Other: |
Justification for Protective Measure ______ Safety of Student ______ Safety of Others |
Protective Hold/Escort Utilized: Escort: _____Guide-a-long _____Lower Figure Four Protective Hold: _____Limited Security Hold (1) _____Full Security Hold (1) _____Seated Full Security Hold (1) _____Kneeling Full Security Hold (2) _____PMT Floor Control Staff Implementing Protective Hold: Staff 1 Signature: ___________________________ Init: ______ Staff 2 Signature: ___________________________ Init: ______ Staff 3 Signature: ___________________________ Init: ______ | Immediate Notification: Staff: ________ Time: ________ Admin: _______ _____________________ 5-min. Notification Staff: ________ Time: ________ Admin: _______ _____________________ 20-min. Notification Admin: _______ Total Duration: ______ |
Reason for Release: Student Specific Criteria: __ Unsafe Protective Hold: __ Physiological Factors: __ Supervisor Directive: __ | Monitoring: Staff____________________ Skin Color ____ Breathing ____ Body Position ____ | Reestablish Therapeutic Rapport: (follow up actions) |
Classroom Teacher Review: __________________________ Date: _____ School Principal Review: __________________________ Date: _____ Special Education Administrator Review: __________________________ Date: _____ Nurse (if necessary) __________________________ Date: _____ |