(a) As soon as possible, but no later than 24 hours after the initiation of the emergency behavior intervention, the caregiver involved in the intervention must document in the child's record the following information:
  (1) The child's name;
  (2) A description and assessment of the circumstances and specific behaviors that caused the basis for the emergency behavior intervention;
  (3) The de-escalation attempted before and during the use of the emergency behavior intervention and the child's reaction to those strategies;
  (4) The specific emergency behavior intervention administered;
  (5) The date and time the intervention was administered;
  (6) The length of time the child was restrained or secluded;
  (7) The name of the caregiver(s) that participated in the incident that led to the intervention, and who administered the intervention;
  (8) The name of the person(s) who observed the child;
  (9) The names of any witnesses to the emergency behavior intervention, including any child in care who witnessed the intervention;
  (10) All attempts to explain to the child what behaviors were necessary for release from the intervention;
  (11) The child's condition following the use of the medication or release from the intervention, including any injury the child sustained as a result of the intervention or any adverse effects caused by the use of the intervention. If the child received medical assistance or treatment, the caregiver must document the name of the person(s) who provided medical assistance or treatment; and
  (12) The actions the caregiver(s) took to facilitate the child's return to normal activities following the end of the intervention.
(b) Supervisors of caregivers involved in emergency behavior intervention of a child must document their review of the use of the intervention within 72 hours of the incident.
(c) If personal restraint is used, documentation must also include the specific restraint techniques used, including a prone or supine restraint used as a transitional hold.
(d) If emergency medication is used, documentation must also include the specific medication used and the dosage administered to the child.
(e) If mechanical restraint is used, documentation must also include:
  (1) The specific restraint device used; and
  (2) Continuous observation and regular respiration and circulation checks and times the checks were conducted.
(f) This rule does not apply to short personal restraints.

Source Note: The provisions of this §748.2855 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective September 1, 2010, 35 TexReg 7497; amended to be effective February 7, 2017, 42 TexReg 488; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909