WAC 388-101D-0435. Physical intervention systems

Service providers who are using physical interventions with clients must have a physical intervention techniques system that includes at least the following: (1) Discussion of the need for positive behavior support; (2) Communication styles that help the client to calm down and resolve problems; (3) Techniques to prevent escalation of behavior before it reaches the stage of physical assault; (4) Techniques for staff to use in response to clients and their own fear, anger, aggression, or other negative feelings; (5) Cautions that physical intervention technique(s) may not be changed except as needed for individual disabilities, medical, health, and safety issues. A health care professional and a program trainer must approve all modifications; (6) Evaluation of the safety of the physical environment; (7) Issues of respect and dignity of the client; (8) Use of the least restrictive physical interventions depending upon the situation; (9) Identification of division of developmental disabilities approved and prohibited physical intervention techniques; (10) The need to release clients from physical restraint as soon as possible; (11) Instruction on how to support physical interventions as an observer, recognizing signs of: (a) Distress by the client; and (b) Fatigue by the staff; and (12) Discussion of the importance of complete and accurate documentation.