DOC 376.09(10)(10) Facility staff must document all uses of restraints in the facility, including a description of the events leading up to the use of restraints, the less restrictive alternatives attempted, and the length of time the youth spent in restraints.

DOC 376.09(11)(11) Mechanical restraints in excess of 45 minutes may be used only if all of the following apply:

DOC 376.09(12)(12) When psychology staff approves additional 45 minutes of mechanical restraint use, as soon as possible and no later than 2 hours following this approval, psychology staff shall evaluate the youth and provide therapeutic interventions to the youth as needed.

DOC 376.09(13)(13) Full body restraints may be used only for the following reasons with authorization from the superintendent in consultation with psychology staff:

DOC 376.09(13)(c)(c) To protect staff, youth or other persons from a youth who poses an immediate risk of physical injury to others unless placed in full body restraints.

DOC 376.09(14)(14) When staff place a youth in full body restraints under sub. (13) (a) to (c), all of the following apply:

DOC 376.09(14)(a)(a) The shift supervisor shall be present and shall notify the superintendent, a health services professional and the psychologist on call.

DOC 376.09(14)(d)(d) A staff psychologist or psychiatrist shall arrange for an on-site evaluation within 2 hours after the application of full body restraints.

DOC 376.09(14)(e)(e) The psychologist or psychiatrist shall recommend to the superintendent whether the youth should remain in full body restraints and what actions should be taken to protect the youth.

DOC 376.09(14)(f)(f) A health services professional shall conduct a physical examination as soon as possible, but not later than one hour after application of full body restraints. A physical examination shall be conducted every 4 hours thereafter by a health services professional.

DOC 376.09(14)(h)(h) Youth may be partially released from full body restraints if it is safe to do so to perform bodily functions and for meals. Three staff members, one of whom shall be a supervisor, shall be present before and during the release.

DOC 376.09(14)(i)(i) The youth shall be released immediately if it becomes apparent that full body restraints present a medical risk to the youth.

DOC 376.09(15)(15) Facility staff must document all uses of full body restraints in the facility, including a description of the events leading up to the use of full body restraints, the less restrictive alternatives attempted, and the length of time the youth spent in full body restraints. Staff shall also document:

DOC 376.09(15)(a)(a) The name of the staff making the observation and comments on the youth’s condition and behavior while in full body restraints.

DOC 376.09(15)(b)(b) The dates and times that the youth was observed by clinical staff, a health services professional or a licensed psychologist or psychiatrist, the recommendations made by those persons and whether staff implemented the recommendations.

DOC 376.09(16)(16) The superintendent may authorize partial or complete release from full body restraints at any time.

DOC 376.09(17)(17) No youth may be immobilized in full body restraints for longer than 12 hours, unless the youth is examined by a psychologist, psychiatrist or the crisis intervention worker, who shall make a written recommendation to the superintendent as to whether the youth should continue to remain in full body restraints. An examination by a psychologist, psychiatrist or crisis intervention leader shall occur thereafter at least every 12 hours that a youth is in full body restraints. The superintendent may authorize the use of restraints for more than 12 hours. The superintendent shall notify the administrator of the decision to continue the use of full body restraints beyond 12 hours and every 12 hours thereafter.

DOC 376.09(18)(18) Staff shall initiate a transfer to a mental health facility under s. 51.35 (3), Stats., if appropriate. Staff shall not retain a youth in full body restraints under sub. (13) (a) to (c) for more than 24 hours, unless a transfer to a mental health facility has been initiated by the facility.

DOC 376.09(19)(19) A monthly report concerning each incident involving the use of full body restraints shall be submitted by the superintendent to the administrator.

DOC 376.09(20)(20) Facilities shall maintain a supply of commercially manufactured mechanical restraints approved by the department. The mechanical restraints shall be periodically examined and any excessively worn or defective mechanical restraints shall be removed from the supply and destroyed.