1 00:00:04,380 --> 00:00:05,213 - Got it. 2 00:00:05,213 --> 00:00:06,046 Okay. 3 00:00:07,030 --> 00:00:09,633 You can advance to the next slide, Sherry. 4 00:00:11,945 --> 00:00:16,862 So today's training will focus on the purpose of Rule 4500. 5 00:00:22,750 --> 00:00:27,260 We'll go over some of the most basic definitions and sort 6 00:00:27,260 --> 00:00:32,080 of really try to pick those definitions apart 7 00:00:32,080 --> 00:00:36,470 so that you know exactly what we're talking about in terms 8 00:00:36,470 --> 00:00:40,500 of what is permissible and what is prohibited 9 00:00:40,500 --> 00:00:42,320 in the use of restraints and seclusions. 10 00:00:42,320 --> 00:00:43,200 We'll talk a little bit 11 00:00:43,200 --> 00:00:47,930 about when and how to terminate interventions, 12 00:00:47,930 --> 00:00:51,970 and then we will end with talking about some considerations 13 00:00:51,970 --> 00:00:53,763 in the context of COVID. 14 00:00:55,700 --> 00:01:00,700 And in order to fit in the COVID discussions, 15 00:01:00,850 --> 00:01:04,810 I have eliminated some pieces of the training 16 00:01:04,810 --> 00:01:06,560 that I normally do. 17 00:01:06,560 --> 00:01:09,670 So at the end of the slide deck, 18 00:01:09,670 --> 00:01:12,240 you will see the extra slides, 19 00:01:12,240 --> 00:01:16,520 and they're more straightforward parts of the rule, 20 00:01:16,520 --> 00:01:20,623 just about how and when and whom to report to 21 00:01:23,950 --> 00:01:27,253 and debriefings and things like that. 22 00:01:28,150 --> 00:01:29,419 Okay. 23 00:01:29,419 --> 00:01:31,563 So you can advance the slide, please. 24 00:01:32,440 --> 00:01:34,910 So, oops! 25 00:01:34,910 --> 00:01:36,940 Wait, was there one? 26 00:01:36,940 --> 00:01:37,773 There you go. 27 00:01:40,030 --> 00:01:44,840 The purposes of Rule 4500 are to create and maintain 28 00:01:44,840 --> 00:01:47,710 a positive and safe environment, 29 00:01:47,710 --> 00:01:52,380 to promote positive behavioral interventions and supports, 30 00:01:52,380 --> 00:01:55,400 and to ensure that students are not subjected 31 00:01:55,400 --> 00:01:59,070 to inappropriate use of restraint or seclusion. 32 00:01:59,070 --> 00:02:03,700 That is why the State of Vermont developed these rules. 33 00:02:03,700 --> 00:02:05,160 Next slide, please. 34 00:02:08,560 --> 00:02:09,393 All right. 35 00:02:09,393 --> 00:02:10,503 On second. 36 00:02:12,680 --> 00:02:13,950 All right. 37 00:02:13,950 --> 00:02:18,890 So we're gonna talk first about seclusions. 38 00:02:18,890 --> 00:02:23,890 So seclusion means the confinement of a student alone 39 00:02:24,230 --> 00:02:29,023 in a room or an area, with the key word there being alone, 40 00:02:29,970 --> 00:02:34,410 and the student is prevented or reasonably believes 41 00:02:34,410 --> 00:02:38,090 that he or she will be prevented from leaving. 42 00:02:38,090 --> 00:02:42,020 It does not include timeout or private processing 43 00:02:43,020 --> 00:02:45,740 in which the student is not left alone 44 00:02:45,740 --> 00:02:48,223 and is under adult supervision. 45 00:02:49,300 --> 00:02:50,873 Next slide, please. 46 00:02:51,820 --> 00:02:55,730 We're gonna jump right into a poll, and Sherry, 47 00:02:55,730 --> 00:02:58,860 they're just answering in the chat, is that right? 48 00:02:58,860 --> 00:02:59,693 - Yes. 49 00:02:59,693 --> 00:03:00,560 - Okay. 50 00:03:00,560 --> 00:03:04,440 So I will let you, I will provide a few minutes for you 51 00:03:04,440 --> 00:03:07,950 to read this scenario about Zuri, 52 00:03:07,950 --> 00:03:12,950 and then we will ask you to identify whether you think 53 00:03:13,430 --> 00:03:18,430 this is define, whether you could define this scenario 54 00:03:18,680 --> 00:03:19,973 as a seclusion. 55 00:03:21,550 --> 00:03:24,933 So go ahead and read that little scenario. 56 00:03:48,336 --> 00:03:49,169 All right. 57 00:03:50,420 --> 00:03:52,200 - It's so resounding no. 58 00:03:52,200 --> 00:03:53,740 - Yes. 59 00:03:53,740 --> 00:03:54,573 Okay. 60 00:03:54,573 --> 00:03:55,960 So that is correct. 61 00:03:55,960 --> 00:04:00,517 This is not a seclusion because Zuri 62 00:04:00,517 --> 00:04:03,610 and her behavior interventionist were together, 63 00:04:03,610 --> 00:04:05,260 in that enclosed space, 64 00:04:05,260 --> 00:04:10,000 and so she wasn't alone and was able to interact 65 00:04:10,000 --> 00:04:11,393 with her interventionist. 66 00:04:12,690 --> 00:04:13,993 All right, next slide. 67 00:04:15,760 --> 00:04:17,800 Same situation with Zuri, 68 00:04:17,800 --> 00:04:20,050 but read this 69 00:04:20,050 --> 00:04:24,063 and then answer whether this would represent a seclusion. 70 00:04:37,260 --> 00:04:38,700 - No, no, no, no, no, no, no, no, no, no. 71 00:04:38,700 --> 00:04:39,650 - Yeah. 72 00:04:39,650 --> 00:04:41,100 Okay. 73 00:04:41,100 --> 00:04:42,120 Nice job. 74 00:04:42,120 --> 00:04:43,143 Next slide. 75 00:04:44,510 --> 00:04:47,550 So, no, that's not a seclusion 76 00:04:47,550 --> 00:04:49,650 either because in this situation, 77 00:04:49,650 --> 00:04:53,490 Zuri chose to enter the room on her own accord. 78 00:04:53,490 --> 00:04:56,280 She was told and she had every reason to believe 79 00:04:56,280 --> 00:04:58,510 that she could exit at will 80 00:04:58,510 --> 00:05:01,350 and wasn't prevented from leaving, 81 00:05:01,350 --> 00:05:04,170 and Zuri chose a good coping skill 82 00:05:04,170 --> 00:05:06,570 which could be acknowledged and then shaped 83 00:05:06,570 --> 00:05:08,180 into a proactive skill 84 00:05:08,180 --> 00:05:11,903 before she got to the point of acting out aggressively. 85 00:05:12,950 --> 00:05:16,430 Let's do one more scenario with Zuri. 86 00:05:16,430 --> 00:05:19,030 Go ahead and read that and tell me 87 00:05:19,030 --> 00:05:21,743 whether you think this is a seclusion. 88 00:05:23,430 --> 00:05:25,270 - BI stands for behavioral- 89 00:05:25,270 --> 00:05:27,113 - Behavior interventionist. 90 00:05:44,420 --> 00:05:46,930 - We got a lot of yes, yes, yes, yes, yes, yes and yes. 91 00:05:46,930 --> 00:05:48,360 - Yup, okay. 92 00:05:48,360 --> 00:05:49,720 Good job, everybody. 93 00:05:49,720 --> 00:05:54,720 Yes, this is a seclusion because she was confined alone 94 00:05:55,310 --> 00:05:58,520 in the room and she told she had to remain there 95 00:05:58,520 --> 00:06:01,520 until she was given permission to leave. 96 00:06:01,520 --> 00:06:03,247 - There's a question in the chat box, 97 00:06:03,247 --> 00:06:06,967 "What if the student is monitored the entire time?" 98 00:06:09,500 --> 00:06:14,500 - Well, we will get into the actual rules 99 00:06:14,570 --> 00:06:17,930 around what is permitted and what is prohibited, 100 00:06:17,930 --> 00:06:21,760 and one of the rules around seclusion is that the student 101 00:06:21,760 --> 00:06:26,510 has to be monitored the entire time. 102 00:06:26,510 --> 00:06:31,510 So monitoring is part of seclusion, and the difference 103 00:06:32,840 --> 00:06:34,900 between it being a seclusion 104 00:06:34,900 --> 00:06:39,290 and not would be, A, was the student alone in the room? 105 00:06:39,290 --> 00:06:41,783 And B, were they allowed to leave? 106 00:06:42,840 --> 00:06:44,957 - And another question from Abby, 107 00:06:44,957 --> 00:06:47,597 "What if the BI remained in the room and said to Zuri, 108 00:06:47,597 --> 00:06:50,990 "that she couldn't leave till she calmed down?" 109 00:06:50,990 --> 00:06:51,823 - In that case, 110 00:06:51,823 --> 00:06:54,040 that would not be a seclusion 111 00:06:54,040 --> 00:06:57,250 because Zuri wasn't in the room alone. 112 00:06:57,250 --> 00:07:00,250 Even though she would be prohibited from leaving, 113 00:07:00,250 --> 00:07:04,283 it's not a seclusion because she's accompanied by an adult. 114 00:07:05,500 --> 00:07:10,500 - So, and this is technical, so that's technically the case, 115 00:07:11,931 --> 00:07:15,437 it's what's best practice is another conversation, right? 116 00:07:15,437 --> 00:07:18,460 And we don't have a lot of information about Zuri. 117 00:07:18,460 --> 00:07:19,293 - Yeah. 118 00:07:19,293 --> 00:07:20,150 - Yeah, okay. 119 00:07:20,150 --> 00:07:21,050 - Absolutely. 120 00:07:21,050 --> 00:07:22,338 - Yup. 121 00:07:22,338 --> 00:07:26,220 - So I lied that wasn't the last Zurich scenario, 122 00:07:26,220 --> 00:07:28,253 but here you go, here's one more. 123 00:07:43,910 --> 00:07:44,743 One, one. 124 00:07:52,530 --> 00:07:54,100 - Resounding yeses. 125 00:07:54,100 --> 00:07:58,020 - Yeah, coming in a little bit slower this time, but yes. 126 00:07:58,020 --> 00:08:01,800 Good job, everybody, this too is a seclusion. 127 00:08:01,800 --> 00:08:06,800 Zuri is, A, alone, B, not permitted to leave, 128 00:08:07,970 --> 00:08:12,550 and seclusions, they don't even need to occur 129 00:08:12,550 --> 00:08:13,710 in a room at all. 130 00:08:13,710 --> 00:08:17,390 You can tell a student to remain in an alcove 131 00:08:17,390 --> 00:08:19,730 or even behind a divider, 132 00:08:19,730 --> 00:08:23,450 and as long as the student is alone in that space 133 00:08:23,450 --> 00:08:27,183 and not allowed to leave, that would be a seclusion. 134 00:08:28,540 --> 00:08:30,153 Okay, next slide. 135 00:08:33,560 --> 00:08:35,090 Going forward, we're gonna talk 136 00:08:35,090 --> 00:08:39,320 about physical restraints now, and for the time being, 137 00:08:39,320 --> 00:08:43,150 we're going to assume that COVID is not a factor, 138 00:08:43,150 --> 00:08:46,220 and this is just for instructional purposes 139 00:08:47,060 --> 00:08:52,060 so that we can just go over the rule as it is written 140 00:08:52,290 --> 00:08:57,290 and as hopefully we will return before too long. 141 00:08:59,010 --> 00:08:59,843 Okay. 142 00:08:59,843 --> 00:09:00,676 Next slide. 143 00:09:03,090 --> 00:09:06,210 - I was so busy imagining what no COVID would be like. 144 00:09:06,210 --> 00:09:07,200 - I know. 145 00:09:07,200 --> 00:09:09,323 I can't even quite imagine that. 146 00:09:10,383 --> 00:09:11,770 Okay. 147 00:09:11,770 --> 00:09:16,600 Physical escort as opposed to physical restraint. 148 00:09:16,600 --> 00:09:19,240 A physical escort is defined 149 00:09:19,240 --> 00:09:22,750 as momentary touching or holding 150 00:09:22,750 --> 00:09:25,660 of a hand or wrist and arm or a bat 151 00:09:25,660 --> 00:09:28,283 without the use of force. 152 00:09:29,240 --> 00:09:33,820 The student would be exhibiting minimal resistance, 153 00:09:33,820 --> 00:09:38,320 and the purpose of the escort is to direct the movement 154 00:09:38,320 --> 00:09:41,163 of the students from one place to another. 155 00:09:42,210 --> 00:09:47,210 An escort is not considered a restraint and it doesn't need 156 00:09:47,230 --> 00:09:50,883 to follow Rule 45 Protocol, 157 00:09:52,360 --> 00:09:57,360 not considered a restraint when it doesn't involve force 158 00:09:57,980 --> 00:10:00,913 or a student resistance. 159 00:10:02,190 --> 00:10:03,350 Okay. 160 00:10:03,350 --> 00:10:06,300 Now, let's talk about a transport 161 00:10:06,300 --> 00:10:11,180 or what I'm going to call a moving restraint. 162 00:10:11,180 --> 00:10:14,840 A moving restraint would involve the use 163 00:10:14,840 --> 00:10:17,830 of more than just the minimal amount of force 164 00:10:17,830 --> 00:10:19,610 from the adult. 165 00:10:19,610 --> 00:10:23,483 It would be a momentary period of physical contact, 166 00:10:24,490 --> 00:10:28,240 again, more than the minimal level of force, 167 00:10:28,240 --> 00:10:31,500 you are restricting the student's movement and the student 168 00:10:31,500 --> 00:10:34,010 is actively resisting. 169 00:10:34,010 --> 00:10:39,010 That would be considered a restraint or a moving restraint. 170 00:10:40,240 --> 00:10:43,440 It would be governed by Rule 4500, 171 00:10:43,440 --> 00:10:47,230 and it would also be governed by the protocols 172 00:10:47,230 --> 00:10:50,150 of the restraint training program 173 00:10:50,150 --> 00:10:53,173 that you used to be trained, 174 00:10:54,660 --> 00:10:59,660 and different training protocols have different ideas 175 00:11:00,820 --> 00:11:05,820 of what can and cannot be used for a moving transport. 176 00:11:07,120 --> 00:11:11,260 Next slide is just a chart that sort of talks 177 00:11:11,260 --> 00:11:13,880 about the difference between the two. 178 00:11:13,880 --> 00:11:16,770 Once again, an escort is not a restraint 179 00:11:16,770 --> 00:11:21,530 because it doesn't involve force, 180 00:11:21,530 --> 00:11:24,860 it doesn't involve the student resisting. 181 00:11:24,860 --> 00:11:28,310 The student is moving of their own accord. 182 00:11:28,310 --> 00:11:31,853 They may be verbally resisting, but not physically, 183 00:11:33,310 --> 00:11:35,880 so that is not a restraint and it doesn't need 184 00:11:35,880 --> 00:11:38,930 to follow 4500 Protocol. 185 00:11:38,930 --> 00:11:43,490 A moving restraint, again, is more than the minimal level 186 00:11:43,490 --> 00:11:47,300 of support, of force from a staff member. 187 00:11:47,300 --> 00:11:51,350 You are restricting the student's movement in some way, 188 00:11:51,350 --> 00:11:56,350 A CPI, for example, a CPI high-level transport 189 00:11:56,470 --> 00:11:58,100 would fit this description 190 00:11:59,427 --> 00:12:02,720 whereas a lower or a medium transport for CPI 191 00:12:02,720 --> 00:12:05,430 would be considered an escort. 192 00:12:05,430 --> 00:12:07,290 Once again, in the moving restraint, 193 00:12:07,290 --> 00:12:10,100 the student is physically resisting 194 00:12:10,100 --> 00:12:13,070 and is not moving of their own accord, 195 00:12:13,070 --> 00:12:17,400 they're actively trying to stop the movement. 196 00:12:17,400 --> 00:12:20,203 All right, next slide is another poll. 197 00:12:21,340 --> 00:12:25,020 Read this scenario about Ben and then tell me 198 00:12:25,020 --> 00:12:28,190 whether you think it involves an escort 199 00:12:28,190 --> 00:12:29,783 or a moving restraint. 200 00:12:49,610 --> 00:12:50,710 All right. 201 00:12:50,710 --> 00:12:55,680 I'm seeing lots of escorts, and that is the correct answer. 202 00:12:55,680 --> 00:12:58,280 This intervention was an escort. 203 00:12:58,280 --> 00:13:02,770 The assistant used direct person-to-person contact 204 00:13:02,770 --> 00:13:05,850 while putting her arm around Ben's shoulders, 205 00:13:05,850 --> 00:13:09,360 but she has minimal force to guide him toward the door, 206 00:13:09,360 --> 00:13:13,428 and Ben moved his own body forward 207 00:13:13,428 --> 00:13:17,900 with verbal resistance, but not physical resistance. 208 00:13:17,900 --> 00:13:21,280 Once again, this type of escort is allowable 209 00:13:21,280 --> 00:13:26,280 and doesn't need to follow or be reported as a restraint. 210 00:13:27,760 --> 00:13:29,383 Next slide, please. 211 00:13:31,160 --> 00:13:35,330 Now we're gonna talk about physical restraints, 212 00:13:35,330 --> 00:13:39,600 which would be a stationary holding of a student. 213 00:13:39,600 --> 00:13:43,350 So a physical restraint is defined as the use 214 00:13:43,350 --> 00:13:46,990 of physical force to prevent an imminent 215 00:13:46,990 --> 00:13:50,970 and substantial risk of bodily harm to the student 216 00:13:50,970 --> 00:13:52,300 or to others. 217 00:13:52,300 --> 00:13:56,383 We'll get more into exactly what is prohibited 218 00:13:56,383 --> 00:14:01,383 or permissible, but when we're talking about restraints, 219 00:14:01,650 --> 00:14:06,240 we're only talking about an emergency intervention 220 00:14:06,240 --> 00:14:08,690 in which there is an imminent risk 221 00:14:08,690 --> 00:14:11,723 of substantial bodily harm. 222 00:14:12,960 --> 00:14:15,000 When we talk about prone restraints, 223 00:14:15,000 --> 00:14:18,020 we're talking about holding a student face down 224 00:14:18,020 --> 00:14:23,020 on their stomach, and a supine is lying down on their back. 225 00:14:24,810 --> 00:14:26,593 Next slide is a poll. 226 00:14:28,000 --> 00:14:29,713 Oh, sorry, I forgot. 227 00:14:30,730 --> 00:14:34,690 A note about prone and supine restraints. 228 00:14:34,690 --> 00:14:39,690 They are considered to be prohibited 229 00:14:40,160 --> 00:14:43,700 unless the student's size or the severity 230 00:14:43,700 --> 00:14:46,070 of their behavior required it 231 00:14:46,070 --> 00:14:50,110 because a less restrictive restraint has failed 232 00:14:50,110 --> 00:14:51,633 or would be ineffective. 233 00:14:52,520 --> 00:14:56,630 These are the most restrictive types of restraint, 234 00:14:56,630 --> 00:14:59,530 and they're the ones that cause the most risk 235 00:14:59,530 --> 00:15:03,180 of positional asphyxiation. 236 00:15:03,180 --> 00:15:08,023 So they should only be used as a last resort. 237 00:15:09,000 --> 00:15:09,833 All right. 238 00:15:09,833 --> 00:15:11,680 Next slide. 239 00:15:11,680 --> 00:15:14,520 Oh, I think I got ahead of myself here. 240 00:15:14,520 --> 00:15:15,353 Let me catch up. 241 00:15:19,750 --> 00:15:21,219 Sorry. 242 00:15:21,219 --> 00:15:22,593 One question. 243 00:15:24,830 --> 00:15:26,410 Okay. 244 00:15:26,410 --> 00:15:28,930 These are the things that are not considered 245 00:15:28,930 --> 00:15:30,690 to be restraint. 246 00:15:30,690 --> 00:15:33,760 Again, momentary periods of physical restriction 247 00:15:33,760 --> 00:15:37,283 accomplished by minimal force, in other words, an escort. 248 00:15:38,570 --> 00:15:40,830 Another way of describing an escort 249 00:15:40,830 --> 00:15:44,660 is the minimum contact necessary to physically escort 250 00:15:44,660 --> 00:15:46,863 a student from one place to another. 251 00:15:47,750 --> 00:15:50,340 A restraint doesn't include things 252 00:15:50,340 --> 00:15:54,510 like hand-over hand assistance for completing a task 253 00:15:54,510 --> 00:15:59,370 or any types of prescribed techniques 254 00:15:59,370 --> 00:16:03,640 or therapeutic or medical techniques 255 00:16:03,640 --> 00:16:05,090 that have been prescribed 256 00:16:05,090 --> 00:16:07,160 by a qualified medical professional. 257 00:16:07,160 --> 00:16:11,640 For example, a seatbelt holding a student into a wheelchair, 258 00:16:11,640 --> 00:16:14,973 that would not be considered a physical restraint. 259 00:16:16,324 --> 00:16:18,780 - Oh, there's a question from Abby in the chat box. 260 00:16:18,780 --> 00:16:19,740 - Sure. 261 00:16:19,740 --> 00:16:22,990 There's a lot of confusion on the momentary periods, 262 00:16:22,990 --> 00:16:27,150 can you describe what you believe momentary means? 263 00:16:27,150 --> 00:16:28,620 - Yeah. 264 00:16:28,620 --> 00:16:33,130 So momentary is a subjective term, 265 00:16:33,130 --> 00:16:35,840 and the intent there is to talk 266 00:16:35,840 --> 00:16:40,840 about just getting the student into a safer 267 00:16:41,020 --> 00:16:43,430 or more private place. 268 00:16:43,430 --> 00:16:48,430 It's not meant to, it's only to prevent, 269 00:16:50,020 --> 00:16:55,020 and a significant disruption to the classroom, 270 00:16:57,180 --> 00:16:59,116 to the classroom environment 271 00:16:59,116 --> 00:17:04,116 or to interrupt what might turn into a physical altercation. 272 00:17:04,650 --> 00:17:09,650 It's not meant to be transporting the kid long distances. 273 00:17:12,470 --> 00:17:16,320 It's just to move them quickly to another space 274 00:17:16,320 --> 00:17:20,840 where they can be either more private 275 00:17:20,840 --> 00:17:24,660 in their interactions or safer. 276 00:17:24,660 --> 00:17:25,840 - Yeah. 277 00:17:25,840 --> 00:17:28,004 CPI does a really good job 278 00:17:28,004 --> 00:17:30,230 of like level, high, medium 279 00:17:30,230 --> 00:17:32,340 and low types of restraints, 280 00:17:32,340 --> 00:17:33,310 and the low 281 00:17:33,310 --> 00:17:38,310 really is a momentary touch short, brief conversation, 282 00:17:39,120 --> 00:17:40,630 and again, Abby, I can't give you 283 00:17:40,630 --> 00:17:42,510 like two minutes, one minute. 284 00:17:42,510 --> 00:17:43,343 - Yeah. 285 00:17:43,343 --> 00:17:44,840 - That's really, really hard, 286 00:17:44,840 --> 00:17:48,030 but enough period of time 287 00:17:48,030 --> 00:17:53,000 so that you're not really putting pressure on someone 288 00:17:53,000 --> 00:17:55,363 that you wouldn't, a friend. 289 00:17:56,290 --> 00:18:00,430 But that's where the hard stuff comes in 290 00:18:00,430 --> 00:18:02,600 is what does that all mean? 291 00:18:02,600 --> 00:18:03,433 - Yeah. 292 00:18:03,433 --> 00:18:04,620 - Oh, great. 293 00:18:04,620 --> 00:18:05,518 Okay. 294 00:18:05,518 --> 00:18:06,419 Moving along. 295 00:18:06,419 --> 00:18:07,252 - Okay, yeah. 296 00:18:07,252 --> 00:18:08,085 - Okay. 297 00:18:08,085 --> 00:18:09,440 - Okay. 298 00:18:09,440 --> 00:18:13,953 Let's go into this scenario with Ben. 299 00:18:17,880 --> 00:18:20,903 And the question is, is this a restraint or not? 300 00:19:00,700 --> 00:19:02,983 You guys are right on. 301 00:19:04,440 --> 00:19:06,817 - It's the clarity of your presentation, Tracy. 302 00:19:06,817 --> 00:19:08,483 (Tracy laughs) - I don't know about that, 303 00:19:08,483 --> 00:19:12,397 but so the answer is that this is a moving restraint, 304 00:19:12,397 --> 00:19:15,850 and the reason that we are calling this a moving restraint 305 00:19:15,850 --> 00:19:17,390 is that the assistant needed 306 00:19:17,390 --> 00:19:21,120 to use more than just the minimal amount of force 307 00:19:21,120 --> 00:19:22,800 to get Ben to move. 308 00:19:22,800 --> 00:19:25,263 Ben was actively resisting, 309 00:19:26,960 --> 00:19:31,510 and so remember that moving restraints are restraints, 310 00:19:31,510 --> 00:19:35,610 they must be reported as such and they're governed by all 311 00:19:35,610 --> 00:19:40,610 of the conditions outlined in the Rule 4500 series. 312 00:19:40,640 --> 00:19:42,362 Just a little note, 313 00:19:42,362 --> 00:19:47,340 depending on Ben's level of resistance or his size 314 00:19:47,340 --> 00:19:50,320 and strength or their bodily positioning, 315 00:19:50,320 --> 00:19:54,020 this may or may not have been a safe maneuver, 316 00:19:54,020 --> 00:19:57,610 and the assistant very well might have had to move 317 00:19:57,610 --> 00:20:01,630 to a stationary hold to maintain safety. 318 00:20:01,630 --> 00:20:05,070 I don't want to sit here and promote the use 319 00:20:05,070 --> 00:20:10,070 of moving restraints when they're not safe by any means, 320 00:20:10,860 --> 00:20:13,310 and those sort 321 00:20:13,310 --> 00:20:18,310 of restraints do pose quite a significant risk of harm. 322 00:20:19,100 --> 00:20:24,100 So only use them by the guidelines by which you were trained 323 00:20:26,270 --> 00:20:27,203 to do so. 324 00:20:28,622 --> 00:20:30,537 - There's a question from Cassandra, 325 00:20:30,537 --> 00:20:32,747 "Is moving restraint and option 326 00:20:32,747 --> 00:20:36,380 "to select on the Rule 4500 paperwork?" 327 00:20:36,380 --> 00:20:38,060 - No, it's not, 328 00:20:38,060 --> 00:20:41,960 but so you would mark it as a restraint, 329 00:20:41,960 --> 00:20:44,510 and then in your description, 330 00:20:44,510 --> 00:20:47,763 you could say that it was a moving restraint. 331 00:20:48,890 --> 00:20:50,300 Thank you. 332 00:20:50,300 --> 00:20:51,310 Ready? 333 00:20:51,310 --> 00:20:52,636 - Yes. 334 00:20:52,636 --> 00:20:53,586 Next slide, please. 335 00:20:55,286 --> 00:20:56,500 So now we are gonna talk 336 00:20:56,500 --> 00:20:59,400 about what substantial risk means. 337 00:20:59,400 --> 00:21:04,400 You'll remember that in order to use a restraint 338 00:21:05,010 --> 00:21:06,840 or a seclusion, 339 00:21:06,840 --> 00:21:11,250 the student needs to be showing a substantial risk 340 00:21:11,250 --> 00:21:13,270 of bodily harm. 341 00:21:13,270 --> 00:21:14,830 That means the student 342 00:21:14,830 --> 00:21:19,830 is imminently about to an act bodily harm, 343 00:21:20,300 --> 00:21:22,343 it's happening right now. 344 00:21:23,720 --> 00:21:28,420 It also means that they have the ability to enact that sort 345 00:21:28,420 --> 00:21:31,550 of form, that sort of harm, 346 00:21:31,550 --> 00:21:35,640 and it also means in order to be permissible, 347 00:21:35,640 --> 00:21:39,030 it means that less restrictive alternatives 348 00:21:39,030 --> 00:21:43,510 have already been tried and been exhausted 349 00:21:44,370 --> 00:21:49,190 because the student kept on posing a risk 350 00:21:49,190 --> 00:21:52,460 and, or just the level 351 00:21:52,460 --> 00:21:55,710 of risk prohibits exhausting other means. 352 00:21:55,710 --> 00:21:58,240 So substantial risk in order 353 00:21:58,240 --> 00:22:02,050 to be a permissible use of restraint or seclusion needs 354 00:22:02,050 --> 00:22:07,050 to be imminent, there needs to be significant bodily harm 355 00:22:07,750 --> 00:22:12,750 at risk there, and the student needs to have the ability 356 00:22:12,870 --> 00:22:15,290 to enact that harm. 357 00:22:15,290 --> 00:22:18,000 - So it's not or, it's and. 358 00:22:18,000 --> 00:22:18,920 - Yes. 359 00:22:18,920 --> 00:22:20,710 - Right, because that third bullet 360 00:22:20,710 --> 00:22:23,120 really does make you wonder, well, 361 00:22:23,120 --> 00:22:24,920 I've tried talking to him, I tried this, 362 00:22:24,920 --> 00:22:25,913 I tried that, 363 00:22:26,778 --> 00:22:28,892 it's and, thank you. - Yes. 364 00:22:28,892 --> 00:22:29,730 It is. 365 00:22:29,730 --> 00:22:31,310 - Okay. 366 00:22:31,310 --> 00:22:36,283 Okay, next slide, please, is a poll about Chloe. 367 00:22:38,000 --> 00:22:39,060 So right here, 368 00:22:39,060 --> 00:22:41,270 we're talking about whether Chloe 369 00:22:41,270 --> 00:22:46,270 is presenting a substantial risk of physical harm. 370 00:23:08,093 --> 00:23:09,180 - No, no, no, no, no. 371 00:23:09,180 --> 00:23:10,560 - Yep. 372 00:23:10,560 --> 00:23:11,393 Okay? 373 00:23:11,393 --> 00:23:12,400 That is correct. 374 00:23:12,400 --> 00:23:15,760 This is not a substantial risk. 375 00:23:15,760 --> 00:23:17,770 The teacher made several attempts 376 00:23:17,770 --> 00:23:20,873 to deescalate her students, but Chloe persisted. 377 00:23:22,860 --> 00:23:27,560 The thing is that Chloe didn't pose an imminent risk 378 00:23:27,560 --> 00:23:30,950 of harm given that she remained seated at her desk 379 00:23:30,950 --> 00:23:33,530 and even with her arms crossed. 380 00:23:33,530 --> 00:23:35,720 She didn't have a knife, 381 00:23:35,720 --> 00:23:37,950 she didn't have her boyfriend's car right there 382 00:23:37,950 --> 00:23:39,520 in the classroom. 383 00:23:39,520 --> 00:23:42,110 I'm going to assume that the teacher's baby 384 00:23:42,110 --> 00:23:45,640 was safely at childcare or somewhere else, 385 00:23:45,640 --> 00:23:50,170 so Chloe didn't have the means by which to carry out 386 00:23:50,170 --> 00:23:53,390 the threats that she was talking about, 387 00:23:53,390 --> 00:23:55,083 at least not in that moment. 388 00:23:56,360 --> 00:23:58,083 All right, next slide. 389 00:23:59,130 --> 00:24:04,083 A little different twist on the Chloe situation. 390 00:24:17,000 --> 00:24:19,135 - Got some nos. 391 00:24:19,135 --> 00:24:19,968 - Okay. 392 00:24:19,968 --> 00:24:20,801 That's correct. 393 00:24:20,801 --> 00:24:24,640 This does not present a substantial risk 394 00:24:24,640 --> 00:24:27,650 because although it's not acceptable, getting hit 395 00:24:27,650 --> 00:24:31,653 with a paper ball doesn't pose the risk of a serious injury. 396 00:24:32,631 --> 00:24:36,203 It wouldn't warrant a restraint or seclusion. 397 00:24:37,380 --> 00:24:40,233 Next slide again is still Chloe. 398 00:24:52,340 --> 00:24:54,060 - Yes, yes, yes, yes, yes, yes, yes. 399 00:24:54,060 --> 00:24:55,130 - Okay. 400 00:24:55,130 --> 00:24:56,030 Good job. 401 00:24:56,030 --> 00:24:56,863 Yep. 402 00:24:56,863 --> 00:24:58,360 This is a substantial risk. 403 00:24:58,360 --> 00:25:03,360 Chloe has access to those objects and she is using them 404 00:25:03,870 --> 00:25:05,000 at that time. 405 00:25:05,000 --> 00:25:07,570 Being hit by heavy objects like tables, 406 00:25:07,570 --> 00:25:09,349 chairs, globes, staplers 407 00:25:09,349 --> 00:25:13,263 could indeed cause significant physical injuries. 408 00:25:14,290 --> 00:25:16,210 Chloe's behavior is no longer a threat, 409 00:25:16,210 --> 00:25:18,450 she's carrying through with her threats. 410 00:25:18,450 --> 00:25:23,450 She's posing an imminent risk of substantial physical injury 411 00:25:24,260 --> 00:25:25,423 to her teacher. 412 00:25:26,670 --> 00:25:27,503 Okay. 413 00:25:27,503 --> 00:25:28,853 Moving along. 414 00:25:30,260 --> 00:25:31,690 We're going to talk now 415 00:25:31,690 --> 00:25:35,870 about what is allowable in terms of seclusion. 416 00:25:35,870 --> 00:25:38,870 So we're back to talking about seclusions now 417 00:25:38,870 --> 00:25:42,780 and we're talking about what is allowable. 418 00:25:42,780 --> 00:25:43,863 Next slide. 419 00:25:45,410 --> 00:25:48,030 Permissible use of seclusion 420 00:25:48,030 --> 00:25:52,720 is allowed only when the student's behavior poses 421 00:25:52,720 --> 00:25:56,550 an imminent risk of substantial physical injury. 422 00:25:56,550 --> 00:26:01,550 You're gonna hear me repeat that all over the place. 423 00:26:01,570 --> 00:26:05,840 Only when less restrictive interventions have failed 424 00:26:05,840 --> 00:26:07,780 or would be ineffective 425 00:26:07,780 --> 00:26:10,893 in stopping such an imminent risk of harm, 426 00:26:11,970 --> 00:26:15,440 there to be used only by staff who've been trained 427 00:26:15,440 --> 00:26:16,470 to do so, 428 00:26:16,470 --> 00:26:20,120 and of course that involves the use of all kinds 429 00:26:20,120 --> 00:26:22,410 of deescalation techniques 430 00:26:22,410 --> 00:26:26,660 before you are putting a student in seclusion. 431 00:26:26,660 --> 00:26:31,590 It is used only as a temporary intervention, 432 00:26:31,590 --> 00:26:36,590 only when the student is monitored at all times by an adult, 433 00:26:37,810 --> 00:26:42,810 only in a space that's large enough to permit safe movement, 434 00:26:43,680 --> 00:26:48,380 the space is adequately lit, heated, ventilated, 435 00:26:48,380 --> 00:26:51,610 free of sharp or otherwise dangerous objects, 436 00:26:51,610 --> 00:26:54,473 and in compliance with fire and safety codes. 437 00:26:55,900 --> 00:26:59,880 Only when there are no known developmental medical, 438 00:26:59,880 --> 00:27:03,650 psychological or other contraindications to the use 439 00:27:03,650 --> 00:27:06,120 of seclusion, and only 440 00:27:06,120 --> 00:27:10,010 when physical restraint is contraindicated. 441 00:27:10,010 --> 00:27:11,373 Next slide. 442 00:27:13,050 --> 00:27:13,883 What? 443 00:27:13,883 --> 00:27:14,913 You may say. 444 00:27:15,950 --> 00:27:20,950 All of these things are the only places, only circumstances 445 00:27:22,760 --> 00:27:26,350 under which you may use a seclusion. 446 00:27:26,350 --> 00:27:27,940 And at the bottom, 447 00:27:27,940 --> 00:27:31,200 they slipped in this one in the rules, 448 00:27:31,200 --> 00:27:35,660 only when physical restraint is contraindicated. 449 00:27:35,660 --> 00:27:37,063 Next slide, please. 450 00:27:38,388 --> 00:27:40,100 (Tracy clears throat) 451 00:27:40,100 --> 00:27:45,100 The developers of the rules stated that restraint 452 00:27:45,160 --> 00:27:48,000 is considered the least restrictive 453 00:27:48,000 --> 00:27:50,400 and preferable intervention. 454 00:27:50,400 --> 00:27:51,770 In other words, 455 00:27:51,770 --> 00:27:56,680 seclusion must not be used except when physical restraint 456 00:27:56,680 --> 00:27:58,903 has been deemed inadvisable. 457 00:27:59,760 --> 00:28:04,760 Now, there may be some very valid reasons a student's team 458 00:28:04,810 --> 00:28:09,320 would meet to determine when or if a restraint 459 00:28:09,320 --> 00:28:14,320 is contraindicated, and later we'll talk about the impact 460 00:28:14,530 --> 00:28:19,300 that COVID would have upon this section of the rules. 461 00:28:19,300 --> 00:28:24,300 But please know, oh, I keep messing up here, sorry. 462 00:28:28,700 --> 00:28:32,980 But please know that if you send in a report 463 00:28:32,980 --> 00:28:36,520 to the Agency of Education where you have gone immediately 464 00:28:36,520 --> 00:28:41,520 to a seclusion, and there's no evidence 465 00:28:42,110 --> 00:28:45,210 that the team has determined that seclusion, 466 00:28:45,210 --> 00:28:48,680 that restraint is contraindicated 467 00:28:48,680 --> 00:28:52,703 and you haven't already tried to restrain the kid, 468 00:28:52,703 --> 00:28:55,460 then that is going to be a violation 469 00:28:56,306 --> 00:28:58,063 of the law, of the rules. 470 00:29:00,031 --> 00:29:00,930 All right. 471 00:29:00,930 --> 00:29:04,953 So let's look at this poll involving D'Andre. 472 00:29:06,450 --> 00:29:07,400 And in this case, 473 00:29:07,400 --> 00:29:08,560 I want you to tell me 474 00:29:08,560 --> 00:29:11,623 whether or not seclusion is permissible. 475 00:29:44,840 --> 00:29:49,100 Seeing a lot of nos. 476 00:29:49,100 --> 00:29:50,023 Kara. 477 00:29:53,010 --> 00:29:58,010 Kara, I'm going to hold on COVID questions until later, 478 00:29:58,560 --> 00:30:00,253 but we will come into that. 479 00:30:03,610 --> 00:30:04,443 Okay. 480 00:30:04,443 --> 00:30:06,053 So lots of nos here. 481 00:30:06,910 --> 00:30:10,730 Seclusion would not be permissible in this instance. 482 00:30:10,730 --> 00:30:13,550 With no other students in the room 483 00:30:13,550 --> 00:30:16,220 and with two trained staff members, 484 00:30:16,220 --> 00:30:18,610 oh, you can advance to the next slide. 485 00:30:18,610 --> 00:30:20,710 - Yeah, there's also a question, so. 486 00:30:20,710 --> 00:30:21,870 - Oh, okay. 487 00:30:21,870 --> 00:30:23,703 - What if the student has a knife. 488 00:30:25,850 --> 00:30:27,230 - With D'Andre here? 489 00:30:27,230 --> 00:30:28,370 - Yeah. 490 00:30:28,370 --> 00:30:29,360 - Yeah. 491 00:30:29,360 --> 00:30:33,313 So that would be a very dangerous circumstance. 492 00:30:35,081 --> 00:30:35,914 Whew! 493 00:30:38,980 --> 00:30:41,270 I think that then you would say 494 00:30:41,270 --> 00:30:46,270 that that a seclusion would be permissible, 495 00:30:48,394 --> 00:30:49,410 but only if you had the means 496 00:30:49,410 --> 00:30:54,400 by which to safely get the student to the seclusion room. 497 00:30:54,400 --> 00:30:57,620 You wouldn't want to just open the door with a kid 498 00:30:57,620 --> 00:31:01,420 who has a knife and let them run around the school. 499 00:31:01,420 --> 00:31:03,933 So that's a really tricky one. 500 00:31:05,190 --> 00:31:06,770 - It's, yeah, it's hard to answer this 501 00:31:06,770 --> 00:31:08,283 in the black and white, 502 00:31:09,311 --> 00:31:11,911 but you leave them in the room, but there's a knife? 503 00:31:13,410 --> 00:31:14,657 You know what? 504 00:31:14,657 --> 00:31:16,690 That's something I think we should probably take offline 505 00:31:17,662 --> 00:31:18,960 and do some problem-solving around 506 00:31:18,960 --> 00:31:22,810 because, just it prompts me to ask questions, 507 00:31:22,810 --> 00:31:25,835 like there is a knife, where is it? 508 00:31:25,835 --> 00:31:27,890 What do we know about him? 509 00:31:27,890 --> 00:31:28,850 And all those things. 510 00:31:28,850 --> 00:31:32,810 So there's what the rule would say, 511 00:31:32,810 --> 00:31:37,810 and the biggest rule we have is don't do nothing, and yeah. 512 00:31:40,372 --> 00:31:41,271 (Sherry laughs) 513 00:31:41,271 --> 00:31:42,977 - And use your professional judgment. 514 00:31:42,977 --> 00:31:46,378 In a situation like that, 515 00:31:46,378 --> 00:31:50,680 In a situation like that, there are times, 516 00:31:50,680 --> 00:31:53,444 as teachers, as educators, 517 00:31:53,444 --> 00:31:58,030 you make 1,000,001 decisions in a split second, 518 00:31:58,030 --> 00:32:02,380 and I guess we are in the business 519 00:32:02,380 --> 00:32:05,298 of questioning those decisions, but I think in a situation 520 00:32:05,298 --> 00:32:10,060 like that, no one is going to really question 521 00:32:10,060 --> 00:32:15,060 in a way that would jeopardize your standing 522 00:32:16,057 --> 00:32:18,053 in a situation like that. 523 00:32:19,560 --> 00:32:21,103 Okay, so let's... 524 00:32:25,667 --> 00:32:26,590 Okay. 525 00:32:26,590 --> 00:32:31,310 So if your training program has advised not to restrain 526 00:32:31,310 --> 00:32:33,670 if there's a weapon and to call police 527 00:32:33,670 --> 00:32:36,900 and secure the environment, then absolutely, yeah, 528 00:32:36,900 --> 00:32:38,453 that makes the most sense. 529 00:32:41,150 --> 00:32:42,170 Okay. 530 00:32:42,170 --> 00:32:46,510 So the reason that seclusion would not be permissible 531 00:32:46,510 --> 00:32:50,500 in the instance of D'Andre with no weapon 532 00:32:50,500 --> 00:32:53,750 would be that with no other students in the room 533 00:32:53,750 --> 00:32:56,440 and two trained staff members, 534 00:32:56,440 --> 00:32:58,330 the adults could have been able 535 00:32:58,330 --> 00:33:02,470 to employ additional strategies to deescalate him, 536 00:33:02,470 --> 00:33:06,183 they would have the time and space to do that. 537 00:33:07,180 --> 00:33:10,250 The adults may have been able to coax him off 538 00:33:10,250 --> 00:33:13,850 of the bookshelf and then corral him to a safer part 539 00:33:13,850 --> 00:33:15,260 of the room. 540 00:33:15,260 --> 00:33:19,380 And then if those strategies failed and D'Andre continued 541 00:33:19,380 --> 00:33:22,673 to put himself at risk of serious injury, 542 00:33:23,710 --> 00:33:25,580 given no other information 543 00:33:25,580 --> 00:33:29,750 about the restraint being contraindicated, 544 00:33:29,750 --> 00:33:33,130 then the staff members should have restrained him there 545 00:33:33,130 --> 00:33:35,073 in the evacuated classroom. 546 00:33:36,700 --> 00:33:37,533 All right. 547 00:33:37,533 --> 00:33:42,150 Next slide, still talking about D'Andre, but with a twist. 548 00:34:10,080 --> 00:34:11,813 Seeing a lot of yeses here, 549 00:34:13,780 --> 00:34:15,640 and that's correct. 550 00:34:15,640 --> 00:34:18,350 That is a permissible use of seclusion. 551 00:34:18,350 --> 00:34:23,350 This time, the classroom assistant was alone in the room. 552 00:34:27,460 --> 00:34:30,770 She had already attempted restraint 553 00:34:30,770 --> 00:34:34,870 after having tried several deescalation strategies, 554 00:34:34,870 --> 00:34:36,810 and even after the restraint, 555 00:34:36,810 --> 00:34:39,413 D'Andre remained highly aggressive. 556 00:34:40,530 --> 00:34:43,840 Now, given that he had willingly walked with her 557 00:34:43,840 --> 00:34:44,930 to the quiet room, 558 00:34:44,930 --> 00:34:48,510 I think the staff member had a good reason to believe 559 00:34:48,510 --> 00:34:51,650 that the walk or the change in environment 560 00:34:51,650 --> 00:34:53,850 may have calmed him down, 561 00:34:53,850 --> 00:34:57,930 and because this may have afforded them an opportunity 562 00:34:57,930 --> 00:35:02,490 to process, I think the staff member made a sound decision 563 00:35:02,490 --> 00:35:07,490 to go into the room with Andre and with her in there, 564 00:35:07,990 --> 00:35:10,253 it wouldn't be considered a seclusion, 565 00:35:11,120 --> 00:35:14,090 but then when he realized escalated and was aggressive 566 00:35:14,090 --> 00:35:18,007 towards the assistant, again, inside that quiet room, 567 00:35:18,007 --> 00:35:22,480 it was a reasonable professional judgment to exit the room 568 00:35:22,480 --> 00:35:24,030 and seclude him. 569 00:35:24,030 --> 00:35:28,830 At that time, the assistant was probably really fatigued 570 00:35:28,830 --> 00:35:32,070 from all the physical exertion. 571 00:35:32,070 --> 00:35:34,470 Maybe she was injured or in pain 572 00:35:34,470 --> 00:35:37,287 from having been punched and kicked. 573 00:35:37,287 --> 00:35:41,590 She had a valid reason not to feel confident in her ability 574 00:35:41,590 --> 00:35:43,366 to safely restrain him again, 575 00:35:43,366 --> 00:35:47,810 and because she had attempted restraint and it had failed 576 00:35:47,810 --> 00:35:52,150 to keep him safe, this seclusion is allowable. 577 00:35:52,150 --> 00:35:56,210 Now, it may be that D'Andre's team will take this 578 00:35:56,210 --> 00:35:58,812 into account and gather additional data, 579 00:35:58,812 --> 00:36:01,270 consult with other team members, 580 00:36:01,270 --> 00:36:04,210 and maybe they will meet as a team 581 00:36:04,210 --> 00:36:07,302 and decide whether or not restraint 582 00:36:07,302 --> 00:36:10,490 is in his best interest. 583 00:36:10,490 --> 00:36:13,620 - We have a question from Michelle, and I'm not sure 584 00:36:13,620 --> 00:36:14,540 I totally understand it. 585 00:36:14,540 --> 00:36:16,290 Just to clarify, does the restraint 586 00:36:16,290 --> 00:36:19,330 and seclusion have to occur on the same day 587 00:36:19,330 --> 00:36:24,330 during the same incident in order for it to follow the rule? 588 00:36:24,810 --> 00:36:26,690 - Yeah, I think I know what you're saying, 589 00:36:26,690 --> 00:36:30,040 and that sort of gets at my last point there. 590 00:36:30,040 --> 00:36:31,190 If you... 591 00:36:32,240 --> 00:36:36,680 So if D'Andre's team is feeling 592 00:36:36,680 --> 00:36:41,680 like restraint only escalates him further, 593 00:36:41,850 --> 00:36:45,430 then you would want to meet as a team to talk about that. 594 00:36:45,430 --> 00:36:49,490 You would wanna look at the data and see, 595 00:36:49,490 --> 00:36:54,490 out of X number of times that he was restrained, 596 00:36:54,700 --> 00:36:57,540 did he continue to escalate? 597 00:36:57,540 --> 00:36:58,800 For how long? 598 00:36:58,800 --> 00:37:01,010 With what intensity? 599 00:37:01,010 --> 00:37:03,800 And then you might wanna test and see 600 00:37:03,800 --> 00:37:08,800 if he calms quicker or more safely in a seclusion. 601 00:37:09,420 --> 00:37:10,660 And in that case, 602 00:37:10,660 --> 00:37:14,070 then you would, on a different day, 603 00:37:14,070 --> 00:37:16,880 meet as a team and determine that, yeah, 604 00:37:16,880 --> 00:37:20,550 we're gonna say that restraint is contraindicated 605 00:37:20,550 --> 00:37:23,423 for D'Andre, because that's what our data tells us. 606 00:37:24,670 --> 00:37:26,260 Does that answer your rule? 607 00:37:26,260 --> 00:37:27,740 There's blah! 608 00:37:27,740 --> 00:37:29,790 Does that answer your question, Michelle? 609 00:37:33,010 --> 00:37:34,040 Good. 610 00:37:34,040 --> 00:37:34,873 All right. 611 00:37:37,650 --> 00:37:38,483 Okay. 612 00:37:38,483 --> 00:37:41,950 Next slide. 613 00:37:41,950 --> 00:37:44,315 Once again, a D'Andre twist, 614 00:37:44,315 --> 00:37:48,560 go ahead and read this one and tell me 615 00:37:48,560 --> 00:37:50,843 whether you think this is permissible. 616 00:38:23,863 --> 00:38:24,696 - We got a mix. 617 00:38:24,696 --> 00:38:26,860 - Yes, we do. 618 00:38:26,860 --> 00:38:30,510 And I'm not surprised at the mix because, I apologize, 619 00:38:30,510 --> 00:38:33,820 this is a little bit of a trick question. 620 00:38:33,820 --> 00:38:35,813 So let's dissect one. 621 00:38:37,330 --> 00:38:38,880 So in this situation, 622 00:38:38,880 --> 00:38:41,880 the assistant was right to use seclusion 623 00:38:41,880 --> 00:38:43,740 rather than restraint because the team 624 00:38:43,740 --> 00:38:48,000 had determined restraint to be contraindicated. 625 00:38:48,000 --> 00:38:53,000 But remember, seclusion is a temporary intervention, 626 00:38:54,090 --> 00:38:56,240 meaning that it should be terminated 627 00:38:56,240 --> 00:39:01,240 as soon as D'Andre no longer poses an imminent risk 628 00:39:01,530 --> 00:39:03,150 of substantial harm, 629 00:39:03,150 --> 00:39:06,620 or as soon as less restrictive interventions 630 00:39:06,620 --> 00:39:09,723 may have proven successful. 631 00:39:10,680 --> 00:39:13,170 So the assistant should have told D'Andre 632 00:39:13,170 --> 00:39:17,000 that she would watch for signs that he was calming 633 00:39:17,000 --> 00:39:20,490 and/or he could tell her when he was ready to talk, 634 00:39:20,490 --> 00:39:22,453 and then the seclusion could end. 635 00:39:23,610 --> 00:39:28,610 But you are not permitted to put a student in seclusion 636 00:39:29,210 --> 00:39:33,493 for a designated or arbitrary period of time. 637 00:39:36,647 --> 00:39:37,640 Okay. 638 00:39:37,640 --> 00:39:38,703 Next slide. 639 00:39:39,670 --> 00:39:41,730 Now we're gonna talk about what's allowable 640 00:39:41,730 --> 00:39:43,433 in terms of restraints. 641 00:39:44,617 --> 00:39:45,450 Next slide. 642 00:39:47,490 --> 00:39:51,670 Restraint is permissible, again, the tape recorder, 643 00:39:51,670 --> 00:39:54,540 only when a student's behavior poses an imminent 644 00:39:54,540 --> 00:39:57,960 and substantial risk of physical injury to himself 645 00:39:57,960 --> 00:39:59,960 or to others, 646 00:39:59,960 --> 00:40:03,390 only when less restrictive interventions have failed 647 00:40:03,390 --> 00:40:05,090 or would be ineffective 648 00:40:05,090 --> 00:40:09,480 in stopping such imminent danger or injury, 649 00:40:09,480 --> 00:40:12,730 only in accordance with school ride safety plan 650 00:40:12,730 --> 00:40:14,880 that's consistent with the rules, 651 00:40:14,880 --> 00:40:18,700 only when the student is monitored face-to-face 652 00:40:18,700 --> 00:40:21,972 by a staff member that is only observing, 653 00:40:21,972 --> 00:40:26,750 only when it's used in a manner that's safe, 654 00:40:26,750 --> 00:40:30,450 proportionate to sensitive to the student's severity 655 00:40:30,450 --> 00:40:34,410 of behavior, their chronological or developmental age, 656 00:40:34,410 --> 00:40:35,950 their size, their gender, 657 00:40:35,950 --> 00:40:38,637 their ability to communicate, cognitive ability, 658 00:40:38,637 --> 00:40:42,090 and any known (clears throat) physical, 659 00:40:42,090 --> 00:40:45,423 medical, psychiatric or personal history. 660 00:40:46,530 --> 00:40:50,260 Only by school personnel or contracted staff 661 00:40:50,260 --> 00:40:53,963 who've been trained and certified to use these techniques. 662 00:40:55,070 --> 00:40:57,760 And then remember what we said about prone 663 00:40:57,760 --> 00:40:59,810 and supine restraints. 664 00:40:59,810 --> 00:41:03,830 You would only use the student in a face-down 665 00:41:03,830 --> 00:41:08,830 or face-up lying-on-the-floor position when the size 666 00:41:09,000 --> 00:41:10,679 or the severity 667 00:41:10,679 --> 00:41:12,930 of their behavior requires such restraint 668 00:41:12,930 --> 00:41:16,710 because a less restrictive intervention has failed 669 00:41:16,710 --> 00:41:18,493 or would be ineffective. 670 00:41:19,750 --> 00:41:22,323 Next slide is another poll. 671 00:41:24,920 --> 00:41:27,730 We're gonna talk about Abigail now, 672 00:41:27,730 --> 00:41:29,313 a little kindergartener. 673 00:41:32,530 --> 00:41:35,100 In this situation, we're asking, 674 00:41:35,100 --> 00:41:37,143 is the restraint permissible? 675 00:41:58,090 --> 00:42:00,167 - Got a no, no, no, no, no. 676 00:42:00,167 --> 00:42:01,000 - Yep. 677 00:42:01,000 --> 00:42:01,833 Okay. 678 00:42:01,833 --> 00:42:02,666 Good job, guys. 679 00:42:03,630 --> 00:42:04,780 So next slide. 680 00:42:04,780 --> 00:42:07,730 Although it's against school rules to elope 681 00:42:07,730 --> 00:42:10,440 and to access the playground without permission, 682 00:42:10,440 --> 00:42:11,680 swinging on a swing 683 00:42:13,671 --> 00:42:16,420 doesn't pose an imminent risk of substantial physical harm. 684 00:42:16,420 --> 00:42:18,140 It might take some time, 685 00:42:18,140 --> 00:42:23,140 but eventually a student like Abigail might get tired 686 00:42:23,500 --> 00:42:26,830 of that activity and returned to the school building. 687 00:42:26,830 --> 00:42:31,350 Maybe even the swinging meets some sensory need 688 00:42:31,350 --> 00:42:33,180 that soothed her resulting 689 00:42:33,180 --> 00:42:35,613 in her being more willing to comply. 690 00:42:37,506 --> 00:42:41,150 If not, it's likely that other staff members would come 691 00:42:41,150 --> 00:42:43,040 to the paraprofessional's aid, 692 00:42:43,040 --> 00:42:46,730 and sometimes, just a change of face is enough 693 00:42:46,730 --> 00:42:50,310 to get a student to become more agreeable. 694 00:42:50,310 --> 00:42:54,090 So main thing here is that swinging on a swing 695 00:42:54,090 --> 00:42:58,073 doesn't pose a significant risk of physical harm. 696 00:42:59,330 --> 00:43:01,620 Let's go to the next slide and look 697 00:43:01,620 --> 00:43:04,720 at a different take on Abigail 698 00:43:21,860 --> 00:43:23,403 Seeing lots of yeses. 699 00:43:25,330 --> 00:43:26,163 Okay. 700 00:43:27,160 --> 00:43:28,310 Yes. 701 00:43:28,310 --> 00:43:30,540 The restraint with Chloe is permissible 702 00:43:30,540 --> 00:43:32,250 in this circumstance. 703 00:43:32,250 --> 00:43:34,810 Given her age and her impulsivity, 704 00:43:34,810 --> 00:43:38,260 Chloe absolutely placed herself at imminent risk 705 00:43:38,260 --> 00:43:42,510 of physical, substantial physical injury. 706 00:43:42,510 --> 00:43:46,450 In situations like this, staff members have little time 707 00:43:46,450 --> 00:43:49,590 to implement less restrictive interventions 708 00:43:49,590 --> 00:43:53,433 because the danger is so imminently there. 709 00:43:55,050 --> 00:43:57,370 Actually, in this situation, 710 00:43:57,370 --> 00:44:01,860 even if no one in the immediate vicinity was trained 711 00:44:01,860 --> 00:44:04,280 to administer a restraint, 712 00:44:04,280 --> 00:44:09,280 it would have been permissible given that it was so imminent 713 00:44:09,460 --> 00:44:12,620 and such significant risk involved. 714 00:44:12,620 --> 00:44:17,147 So it would be okay due to a clause in the rules 715 00:44:17,147 --> 00:44:22,147 that an untrained staff member could intervene 716 00:44:22,167 --> 00:44:26,980 in this situation while others then summoned a trained staff 717 00:44:26,980 --> 00:44:27,993 to take over. 718 00:44:30,110 --> 00:44:31,643 Okay, next slide. 719 00:44:34,794 --> 00:44:35,890 Oh, sorry. 720 00:44:35,890 --> 00:44:36,773 Next slide. 721 00:44:38,900 --> 00:44:42,020 Now we're going to talk about what is prohibited 722 00:44:42,020 --> 00:44:45,270 in terms of restraints and seclusions. 723 00:44:45,270 --> 00:44:46,423 Next slide. 724 00:44:49,580 --> 00:44:51,010 We are not in the business 725 00:44:51,010 --> 00:44:53,720 of restraining students mechanically 726 00:44:53,720 --> 00:44:57,500 or by offering them medications, 727 00:44:57,500 --> 00:45:00,273 unless that's a prescribed thing. 728 00:45:02,688 --> 00:45:07,080 Any intervention that restricts or limits breathing 729 00:45:07,080 --> 00:45:11,800 or communication, any intervention that causes pain 730 00:45:11,800 --> 00:45:15,250 or that's imposed without maintaining direct physical 731 00:45:15,250 --> 00:45:17,423 or visual contact, 732 00:45:18,560 --> 00:45:21,040 you're not allowed to restrain or seclude 733 00:45:21,040 --> 00:45:24,250 for the convenience of a staff or as a substitute 734 00:45:24,250 --> 00:45:27,120 for an educational programming, 735 00:45:27,120 --> 00:45:32,120 not as a substitute for inadequate staffing or training, 736 00:45:34,210 --> 00:45:38,670 not as a form of discipline or punishment, 737 00:45:38,670 --> 00:45:43,440 not in response to a student's use of disrespect 738 00:45:43,440 --> 00:45:48,180 or disruption, not in response to a verbal threat 739 00:45:48,180 --> 00:45:52,590 that's not accompanied by the means or the intent 740 00:45:52,590 --> 00:45:55,293 to carry out that threat. 741 00:45:56,810 --> 00:46:00,410 So next slide is another poll. 742 00:46:00,410 --> 00:46:04,140 Here we're gonna look at Frankie's behavior, 743 00:46:04,140 --> 00:46:07,350 and tell me whether or not the following intervention 744 00:46:07,350 --> 00:46:09,633 is permissible or not. 745 00:46:26,160 --> 00:46:28,483 - I think the slide needs to be changed. 746 00:46:30,366 --> 00:46:31,570 - Okay. 747 00:46:31,570 --> 00:46:32,950 Tell me why. 748 00:46:32,950 --> 00:46:35,890 - I'm not seeing it anything about Frankie. 749 00:46:35,890 --> 00:46:40,230 It's the last page of prohibitive interventions continued. 750 00:46:40,230 --> 00:46:41,730 - Oh, I'm sorry. 751 00:46:41,730 --> 00:46:45,020 Can you advance the slide, Sherry? 752 00:46:45,020 --> 00:46:46,100 - Thank you. - I'm so sorry. 753 00:46:46,100 --> 00:46:47,730 I'm so sorry. 754 00:46:47,730 --> 00:46:48,563 - There you go, sorry. 755 00:46:48,563 --> 00:46:50,260 - I was reading Micah's question in the chat box. 756 00:46:50,260 --> 00:46:51,243 Sorry about that. 757 00:47:01,200 --> 00:47:03,533 - Micah, I'll come back to your question. 758 00:47:18,060 --> 00:47:20,310 - Okay, everybody is on it now. 759 00:47:20,310 --> 00:47:21,720 No, no, no, no, no, no, no, no, no. 760 00:47:21,720 --> 00:47:22,640 - Okay. 761 00:47:22,640 --> 00:47:27,200 I have to say you guys are really on point, just saying. 762 00:47:27,200 --> 00:47:29,140 So, yeah, the answer is no, 763 00:47:29,140 --> 00:47:32,440 restraints and seclusions are emergency interventions 764 00:47:32,440 --> 00:47:36,680 and should not be used planfully as a consequence 765 00:47:36,680 --> 00:47:39,230 for unacceptable behavior. 766 00:47:39,230 --> 00:47:42,920 Timeout procedures, as, which was written 767 00:47:42,920 --> 00:47:44,840 into his behavior plan, 768 00:47:44,840 --> 00:47:47,707 they typically involve moving a child to a different part 769 00:47:47,707 --> 00:47:49,710 of the classroom. 770 00:47:49,710 --> 00:47:53,250 Any procedure that places a student alone in a room 771 00:47:53,250 --> 00:47:56,690 or a space and doesn't permit them to leave, 772 00:47:56,690 --> 00:47:59,023 we know is a seclusion. 773 00:48:00,470 --> 00:48:04,030 Frankie's behavior was offensive, it was hurtful. 774 00:48:04,030 --> 00:48:08,130 It represents harassment if it was continued multiple times, 775 00:48:08,130 --> 00:48:13,130 but his behavior did not place himself or anyone else 776 00:48:13,320 --> 00:48:16,353 at risk of imminent substantial injury. 777 00:48:17,510 --> 00:48:22,510 Also remember the case we talked about previously, 778 00:48:23,000 --> 00:48:26,020 restraints and seclusions have to be terminated 779 00:48:26,020 --> 00:48:29,980 as soon as the risk of harm is no longer present 780 00:48:29,980 --> 00:48:33,150 or could be managed by less restrictive measures. 781 00:48:33,150 --> 00:48:37,130 So predetermined periods of restraint or seclusion 782 00:48:37,130 --> 00:48:38,863 are not permitted. 783 00:48:41,390 --> 00:48:43,490 Next slide. 784 00:48:43,490 --> 00:48:45,670 - Do you wanna address Micah's question? 785 00:48:45,670 --> 00:48:46,503 - Oh, yeah. 786 00:48:46,503 --> 00:48:51,480 Micah is saying that if you pull a student's shirt sleeve 787 00:48:53,160 --> 00:48:58,160 over their hand, does that represent a mechanical restraint? 788 00:49:02,120 --> 00:49:07,120 And I would say no, but anyone who's trained 789 00:49:08,016 --> 00:49:13,000 in a protocol that says otherwise, 790 00:49:13,000 --> 00:49:14,053 go ahead and... 791 00:49:16,120 --> 00:49:18,100 So Lori is saying "Yes, 792 00:49:18,100 --> 00:49:22,367 that does represent mechanical hold." 793 00:49:25,010 --> 00:49:28,040 I've seen this being done just to prevent the student 794 00:49:28,040 --> 00:49:31,543 from scratching themselves or others. 795 00:49:34,065 --> 00:49:36,730 I can look into that, 796 00:49:36,730 --> 00:49:41,730 but I wouldn't consider that really a mechanical restraint, 797 00:49:43,880 --> 00:49:44,930 but I could be wrong. 798 00:49:48,970 --> 00:49:50,261 Yeah. 799 00:49:50,261 --> 00:49:51,790 So I'm seeing a few people saying yes. 800 00:49:51,790 --> 00:49:53,327 - Yeah. 801 00:49:53,327 --> 00:49:56,570 - So I will stand corrected 802 00:49:56,570 --> 00:50:00,490 and I will absolutely research that and get back to you. 803 00:50:00,490 --> 00:50:01,808 - Yeah. 804 00:50:01,808 --> 00:50:06,808 So the CPI does not reference mechanical dos and don'ts, so. 805 00:50:06,960 --> 00:50:08,330 - Yeah, okay. 806 00:50:08,330 --> 00:50:09,275 - Okay. 807 00:50:09,275 --> 00:50:10,275 - All right. 808 00:50:11,719 --> 00:50:14,093 Thanks for bringing that up. 809 00:50:15,360 --> 00:50:17,620 We're gonna talk about, oh, 810 00:50:17,620 --> 00:50:20,880 we're doing well in terms of time here. 811 00:50:20,880 --> 00:50:24,460 We're gonna talk about termination of interventions. 812 00:50:24,460 --> 00:50:26,043 Next slide, please. 813 00:50:28,380 --> 00:50:33,380 So you are required to stop a restraint or a seclusion 814 00:50:35,170 --> 00:50:39,770 as soon as you see that the student is in unnecessary pain 815 00:50:39,770 --> 00:50:42,680 or significant distress. 816 00:50:42,680 --> 00:50:45,080 Now, we know that these sort of interventions 817 00:50:45,080 --> 00:50:46,680 are absolutely distressing, 818 00:50:46,680 --> 00:50:51,680 but if you see that the student is significantly struggling, 819 00:50:51,990 --> 00:50:53,310 you should stop. 820 00:50:53,310 --> 00:50:55,400 You should absolutely stop 821 00:50:55,400 --> 00:50:59,203 anytime breathing or communication is compromised, 822 00:51:01,099 --> 00:51:04,450 as soon as behavior no longer poses 823 00:51:04,450 --> 00:51:09,450 an imminent or substantial danger of physical injury, 824 00:51:09,730 --> 00:51:12,420 as soon as less restrictive interventions 825 00:51:12,420 --> 00:51:14,980 would be effective. 826 00:51:14,980 --> 00:51:15,850 And once again, 827 00:51:15,850 --> 00:51:19,403 think about that behavior plan involving Frankie. 828 00:51:21,730 --> 00:51:26,060 Any questions about when to terminate 829 00:51:26,060 --> 00:51:27,743 or restrain a seclusion? 830 00:51:32,750 --> 00:51:34,296 Okay. 831 00:51:34,296 --> 00:51:35,260 Let's move on. 832 00:51:35,260 --> 00:51:39,370 And now we're gonna talk about a subject so near and dear 833 00:51:39,370 --> 00:51:40,523 to everyone's heart. 834 00:51:41,880 --> 00:51:46,380 So in the context of COVID, last fall, 835 00:51:48,090 --> 00:51:50,900 the Agency of Education in collaboration 836 00:51:50,900 --> 00:51:55,170 with the Department of Health gave an exception 837 00:51:55,170 --> 00:52:00,170 to Rule 4500, stating that during the global pandemic, 838 00:52:00,730 --> 00:52:05,560 seclusion could be used instead of restraint as a means 839 00:52:05,560 --> 00:52:09,063 to mitigate the risk of viral transmission. 840 00:52:10,870 --> 00:52:15,870 So last fall, 841 00:52:16,030 --> 00:52:19,060 we said, we gave you the choice 842 00:52:20,020 --> 00:52:25,020 to either use restraint or to go ahead and use a seclusion. 843 00:52:25,300 --> 00:52:28,060 Thinking about the Abigail scenario, 844 00:52:28,060 --> 00:52:33,060 when she ran into traffic, 845 00:52:33,390 --> 00:52:38,390 that would be, even during the height of COVID, 846 00:52:38,560 --> 00:52:43,048 which may be now, you would still want to intervene. 847 00:52:43,048 --> 00:52:48,048 You may be at risk of transmission of the virus, 848 00:52:49,750 --> 00:52:51,640 but you would weigh that 849 00:52:51,640 --> 00:52:56,640 against the potential real catastrophic harm to Abigail 850 00:52:56,710 --> 00:52:58,313 if she were to run into traffic. 851 00:53:00,080 --> 00:53:03,620 So what are we doing now? 852 00:53:03,620 --> 00:53:07,762 What we're doing now is that we are saying that schools 853 00:53:07,762 --> 00:53:10,540 that are serving students who are not yet eligible 854 00:53:10,540 --> 00:53:13,030 for a COVID vaccine, in other words, 855 00:53:13,030 --> 00:53:16,193 kids right now age five to 12, 856 00:53:17,260 --> 00:53:19,643 are able to use the exception above, 857 00:53:20,880 --> 00:53:25,880 and, who are eligible for the vaccine, 858 00:53:25,990 --> 00:53:29,150 ages 12 and up, should return 859 00:53:29,150 --> 00:53:30,710 to the use of seclusion 860 00:53:30,710 --> 00:53:33,763 only when restraint is contraindicated. 861 00:53:34,890 --> 00:53:36,123 Next slide. 862 00:53:37,780 --> 00:53:41,410 But remember, you can meet 863 00:53:41,410 --> 00:53:45,560 on a case-by-case basis anytime 864 00:53:45,560 --> 00:53:49,780 to determine whether restraint is contraindicated. 865 00:53:49,780 --> 00:53:52,840 You would want to include parents and guardians 866 00:53:52,840 --> 00:53:55,390 in those in those meetings, 867 00:53:55,390 --> 00:53:58,710 you would want to include your COVID coordinator, 868 00:53:58,710 --> 00:54:02,110 school nurse or other medical professionals, 869 00:54:02,110 --> 00:54:05,190 you would wanna consider physical, medical, 870 00:54:05,190 --> 00:54:08,770 psychological factors, personal history. 871 00:54:08,770 --> 00:54:11,920 You would think about what the data tells you. 872 00:54:11,920 --> 00:54:14,600 You would talk about whether the student 873 00:54:14,600 --> 00:54:17,723 is eligible for, but not vaccinated, 874 00:54:18,580 --> 00:54:22,130 and you would talk about factors such as spitting 875 00:54:22,130 --> 00:54:26,563 or biting that may pose greater risk of viral transmission. 876 00:54:27,540 --> 00:54:30,250 So the rule of thumb 877 00:54:30,250 --> 00:54:35,250 is that for students age five through 11, you can go ahead 878 00:54:36,960 --> 00:54:41,960 and use seclusion as an option rather than restraint. 879 00:54:45,500 --> 00:54:49,230 For students older, you would return 880 00:54:49,230 --> 00:54:53,520 to the usual 4500 Rules, 881 00:54:53,520 --> 00:54:58,320 but remember that you have the ability to meet and determine 882 00:54:58,320 --> 00:55:03,023 whether or not restraint is contraindicated in that case. 883 00:55:06,680 --> 00:55:08,990 - We have a question from Pierre, 884 00:55:08,990 --> 00:55:10,960 and I'm not sure when it came about, 885 00:55:10,960 --> 00:55:13,440 but how does the last bullet apply to K-8 schools? 886 00:55:13,440 --> 00:55:17,100 Less than about 20% of my student population is eligible. 887 00:55:17,100 --> 00:55:19,960 So I'm assuming that comes from the previous slide. 888 00:55:19,960 --> 00:55:20,793 - Yeah. 889 00:55:20,793 --> 00:55:22,044 - Yeah. 890 00:55:22,044 --> 00:55:24,040 - So Pierre, you're talking about a K-8 school, 891 00:55:24,040 --> 00:55:25,710 and we do have several of those. 892 00:55:25,710 --> 00:55:29,693 So in those situations, I would say, 893 00:55:31,100 --> 00:55:33,926 go ahead and use seclusion 894 00:55:33,926 --> 00:55:38,827 if you feel like that is the most reasonable intervention, 895 00:55:39,800 --> 00:55:44,800 but if you know that a student has been vaccinated, 896 00:55:46,330 --> 00:55:50,683 then you might want to not use the seclusion. 897 00:55:53,118 --> 00:55:56,380 Just know that you have the ability to meet 898 00:55:56,380 --> 00:56:00,133 and determine whether or not a restraint is contraindicated. 899 00:56:01,870 --> 00:56:05,170 - And then there's a link in the chat box that Cassandra 900 00:56:05,170 --> 00:56:07,210 is asking about, is it the correct link 901 00:56:07,210 --> 00:56:08,530 for last year's guidance? 902 00:56:08,530 --> 00:56:10,060 I don't know if you can tell. 903 00:56:10,060 --> 00:56:10,893 - Yeah. 904 00:56:11,786 --> 00:56:16,786 I would say that we're are in the midst 905 00:56:17,200 --> 00:56:19,950 of having a new piece 906 00:56:19,950 --> 00:56:22,290 of guidance going through the vetting process. 907 00:56:22,290 --> 00:56:27,290 So what you posted here, Cassandra, is last year's guidance, 908 00:56:27,880 --> 00:56:30,610 and that's what you can apply to students 909 00:56:30,610 --> 00:56:33,393 who are not yet eligible. 910 00:56:35,350 --> 00:56:38,500 But we will be providing updated guidance 911 00:56:38,500 --> 00:56:41,040 that is reflective of what I just told you 912 00:56:41,040 --> 00:56:43,653 and we'll take down the one that you've just posted. 913 00:56:46,450 --> 00:56:47,283 - Okay. 914 00:56:47,283 --> 00:56:48,676 Next. 915 00:56:48,676 --> 00:56:49,509 - Okay. 916 00:56:50,490 --> 00:56:55,110 Additional considerations in the COVID environment, 917 00:56:55,110 --> 00:56:58,210 remember personal protective equipment. 918 00:56:58,210 --> 00:57:02,710 We would suggest that you remove the student's mask 919 00:57:02,710 --> 00:57:04,860 if you're going to seclude or restrain, 920 00:57:04,860 --> 00:57:08,213 as long as you're able to safely do so. 921 00:57:09,470 --> 00:57:12,690 Staff members should keep their facial covering 922 00:57:12,690 --> 00:57:15,870 unless doing so interferes with their ability 923 00:57:15,870 --> 00:57:20,063 to safely, properly administer the restraint. 924 00:57:20,980 --> 00:57:23,577 If you have a student who is triggered 925 00:57:23,577 --> 00:57:28,577 by staff members wearing facial masks, 926 00:57:28,720 --> 00:57:33,320 you could consider having the observer wear, I think 927 00:57:33,320 --> 00:57:35,150 I put a typo in there, 928 00:57:35,150 --> 00:57:39,620 you could consider having the observer wear a face shield 929 00:57:39,620 --> 00:57:40,973 instead of a mask, 930 00:57:42,240 --> 00:57:46,020 but it all comes down to consulting your COVID coordinator 931 00:57:46,020 --> 00:57:49,713 or the school nurse for additional guidance around PPE. 932 00:57:52,281 --> 00:57:53,114 Next slide. 933 00:57:54,380 --> 00:57:57,510 Following a restraint or seclusion, 934 00:57:57,510 --> 00:58:00,880 you would want to complete all of the guidelines mandated 935 00:58:00,880 --> 00:58:02,220 by the rule, 936 00:58:02,220 --> 00:58:05,470 and those are the things we haven't covered yet 937 00:58:05,470 --> 00:58:10,313 but are listed further on in the slide show, 938 00:58:11,150 --> 00:58:14,830 but you would need to complete all the guidelines 939 00:58:14,830 --> 00:58:16,530 such as a health assessment 940 00:58:16,530 --> 00:58:19,370 as soon as the restraint or seclusion is over, 941 00:58:19,370 --> 00:58:23,310 monitoring the student for the rest of the school day, 942 00:58:23,310 --> 00:58:26,180 following all the reporting guidelines, 943 00:58:26,180 --> 00:58:31,120 debriefing, documenting, including any information 944 00:58:31,120 --> 00:58:35,440 that you need to document related to contact tracing. 945 00:58:35,440 --> 00:58:37,550 And then you wanna make sure that you sanitize all 946 00:58:37,550 --> 00:58:39,950 of the areas that were used, 947 00:58:39,950 --> 00:58:44,950 remove and sanitize and replaced the PPE and wash your hands 948 00:58:46,090 --> 00:58:50,000 and offer the student the ability to wash their hands 949 00:58:50,000 --> 00:58:51,630 or sanitize their hands. 950 00:58:51,630 --> 00:58:52,483 Next slide. 951 00:58:54,578 --> 00:58:59,578 I just put these in here to consider when you have students 952 00:59:01,290 --> 00:59:03,610 who have trouble following the health 953 00:59:03,610 --> 00:59:06,530 and safety expectations. 954 00:59:06,530 --> 00:59:07,363 Here you're going 955 00:59:07,363 --> 00:59:11,660 to use universal interventions and supports. 956 00:59:11,660 --> 00:59:16,270 You can treat these expected behaviors around health 957 00:59:16,270 --> 00:59:21,270 and safety the same way you treat your other expectations. 958 00:59:21,680 --> 00:59:26,680 So we all know that because we're all PBIS wizards, 959 00:59:26,910 --> 00:59:30,500 so you're going to, you're gonna post and teach 960 00:59:30,500 --> 00:59:33,780 and model and practice and acknowledge all 961 00:59:33,780 --> 00:59:36,570 of your expected behaviors, 962 00:59:36,570 --> 00:59:40,000 discuss the rationale about why these safety 963 00:59:40,000 --> 00:59:43,600 and health expectations are there, 964 00:59:43,600 --> 00:59:47,430 you're going to offer social and emotional supports 965 00:59:47,430 --> 00:59:50,630 for all students who may be coping with trauma, 966 00:59:50,630 --> 00:59:53,263 anxiety, loss, fear, confusion, 967 00:59:54,220 --> 00:59:57,270 acknowledge students and groups of students who adhere 968 00:59:57,270 --> 00:59:58,270 to the expectations. 969 00:59:59,280 --> 01:00:02,670 It's reasonable to schedule in mask breaks, 970 01:00:02,670 --> 01:00:07,180 provide a variety of different types of masking for students 971 01:00:07,180 --> 01:00:12,180 with sensory issues, and if you have a student 972 01:00:12,710 --> 01:00:17,710 with exceptional needs 973 01:00:18,300 --> 01:00:22,320 you could consider using shields or barriers 974 01:00:22,320 --> 01:00:27,320 if they are not able to wear a facial mask. 975 01:00:28,120 --> 01:00:29,393 Next slide. 976 01:00:33,256 --> 01:00:35,675 - Oh, sorry. I was writing in the chat box. 977 01:00:35,675 --> 01:00:36,508 - Oh. 978 01:00:37,520 --> 01:00:39,060 - Can I just, I was just- 979 01:00:39,060 --> 01:00:40,020 - Yeah, go ahead. 980 01:00:40,020 --> 01:00:42,300 - That there are so many environmental supports 981 01:00:42,300 --> 01:00:45,290 to be considering too that we've done with COVID and people 982 01:00:45,290 --> 01:00:48,060 are reflecting on as being really positive. 983 01:00:48,060 --> 01:00:49,626 - Yeah. 984 01:00:49,626 --> 01:00:51,260 - So how the space is organized, 985 01:00:51,260 --> 01:00:53,973 where the items are located, 986 01:00:54,990 --> 01:00:58,590 minimizing distractive material, 987 01:00:58,590 --> 01:00:59,423 things like that, 988 01:00:59,423 --> 01:01:03,920 that really, really can be a very strong universal approach. 989 01:01:03,920 --> 01:01:05,130 - Absolutely. 990 01:01:05,130 --> 01:01:09,530 The other thing is last year when students 991 01:01:09,530 --> 01:01:12,690 were going through health checks 992 01:01:12,690 --> 01:01:15,860 before they entered the school building, 993 01:01:15,860 --> 01:01:20,180 there's something to be said for being greeted 994 01:01:20,180 --> 01:01:23,440 by a familiar face first thing 995 01:01:23,440 --> 01:01:25,660 before you even walk in the building. 996 01:01:25,660 --> 01:01:28,840 There's something to be said for walking 997 01:01:28,840 --> 01:01:31,846 into the school building one by one or two by two 998 01:01:31,846 --> 01:01:36,846 instead of mass chaos when a bell rings, 999 01:01:37,240 --> 01:01:40,520 something to be said for going directly to your classroom, 1000 01:01:40,520 --> 01:01:44,260 you can still consider those sort of things 1001 01:01:44,260 --> 01:01:48,170 even though you aren't necessarily providing all 1002 01:01:48,170 --> 01:01:53,170 of the mitigating strategies that were used last year. 1003 01:01:53,330 --> 01:01:57,360 So remember targeted and intensive interventions 1004 01:01:57,360 --> 01:02:01,530 and supports for those who might willfully violate health 1005 01:02:01,530 --> 01:02:04,280 and safety expectations. 1006 01:02:04,280 --> 01:02:08,940 Look at the student's FBI-driven behavior support plans. 1007 01:02:08,940 --> 01:02:12,560 If they don't have one, create one. 1008 01:02:12,560 --> 01:02:16,070 Consider the level of risk involved. 1009 01:02:16,070 --> 01:02:19,483 Provide safety escalations spaces. 1010 01:02:21,570 --> 01:02:23,660 When you're talking about students 1011 01:02:23,660 --> 01:02:28,500 who are willfully violating health and safety expectations, 1012 01:02:28,500 --> 01:02:33,500 talking about using their own bodily secretions as a weapon, 1013 01:02:33,510 --> 01:02:38,510 let's say, in spreading the risk of a viral transmission, 1014 01:02:41,360 --> 01:02:45,530 whatever you do for a consequence needs to be done 1015 01:02:45,530 --> 01:02:48,943 in the context of an EST meeting. 1016 01:02:49,790 --> 01:02:53,190 If the student's on a 504 plan 1017 01:02:53,190 --> 01:02:55,620 or has been referred for one, 1018 01:02:55,620 --> 01:02:58,990 you would want to work through those processes, 1019 01:02:58,990 --> 01:03:02,280 and the same for IEPs for students who are eligible 1020 01:03:02,280 --> 01:03:03,463 for special ed. 1021 01:03:04,360 --> 01:03:08,913 Students that are suspected or who have a disability, 1022 01:03:09,840 --> 01:03:14,297 you're gonna have to be really careful and work 1023 01:03:14,297 --> 01:03:17,140 with your administrators to adhere to all 1024 01:03:17,140 --> 01:03:20,640 of the due process considerations that are in place 1025 01:03:20,640 --> 01:03:22,513 for students with disabilities. 1026 01:03:23,520 --> 01:03:27,760 You would have to look at manifestation determinations. 1027 01:03:27,760 --> 01:03:31,990 you'd have to look at change in placement 1028 01:03:31,990 --> 01:03:35,640 in the context of FAPE, 1029 01:03:35,640 --> 01:03:39,490 you would have to meet as an IEP meeting, 1030 01:03:39,490 --> 01:03:43,950 and if the IEP team in accordance 1031 01:03:43,950 --> 01:03:47,800 with all due process considerations determine 1032 01:03:47,800 --> 01:03:51,156 that a student was too dangerous to remain 1033 01:03:51,156 --> 01:03:56,156 in-person in school, then you would implement a change 1034 01:03:57,610 --> 01:04:01,280 in placement, but that change in placement would need 1035 01:04:01,280 --> 01:04:05,100 to include a reintegration plan so that you would have 1036 01:04:05,100 --> 01:04:08,250 the goal of getting the student back in class 1037 01:04:08,250 --> 01:04:09,853 as soon as possible. 1038 01:04:11,060 --> 01:04:13,947 - There's a question from Rhonda about eminent, 1039 01:04:13,947 --> 01:04:18,437 "Is it considered imminent danger during COVID if a child 1040 01:04:18,437 --> 01:04:21,040 "is spitting at peers or staff?" 1041 01:04:21,040 --> 01:04:22,160 - Yeah. 1042 01:04:22,160 --> 01:04:27,000 So under normal non-COVID situations, 1043 01:04:28,860 --> 01:04:31,010 all other things being equal 1044 01:04:31,010 --> 01:04:33,730 assuming the student doesn't have another type 1045 01:04:33,730 --> 01:04:38,183 of medical condition that is transmissible, 1046 01:04:40,270 --> 01:04:44,960 you have to look at spitting are biting differently 1047 01:04:44,960 --> 01:04:46,430 in this context. 1048 01:04:46,430 --> 01:04:51,430 And all that I can say then is you've gotta pull in 1049 01:04:52,820 --> 01:04:55,680 your COVID coordinator and make decisions 1050 01:04:55,680 --> 01:04:57,723 on a case-by-case basis. 1051 01:04:58,620 --> 01:05:01,147 But yeah, in this context, 1052 01:05:01,147 --> 01:05:06,030 you would look at spitting and biting in a different way 1053 01:05:06,030 --> 01:05:07,913 than you might otherwise. 1054 01:05:10,490 --> 01:05:12,930 So bring in the COVID coordinator, 1055 01:05:12,930 --> 01:05:14,650 bring in the school nurse, 1056 01:05:14,650 --> 01:05:17,530 bring in any medical professionals you have, 1057 01:05:17,530 --> 01:05:20,750 and absolutely, if the student is a student 1058 01:05:20,750 --> 01:05:24,120 with a disability or suspected of having a disability, 1059 01:05:24,120 --> 01:05:26,253 then you need to involve the IEP team. 1060 01:05:30,390 --> 01:05:33,213 Any other questions, comments? 1061 01:05:36,410 --> 01:05:41,300 Does 4,500 applied to in pre-K settings 1062 01:05:41,300 --> 01:05:43,280 or for our early ed partners? 1063 01:05:43,280 --> 01:05:46,413 If not, what is the guidance for this age group? 1064 01:05:47,300 --> 01:05:52,300 Well, 4,500 applies to any learning environment 1065 01:05:54,360 --> 01:05:56,500 in the State of Vermont 1066 01:05:56,500 --> 01:06:00,350 that is federally funded 1067 01:06:01,270 --> 01:06:04,823 and/or is under the guidance, 1068 01:06:08,000 --> 01:06:13,000 under the command of the Agency of Education. 1069 01:06:13,150 --> 01:06:17,743 So if a student is in a pre-K situation 1070 01:06:18,730 --> 01:06:21,170 that receives federal funds 1071 01:06:21,170 --> 01:06:26,170 or that is overseen by the Agency of Education, then yes, 1072 01:06:26,630 --> 01:06:29,790 Rule 4500 does apply. 1073 01:06:29,790 --> 01:06:34,790 And I believe that our Early Childhood Team 1074 01:06:37,370 --> 01:06:42,370 at the Agency of Ed is drawing up some specific guidance 1075 01:06:42,810 --> 01:06:44,393 for this age group, 1076 01:06:45,880 --> 01:06:50,880 but know that the guidance that they come up with is in line 1077 01:06:52,680 --> 01:06:54,343 with Rule 4500. 1078 01:06:55,190 --> 01:06:57,230 The thing that you have to consider there 1079 01:06:57,230 --> 01:07:02,230 are also licensing restrictions, and I may be mistaken, 1080 01:07:03,740 --> 01:07:07,760 but I'm pretty sure that licensing 1081 01:07:07,760 --> 01:07:11,810 for early childcare situations prohibits the use 1082 01:07:11,810 --> 01:07:14,173 of a seclusion of any type. 1083 01:07:15,940 --> 01:07:20,940 So I'm 95% sure that seclusion is contraindicated 1084 01:07:24,130 --> 01:07:26,313 for students in pre-K. 1085 01:07:30,930 --> 01:07:35,550 Can I put your contact information in the chat box so people 1086 01:07:35,550 --> 01:07:37,140 with additional questions? - Absolutely. 1087 01:07:37,140 --> 01:07:37,973 Yeah. 1088 01:07:40,790 --> 01:07:41,623 All right. 1089 01:07:41,623 --> 01:07:43,963 I'm seeing lots of questions here. 1090 01:07:47,591 --> 01:07:49,230 Let me see. 1091 01:07:49,230 --> 01:07:53,167 Beth says, "Elopement is considered imminent danger for some 1092 01:07:53,167 --> 01:07:57,450 "and not for others based on developmental age and co yes." 1093 01:07:57,450 --> 01:07:58,360 Yes. 1094 01:07:58,360 --> 01:08:00,770 Thinking about the situation with Abigail, 1095 01:08:00,770 --> 01:08:03,250 she was a young, impulsive, 1096 01:08:03,250 --> 01:08:06,640 developmentally young little girl 1097 01:08:06,640 --> 01:08:11,153 who doesn't have maybe the developmental cognition 1098 01:08:11,153 --> 01:08:14,690 to understand the consequences of their behavior. 1099 01:08:14,690 --> 01:08:18,950 So yeah, elopement could be considered imminent danger 1100 01:08:18,950 --> 01:08:21,053 for some but not for others. 1101 01:08:23,030 --> 01:08:27,240 What about a really small school with a very small staff? 1102 01:08:27,240 --> 01:08:31,930 Often, multiple roles are held by single staff members 1103 01:08:31,930 --> 01:08:35,793 without dedicated staff for interventions. 1104 01:08:36,660 --> 01:08:39,543 Could you tell me more about this, Meg? 1105 01:08:42,330 --> 01:08:44,053 You can unmute yourself. 1106 01:08:47,800 --> 01:08:48,633 - [Meg] Hi. 1107 01:08:49,871 --> 01:08:54,270 So we have two full-time staff members 1108 01:08:54,270 --> 01:08:57,600 and two part-time staff members, 1109 01:08:57,600 --> 01:09:02,600 and we have at least a couple of kids who are in the process 1110 01:09:03,400 --> 01:09:06,483 of determining whether they'll get on a 504 plan, 1111 01:09:06,483 --> 01:09:10,790 but in the meantime have behaviors 1112 01:09:10,790 --> 01:09:15,790 that I think meet some of the criteria 1113 01:09:15,880 --> 01:09:18,078 that you've discussed today. 1114 01:09:18,078 --> 01:09:18,911 - Mm-hmm. 1115 01:09:19,960 --> 01:09:21,335 That- 1116 01:09:21,335 --> 01:09:25,130 - [Meg] We don't have a trained interventionist. 1117 01:09:25,130 --> 01:09:25,963 - Okay. 1118 01:09:26,870 --> 01:09:31,410 So you would not be allowed to implement a restraint 1119 01:09:31,410 --> 01:09:35,093 or seclusion if you don't have trained staff. 1120 01:09:38,170 --> 01:09:40,973 That is for everyone's safety. 1121 01:09:42,060 --> 01:09:43,640 Restraints and seclusions 1122 01:09:43,640 --> 01:09:48,270 can be both physically and psychologically traumatic 1123 01:09:48,270 --> 01:09:51,260 for students and for staff, 1124 01:09:51,260 --> 01:09:53,730 so it's very important 1125 01:09:53,730 --> 01:09:57,156 that you have a trained person on staff. 1126 01:09:57,156 --> 01:10:02,156 And so I don't know if you want to or have the ability 1127 01:10:06,940 --> 01:10:11,490 to send one or more of your staff members to a training 1128 01:10:11,490 --> 01:10:16,380 or if you want to consider contracted staff 1129 01:10:19,110 --> 01:10:21,963 or just consider other interventions. 1130 01:10:24,380 --> 01:10:26,270 - Can you say a little bit more, Tracy, 1131 01:10:26,270 --> 01:10:27,850 about the expectations 1132 01:10:27,850 --> 01:10:30,750 that schools have trained personnel 1133 01:10:32,050 --> 01:10:35,110 in one of the approved programs? 1134 01:10:35,110 --> 01:10:39,313 I'm not sure if there's any more to that. 1135 01:10:40,880 --> 01:10:42,930 Can you maybe elaborate a little bit? 1136 01:10:42,930 --> 01:10:45,130 - Yeah, there really isn't more to that, 1137 01:10:45,130 --> 01:10:50,130 it's just the Agency of Education maintains a list 1138 01:10:50,130 --> 01:10:53,650 of approved training programs, 1139 01:10:53,650 --> 01:10:58,290 and it is a hard-and-fast rule 1140 01:10:58,290 --> 01:11:03,290 that except for that one clause in the rules, 1141 01:11:04,050 --> 01:11:06,013 but let's forget that one for now, 1142 01:11:07,040 --> 01:11:10,040 it is a hard-and-fast rule that these interventions 1143 01:11:10,040 --> 01:11:15,040 can only be administered by people are trained and certified 1144 01:11:15,620 --> 01:11:16,723 to do so, 1145 01:11:17,680 --> 01:11:20,680 that one expectation to the rule 1146 01:11:20,680 --> 01:11:25,680 is that if the danger presented is so imminent 1147 01:11:27,090 --> 01:11:32,090 and so substantial that no trained personnel 1148 01:11:33,210 --> 01:11:35,720 is immediately available, 1149 01:11:35,720 --> 01:11:40,470 then an untrained person can step in 1150 01:11:40,470 --> 01:11:42,760 and administer an intervention, 1151 01:11:42,760 --> 01:11:47,760 but only temporarily until a trained person is able 1152 01:11:49,067 --> 01:11:49,900 to be there. 1153 01:11:51,830 --> 01:11:54,100 I'm gonna go out on a limb and say 1154 01:11:54,100 --> 01:11:56,640 that maybe because you're such a small school, 1155 01:11:56,640 --> 01:12:01,240 you may be also rural and may not have access 1156 01:12:01,240 --> 01:12:05,280 to police officers or state troopers 1157 01:12:07,020 --> 01:12:10,013 that could be an intervention. 1158 01:12:11,440 --> 01:12:13,440 It's not one that we like to go to, 1159 01:12:13,440 --> 01:12:16,503 but if that's the last resort. 1160 01:12:18,230 --> 01:12:19,536 Right. 1161 01:12:19,536 --> 01:12:20,880 - Are we are done with the formal presentation 1162 01:12:20,880 --> 01:12:24,370 so that I can just have us all see each other 1163 01:12:25,269 --> 01:12:26,168 a little bit better. 1164 01:12:26,168 --> 01:12:27,071 Thank you. 1165 01:12:27,071 --> 01:12:27,904 - Yeah, yeah, yeah, yeah. 1166 01:12:27,904 --> 01:12:28,893 - Yeah, yeah. 1167 01:12:28,893 --> 01:12:29,800 Okay. 1168 01:12:29,800 --> 01:12:31,113 Now we're all here. 1169 01:12:32,080 --> 01:12:33,450 I'll also let you know 1170 01:12:33,450 --> 01:12:36,970 that there is an upcoming CPI training 1171 01:12:36,970 --> 01:12:39,390 that the Best Project is offering, 1172 01:12:39,390 --> 01:12:42,470 and I'm (laughs) gonna try to find it in the chat box, 1173 01:12:42,470 --> 01:12:44,870 it's on our professional development calendar, 1174 01:12:44,870 --> 01:12:49,370 and I think it's October 19th. 1175 01:12:49,370 --> 01:12:53,957 Little challenging to offer, it's October 19th 1176 01:12:53,957 --> 01:12:55,610 at the Hampton, and I'll put the link in the chat box 1177 01:12:55,610 --> 01:12:56,710 after I stop talking, 1178 01:12:56,710 --> 01:13:01,710 but it's best if you attend with someone 1179 01:13:02,140 --> 01:13:03,330 who you are comfortable 1180 01:13:03,330 --> 01:13:05,980 practicing with physical intervention, 1181 01:13:05,980 --> 01:13:09,270 someone who you know has also been vaccinated or part 1182 01:13:09,270 --> 01:13:10,428 of your pod at school. 1183 01:13:10,428 --> 01:13:13,840 We will require people to wear masks, 1184 01:13:13,840 --> 01:13:18,840 and it's a pretty full day, eight to 4:30 at the Hampton Inn 1185 01:13:18,880 --> 01:13:22,670 on the 19th, if you're looking for a training, 1186 01:13:22,670 --> 01:13:24,240 an upcoming training, 1187 01:13:24,240 --> 01:13:27,451 and I'm going to look for that and put it in the chat box 1188 01:13:27,451 --> 01:13:28,820 for those who might be interested. 1189 01:13:28,820 --> 01:13:33,680 - Sherry, do you know if any of the other trained trainers 1190 01:13:33,680 --> 01:13:37,500 are available to offer trainings outside 1191 01:13:37,500 --> 01:13:41,240 of that one CPI that you just mentioned? 1192 01:13:41,240 --> 01:13:46,240 - Yeah, there are, that I know of, and it's CPI 1193 01:13:46,470 --> 01:13:48,690 is Ken, and, @gmail.com, 1194 01:13:56,900 --> 01:14:01,660 and we just supported our new trainer, Jeremy Tretiak, 1195 01:14:01,660 --> 01:14:03,820 and anybody can contact me 1196 01:14:03,820 --> 01:14:08,310 and I can be your little agent and help you find trainers 1197 01:14:10,469 --> 01:14:11,810 that could come to your school perhaps. 1198 01:14:11,810 --> 01:14:14,320 Ideally, your district or supervisor 1199 01:14:14,320 --> 01:14:16,540 or union has its own team 1200 01:14:16,540 --> 01:14:19,810 that's been certified to provide training to your staff, 1201 01:14:19,810 --> 01:14:23,070 that's what we always encourage, 1202 01:14:23,070 --> 01:14:25,740 but we also have trainings as well. 1203 01:14:25,740 --> 01:14:28,503 And I'm gonna find that link and put in the box here. 1204 01:14:30,100 --> 01:14:33,350 - I'm going to answer Robin's question. 1205 01:14:33,350 --> 01:14:38,350 Robin is asking about when you are required to report 1206 01:14:39,360 --> 01:14:42,350 to the Secretary of the Agency of Education. 1207 01:14:42,350 --> 01:14:46,540 There are three circumstances under which you'd report 1208 01:14:46,540 --> 01:14:49,180 to the AOE. 1209 01:14:49,180 --> 01:14:51,500 One would be if the intervention lasted 1210 01:14:51,500 --> 01:14:53,450 for more than 30 minutes, 1211 01:14:53,450 --> 01:14:58,420 another would be if it was a violation of the rules, 1212 01:14:58,420 --> 01:15:00,970 and the last would be that either the student 1213 01:15:00,970 --> 01:15:04,710 or a staff member were injured in such a way 1214 01:15:04,710 --> 01:15:08,360 that required outside medical intervention. 1215 01:15:08,360 --> 01:15:13,300 Robin is asking whether that's more than 30 minutes 1216 01:15:13,300 --> 01:15:18,180 would be in a single situation or more than 30 minutes 1217 01:15:18,180 --> 01:15:19,970 in a day. 1218 01:15:19,970 --> 01:15:23,550 Robin, the answer would be in a situation, 1219 01:15:23,550 --> 01:15:28,550 and a situation could involve holding the student 1220 01:15:30,040 --> 01:15:34,060 for say 15 minutes, letting go, 1221 01:15:34,060 --> 01:15:37,600 but then within a few minutes, 1222 01:15:37,600 --> 01:15:41,200 they reescalate and need to be held again. 1223 01:15:41,200 --> 01:15:46,200 So one situation would be close proximity 1224 01:15:47,400 --> 01:15:52,400 involving the same escalation, if that makes sense. 1225 01:15:53,010 --> 01:15:54,600 - [Robin] Yep, that makes perfect sense. 1226 01:15:54,600 --> 01:15:56,070 That's what we thought, 1227 01:15:56,070 --> 01:15:59,840 but we've had some scenarios this year where over the course 1228 01:15:59,840 --> 01:16:02,240 of the day, the combined total was more than 30, 1229 01:16:02,240 --> 01:16:06,953 so we just wanted to ensure that we were following 1230 01:16:06,953 --> 01:16:11,100 the reporting if that's what it indicated. 1231 01:16:11,100 --> 01:16:13,817 So I guess that does lead me to one other question. 1232 01:16:13,817 --> 01:16:18,580 We are really good about having the school nurse check, 1233 01:16:18,580 --> 01:16:21,010 especially when students are involved. 1234 01:16:21,010 --> 01:16:24,760 We've had a couple of situations in the last couple of years 1235 01:16:24,760 --> 01:16:28,930 where a parent has maybe chosen to take their child 1236 01:16:28,930 --> 01:16:33,540 to the emergency room or a doctor after the incident 1237 01:16:34,750 --> 01:16:39,100 is, but yet when the school nurse checked 1238 01:16:39,100 --> 01:16:42,303 and we did our reporting on the sheet, 1239 01:16:43,230 --> 01:16:46,040 there was nothing indicated on the sheet. 1240 01:16:46,040 --> 01:16:47,860 So I guess my question there 1241 01:16:47,860 --> 01:16:51,430 is is that something that we should send 1242 01:16:51,430 --> 01:16:56,430 if there is hospital or doctor access following the incident 1243 01:16:57,060 --> 01:16:58,360 at a later time. 1244 01:16:58,360 --> 01:17:01,420 - That you're aware of, I would just go ahead 1245 01:17:01,420 --> 01:17:06,420 and send that in just to cover all bases and just make sure 1246 01:17:06,520 --> 01:17:11,480 that you indicate on the form that that was the case. 1247 01:17:13,400 --> 01:17:16,350 I think it's best to be safe. 1248 01:17:16,350 --> 01:17:20,420 - [Robin] Yeah, okay, thank you. 1249 01:17:20,420 --> 01:17:21,823 - Any other questions? 1250 01:17:24,300 --> 01:17:26,120 This was a really good group. 1251 01:17:26,120 --> 01:17:30,620 You guys, I think this is the best group we've had in terms 1252 01:17:30,620 --> 01:17:34,363 of really understanding the rules. 1253 01:17:36,570 --> 01:17:39,527 And we are way ahead of schedule, aren't we, guys? 1254 01:17:39,527 --> 01:17:41,360 - And don't tell anybody, go outside 1255 01:17:41,360 --> 01:17:42,311 and play for a little while. 1256 01:17:42,311 --> 01:17:44,830 (Tracy laughs) 1257 01:17:44,830 --> 01:17:45,663 Thank you, Tracy. 1258 01:17:45,663 --> 01:17:49,360 I think it was a great group and that you were great 1259 01:17:49,360 --> 01:17:52,267 in being very, very clear in your presentation, 1260 01:17:52,267 --> 01:17:57,267 and you'll see the PowerPoint is on the website, 1261 01:17:57,880 --> 01:18:01,060 so you can review it with your staff. 1262 01:18:01,060 --> 01:18:03,980 The recording will be up within a few days, 1263 01:18:03,980 --> 01:18:08,980 and we'll send you an email asking you to let us know 1264 01:18:09,460 --> 01:18:13,070 how it went for you, and within that survey, 1265 01:18:13,070 --> 01:18:16,840 you can click on your certificate of attendance. 1266 01:18:16,840 --> 01:18:20,820 And we have a training coming up October 19th. 1267 01:18:20,820 --> 01:18:24,160 It's a full day at the Hampton Inn in Colchester, 1268 01:18:24,160 --> 01:18:25,890 and it is in-person 1269 01:18:25,890 --> 01:18:30,790 and it will be our only in-person that we're doing this year 1270 01:18:31,715 --> 01:18:32,548 so far anyway. 1271 01:18:34,089 --> 01:18:36,510 A lot of people are needing that physical practice, 1272 01:18:36,510 --> 01:18:39,260 so we're doing that. 1273 01:18:39,260 --> 01:18:42,010 - But you don't have one scheduled for the spring time? 1274 01:18:43,490 --> 01:18:46,420 - Oh, we may, but I'll be retired by then, 1275 01:18:46,420 --> 01:18:48,051 so I haven't looked at it. 1276 01:18:48,051 --> 01:18:49,730 (Participants laughing) 1277 01:18:49,730 --> 01:18:51,380 Just a second, I'll let you know. 1278 01:18:54,840 --> 01:18:56,588 Let's see. 1279 01:18:56,588 --> 01:18:57,693 CPI. 1280 01:18:57,693 --> 01:19:02,450 CPI is also Lake Morey on March 22nd. 1281 01:19:02,450 --> 01:19:03,283 I'll put that 1282 01:19:03,283 --> 01:19:06,246 in the chat box as well. - Okay. 1283 01:19:06,246 --> 01:19:07,079 (Sherry laughs) 1284 01:19:07,079 --> 01:19:08,270 Feel free to contact me 1285 01:19:08,270 --> 01:19:13,270 if you have any questions or are looking for training 1286 01:19:13,400 --> 01:19:17,460 a little bit more in your area or at your school, 1287 01:19:17,460 --> 01:19:21,020 we can try to connect you with someone who can do that. 1288 01:19:21,020 --> 01:19:25,080 The Best Project has promoted the use of CPI. 1289 01:19:25,080 --> 01:19:27,030 There are a lot of good ones out there, 1290 01:19:28,170 --> 01:19:29,790 and the one that we do. 1291 01:19:29,790 --> 01:19:30,743 Thanks, Rhonda. 1292 01:19:31,619 --> 01:19:34,290 (Sherry laughs) 1293 01:19:34,290 --> 01:19:36,820 - I think Beth is feeling that it's a little unfair 1294 01:19:36,820 --> 01:19:37,983 that you're retiring. 1295 01:19:39,470 --> 01:19:40,303 - Yeah. 1296 01:19:40,303 --> 01:19:45,303 It's like leaving my comfortable, wonderful family 1297 01:19:45,680 --> 01:19:48,120 after so many years and finally moving away 1298 01:19:48,120 --> 01:19:50,880 from home, and I'm excited and scared and nervous 1299 01:19:50,880 --> 01:19:53,310 and looking forward to it at the same time, 1300 01:19:53,310 --> 01:19:55,763 so it's been terrific. 1301 01:19:58,010 --> 01:20:00,610 Yes, please stop recording (laughing) and thank you.