Open Care Connect - Restrictive Practice Usage

Restrictive Practice

Controlled document workflow

All use of restrictive practices must be documented immediately.
Unauthorised or undocumented use is an NDIS reportable incident.
Complete one record for every instance.

A restrictive practice has been used.
Authorisation, welfare, and notification actions must be evidenced.
The participant behaviour-support file needs an instance record.

Restrictive Practice Usage Record

Open Care Community Services Pty Ltd t/a Open Care Connect | ABN: 22 668 873 694 | NDIS: 4-JU2I9UJ

HR-RPR-001 | V1.1 | Custodian: Behaviour Support Practitioner / Compliance Manager

MANDATORY: All use of restrictive practices must be documented immediately. Unauthorised or undocumented restrictive practice use is an NDIS reportable incident. This record must be completed for every instance.

Reference: NDIS (Restrictive Practices and Behaviour Support) Rules 2018 and NDIS Practice Standards Module 2A.

A - Incident / Usage Details

Participant name

OCC Code

Date

Time

Location

Staff member present

Staff ID

Other witnesses

B - Is This Restrictive Practice Authorised?

Before recording usage, confirm authorisation against the participant's current behaviour support arrangements.

Restrictive practice is included in participant's current NDIS Behaviour Support Plan (BSP) Restrictive practice is state or territory approved Restrictive practice is a regulated restrictive practice under NDIS Rules UNAUTHORISED: this is a reportable incident and INC-NTF-001 must be completed immediately

Relevant state or territory authority

C - Type of Restrictive Practice Used

Seclusion (involuntary confinement in a space) Chemical restraint (medication used to control behaviour, not for therapeutic purposes) Mechanical restraint (device used to restrict movement) Physical restraint (physical force to restrict movement) Environmental restraint (modifying environment to restrict free movement)

Describe specifically what was done

D - Circumstances

What was happening immediately before

What behaviour occurred that led to the use

What was tried first (less restrictive options attempted)

Why was the restrictive practice necessary at this moment

Duration of use (minutes)

Time released

E - Participant Response and Welfare

How did the participant respond during the practice

Participant condition immediately after (physical and emotional)

Any injury to participant

Yes No

If yes, describe and note medical attention sought

Any injury to staff

Yes No

If yes, describe and note medical attention sought

Post-incident debrief provided to participant

Yes No

If no, reason

F - Immediate Notifications

Notification	Completed	Time / Date	By / Reference
OCC Director notified
Participant's family or guardian notified
Behaviour Support Practitioner notified
NDIS Commission notified (if reportable)

G - Review and Follow-up

Incident Report (INC-IRF-001) completed

Yes No

BSP review required

Yes No

If yes, scheduled date

Debrief with staff member conducted

Yes No

If yes, date

Sign-offs

Staff Signature

Date

Supervisor Review

Date

Director Sign-off

Date