DOC 376.09(6)(6) Mechanical restraints may be used during transportation when there is a documented reason to prevent an imminent threat of physical harm to others. DOC 376.09(7)(7) When youth are being transported for release to a nonlocked environment, restraints may not be used unless to prevent a threat of harm to youth or staff or both. DOC 376.09(8)(8) Any use of mechanical restraints, except during transportation or authorized by psychology staff, shall be authorized by a supervisor. DOC 376.09(9)(9) A staff person shall be assigned to monitor a youth who is placed in mechanical restraints and shall remain in continuous auditory and visual contact with the youth. Observations of the youth’s behavior and any staff interventions shall be documented at least every 45 minutes, with the actual time of the observation or intervention recorded. DOC 376.09(10)(10) Facility staff must document all uses of restraints in the facility, including a description of the events leading up to the use of restraints, the less restrictive alternatives attempted, and the length of time the youth spent in restraints. DOC 376.09(11)(11) Mechanical restraints in excess of 45 minutes may be used only if all of the following apply: DOC 376.09(11)(a)(a) The use is approved by the superintendent, safety director or designee. DOC 376.09(11)(c)(c) The superintendent and psychology staff shall review use every 45 minutes thereafter. DOC 376.09(12)(12) When psychology staff approves additional 45 minutes of mechanical restraint use, as soon as possible and no later than 2 hours following this approval, psychology staff shall evaluate the youth and provide therapeutic interventions to the youth as needed. DOC 376.09(13)(13) Full body restraints may be used only for the following reasons with authorization from the superintendent in consultation with psychology staff: DOC 376.09(13)(a)(a) To protect a youth who poses an immediate threat of physical injury to self unless placed in full body restraints. DOC 376.09(13)(b)(b) To protect a youth in a health emergency that requires full body restraints. DOC 376.09(13)(c)(c) To protect staff, youth or other persons from a youth who poses an immediate risk of physical injury to others unless placed in full body restraints. DOC 376.09(14)(a)(a) The shift supervisor shall be present and shall notify the superintendent, a health services professional and the psychologist on call. DOC 376.09(14)(b)(b) A minimum of 3 staff shall be present when the youth is placed in full body restraints. DOC 376.09(14)(c)(c) A video and audio recording shall be made as directed by the superintendent. DOC 376.09(14)(d)(d) A staff psychologist or psychiatrist shall arrange for an on-site evaluation within 2 hours after the application of full body restraints. DOC 376.09(14)(e)(e) The psychologist or psychiatrist shall recommend to the superintendent whether the youth should remain in full body restraints and what actions should be taken to protect the youth. DOC 376.09(14)(f)(f) A health services professional shall conduct a physical examination as soon as possible, but not later than one hour after application of full body restraints. A physical examination shall be conducted every 4 hours thereafter by a health services professional. DOC 376.09(14)(g)(g) Staff shall directly and continuously observe a youth immobilized in full body restraints. DOC 376.09(14)(h)(h) Youth may be partially released from full body restraints if it is safe to do so to perform bodily functions and for meals. Three staff members, one of whom shall be a supervisor, shall be present before and during the release. DOC 376.09(14)(i)(i) The youth shall be released immediately if it becomes apparent that full body restraints present a medical risk to the youth. DOC 376.09(15)(15) Facility staff must document all uses of full body restraints in the facility, including a description of the events leading up to the use of full body restraints, the less restrictive alternatives attempted, and the length of time the youth spent in full body restraints. Staff shall also document: DOC 376.09(15)(a)(a) The name of the staff making the observation and comments on the youth’s condition and behavior while in full body restraints. DOC 376.09(15)(b)(b) The dates and times that the youth was observed by clinical staff, a health services professional or a licensed psychologist or psychiatrist, the recommendations made by those persons and whether staff implemented the recommendations. DOC 376.09(16)(16) The superintendent may authorize partial or complete release from full body restraints at any time.