DCF 52.42(5)(as)1.1. With the least amount of force necessary and in the least restrictive manner to manage the imminent danger of harm to self or others. DCF 52.42(5)(as)2.2. That lasts only for the duration of time that there is an imminent danger of harm to self or others. DCF 52.42(5)(as)3.a.a. Any maneuver or technique that does not give adequate attention and care to protection of the resident’s head. DCF 52.42(5)(as)3.b.b. Any maneuver that places pressure or weight on the resident’s chest, lungs, sternum, diaphragm, back, or abdomen causing chest compression. DCF 52.42(5)(as)3.c.c. Any maneuver that places pressure, weight, or leverage on the neck or throat, on any artery, or on the back of the resident’s head or neck, or that otherwise obstructs or restricts the circulation or blood or obstructs an airway, such as straddling or sitting on the resident’s torso. DCF 52.42(5)(as)3.e.e. Any technique that uses pain inducement to obtain compliance or control, including punching, hitting, hyperextension of joints, or extended use of pressure points for pain compliance. DCF 52.42(5)(as)3.f.f. Any technique that involves pushing on or into a resident’s mouth, nose, or eyes, or covering the resident’s face or body with anything, including soft objects, such as pillows, washcloths, blankets, and bedding. DCF 52.42(5)(as)4.4. Notwithstanding subd. 3. f., if a resident is biting himself or herself or other persons, a center staff member may use a finger in a vibrating motion to stimulate the resident’s upper lip and cause the resident’s mouth to open and may lean into the bite with the least amount of force necessary to open the resident’s jaw. DCF 52.42(5)(b)(b) Use of physically enforced separation shall meet the following additional conditions: DCF 52.42(5)(b)1.1. The staff member using physically enforced separation of a resident shall review need for continued use every 10 minutes while the resident is in physically enforced separation and shall log the time of each review and the emotional status of the resident. DCF 52.42(5)(b)2.2. Except as otherwise provided for a locked unit under sub. (7) (a) 2. b., initial use of physically enforced separation may not extend for more than one hour without authorization from the center director or a professional staff person designated by the center director. DCF 52.42(5)(b)3.3. Except as otherwise provided for a locked unit under sub. (7) (a) 2. b., if a resident is authorized under subd. 2. to be in physically enforced separation for more than one hour and the physically enforced separation lasts for more than 2 hours, or if the resident experiences multiple episodes in a day which prompt use of physically enforced separation for a cumulative period of more than 2 hours during the day, center staff shall consider the need to arrange another more appropriate placement for the resident. DCF 52.42(5)(b)4.4. Physical hold restraint on a resident shall not be used to circumvent the requirement of the one hour limit for using a time-out room or a locked unit. DCF 52.42(5)(b)5.5. A resident may be kept in physically enforced separation only by means of one of the following: DCF 52.42(5)(b)5.a.a. A time-out room where the door is latched by positive pressure applied by a staff member’s hand without which the latch would spring back allowing the door to open of its own accord. DCF 52.42(5)(b)5.b.b. A time-out room where the staff member holds the door to the time-out room shut. DCF 52.42(5)(b)5.c.c. A time-out room where the staff member is in a position in the doorway to prevent the resident’s leaving. DCF 52.42(5)(b)5.d.d. A staff member is in a position to prevent a resident from leaving a designated area. DCF 52.42(5)(b)5.e.e. A time-out room which does not use a key lock, pad lock or other lock of similar design and has a type of lock such as a dead bolt lock, magnetic door lock or lock which only requires the turn of a knob to unlock the door, where a staff member is located next to the time-out room door and has the means to unlock the door immediately, if necessary, and that otherwise meets the requirements of this section and chs. SPS 361 to 366, the Wisconsin Commercial Building Code. DCF 52.42(5)(b)5.f.f. In a locked unit that otherwise meets the requirements of this section and the provisions for use of locked units for emergency safety intervention under sub. (7) (a) 2. DCF 52.42(5)(b)6.6. A resident placed in a time-out room shall be under supervision and shall be free from materials in the room which could represent a hazard to the resident or to others. A time-out room may hold only one resident at a time. DCF 52.42(5)(b)7.7. A time-out room shall have adequate ventilation and, if there is a door, a shatter-proof observation window on or adjacent to the door. The window’s location shall allow for observation of all parts of the room. The room’s location shall be within hearing or call to a living area or other area of activity. The time-out room shall have at least 48 square feet of floor space with a ceiling height of not less than 8 feet and a width of at least 6 feet. A time-out room may not include a box or other compartment that represents a stand alone unit within the facility. The time-out room shall be an architectural or permanent part of the building structure. DCF 52.42(5)(b)8.8. Physically enforced separation in a time-out room may not be used as a substitute for supervision of a resident who is at risk of running away. DCF 52.42(6)(6) Emergency safety intervention incident reports. DCF 52.42(6)(a)(a) For each incident where physical hold restraint or physically enforced separation of a resident was necessary, the staff person on duty shall document in an incident report the following: