BEHAVIORAL EMERGENCY REPORT - fcoenet 2025

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  1. Click ‘Get Form’ to open the BEHAVIORAL EMERGENCY REPORT in the editor.
  2. Begin by entering the 'Date of Incident', 'Student Name', 'Date of Birth', and 'Age of Student' in the designated fields.
  3. Fill in the 'School/District' and specify the 'Time Incident Began' and 'Time Incident Ended'.
  4. Identify all staff and others involved in the incident, then check the appropriate type of incident from the options provided.
  5. Select the type of emergency intervention used, detailing any specific procedures and their duration.
  6. Provide a description of the incident using specific behavioral terms, including location and grouping details.
  7. Document problem behaviors displayed by the student, what occurred prior to the incident, and how staff responded.
  8. Complete sections on injuries sustained, treatment given, and decisions regarding Positive Behavior Intervention Plans.
  9. Finalize by filling out follow-up actions, notifying parents, and ensuring copies are distributed as required.

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BEHAVIOR EMERGENCY REPORT (BER) GUIDELINES. To prevent emergency interventions from being used in lieu of planned, systematic behavioral interventions: 1.
Emergency interventions (such as restraint and seclusion) may only be used to control unpredictable, spontaneous behavior that poses clear and present danger of serious physical harm to the student with a disability or others and that cannot be immediately prevented by a lesser restrictive response. (Ed.
The symptoms of a behavioral emergency include extreme agitation, threatening to harm yourself or others, yelling or screaming, lashing out, irrational thoughts, throwing objects and other volatile behavior. The person will seem angry, irrational, out of control and unpredictable.
Behavior Emergency Report (BER) Instructions Complete the BER Form as soon as possible whenever an emergency intervention (physical restraint) is employed. 2. The parent or guardian shall be notified within one school day if an emergency intervention is used or serious property damage occurs.
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