A caregiver may use successive emergency behavior interventions on a child only when:

• A. A supervisor approves verbally
• B. Written orders specifically allow the combination
• C. The child agrees
• D. Never

Answer: (B)

When multiple emergency behavior interventions are needed, they must be planned and documented in advance. The only way a caregiver may legally and safely use a sequence of interventions together is if there is a written order that specifically authorizes that exact combination. The written authorization provides a clear, reviewed plan with limits on which interventions can be used, for how long, and under what conditions, creating a proper record for safety, accountability, and regulatory compliance. Verbal approval lacks the necessary documentation to justify using multiple interventions in sequence, and the child’s agreement isn’t a appropriate basis for these procedures. While there are times when a combination is appropriate, it must be explicitly allowed in writing.