Day 3 Flashcards
(16 cards)
Options to handle physical violence
- Eliminate one of the elements
- use releases and protective stance
- physical restraint
- Leave the situation
What is the goal of physical intervention?
to reduce risk
What is the definition of physical restraint?
the use of trained and competent staff members to hold a child in order to contain acute physical behavior
What is acute physical behavior?
behavior LIKELY to result in physical injury to the child, other children, staff, or others who are at IMMINENT risk of physical harm
Physical restraint SHOULD only be used when…
- agency policies and state allow it
- individual crisis support plan prescribes it
- professional dynamic risk assessment indicates it
Physical restraint is NOT used to…
- demonstrate authority
- enforce compliance
- inflict pain or harm
- punish or discipline
What is the basic principle of physical intervention?
a MAXIMUM amount of CARE with a MINIMUM amount of FORCE and the goal of de-esclating the situation by reducing stimulation
Name 4
When should restraints be AVOIDED or DISCONTINUED?
- adults cannot control the child safely
- adult is not in control or too angry
- child is threatening and is capable of harming staff
- sexual stimulation is the motivation
- in a public place
- child has a weapon
- child’s medical condition prohibits it
- child’s trauma
- child is on medications that affects their system
7, 8, 9 + 1 more
What is positional asphyxia?
fatal respiratory arrest in which the ability to breathe is compromised by the positioning of the body in relationship to its immediate surroundings
name 4
Predisposing risk factors include…
- obesity
- influence of alcohol or drugs
- prolonged violent physical agitation
- underlying natural disease
- hot humid environments
- medications
- effects of severe trauma history
4, 6, 7 + one more
What are the improper restraint techniques?
- pressure on the neck or chest
- incorrect positioning of arms
- obstructing the mouth or nose
- abnormal positioning of the body
Warning signs of asphyxia
- goes limp and stops breathing
- says they can’t breathe
- gagging
- grunting
- gasping or wheezing
- change in skin color
- sudden change in the struggle
What do you need to monitor during restraints?
- check position
- check breathing
- skin color
- level of consciousness
- level of agitation
Pick 4
What are the recommendations to reduce risk of injury or death?
- don’t place weight on chest, back, torso, stomach
- don’t place anything over their face, mouth, or nose
- don’t put pressure on neck
- don’t put head in position for airway to be compressed
- don’t bend them forward
- correct positioning
- don’t ignore warning signs of asphyxiation
- don’t let them fall asleep during or after restraint
- don’t use restraints on younger than 5
Pick 4
What is the letting go process?
- states what is Expected
- directed by the Leader
- Supportive of the young person
- Sets the tone for the recovery phase
LESS
What are potential pain-based responses during the LSI after an outburst?
- child does not respond
- Child gets off subject
- adult or child wants to just fix it
