Physical Intervention Flashcards

Mock exams

1
Q

What is ABD stand for?

A

Acute behavioural disturbance

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2
Q

Signs of acute behavioural disturbance

A
High temperature  (hot to touch)
Bizarre behaviour 
Vomiting 
Paranoia
Violent behaviour 
Confused
Excessive strength 
Increased heart rate
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3
Q

Name some individual factors

A

Age

Size

Weight

Physical injuries

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4
Q

What is Positional asphyxia

A

Positional asphyxia is death from restraint putting pressure on the torso there for the subject has difficulty breathing and causes death or permanent brain damage

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5
Q

What is psychosis

A

Psychosis can be the result of an underlying mental illness or may be drug induced

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6
Q

Signs of psychosis

A

Signs of psychosis include

Hallucinations
Paranoia
Exreame fear

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7
Q

Name situational factors

A

Setting and location of constraints and risks
(Open, crowded, confined spaces)

Environmental hazards ( rain snow ice floor surface)

Number of staff

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8
Q

What is Trespass

A

Being on someone else’s property without consent

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9
Q

Physical intervention should only used

A

Only as Last resort

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10
Q

What are primary controls

A

employer policies and procedures

Radios, cctv ,access controls

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11
Q

What is secondary controls

A

Conflict management techniques and Teamwork used to try to de-escalate situations and reduce the use of the physical intervention

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12
Q

What is physical intervention

A

The use of direct or indirect force through mechanical means (handcuffs etc) or bodily contact

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13
Q

What is a non-restrictive intervention

A

Subject could move away I.e a breakaway or non-restrictive escort

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14
Q

Why should you use physical intervention as last resort

A

Increased risk of injury
Can result in legal proceedings
Can lead to loss of sia licence and employment

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15
Q

What is defensive physical skills

A

Skills used to protect yourself or others from an assault

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16
Q

What does the law say about the use of physical force

A

All force must be reasonable

Reasonable =necessary and proportionate

Physical force can be used to defend yourself

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17
Q

What is excited delirium also know as

A

Acute behavioural disturbance (ABD)

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18
Q

What is dynamic risk assessment

A

Continuously monitoring the levels of risk faced by all parties involved and adapt accordingly

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19
Q

Following a violent incident staff may require professional help under health and safety who should provide this

A

The work place

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20
Q

Why is it important to maintain physical intervention skills and knowledge

A

Skills fade and proficiency deteriorates over time which decrease effectiveness and increase risk

Legislation can change

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21
Q

the security industry authority recommend the physical Intervention Training be

A

Non-aggressive

Non-restrictive

Low-level

Non-pain complaint

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22
Q

(TACT) what does c stand for

A

Consider your options

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23
Q

(TACT) what does A stand for

A

Assess the situation

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24
Q

(TACT) what does both T’s stand for

A

Think safety first

Take action

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25
What does SEW stand for
S subjects E environment W weapons
26
SAFER what is S stand for
Step back
27
SAFER what does A stand for
Assess threat
28
SAFER what does F stand for
Find help
29
SAFER what does E stand for
Evaluate options
30
SAFER what does R stand for
Respond
31
POPS what does P stand for
Person in the thick of conflict
32
POPS what does O stand for
Objects
33
POPS what does Second P stand for
Place
34
In POPS what does S stand for
Situational factors
35
What will happen if the subject is face down in a prone position in a restraint for long periods of time
Positional asphyxia
36
Before doing physical intervention what options should you consider
Primary Cctv radio access controls Secondary Conflict management techniques
37
What is a restrictive intervention
Involves more force in order to control a customer and remove their ability to easily move away
38
What do you need to consider when physical intervention goes to the ground
Avoid going to ground if possible Get off the ground as quickly as possible While on the ground, monitor the restrained to ensure their breathing is not compromised De-escalate force at the earliest opportunity
39
Name some risks with dealing physical restraints on the ground
Vulnerability to assault from others Glass or debris Impact injuries Death and serious injury from ground restraint
40
Name some vulnerable groups
Children and young people Older adults Individual with mental health issues
41
What happens in a debrief
All staff should be involved Identify what they did well Identify what they could do better Do anyone need any further training Review any cctv footage Feedback to all staff
42
Why do security have to do report writing
If you have to use force, it is a requirement that the incident is fully recorded. It will assist you in any legal matters that may arise later. Protects the organisation. Protects the individual.
43
How to support colleagues during physical intervention
Switching with colleagues when appropriate Monitor staff safety Observe the person restrained and inform colleagues of any concerns
44
Staff responsibilities immediately after physical intervention
Duty of care to the individual Appropriate medical attention is provided Staff involved must fully report and account individually for their actions
45
Actions in a medical emergency
Check ABC (airway-breathing-circulation) Placing in recovery position Calling appropriate emergency services Commencing cpr/defibrillator Clear the immediate bystanders
46
Why is it important to reflect and learn from incidents
Try and reduce situations needed physical intervention Manage situations more safety Review personal and team skills
47
Some effects of positional or restraint asphyxia
Inability or difficulty in breathing Feeling sick or being sick Developing swelling to the face and neck Developing pinpoint sized haemorrhage (small blood spots) head neck chest areas
48
Typical positions that can lead to positional asphyxia in restraints are
Restrictions of the chest wall Impairment of the diaphragm Pressure to the area of the neck
49
Know risk factors for positional asphyxia
Anything that increases the body's demand for oxygen Any restriction of or pressure to the neck, chest or abdomen Significant overweight or obesity Intoxicated (alcohol or drugs) Recent head injury or other injuries Presence of an excited delirium
50
What actions to take upon suspecting asphyxiation
Immediately release, slacken or modify the restraint as far as possible to effect the immediate reduction in the body wall restriction Summon urgent medical assistance and provide appropriate first aid/cpr
51
Why should security use force as last resort
Increased chance of harm
52
Why should security staff write a report after an incident
It may assist in any legal matters that could arise later
53
What should security do following an incident where physical intervention has been used
Brief the police or emergency services in attendance
54
Name the 2 basic types of risk assessment
Dynamic (changing) Static (still/unchanging)
55
Name 2 of the threat assessments
P.O.P.S people-object-place S.A.F.E.R step back-assess threat-find help -evaluate options-reapond
56
Name2 types of human responses
Rational -thinking calm Emotional -instinctive
57
Name some defusing conflict techniques
Don't get angry Manage the abuse Maintain a positive attitude Be assertive
58
S.P.A.C.E what does it stand for
``` STANCE POSITIVE ATTITUDE ACTIVE LISTENING COMFORTABLE DISTANCE EXIT ROUTE ```
59
Name some common causes of conflict
``` Drugs and alcohol Stress Frustration Jealousy Discrimination Relationships Embarrassment ```
60
Acute behavioural disturbance and psychosis can lead to
Sudden death
61
What other impact factors to consider when using physical intervention
``` Age size weight Physical health Mental health Physical exhaustion Pre-existing medical conditions Recent investigation of food ```
62
When people are fighting what risk assessment should be carried out
Use dynamic risk assessment How many involved Are they carrying or using weapons
63
Physical intervention is normally only used to
Protect someone from a dangerous situation Break away or disengage from harmful contact Separate a person from a 'trigger' which is likely to set offa course of events