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
Q

What does SEW stand for

A

S subjects
E environment
W weapons

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26
Q

SAFER what is S stand for

A

Step back

27
Q

SAFER what does A stand for

A

Assess threat

28
Q

SAFER what does F stand for

A

Find help

29
Q

SAFER what does E stand for

A

Evaluate options

30
Q

SAFER what does R stand for

A

Respond

31
Q

POPS what does P stand for

A

Person in the thick of conflict

32
Q

POPS what does O stand for

A

Objects

33
Q

POPS what does Second P stand for

A

Place

34
Q

In POPS what does S stand for

A

Situational factors

35
Q

What will happen if the subject is face down in a prone position in a restraint for long periods of time

A

Positional asphyxia

36
Q

Before doing physical intervention what options should you consider

A

Primary
Cctv radio access controls

Secondary
Conflict management techniques

37
Q

What is a restrictive intervention

A

Involves more force in order to control a customer and remove their ability to easily move away

38
Q

What do you need to consider when physical intervention goes to the ground

A

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
Q

Name some risks with dealing physical restraints on the ground

A

Vulnerability to assault from others

Glass or debris

Impact injuries

Death and serious injury from ground restraint

40
Q

Name some vulnerable groups

A

Children and young people

Older adults

Individual with mental health issues

41
Q

What happens in a debrief

A

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
Q

Why do security have to do report writing

A

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
Q

How to support colleagues during physical intervention

A

Switching with colleagues when appropriate

Monitor staff safety

Observe the person restrained and inform colleagues of any concerns

44
Q

Staff responsibilities immediately after physical intervention

A

Duty of care to the individual

Appropriate medical attention is provided

Staff involved must fully report and account individually for their actions

45
Q

Actions in a medical emergency

A

Check ABC (airway-breathing-circulation)

Placing in recovery position

Calling appropriate emergency services

Commencing cpr/defibrillator

Clear the immediate bystanders

46
Q

Why is it important to reflect and learn from incidents

A

Try and reduce situations needed physical intervention

Manage situations more safety

Review personal and team skills

47
Q

Some effects of positional or restraint asphyxia

A

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
Q

Typical positions that can lead to positional asphyxia in restraints are

A

Restrictions of the chest wall

Impairment of the diaphragm

Pressure to the area of the neck

49
Q

Know risk factors for positional asphyxia

A

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
Q

What actions to take upon suspecting asphyxiation

A

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
Q

Why should security use force as last resort

A

Increased chance of harm

52
Q

Why should security staff write a report after an incident

A

It may assist in any legal matters that could arise later

53
Q

What should security do following an incident where physical intervention has been used

A

Brief the police or emergency services in attendance

54
Q

Name the 2 basic types of risk assessment

A

Dynamic (changing)

Static (still/unchanging)

55
Q

Name 2 of the threat assessments

A

P.O.P.S
people-object-place

S.A.F.E.R
step back-assess threat-find help
-evaluate options-reapond

56
Q

Name2 types of human responses

A

Rational -thinking calm

Emotional -instinctive

57
Q

Name some defusing conflict techniques

A

Don’t get angry

Manage the abuse

Maintain a positive attitude

Be assertive

58
Q

S.P.A.C.E

what does it stand for

A
STANCE
POSITIVE ATTITUDE 
ACTIVE LISTENING 
COMFORTABLE DISTANCE 
EXIT ROUTE
59
Q

Name some common causes of conflict

A
Drugs and alcohol
Stress
Frustration 
Jealousy 
Discrimination 
Relationships
Embarrassment
60
Q

Acute behavioural disturbance and psychosis can lead to

A

Sudden death

61
Q

What other impact factors to consider when using physical intervention

A
Age size weight 
Physical health 
Mental health 
Physical exhaustion 
Pre-existing medical conditions
Recent investigation of food
62
Q

When people are fighting what risk assessment should be carried out

A

Use dynamic risk assessment

How many involved

Are they carrying or using weapons

63
Q

Physical intervention is normally only used to

A

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