Restraints do's and dont's

Question 1

Physical Restraint should only be used when

All three criteria must be met

Answer 1

• Agency policies and state regulations regarding restraint allow it
• The child’s individual crisis support plan prescribes it
• Our professional dynamic risk assessment indicates it.

Question 2

The letting go process

Answer 2

States what is expected of the young person
Is directed by the leader
Is supportive of the young person
Sets the tone for the recovery phase

Question 3

Restraits should be avoided or discontinued when

Answer 3

• Adults cannot control the child’s safety
• Adult is not in contol-too angry
• Child is threatening and is capable of harming staff
• In a public place
• Child has a weapon

Question 4

Asphyxia

Answer 4

The deprivation of oxygen to living cells

Question 5

Predisposed risk factors include

Answer 5

Obesity
Influence of alcohol or drugs
Prolonged violent physical agitation
Young person is taking certain types of medication
Effects of severe trauma history

Question 6

Improper restraint techniques

Answer 6

Pressure on neck or chest
incorrect positioning of arms
Obstructing the mouth or nose
Abnormal positioning of the body

Question 7

Warning signs of asphyxia

Answer 7

Due to respiratory interference:
-States they cannot breathe
-Breathing is labored
-Makes grunting noises
-Change in skin color
Change in level of response or consciousness-goes limp and ceases to breathe:
-A change in the struggle
-Bobbing of head, fatigue,
-Excessive sweating
-Evacuation of body lfuids

Question 8

Monitor during restraints

Answer 8

Make sure the restraint position is correct(child and staff)
Assure there are no breathing problems
Observe and asess
-skin color
-respiration
-level of consciousness
-level of agitation
-range of motion in the extremities
End the restraint immediately if there are signs of distress
Get medical help

Question 9

Recommendations to reduce risk of injury or death

Answer 9

• Never place weight on the young person’s chest, torso, stomach, rib cage, or back
• Never place anything over or near the young person’s face, mouth, or nose that be inhaled or conform the contours of the face
• Never put the young person’s head in a position that causes neck to be compressed
• Never ignore any of the warning signs of pending asphyxia
• Never use these restraint techniques on children under five years of age