Safety interventions Flashcards
Are TCI restraints considered therapeutic
No
What are the options to handle violence that don’t include restraint?
Leave the room and monitor from a distance
Remove potential trigger
Directive statements
What are predisposing risk factors that make asphyxia during a restraint more likely
Obesity
Influence of alcohol or drugs
Prolonged violent, physical agitation
Underlying natural disease, such as asthma
Hot humid environment
Certain types of medication
Severe trauma history
What are the warning signs of asphyxia?
Child states they cannot breathe
Breathing is labored such as shortness of breath, gasping, wheezing
Grunting, noises or use of rib muscles to breathe
Gagging or vomiting
Change in skin color (light skin turns pale, gray, or blue and dark skin turns gray or white)
Sudden change in struggle (decrease or increased agitation)
Bobbing of head, fatigue
Excessive sweating
Evacuation of body fluids
What are certain situations where you would not want to restrain, even though there’s violence
Cannot control child safely through restraint
We are not common in control and may cause unintentional harm
Child is threatening and capable of inflicting bodily harm
Sexual stimulation is the child’s motivation
We are in public and restraint may be misinterpreted
Child has a weapon
Pre-existing medical condition that may be exacerbated
Re-Traumatizing or may result in emotional trauma
Medication with cardiovascular or respiratory side effects
What are improper restraint techniques that could cause asphyxia?
Pressure on the neck or chest
Incorrect arm positioning
Obstructing, mouth or nose
Abnormal positioning of the body
Which restraints require three people
Supine and seated
Which restraints required two people
Small child and standing
What is involved in the letting go process?
It is directed by the team leader
States what is expected of the young person
Supportive of the young person
Set the tone for the LSI and recovery phase
