Physical Control in Care Training Manual - Independent Advisory ...

PHYSICAL CONTROL IN CAREINSTRUCTORS NOTE:ENSURE THE MEMBERS OF EACH WORKING GROUP ARE OFSIMILAR BODYWEIGHT AND SIZE2.6.1 DOUBLE EMBRACE LIFT ESCALATION.If the young person continues to be disruptive then the hold can beescalated to include a third and fourth member of staff. This will onlybe used when releasing the hold could result in further escalation ofthe incident or injury to the young person or staff.THIRD MEMBER OF STAFF.From the Double Embrace Lift position the third member of staff cantake control of the young person’s head in the following way:The third member of staff designated to control the young person’shead approaches from behind in a protective stance. Their lead handwill be placed on the young person’s forehead, palm down. The trailhand will be placed on the back of the young person’s headsupporting it, palm up. This prevents the young person’s head fromsnapping back and also reduces the risk of the young person headbuttingstaff.The use of the head support should be carefully monitored. It is theresponsibility of the person controlling the head to ensure that thespinal column is maintained in a straight line and that breathing is notimpaired.The young person should be constantly monitored by HealthCare Staff and the restraint risk assessed to ensure that it is safefor the restraint to continue. If breathing is compromised thesituation ceases to be a restraint and becomes a medicalemergency, and all holds must be released.STUDENTS TO PRACTICE IN GROUPS OF FOUR.FOURTH MEMBER OF STAFF.© National Offender Management Service National Tactical Response GroupJuly 201069