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

PHYSICAL CONTROL IN CARE3.2.1 ROLE OF THE NUMBER 1Young Person On The GroundIf the Young Person initiates movement that results in themselvesand the staff going to the ground:The role of the No 1 during this movement is to control and protectthe young person’s head. This will be achieved by maintaining thehead support position, ensuring that the No 1’s forearm makescontact with the ground first, protecting the young person’s face.Once the No 1’s forearm has made contact with the ground, theyoung person’s head will be turned to one side. To control andprotect the young person’s head on the ground, the No 1 will positiontheir knees, one to the rear of the head and one alongside theforehead of the young person.Note. A pregnant young person must not be held face down onthe ground.THE KNEE THAT IS POSITIONED ALONGSIDE THE FOREHEADOF THE YOUNG PERSON MUST NOT PROTRUDE PAST THEFOREHEAD AS THIS COULD INTERFERE WITH BREATHING.The No 1’s hands, without undue pressure, should assist in securingand protecting the head against injury.Care should be taken to ensure that the No 1’s hands do not interferewith the young person’s hearing.STUDENTS WILL PRACTICE THIS TECHNIQUE ONE ON ONE.3.2.2 THE ROLE OF THE NUMBERS 2 and 3If either or both of the two members of staff have a securing hold onthe young person’s arm they will convert it to a Figure of Four hold. Ifthey do not have a secure hold they will control the arm until they canconvert it to a Figure of Four Arm hold by using their knee beneaththe young person’s elbow in order to secure the arm.© National Offender Management Service National Tactical Response GroupJuly 201076