Verbal) Comprehensive Crisis Management Training           

8am     Introduction, background and overview of the CCM program and the PP version track

8:30      Agitation and assault: Scope of the problem – scope and variety of healthcare workplace violence and impact of excessive/inappropriate restraint   

            and seclusion

9:00      Wholistic assessment of violence risk – factors related to the environment, providers and individuals that increase or decrease violence risk.  Focus on provider 

            cognition and decision making and use of dynamic risk and protective factors to mitigate risk.  Explanation of the pathway to violence and assessment models.

9:30     Least Restrictive Treatment Model – why it’s used, what it includes and how it may look different in different settings

10:00   Verbal de-escalation – 10 elements of effective verbal de-escalation

10:30   What would you do exercises – role play exercises for verbal de-escalation

11:00   Special topics – sexually inappropriate and dangerous behavior, excited delirium syndrome, positional asphyxia

12:00   Closing

 (Physical) Comprehensive Crisis Management Training           

12pm: Lunch

12:30:  Discuss the background of the CCM program, sports medicines involvement, standards for use of this program and documentation

1:00:   Demonstrate the ‘step and pivot,’ a technique to escape and assault; this is then re-demonstrated by the participants

1:30   Show how to escape a strike, an arm grab, and a grab on the shirt; this is then re-demonstrated in partners by the participants

1:45:  Show how to escape hair pulls and bites; this is then re-demonstrated by the participants in partners

2:00:  Show how to be preventative with and escape small and large thrown objects; only trainers demonstrate

2:30   Show how to get out of 5 different choke holds (back choke, arm bar choke, choke against a wall, 2 ground chokes); participants re-demonstrate the arm bar,  choke against the wall, and 2 ground chokes with the trainers

2:45:  Show SPOG (which is a restraint to get the client to the ground); participants then come and SPOG the trainers to the ground as practice

3:00:  Show the transition manual restraint, the supine restraint, the left side restraint, and describe each position (legs, arms, head, observer) and what their role is

3:30:  Participants get in groups of 4 or 5 and rotate positions in transition, supine and left side restraint, making sure to get a turn on each position (restraining one of the trainers at a time)

4:00:  Show the seated restraint, 2 escorts, and the escort back into a ground restraint; participants then re-demonstrate escort number 2, and take the trainer to the ground back into a manual restraint

4:30 Closing

Disclaimer Statement

The information presented at this CME program represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine.  Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses