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ForwardComprehensive Crisis Management Training Verbal/Physical 9.26.19
Provide WPIC employees with the necessary resources to prevent, identify, and intervene effectively in crisis situations that can occur in the workplace. Through CCM, employees will learn effective ways to manage a crisis situation to reduce the likelihood of injury to themselves and others. The CCM Training Standards have been adapted to meet both the inpatient and ambulatory programs.
Target Audience
Physicians and Psychologists
Learning Objectives
- Medical staff members will understand the causes and interventions related to emergency situations
- Medical staff members will be able to identify their specific role when responding to emergency situations
- Medical staff members will learn how to use verbal de-escalation skills
- Medical staff members will identify and respond to sexually inappropriate behaviors
- Reduce seclusion and restraint numbers through the use of the least restrictive intervention model designed to prevent the use of restrictive interventions
- Increase medical staff safety through a competency approached physical demonstration and practice component that teaches physical
- Increase knowledge regarding imminent danger and risk vs. risk related to the use of restrictive intervention procedures in clinical practices
(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: we discuss the background of the CCM program, sports medicines involvement, standards for use of this program and documentation
12:30: we demonstrate the ‘step and pivot,’ a technique to escape and assault; this is then re-demonstrated by the participants
12:45 we 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
1:00: we show how to escape hair pulls and bites; this is then re-demonstrated by the participants in partners
1:30: we show how to be preventative with and escape small and large thrown objects; only trainers demonstrate
1:45 we 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
2:00we 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
2:30: we 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
3:00: 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)
3:30: we 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
4:00 Closing
Jack Rozel, MD, MSL, Medical Director, resolve Crisis Services, President, American Association for Emergency Psychiatry
Candace Northcut Tomon, Comprehensive Crisis Management (CCM) Trainer
Jacqueline Nicolay- Comprehensive Crisis Management (CCM) Trainer
Jeff Magill- Comprehensive Crisis Management (CCM) Trainer
Disclosures: No members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any proprietary entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients to disclose.
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician (CME)
The University of Pittsburgh School designates this live activity for a maximum of 7.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Available Credit
- 7.00 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 7.00 Attendance
Courtney Johnson
Administrative Assistant, Office of Clinical Affairs
UPMC Western Psychiatric Hospital
Pittsburgh, PA 15213
T 412-586-9768
F 412-246-6826