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Restraint techniques in PMVA

www.incisivetraining.co.uk​ Good morning, everybody. Thanks for logging on, it's Moses Samasuwo from Incisive Training, and today I want to talk to you about the subject of PMVA Techniques In Restraint. In my experience, I have found various organizations and training companies to have a very high emphasis on technique, and you can go to a training session, and find the majority of time is spent on perfecting techniques over, and over, and over again. Let me just say, just to be clear that I do think techniques are important, and we need to spend a good amount of time ensuring that candidates are proficient at them, because we want to minimize the chances of injury for staff, and for service users, and if we have to physically intervene, to do so in a way that is ethical, and the best way to do that, of course, is to have good technique. However, having said that, I think equally as important if not more important is the need primarily to remove the need for restraint at all. This is what the Department of Health talks about, and I think I've spoken about this in another video in more detail, but if we can work out what the triggers are, and remove the need for restraint in the first place, surely that's the best thing for us? If we don't have a restraint need, then there's not going to be a restraint, and so there's not going be a need for using a technique. Where we fail to remove the trigger, then we're going to work on de-escalation, so there should be a good emphasis as much as that of techniques, on de-escalating the situation so that even though the situation is worsening, going towards a critical situation, we want to be able to use our skills to divert that situation, calm it down through the skills that we learn through training. So, primarily, let's work on the emphasis of removing the need for restraint, and then, let's work on de-escalation, diversion, and just trying to mitigate the need for restraint at all. Then, finally, we come to the issue of techniques, and, of course, we need to be proficient. My hope is that wherever you train the techniques that you're going to be taught are going to fit within certain frameworks, so first of all, they're going be a Human Rights lead approach. That means they're going to comply with article two, of the Human Rights Act which is, not only a right to life, but a positive obligation to preserve life, and therefore the techniques we use, or are taught to use mustn't be ones which have a high risk of death where another one is more appropriate, and can be used which has a less risk of death for example. Article three, torture and inhuman, degrading treatment. Techniques should fit within that framework of not falling foul of that Human Rights Act, then, of course, they should fall within the framework of common law. They should be necessary, and they should be proportionate, then, of course, they should fall within the framework of Hicks Law, and Guthrie's Law. In other words, they shouldn't be techniques which are so complicated that the average person who's within the nursing world can't do them. People who subscribed to become nurses, and support workers within health, learning disability and mental health sector aren't martial arts experts ordinarily, nor are they soldiers, and they've come in hopefully wanting to make people better, to give them therapeutic support, and medical support so that they can improve their health and well-being. Then there comes this issue of restraint, and very often people, they're not sports people and athletes, so the techniques which we must teach must be ones that the average person can easily capture, retain and actually execute skilfully. Finally, on techniques, they must fit within manual handling framework, so they mustn't be techniques which contort the body in such a way that they increase the risk of injury for yourself, and indeed for the service user, and all of these things must be embedded in your technique training. Moses Samasuwo here from Incisive Training. We offer training and support for all of those that need to have physical interventions, health and safety, first aid, manual handling within the healthcare setting. If we can ever be of help to you don't hesitate to contact us. Thanks very much for listening. For more information click on: https://www.intelligensa.co.uk/pmva-a...