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Training Needs Analysis
Service/Client Name:
Date of Assessment:
MM slash DD slash YYYY
Completed by:
Type of Service (please )
Acute
PICU
Forensic/Secure
A&E Liaison
Health Based Place of Safety
Camhs
Rehab
CMHT
HTT
Specialist services Eating Disorders
Community
Specialist services Deaf adults
Administration
Specialist services OCD
Specialist services Deaf Camhs
Older age care
Other(specify)
Children (0-17)
Adult (18-65)
Older Adult (65+)
Service User Needs (please )
Learning Disabilities
Autistic Spectrum Disorder
Behavioural and Emotional Difficulties
Self-Harm/ Suicidal Ideas
Acquired Brain Injury
Dementia
Cognitive Impairment
Eating Disorders
Pregnancy
Other (specify)
Reducing Restraint and Restrictive Practices: Verbal and Physical risks posed
Challenging Behaviour (patient on staff)
Rare
Occasional
Regular
Challenging Behaviour (patient on patient)
Rare
Occasional
Regular
Challenging Behaviour (patient on other i.e. visitor, carer)
Rare
Occasional
Regular
Verbal Assault (patient against staff)
Rare
Occasional
Regular
Verbal Assault (patient against patient)
Rare
Occasional
Regular
Verbal Assault (patient on other i.e. visitor, carer)
Rare
Occasional
Regular
Actual Physical Assault (patient on staff)
Rare
Occasional
Regular
Actual Physical Assault (patient on patient)
Rare
Occasional
Regular
Actual Physical Assault (patient on other i.e. visitor, carer)
Rare
Occasional
Regular
Self-Harm (Actual or attempted) Ligature
Rare
Occasional
Regular
Self-Harm (Actual or attempted) Cutting
Rare
Occasional
Regular
Self-Harm (Actual or attempted) Impact (i.e. Head Banging)
Rare
Occasional
Regular
Self-Harm (Actual or attempted) Other
Rare
Occasional
Regular
Reducing Restraint and Restrictive Practices: What your service is already doing and what you would like to improve on Primary Interventions: Primary prevention promotes the need to understand the cause rather than simply address the underlying symptom of aggression or violence. This requires proactive intervention from the outset by engaging with the individual to identify triggers and jointly agreeing supportive interventions
Primary Interventions:
Primary prevention promotes the need to understand the cause rather than simply address the underlying symptom of aggression or violence. This requires proactive intervention from the outset by engaging with the individual to identify triggers and jointly agreeing supportive interventions
Give examples of existing policies/ practices/ training provision:
Identify what you could improve upon or need further training around:
Secondary Interventions:
Secondary prevention relies on the need for effective observation, early intervention, engagement and positive communication. This level of prevention relies upon conflict resolution and de-escalation skills. De-escalation involves the use of techniques that calm down an escalating situation or service user; care plans should stress that de-escalation should be employed early on in any situation.
Give examples of existing policies/ practices/ training provision:
Identify what you could improve upon or need further training around:
Tertiary Interventions: (e.g. Safe Holding I, seclusion, rapid tranquilisation)
Tertiary strategies refer to responses required to safely manage an incident and must be carried in accordance with individual circumstances and the principles of least restrictive intervention. Tertiary prevention recognises the need for thorough post-incident review procedures in order to ensure lessons are learned from incidents arising and that action is taken to prevent the risk of recurrence.
Give examples of existing policies/ practices/ training provision:
Identify what you could improve upon or need further training around:
Physical assaults that would require staff to utilise breakaway techniques
Wrist Grabs
Rare
Occasional
Regular
Clothing Grabs
Rare
Occasional
Regular
Hair Grabs
Rare
Occasional
Regular
Punches
Rare
Occasional
Regular
Kicks
Rare
Occasional
Regular
Bites
Rare
Occasional
Regular
Strangles
Rare
Occasional
Regular
Floor Situations (i.e. assault on floor)
Rare
Occasional
Regular
Physical interventions – that would require staff to utilise for the safety of others
Physical interventions – that would require staff to utilise for the safety of others
Rare
Occasional
Regular
Standing
Rare
Occasional
Regular
Sitting
Rare
Occasional
Regular
Prone Position (patient lying on their front)
Rare
Occasional
Regular
Supine Position (patient lying on their back)
Rare
Occasional
Regular
Seclusion
Rare
Occasional
Regular
NG Feeding
Rare
Occasional
Regular
Taking bloods
Rare
Occasional
Regular
Deltoid IM
Rare
Occasional
Regular
Supine IM (patient lying on their back)
Rare
Occasional
Regular
Prone IM (patient lying on their front)
Rare
Occasional
Regular
Appendix 1 This table is designed to assist staff completing this form to clarify terminology and to identify which techniques fall into the categories provided: please circle required categories
Standing
Level of holds (friendly come along, level 2, figure of four, forearm hold)
Going through doorways in holds
Planned approach (team approach),
Sitting
Seated de-escalation on the chairs
Seated de-escalation in the safety pod/ban bag
Prone Position (Patient on their front)
Unexpected and unintentional descent to the floor in prone
Planned descent to the floor in prone
Prone leg hold
Turning patient prone (on their front) to supine (on their back)
Prone descent into safety pod/bean bag
Supine Position (Patient on their back)
Unexpected and unintentional descent to the floor in prone
Supine descent into safety pod
Planned descent to the floor in prone
Prone leg hold
Turning patient prone (on their front) to supine (on their back)
Seclusion
Seclusion head exit from a mattress
Seclusion head exit from the floor
Nasogastric (NG) Feeding
In a safety pod/bean bag
In a chair
Taking bloods
On the floor,
In a safety pod
In a chair
Deltoid IM
On the floor,
In a safety pod
In a chair
Supine IM (patient on their back)
Supine IM hold
Prone IM (patient on their front)
Prone IM hold (lower rest)
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Date
MM slash DD slash YYYY
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Max. file size: 5 GB.
Date
MM slash DD slash YYYY