Restraints Chair Instructor Certifications Course

Restraints Chair Instructor Course

Restraints Chair Training

Course Overview

Upon completion of the course and successfully passing the final exam, the student is allowed to provide in-service user level training to their agency in specific areas for 24 calendar months from the testing date.

In each topic, the student will receive a Flash Drive containing the PowerPoint program used in each course. These Flash Drive contain material and video to be utilized by the student when for training in their own departments.

Objectives

Identify the 2 primary restraint chair designs

 Identify pros/cons of each chair respective to your departmental needs

 Safe and effective placement of inmates

o Cooperative

o Combative

Introduction to restraint chairs

  • What is a restraint chair
  •  Why use the restraint chair
  •  When to use the chair
  •  Legal concerns

Restraints Chair types

  • Black, pre-formed plastic
  • “seat belt” like system of soft restraints
  • Allows for larger inmate
  • Grey, high back, soft padded chair
  • No mechanical issues that are found in the black chair
  • Increased restraint
  • Design of the chair is narrow

Restraints Chair Nomenclature

Restraints Chair Medical and Observation

  • Post incident medical review
  • Following a use of force check inmates condition
  • Decontaminate from pepper spray or other chemical agents
  • After placement in the restraint chair
  • Medical review of restraint tightness (proper circulation in the extremities)
  • Vital signs are taken and tracked 2 Hrs. interval

o Range of Motion

One limb at a time

o Opportunity to utilize the restroom

o Opportunity for water

o Check restraints for proper tightness 15 minute checks

o While in the restraint chair inmate should be isolated from other inmates and a 15 minute check period should occur

o During these checks if inmate appears to be in distress medical staff should be summoned

Removal from the restraint chair

o Include operations staff as well as medical

Ensure the behavior that caused placement is passed (no longer attempting self-harm behavior, destruction of property, etc…

Areas of medical concern

Deep vein thrombosis

Signs of DVT include; leg pain, leg swelling, changes in skin color and skin that feels warm to the touch.

Can be caused by extended periods of immobilized restraint

Contact medical staff if symptoms occur

  • Positional asphyxia

Inadequate amount of oxygen is delivered to the body caused by impeded breathing due to the body position of the inmate

Highly debated topic; however understand that restraint chair use could result in the accusation of death/serious injury from positional asphyxia

Positional placement of the inmate in which they are bent forward with their chest near their knees increases the risk of positional asphyxia.

Practical Exercise

  • Proper setup of the chair
  •  Step by step instruction of application
  •  Areas of concern for inmate manipulation of the restraints

Team Tactics

o Inmate refusing to sit down (knee bump and pressure on clavicle-trap triangle pressure point)

o Inmate refuses to remain seated (knee across hip joint and apply downward pressure)

Removal from chair and placement into leg irons and handcuffs

 

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