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Assualtive Behavior, Chapliancy Training, Tests… October 15, 2004

Posted by danucube in chaplaincy, Nursing, Prenursing, self-defense, Volunteer.
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It has been a busy week…

First the good news, I finished the first big Anatomy & Physiology lecture test. I think I did good on it (we'll see how I really do next Monday). I finished the test in about 35 minutes and the prof let us have about 90 minutes to finish the test, and so I feel pretty good.

In terms of confidence, this is important for me since I need to do good early in the beginning because if I don't, I'll be in trouble as the course will get harder as we proceed. I am just so glad that God has provided me a really really good professor who is very good at explaining things.

I am just so facinated by our anatomy and physiology and how they relate to each other. I am constantly amazed at the intricute design of our body as I am now slowly getting into the details of it. I am amazed at how all the different things has to work just right, or else we get into trouble.

In the middle of the week, I took a 4 hour class on managing assualtive behaviors at the hospital where I do my volunteer chapliancy. Very interesting as we go through the cycle of violent behaviors and all kinds of stuff. We even practice a "take down" when everything fails. The "take down" involve a team approach where everyone has a very specific role. The key thing to the "take down" is safety – safety for the patient and safety for all the staff. Even the "straps" they use are different. It is velcro instead of the old days where they use leather (cuts off circulation, takes forever to secure, just plain bad for the patient). The velcro will restrain the violent patient, but at the same time give the patient the ability to move enough without hurting him/herself.

According to the statistics, most violent behavior turns out it is around the evening shifts, not night or morning shift. Especially around September for some reason.

The "take down" occurs rarely as in most cases, it is de-escalated verbally. Or the next level is that they can be de-escalated by a show of numbers where lots of staff just showed up and the sheer number will difuse the potential violent situation. But when it does occur, it has to be done right because you have the safety of patient at sake here. It is really an last resort kind of thing where if you don't do it, the patient will ended up hurting him/herself or/and others.

As for the chaplaincy triaing I had today, we went to the intense critical unity. Heard about different stories being told by patients and their families. Praying for about 1/2 the patients again. So far, all my mentors pray not only for the patients and their families, but also pray for the staff. One patient asked us to pray, but do it outside his room, not with him. When we finished the visit, my mentor and I went outside and prayed privatly for the patient as he requested.

Got 2 more hours to go in terms of mentor training…

Black and Blue September 26, 2004

Posted by danucube in Nursing, Prenursing, self-defense.
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ust finished the CDT class. I am so glad it is only two 1/2 days. Our training T-shirt is blue… it really should be black and blue instead… more appropriate.

Toward the end, we were in two groups in a few cases as some techniuqes are only taught to law-enforcement (like extracting a person out of a car with no damage to the subject) and us non-law-enforcement group did something else.

Actually get certified. The certifaction is part of the liability thing that goes along with the program. If one is sued, the program will send expert witness for you. But you have to get recertified every year.

It turns out this is the “highest” level of certification (that is why it is offer to law enforcement and air marshalls) except for the instructor level which is six 1/’2 days (not full days as I though originally). We are all now qualify for training at the instructor certification level if we wish (no thank you, this is painful enough for two days, don’t need 6 days of pain).

We also will have practice session every month or so to keep our techniques sharp (how about every 2 or 3 months instead… still fresh from all the pain).

Overall, I think this is an excellent class (minus the pain). Very practical, down to earth. Fit nursing philosophy perfectly where we don’t want to do any harm (especially if we have to put the person back again). I like the techniques, they are actually design in such a way that the subject is protected from harm.

Also most people can learn it. We have male/female in the class. We have senior adults and young adults. We have adults who are in great shape and adults who are way out of shape.

I am going to rest up from all the pain… (no kidding when the instructor mentioned it is going to be one of the most painful class we probably will ever take).

Oooh… I ‘m sore all over! September 25, 2004

Posted by danucube in Nursing, Prenursing, self-defense.
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Well, I had to leave early from the NAMI Family to Family class to go to a different class. The resource person sat in for me and taught in my place. She is from a different state and I think she is very good.

During the break of the class, one of the student talked to me on theology and serious mental illness. During our introduction, I usually mention that one of my interests is the relationship between serious mental illness and theology. This student turned out to be a pastor. We had a good talk. I invited him to come to the support group I am in which is a mixed group (have both people with a serious MI and their love ones). The goal is for him to take a look how how support group works and hopefully he can start something similar (which we desparately needs in our area).

There is also a nurse in the class.

Anyway, this other class I was rushing to is a self-defense class that is two days long (4 hours each day). It is aimed at law enforcement mostly but it is open to the public. About 1/3 of the class are people from law enforcement. I am taking it because I am checking it out to see if some of the techniques can be apply to nursing . So far, I think most of the techniques can be apply in a nursing enviornment.

Most martial arts are not appropriate in a nursing envirnoment because the techniques are just too deadly (lots of them has a history of combat and that is why they are deadly) or too damaging (taking out someone knees or going for someone’s groin is just too damaging and you can really get sued also). Also in a real situation, lots of people will not be able to execute these damaging techniques just because we don’t have the heart for it. Plus lots of martial arts just take too long to learn to be effective.

The course is call CDT and all the techniques are non-deadly and also does not do any damage to the other person. But boy are these techniques painful!!!!! Oooooooouch! And most of us in the class only apply maybe 5% to 10% of the force, just can’t imagine what it is like if it is applied full force. We also learn “stunning techniques” which disrupts a person’s nervous system for a second or so which gives us the time to apply a take down technique or just run.

Guess I should not complain, the instructors who went through the insturctor training course have to go through 6 full days of these pain. They say this is one of the most painful classes they ever went through.

I can see why they teach this to law enforement people, it is very easy to learn because it is base on your natural reactions. It is non-damaging and surprising some of the techniques even work on people who are in full blown psychosis (due to PCP or due to some form of serious mental illness). For the law-enforcement people, they are taught extra stuff in the class in terms how to bring a person to a position where they can hand-cuff the subject. For the rest of us, we are taught what is call “stun-and-run” where we use a combination of stunning techniques and take down techniques, and then run.

Tomorrow, well, 4 more hours of pain.