Posted: 8/5/2016 11:40:43 AM EDT
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My facility is looking at the possibility of implementing the use of shields (pretty much prison shields) for entering violent patient rooms. I am the lucky one that got tasked with finding out what kind of training is out there. Just wondering if there is something out there I can look at to put together a training program to present to the board. Any help appreciated. |
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Quoted: Violent patient rooms at a hospital? I want some shields for my hospital! We've had a serious spike in assaults on staff, pt. on pt. assaults, rooms being tore to shreds, etc, etc. Pretty much anything is on the table right now and in a meeting I just threw out the idea of riot type shields to rush a room in our close observation area to pin them on the wall. I said it kind of tongue in cheek, but they took it serious and then said "you research it, cost, training and anything that might go along with it". They are considering putting us in plate carriers and arming us.  We've got 8 different agencies, 2 jails and a prison that drop their trash on our back door. Even after the major assaults, we hook them, call PD, PD takes them to jail and the jail wont take them so they get sent back to us.  |
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Quoted:
My facility is looking at the possibility of implementing the use of shields (pretty much prison shields) for entering violent patient rooms. I am the lucky one that got tasked with finding out what kind of training is out there. Just wondering if there is something out there I can look at to put together a training program to present to the board. Any help appreciated. Get in touch with your local jail or prison. |
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We always had better results using a mattress. No kidding. You stack up your team at the door. First man through drives hard into the inmate with the mattress. Then four team members making entry behind you each go for an extremity. A sixth team member applies restraints. Then you transfer them to a confinement chair and have a Coke. ETA. Be careful that the inmate hasn't greased the floor with shampoo, poo, or whatever else they can find. If you lose your footing then they'll make you pay dearly. If they are wielding a shank just call in the Taser. |
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Quoted:
They are considering putting us in plate carriers and arming us.
This is why amateurs shouldn't play security professional. A suggestion that may make things easier is to ask the hospital who they are using for JCAHO security compliance consulting and get that firm to provide some recommendations. Personally, I'd use the gas the Russians did in that theater, Kolokol-1.... 
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I worked in a prison and was on the SRT team. (Special Response Team, SWAT for prisons basically)
About 50% of the time the shield was more of a hindrance than it was a help against people. Against objects they were great. But when you go against a person with a shield more often than not they would grab the shield and fling it around and now you are attached to an object that they are flinging you around by. And unless you have a committed TEAM that is willing to dog pile the aggressor until they can get handcuffs on them then the shield will just be another distraction to everyone and if ripped away from the user, it can now be used against your team. Good luck. |
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Quoted: This is why amateurs shouldn't play security professional. A suggestion that may make things easier is to ask the hospital who they are using for JCAHO security compliance consulting and get that firm to provide some recommendations. Quoted: Quoted: They are considering putting us in plate carriers and arming us. This is why amateurs shouldn't play security professional. A suggestion that may make things easier is to ask the hospital who they are using for JCAHO security compliance consulting and get that firm to provide some recommendations. Everyone on the team is either former .mil or LEO so its a solid group of guys. These arent Paul Blart security types. We've tried getting tasers put in place, but they shoot that one down every time because JCAHO says you cant taze a pt. But then they say "what about arming the security team"........fucking suits |
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http://www.correctionsone.com/corrections-training/articles/1842265-Riot-shield-tactics/
http://armatraining.com/files/2014/06/Arma-Riot-Shield-Training-Description.pdf http://lllico.com/police-military-training/ First page of a google search for "riot shield training". Quoted:
My facility is looking at the possibility of implementing the use of shields (pretty much prison shields) for entering violent patient rooms. I am the lucky one that got tasked with finding out what kind of training is out there. Just wondering if there is something out there I can look at to put together a training program to present to the board. Any help appreciated. ETA: I don't mean to be snarky, I just thought maybe that hadn't been tried? |
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You can't do it.
Unless JCAHO / CMS has changed, I'm betting they see a shield as a law enforcement tool. And, you know what they say about using law enforcement tools on pt's.... You need to look into the training they give mental health inpatient facility types. It's not what I would want, but if you guys have any State / Federal compliance audits, you'll be better served starting on that block than trying to get some inverted stunshields. Sorry, man. I feel for hospital guard types. |
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Non Violent Crisis Intervention
All of this sort of non violent intervention sucks, I had training from these guys when I worked with mentally challenged youth. |
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I am in complete agreement. I'm just saying, they could negotiate from a better position if they had been through all that, then documented how badly it was failing. Lacking other reasonable options, to reduce pt morbidity and reduce hospital liability.... we want a tank. That fits in the hallways. Maybe they could retrofit one of the Xray machines...
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Quoted:
I worked in a prison and was on the SRT team. (Special Response Team, SWAT for prisons basically) About 50% of the time the shield was more of a hindrance than it was a help against people. Against objects they were great. But when you go against a person with a shield more often than not they would grab the shield and fling it around and now you are attached to an object that they are flinging you around by. And unless you have a committed TEAM that is willing to dog pile the aggressor until they can get handcuffs on them then the shield will just be another distraction to everyone and if ripped away from the user, it can now be used against your team. Good luck. What he said. I did it for five years, being the TL on the cell extraction team. Going to need dedicated training, five members (that's how we rolled), back-up/supervisor with less lethal in case it goes downhill (which it will), etc. Also a camera operator for those pesky investigations and law suits, you get the idea. We did it without shields, they cause more problems than they solve. I would say no to the whole idea, but that's just me. |
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Sounds like this project is in the research/this-would-be-awesome phase. Watch your back man. The hospital will drop you contract guys in a heartbeat if things go bad. Check w your agency policies before you go any further. If shields are kosher then start talking with the local CO's for hands on training and pieces of printer paper certificates. I feel bad for you guys and the crazy fuckers we bring you 
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Uhhh, yeah. Shields are one thing, but a hospital room is full of shit you can use as a weapon. A shield is usually in the way, in favor of helmets, pads, shin guards, elbow and forearm protection as well as face shields.
Then, what are you gonna do with him after you grab him? How is it documented? Video? We also have a pepper ball gun that we use loaded with training ammo. The talc balls hurt like a son of a bitch and don't contaminate the cell section, or get pepper ball shit all over the deputies. It's a great distraction device too. If y'all are committed to doing it, then do it right. Train and equip the people to do it.... |
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The team is already trained in MOAB (great on old ladys and asking for an ass whooping after first contact with anyone else), OCAT, PATH, "handle with care" (absolute and utter bullshit the mental health area requires), crisis intervention, restraint techniques, IAHSS and a partridge in a pear tree. The problem is that all of the above stuff, never survives first contact and then it goes into a full blown brawl. Weve already had JHACO inside our naughty bits and they gave us a pass with flying colors. Even after they asked for video and IR's of our uses of force. As it sits, out of all the big facilities, we are probably the second biggest (ER is biggest and busiest hands down, 84 beds) but we dont have tasers, everyone else does. |
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Quoted: I feel bad for you guys and the crazy fuckers we bring you Yeah I get a lot of LEO's that give me the "Im sorry" and shrug their shoulders because the jail wont take them. We work real close with them and if we actually call 911 we get about 8 units that show up. They know if we dial, shit has gone south. On a good week each one of our guys will do about 2-3 uses of force. On a back week (4 day work week) I have done as many as 7. The meth, heroin, crazy is strong in my hood. |
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HAHAHAHAHAHAHA, oh shit....I cant believe people attempt that shit. |
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This was our SOP when I worked at the prison.
A team of four line up at the door. 1 and 2 have padded shields. 3 has nothing. 4 records the incident on camera. 1 and 2 enter, as soon as the door is cleared 2 gets along side one as they rush the inmate. They both simultaneously slam the inmate into the wall to stun him. As soon as he hits the wall they throw the pads away and each grab the arm of whatever side they happen to be on. 3 follows in directly behind them and controls the head by grabbing the inmate by the back of the neck. All three of them pull down to force the inmate to the ground face first. Sometimes it would go that smoothly but usually not.
As for training tools/resources I couldn't help you there. edit: We used to train at a local gym. We would go half speed and slam the 'inmate' against the pads they put on the wall behind the basketball nets. |