The staffs bodies act as a surface upon which the patient is gradually and safely lowered to the ground. Staff should not be in a hurry to transport the patient. If indicated, medication may be given intramuscularly at this time. After the patient has calmed somewhat, he may be transported using the upright walk technique. Legs are crossed at ankles.
Involved staff review the procedure immediately following the intervention.
With time, patients tire and may be more easily and safely transported. If staff remaining lose control of patient, released staff return to floor control position. Critical review session provides opportunity to evaluate efficacy of physical intervention and provides opportunity for professional expression of feelings evoked by aggressive behavior. As part of follow-up and therapeutic care planning, criteria for discontinuing seclusion or restraints are established now . The team identifies factors contributing to the patient s loss of control and incorporates this assessment into preventative care planning.