The Pinel De-Restraining Method
Get the patient out of the restraints, moving and into a comfortable position – fast
Stage one is very fast, firm and effective.
Restraints must separate staff and patients rapidly and reduce patient trauma. The quick Velcro cuffs and long utility strap allow the staff to control the patient quickly and without harm.
Each cuff is soft and custom molded to the patient’s wrist, allowing for optimal comfort and security. There are no tight spots so blood flow should not be impeded. With simply the Velcro application, the cuff can withstand a pull of 500 pounds depending on the Velcro overlap and Velcro condition.
The large utility strap keeps staff safe from head-butts, bites or power punches. Most importantly, it dissipates the patient's energy to fight. It is patient friendly with very little pressure on the clavicles and keeps the chest open for easy breathing. The large utility strap also prevents the patient from sitting and tipping the stretcher while the patient is attached.
The legs are not forced apart to prevent panic in sexually abused patients.
Comfort & Security Adjustments
The second stage, if required, focuses on making the patient completely secure and comfortable.
This stage is important when dealing with increasing aggression and extremely violent patients. This stage allows you to make quick adjustments in a safe manner. It reduces mobility, prevents outward strikes, lunging from side to side and bucking of the hips.
To prevent the patient from striking outwards, the strap is passed over the cuff and through the buckle. It is then passed over the patient’s stomach, to the other side, and joined in the centre with a locking button and pin. Once the pin is inserted and locked, limb movement is restricted.
If needed, to prevent patient from ingesting vomit, the straps are long enough to adjust the patient on his side. Leave the large utility belt over the shoulders in case it is needed for rapid control.
The Patient is now held with 1, 000+ pounds of force. The locking system allows you to quickly release or adjust the patient by touching only two buttons. Since there are no pressure points, the patient is comfortable and able to breathe without difficulty.
The objective of the Pinel system is to get the patient out of restraints safely in a matter of minutes.
The team leader begins by negotiating for calmer behaviour in exchange for comforting adjustment. If a concession is made and the patient calms, the staff member follows through with incremental adjustments. Always ensure a contingency plan for return to the previous safe position.
The importance of this contract is that it opens up a new channel of communication leading to further incremental comforts.
For example, if the patient wants to scratch or stretch, one limb belt can be loosened but still held tightly. The arm can be quickly immobilized if the patient becomes aggressive. The same release action can be used on the legs to allow leg of motion exercises.
With a few minor adjustments, the system can be made into a walking restraint.
The foldable stretcher with deployable wheels is an easy method to ground-control very aggressive patients without excessive handling.
Once secured on the stretcher, the patient can be transported in full safety to the appropriate treatment area. The foldable wheels can be deployed outwards or inwards depending on the need of stretcher stability.
To prevent the patient from sitting upward during transport, the bed strap can be readjusted to the backpack position and locked. The limb straps are used to restrain the feet and ankles.
The Pinel protective helmet can be placed on the patient to prevent head injury. The helmet also protects the staff from head butting and spitting.