TJA - Healthcare Division


P.O. Box 297 Williston, FL 32696-0297 USA


Healthcare and Educator Courses

Pre-Hospital Violence Management© Instructor Certification Training Program


Introduction/Learning Goals Statement: Ambulance
The Pre-Hospital Violence Management - Instructor Certification Training Program was designed and developed to provide Pre-Hospital Caregivers with effective means to protect themselves and patients from assault. Rapid control of violent patients is also taught to facilitate treatment while reducing the risk of injury.

Program participants: EMT’s, Paramedics, 1st Responders.

In addition: Over five years of research were conducted on the development and subsequent national implementation of this training program. It should be noted that the program is based on nationally geographic training standards for EMS personnel working in both large urban paid services and smaller rural volunteer systems.

The program addresses the use one specific piece of equipment; the EMERGENCY RESPONSE BELT® a “tough cloth", protective control and restraint device. Extensive research and testing by the authors have shown this to be the most effective tool for the special circumstances presented to EMS workers.

Contributing Authors & Advisors: Jean Hill, Director of Nursing, Lee County Healthcare Park, Florida, Gregory L. Rookwood, EMT-P in TX, Robert Hirsch, Loyola Medical Center, Chicago, IL; Richard Kendall, EMT-P, Greg Muller, EMT-P of Boston, MA and Thomas J. Archambault of the TJA Use of Force Training, Inc.

Revision Date: February, 3, 2010

Training Source: Instructor-candidates who attend this program can only instruct the TJA - Pre Hospital Violence Management - Basic Certification Course© as TJA is the only training source for this specific program.

Course Length:
Minimum fourteen (14) Hours

Recommended Basic Course Length:
Block I Minimum Three (3) Hours
Block II Minimum Three (3) Hours

Target Population: Any paid or volunteer member of a rescue squad, ambulance service or fire department that provides pre-hospital medical care to victims of illness or injury.

Class Size: Maximum of twenty-six (26) participants with 2 Instructor-Trainers present and 4 assistants available as necessary for practical exercises.

Safety Considerations: Safety will be a major concern in all practical hands-on exercises and training techniques instructed in this program. A safety monitor will be assigned to each practicing group.

Testing Procedures:

  1. Written Examination
  2. Practical Examination of Psychomotor Skills with the EMERGENCY RESPONSE BELT®

Methods of Instruction:
Lecture and hands-on with audio visual aids and instructor manual utilized.

Training Aids:
TJA Ladder of Aggression-PowerPoint Projector.
Use of Video Camera to document Class Participants during practical exercises in rescue trucks and on stretcher beds.
VCR & television required to review above.

Current certification as ECA (First Provider), EMT or Paramedic or current license as a nurse, physician or current enrollment in approved training program for any of the above. Complete TJA registration form and fax/mail to TJA Cape Coral, Florida Office.

Training Environment:
Classroom required for seating up to 26 participants with flipchart/blackboard Use of 2 rescue vehicles for practical exercises, four stretcher beds and indoor area for scenarios and exercises.

Instructor Considerations:

  1. To give the caregiver the necessary knowledge and skills to protect him/herself from assault using the EMERGENCY RESPONSE BELT® and to use the ERB® for rapid, therapeutic control & restraint of abusive/violent patients.
  2. When conducting practical exercises with the EMERGENCY RESPONSE BELT® students should wear loose comfortable clothing.


Pre-Hospital Violence Management© Instructor Certification Program

(Day One)

0800 - 0900 Hours


0900 - 1000 Hours

Instructor, Company, Course Introduction
Ladder of Confrontation
Hostile/Confrontational Violent Behavior
Understanding Causes of Anger
Knowledge of the 4 Types of Anger
Confrontational Avoidance Techniques

1015 - 1100 Hours

When to Escalate to Physical Force
Defensive vs Offensive Parameters
When to Call for Help

1100 - 1200 Hours

Introduction to the ERB, history, Nomenclature and Carrier Case

1200 - 1300 Hours


1300 - 1400 Hours

Use and Application of the ERB for defensive shielding protection

1400 - 1500 Hours

Use of ERB to control patient’s limbs Exercises, drills in various environments

1515 - 1700 Hours

Control, restraint and transport techniques with the use of the ERB. Drills, exercises.

(Day Two)

0900 - 1000 Hours

Utility use and applications of the ERB; sling chair, use on stair chair, wheel chair, emergency stretcher, passive restraint, back support and more

1000 - 1045 Hours

Legal Implications of use of Restraints, Healthcare Use of Force Therapeutic Restraint Concept

1100 - 1200 Hours

Teaching Psychomotor Skills

1200 - 1300 Hours


1300 - 1500 Hours

Technique Review
Student Teaching
Problem Solving

1515 - 1700 Hours

Documentation and Instructor Record keeping, certification procedures Practical & Written Exams Graduation

“Comprehensive Self-Protection Certification Training for Health Care Professionals and Line-staff”™

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