slsa advanced resuscitation certificate - … · andrew chubb – education advisor – slsnsw ben...

SLSA Advanced Resuscitation Certificate Workbook

Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia | 1

Acknowledgements

Produced by the SLSA National Education Resource Development Panel

Peter Agnew – National Lifesaving Manager – SLSA Tim Ryder – National Education Co-ordinator - SLSA

Craig Roberts – Operations Manager (Lifesaving and Education) – SLSNSW Bridget Judd – Education Officer - SLSNSW Glenn Ross – Training Consultant – SLSWA

Rob O’Brien – Support Officer – Lifesaving Training – LSV Andrew Chubb – Education Advisor – SLSNSW

Ben Whibley – Education & Training Officer – SLS Hunter Branch Adam Profke – Training and Education Development Officer – SLSQ

Sharon Stewart – Darwin SLSC Chief Instructor – SLSNT Alex Mirowski – Education and Training Co-ordinator – SLST

Nikki Chubb – Education Panel SLSNSW Aaron Tuckfield – Education Development Officer SLSSA

Copyright Notice © Surf Life Saving Australia All rights reserved. This product has been developed for use within Surf Life Saving Australia. Copies may not be printed and/or reproduced by photocopying, scanning or any other methods for use, hire or resale within Australia or by any other organisation unless authorised by the National Education Co-ordinator.

2 | Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia

Surf Life Saving Australia ADVANCED RESUSCITATION CERTIFICATE PUAEME003B Administer Oxygen in an Emergency Situation

Candidate Details: Name: D.O.B. / / Club/Service: Assessor: Date of Assessment: / /


Contents

Introduction Qualification Awarded …………………………………………………………….. 5

Prerequisites ………………………………………………………………………… 5 Recognition of Prior Learning ……………………………………………………… 6

Self Help Activity Questions Why Use Oxygen?........... …………………………………………………………… 7 The Components of Oxygen Resuscitation Equipment ..……………………….. 7 Administering Oxygen Therapy ...................................………………………….. 8 Setting up Oxygen Resuscitation Equipment ……………………………………. 9 Equipment Maintenance ……………………………………………………………. 10 Administering Suction (Optional) ……………..……………………………………. 10 Automatic Oxygen-Powered Resuscitator (Optional) …………………………… 11 Oropharyngeal Airways ……………………………………………………………. 12 Personal Safety ……………………………………………………………………… 14 Observation Checklist……………………………………………………………….. 15


Section 1 – Introduction Welcome to the workbook for the SLSA Advanced Resuscitation Certificate. This workbook will provide you the learner with all the necessary information and activities in achieving competence in this course. What this guide contains The Advanced Resuscitation Certificate workbook has two sections:

Section 1 - Introduction Section 2 - Self Help Activity Questions This section consists of a series of short answer questions. They are designed to reflect the knowledge required to demonstrate competence. These questions can be used as a home study resource or as discussion points during training sessions.

Qualification Awarded A candidate who has demonstrated competence in PUAEME003B Administer Oxygen in an Emergency Situation will receive a Surf Life Saving Australia Advanced Resuscitation Certificate. Public Safety Statement of Attainment A candidate who has demonstrated competence in the SLSA Advanced Resuscitation Certificate is entitled to receive a statement of attainment for the unit of competency PUAEME003B Administer Oxygen in an Emergency Situation which is a competency recognised nationally under the Vocational Education and Training System. Appropriately qualified and endorsed assessors from a Registered Training Organisation (RTO) must assess this unit of competency. Prerequisites for the SLSA Advanced Resuscitation Certificate A candidate must: • Be a minimum of 15 years old on the date of assessment, and • Hold the unit of competency PUAEME001A Provide Emergency Care, OR • Hold a current SLSA Bronze Medallion/Certificate II in Public Safety (Aquatic Rescue),

OR • Hold a current SLSA Senior First Aid Certificate (CPR component must have been

updated within last 12 months)

Assessment pathways The two major assessment pathways listed in the Assessment Guidelines for the Public Safety Training Package are:

Recognition of Current Competence (RCC) – competency gained through prior learning, work experience or life experience.

Assessing competence in an actual or simulated workplace environment.

Assessment tools have been designed so that candidates can use either of these pathways to demonstrate competence. This means that assessors can draw on a combination of assessment methods to assess the candidate, depending on their current skills and knowledge.


Recognition of Current Competence (RCC) and Recognition of Prior Learning (RPL) RCC and RPL acknowledge skills and knowledge obtained through: • Formal training (conducted by industry or educational institutions) • Work experience (informal training) • Life experience The main focus is on the learning outcomes of these experiences, not on how, when or where the learning occurred. All course participants must be advised of the opportunity to apply for RPL. SLSA has a number of RCC and RPL procedures that you can view on the SLSA website www.slsa.com.au. Should you wish to find out more about RCC and RPL within surf lifesaving refer to the RPL policy or speak to your training officer. Other Resources This is one of five publications that support the training and assessment for the SLSA Advanced Resuscitation Certificate. The other four publications are:

Surf Life Saving First Aid and Emergency Care Manual This manual is a resource for candidates, trainers and assessors that contain information on skills and knowledge relating to first aid, spinal management, oxygen equipment use and use of analgesic gases. Surf Life Saving Training Manual 32nd Edition This manual is a resource for candidates, trainers and assessors that contain information on skills and knowledge relating to resuscitation. Trainer and Assessor Guide This guide is available to trainers and assessors and contains tools to deliver and assess this course.

Assessment Portfolio This document will assist Candidates, Trainers and Assessors with the evidence needed to successfully record all documentation for assessment.


http://www.slsa.com.au/


Part 2 – Self Help Activity Questions Why use oxygen? 1. List five conditions that may benefit from oxygen:

a. _______________________________

b. _______________________________

c. _______________________________

d. _______________________________

e. _______________________________

2. Which of the following statements about safety precautions when using oxygen is

NOT true?

a. Never use oxygen near an open flame (including cigarettes)

b. Never use grease or oil with oxygen equipment

c. When delivering a shock via defibrillator, make sure an oxygen mask is used

d. None of the above

The components of oxygen resuscitation equipment 3. Name the parts below indicated with arrows

_______________

____________

____________

_______________ ____________

______________

______________

______________

____________ _______________

4. Give a brief explanation of a routine check of the following equipment

Oxygen cylinder __________________________________________

Sealing washer ___________________________________________

Tubing __________________________________________________

Masks __________________________________________________

Case holding equipment ____________________________________

Administering oxygen therapy 5. Match the Illness or injury and positions below for administering oxygen therapy to

the following patients: (Draw connecting lines)

Chest pains Supine, mouth to mask with oxygen

Conscious spinal Not used

Unconscious patient Supine with legs raised

Conscious suffering from shock Supine

Unconscious non breathing Lateral position

Hyperventilation Sitting up

6. The concentration of oxygen in the patient’s lungs will be almost ……………%

when the therapy setting of 8 litres per minute is utilised during mouth-to-mask

resuscitation, and increase to greater than … … … … % if using 14/15 litres per

minute and obtaining a good … … …


7. Briefly describe four airbag checks?

a. __________________________________________________________

__________________________________________________________

__________________________________________________________

b. __________________________________________________________

__________________________________________________________

__________________________________________________________

c. __________________________________________________________

__________________________________________________________

__________________________________________________________

d. __________________________________________________________

__________________________________________________________

__________________________________________________________

Setting up oxygen resuscitation equipment

8. During airbag oxygen resuscitation, how many hands should be used to squeeze

the airbag for an adult?

______________________________________________________________

9. How do you know when you have squeezed enough oxygen into the patient?

______________________________________________________________

______________________________________________________________

10. If the oxygen bottle becomes depleted during resuscitation, you should continue

using the airbag with the reservoir bag attached.

TRUE/FALSE

11. Complete the following information about oxygen therapy:

A full ‘C’ cylinder (……………….L) will have the following approximate operational

times:

• ……………… minutes, with continuous use of oxygen therapy at 8 L per

minute

• 30 minutes, with continuous use of airbag (and oxygen) at …………… L per

minute


Equipment maintenance 12. Briefly describe 3 protocols that should be followed after use by the airbag oxygen

resuscitator.

a. ________________________________________________________

________________________________________________________

b. ________________________________________________________

________________________________________________________

c. ________________________________________________________

________________________________________________________

13. Which of the following is NOT the correct procedure for storage of oxygen

equipment:

a. Do not store equipment in an enclosed space or cover it

b. Spare oxygen equipment cylinders should be stored near oxygen equipment

c. Oxygen equipment should be left with pressure in the system ready for an

emergency situation to save time

d. Cylinders that are half full or less can be used for training

Administering Suction (Optional) 14. Number the following procedures in the correct order for checking suction

equipment:

___ Turn suction lever fully on

___ Remove catheter and fit to large tubing

___ Test for suction against a soft part of one hand

___ Turn suction lever fully on

___ Remove large suction tubing from the case and hold near open end

___ Test for suction again

___ Turn lever off

___ Return to case in original position

___ Turn lever off


15. Briefly describe three (3) procedures for administering suction?

a. ___________________________________________________________

___________________________________________________________

b. ___________________________________________________________

___________________________________________________________

c. ___________________________________________________________

___________________________________________________________

16. Suction can be used on conscious patients ONLY if they are in the lateral position?

TRUE/FALSE

Automatic Oxygen-powered Resuscitator (Optional) 17. What two (2) things should you check on an automatic oxygen-powered

resuscitator during a routine check?

a. __________________________________________________________

b. __________________________________________________________

18. Briefly outline the procedure for administering automatic oxygen-powered

resuscitation:

a. __________________________________________________________

b. __________________________________________________________

c. __________________________________________________________

d. __________________________________________________________

e. __________________________________________________________

f. __________________________________________________________

g. __________________________________________________________

h. __________________________________________________________

i. __________________________________________________________

j. __________________________________________________________

Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia |11

19. Which of the following can occur when using an oxygen-powered resuscitator?

a. An increased risk of over-inflation of the lungs

b. An increased risk of damage to the middle ear due to changes in barometric

pressure

c. An increased risk of distension of the stomach

d. All of the above

Oropharyngeal airways 20. When shouldn’t you use an OP airway?

a. When the patient is conscious or semi-conscious

b. When an airway of the correct size is not available

c. When there is a large amount of vomit

d. All of the above

21. Complete the following sentence:

Oropharyngeal (OP) airways are curved plastic devices that

_________________________________________________________ in the

_____________________________ patient by depressing the ____________

and the _________________________ apart.

22. Should an OP airway be used on children under 8 years of age?

_______________________________________________________________

23. Where should an OP airway be stored?

_______________________________________________________________

24. What should an OP airway be checked for?

_______________________________________________________________

25. What should be written on an OP airway used for training?

_______________________________________________________________

26. What should be used after training with an OP airway to prevent cross-

infection? For how long?

_______________________________________________________________


27. After use on a patient, how should an OP airway be disposed?

_______________________________________________________________

28. To obtain the correct size OP airway what are the two measurement points?

Place the flange _________________________________________________

The curve of the airway is then _____________________________________

29. The correct size airway is _________________________________________

30. An OP airway must be only inserted into _____________________________

or __________________________________________ patients.

31. The OP airway should be inserted into an unconscious breathing patient in which

position?

_______________________________________________________________

32. The OP airway can be inserted into an unconscious non-breathing patient in which

positions?

_______________________________________________________________

33. What may be used to lubricate the OP airway before insertion?

_______________________________________________________________

34. Which way should the tip of the OP airway be pointing as inserted into the patient’s

mouth?

_______________________________________________________________

35. After inserting the OP airway approximately 1/3 of its length into the casualty’s

mouth, how much should you rotate it during the rest of the insertion?

_______________________________________________________________

36. Should Rescue Breathing continue during the insertion of an OP airway?

_______________________________________________________________

37. Should ECC continue during the insertion of an OP airway?

_______________________________________________________________

Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia |13

38. Should the OP airway be rotated upon removal?

_______________________________________________________________

39. Name three situations when an OP airway should not be used

a. __________________________________________________________

b. __________________________________________________________

c. __________________________________________________________

40. In line with SLSA policy, what sizes of OP airways are to be kept available for

usage?

_____________________________________________________________

Personal Safety 41. What personal protection measures are recommended by SLSA?

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________


ARC Observation Checklist DRABCD – 1 Person

Timing of 30 Compressions and 2 breaths per cycle with a compression depth of 1/3 depth of chest

Effectively administer breaths between compressions (ensuring no/minimal head tilt) Patient Assessment Card

Assess the area for Danger (Self, Patient, Bystanders) Continually monitor patient for breathing and signs of life

Approximately 2.5 cycles per minute Assess for response (conscious or unconscious) Effectively administer breaths between compressions

maintaining head tilt and jaw lift a)Conscious Manage vomiting or regurgitation Make patient comfortable Continually monitor patient for breathing and signs of

life “Signs of Life” Return Perform secondary assessment b)Unconscious “Cease Resuscitation” Manage vomiting or regurgitation

Important aspects Call for assistance Defibrillation Roll the patient on their side (placing arms across body

and out to side with leg bent – unless suspected spinal) Patient rolled into recovery position (unless suspected spinal) “Assumed that the patient is over 8 years old or

over 40kg in weight” Maintain jaw support and patient care Maintain head tilt and open airway effectively Assess Airway Patient Care is maintained at all times If a defibrillation unit and a trained operator arrives Assess Breathing (look, listen and feel) or signs of life Initial lifesaver continues CPR until the patient is

prepared and unit is ready. b-1)Breathing Present DRABCD – 2 Person Patient Assessment &

Resuscitation Initial lifesaver obeys all instructions of defibrillation operator and works effectively as a team continuing CPR

Monitor airway, breathing and signs of life Perform secondary assessment

b-2)Breathing Absent Patient Assessment Card “Signs of Life” Return Roll patient onto their back Both lifesavers assess the area for Danger (Self,

Patient, Bystanders) “Cease Resuscitation” Maintain jaw lift and provide head tilt (as per adult and child. Neutral head position if an infant patient) Important aspects Both lifesavers assess for response (conscious or

unconscious) Deliver 2 breaths in 4 seconds - observe rise and fall of chest between breaths

Patient rolled into recovery position (unless suspected spinal) a)Conscious

Make patient comfortable Check for signs of life – commence CPR if the patient displays no signs of life

Maintain head tilt and open airway effectively Perform secondary assessment and manage injuries according to SLSA Training Manual 2

Patient Care is maintained at all times nd Edition – Unit 4

& 5 chapters.

“Signs of Life” Present and Breathing Returns b)Unconscious Roll patient back into recovery position

ndInfant (CPR) Assessment Card Monitor airway, breathing and signs of life Call for assistance/2 lifesaver coordinates a oxy-viva and/or defibrillator to arrive. “Patient has been administered 2 rescue breaths

and assessed to display no signs of life.” Perform secondary assessment Airway operator supports the head maintaining head tilt

and jaw lift at all times. Adult/Child (CPR) Assessment Card “Signs of Life” Absent “Patient has been administered 2 rescue breaths and assessed to display no signs of life.”

Commence CPR ECC operator manages the roll. Place 2 fingers in centre of chest as per SLSA Training Manual 2

Airway operator and ECC operator roll the patient on their side effectively as a team (placing arms across body and out to side with leg bent – unless suspected spinal)

nd“Signs of Life” Absent Edition Commence CPR Timing of 30 Compressions and 2 breaths per cycle

with a compression depth of 1/3 depth of chest. Place 2 hands (option of 1 hand for a child) in centre of chest as per SLSA Training Manual 2nd Approximately 2.5 cycles per minute Edition Maintain jaw lift and patient care


ECC operator assesses Airway for foreign material and clears away any foreign material if present

Compression depth of 1/3 depth of chest demonstrated Continually monitor patient for breathing and signs of life Airway operator delivers 2 inflations after every 30

compressions The airway operator assesses Breathing (Look, Listen, Feel)

Manage vomiting or regurgitation Airway operator maintains head tilt and jaw lift “Signs of Life” Return ECC operator assesses Breathing by observing

movement of chest and upper abdomen Approximately 2.5 cycles per minute

“Cease Resuscitation” Airway operator and ECC operator rotate position at least every 2 minutes – minimal interruption of compressions occurs.

Important aspects b-1)Breathing Present Patient rolled into recovery position (unless suspected

spinal) Monitor airway, breathing and signs of life Continually monitor patient for breathing and signs of life Perform secondary assessment Maintain head tilt and open airway effectively

Patient Care is maintained at all times Manage vomiting or regurgitation b-2)Breathing Absent

Airway Operator and ECC operator roll patient onto their back

“Signs of Life” Return (CPR) With Airbag Assessment Card “Cease Resuscitation” Airway operator maintains jaw support and provides

head tilt (as per adult and child. Neutral head position if an infant patient)

“CPR” is in progress and have arrived with an Oxy-viva, assist in performing CPR with airbag”

Important aspects Patient rolled into recovery position (unless suspected spinal) Airway operator delivers 2 breaths in 4 seconds -

observe rise and fall of chest between breaths (2) Notify of arrival of mask and airbag equipment (2) Notify of mask available for use & introduces mask maintaining seal

Maintain head tilt and open airway effectively ECC operator simultaneously checks for signs of life – commence CPR if the patient displays no signs of life.

Patient Care is maintained at all times (2) Introduce therapy tubing

(2) Complete pre-operation checks (as per SLSA training Syllabus) “Signs of Life” Present & Breathing Returns

Infant (CPR) Assessment Card Airway operator and ECC operator roll patient back onto their side appropriately

(2) Notify of introduction of airbag “Patient has been administered 2 rescue breaths and assessed to display no signs of life.”

Mark cylinder with contents, time, date, initials Open airway maintained

Scenarios Assessment Card “Signs of Life” Absent Monitor airway, breathing and signs of life “You have been called out to the following scene and need to assess the situation, rescue assess and treat the patient for any injuries or illnesses”

Perform secondary assessment Commence CPR ECC operator places 2 fingers in centre of chest as per

SLSA Training Manual 2ndAdult/Child (CPR) Assessment Card Edition “Patient has been administered 2 rescue breaths and assessed to display no signs of life.”

Appropriateness of decision making was in co-ordinance with SLSA syllabus

ECC operator delivers 30 Compressions at a rate of approximately 100 compressions per minute pausing after 30th“Signs of Life” Absent compression for airway operator to deliver 2 breaths

Type of decision making was relevant to incident Commence CPR Sufficiently compress Airbag to inflate patient’s lungs ECC operator places 2 hands (option of 1 hand for a child) in centre of chest as per SLSA Training Manual 2

Compression depth of 1/3 depth of chest demonstrated Maintain timing for RESCUE BREATHING/CPR as per SLSA Syllabus Airway operator delivers 2 inflations after every 30

compressions (ensuring no/minimal head tilt) nd Perform CPR with airbag for 5 mins Edition Approximately 2.5 cycles per minute Manage vomiting and regurgitation ECC operator delivers 30 Compressions at a rate of

approximately 100 compressions per minute pausing after 30

“Cease Resuscitation” Airway operator and ECC operator rotate position at least every 2 minutes – minimal interruption of compressions occurs.

th Important aspects compression for airway operator to deliver 2 breaths Maintain head tilt


Maintain open airway effectively ‘Crack’ cylinder (outlet must be turned away from sand

persons) Maintain effective seal Recommence RESCUE BREATHING/CPR (mouth to mask) if

Assess sealing washer Insert bottle into yoke (ensuring inlet and outlet holes are lined up) Airbag was faulty

Maintain patient care at all times Assess the contents of the oxygen cylinder (must be 51% full)

OP Airways Assessment Card Assess pressure and flow of oxygen Complete Basic Airway Management Assess therapy nasks (cleanliness and serviceability) Posture the patient appropriately Assess resus masks (cleanliness and serviceability) Head tilt/ jaw support – jaw thrust Ensure Oropharyngeal airways are present and clean Visually inspect the airway for any fluids and/or foreign material

Check airbag for leaks and direction of air Check the function of membrane (O2 exiting reservoir bag and entering air bag) Ensure the airway is clear from any fluids and/or

foreign material Check for accessories (chalk/pen, gloves & 2 sealing washers) Select appropriate size airway. Measure size by

placing in line with the patients lips to the angle of the jaw

Drain oxygen system and check needle fall to zero

Extend patients head and open patients’ mouth Insert the airway. With the top airway pointing towards the roof of the mouth, advance the airway between the teeth to approx 1/3 of its length, then rotate the airway 180 degrees over the patients tongue.

The patient identification was appropriate The patient management was appropriate Sequence of actions was effective Signs and systems were treated correctly With top of airway now pointing down the pharynx,

gently advance until flange is Pressing against the lips. Ensure the patients lower lip is not pinched between the teeth and airway.

Communication of the patrol met with standards Decisions made appropriate to the circumstance Actions taken by the patrol were effective Actions taken by the patrol were efficient If the patient shows any signs of rejecting the airway,

remove it immediately Communication was effective between the patrol group Communication was effective to other The appropriate equipment was used Documentation Assessment Card

Record all information accurate and legible Only record facts Documentation is completed in INK only All mistakes are ruled out with a line Liquid paper not used Signed by the trainee SLSA Patrol Log/Incident Report Attached Oxyviva Check Assessment Card Remove plastic wrapping


Surf Life Saving AustraliaLevel 1, 1 Notts Avenue

Locked Bag 2 Bondi Beach NSW 2026


slsa advanced resuscitation certificate - … · andrew chubb – education advisor – slsnsw ben...

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