K.M. Enterprises. American Red Cross Lifeguarding Course Outline 4 day course Day 1, Morning Classroom Sessions
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1 Day 1, Morning Classroom Sessions I. Registration, paperwork and age verification II. Swim test A. 300 yd (mixed freestyle & breaststroke) B. 10lb brick test (start in water, swim 20 yards, surface dive to retrieve 10lb object, return to surface, return to starting point on back while holding object continuously with two hands, exit pool without using ladders, stand up) C. 2 minute tread water with legs only (hands in armpits during tread) III. Professional Lifeguard & Facility Safety (chapters 1 & 2) A. Responsibilities & characteristics of a professional lifeguard video B. Decision making - FIND model C. Legal considerations D. Continuing your training E. Being part of the team F. Unprofessional lifeguard (4 segmenrts) video G. Rescue equipment - instantly available or in easy reach H. Safety checks, RWIs and AFRs, water quality/testing I. Weather conditions J. Rules & Regulations K. Management & safety IV. Surveillance, Recognition & Injury Prevention (chapters 3, 4 & 5) A. Drowning process B. Recognition of dangerous behaviors C. Effective surveillance - victim recognition video D. Effective surveillance - scanning video E. Effective surveillance - RID factor/zones of responsibility/zone evaluations/lifeguard stations video 1. Zone test drills worksheet homework handout F. Not on your watch video G. Injury prevention strategies video H. Guarding zones with play structures I. Guarding activities 1. Reasons for the rules, guarding special activities & strategies for safe group visit worksheets homework handout J. Emergency Action Plans (EAPs) & sample incident report video 1. Emergency Action Plans worksheet homework handout K. Surveillance activity 1 video V. Water Rescue skills (chapter 6) A. General procedures for a water emergency B. Entries & rescue approaches video C. Water rescue skills - rescues at or near the surface video D. Water rescue skills - submerged victim rescues video E. Extrications video F. When things do not go as practiced video Last Updated: Sunday, 02 April, 2017 Page 1 of _4-day_lifeguarding_course_outline_rev_0.2.doc
2 Day 1, Afternoon Skills Sessions I. Patron surveillance & emergency preparation A. Lifeguard rotation B. ASK Drill II. Entries & approaches A. Slide in entry - discuss when to use B. Stride jump - discuss when to use C. Compact jump - discuss when to use D. Swimming & walking approaches III. Rescue skills A. Reaching assist from deck B. Reaching assist with equipment C. Removal from water - walking assist, beach drag D. Simple assist E. Swimming extension rescue F. Passive submerged victim in shallow water G. Passive drowning victim rear rescue (including EAP and entry/approach) H. Passive drowning victim front rescue (including EAP and entry/approach) I. Extrication from water using a backboard J. Active drowning victim front rescue (including EAP and entry/approach) K. Active drowning victim rear rescue (including EAP and entry/approach) L. Front and rear head hold escapes M. Multiple victim rescue (including EAP and entry/approach) N. Feet first & head first surface dives O. Submerged victim in deep water P. Ask Drill Last Updated: Sunday, 02 April, 2017 Page 2 of _4-day_lifeguarding_course_outline_rev_0.2.doc
3 Day 2, Morning Classroom Sessions I. Quiz II. Go over homework III. Review prior material as needed IV. Before providing care (chapter 7) A. Before providing care & standard precautions Bloodborne pathogens - Hep B, Hep C, HIV How pathogens are spread BBP/PDT video Preventing the spread of bloodborne pathogens BBP/PDT video 1. OSHA regulations 2. Exposure Control Plan 3. Standard precautions video - PPEs, hand hygiene, engineering & work practice controls, equipment & spill cleanup BBP/PDT video 4. If you are exposed BBP/PDT video B. Removing gloves (skill session) C. General procedures for injury or sudden illness on land handout D. Moving a victim (skill session) E. Primary assessment - including LOC & AVPU & using a resuscitation mask (skill sessions) video Rolling victim onto back Recovery position Infant recovery position Opening airway (Head tilt chin lift, jaw thrust with & without extension) V. Breathing emergencies (chapter 8) A. Recognizing & caring for breathing emergencies Respiratory distress & respiratory arrest B. Giving ventilations video C. Giving ventilations using a BVM video D. Airway obstruction Conscious choking (skill session) VI. Cardiac emergencies (chapter 9) A. Recognizing & caring for a heart attack B. Cardiac arrest C. Heart attack & the cardiac chain of survival video D. CPR CPR - adult and child video CPR - infant video E. 2 rescuer CPR 2 rescuer CPR - adult and child video 2 rescuer CPR - infant video F. CPR with airway obstruction video VII. AEDs (chapter 9) A. When the heart stops B. Using an AED video C. Using an AED - CPR in progress video D. AED precautions & maintenance E. Using and AED in unique situations worksheet homework handout F. AED/CPR Scenarios VIII. Multiple rescuer response video IX. Distribute pocket masks Last Updated: Sunday, 02 April, 2017 Page 3 of _4-day_lifeguarding_course_outline_rev_0.2.doc
4 Day 2, Afternoon Skills Sessions I. Giving ventilations A. Adult B. Child/Infant II. Conscious choking A. Infant III. CPR with airway obstruction (unconscious choking) A. Adult/Child B. Infant IV. CPR A. Adult/Child B. Infant V. 2 Rescuer CPR A. Adult/Child B. Infant VI. Using a BVM (2 rescuers) VII. Multiple rescuer response scenario 1 VIII. Multiple rescuer response scenario 2 IX. Individual skills checkoffs Last Updated: Sunday, 02 April, 2017 Page 4 of _4-day_lifeguarding_course_outline_rev_0.2.doc
5 Day 3, Morning Classroom Sessions I. Quiz II. Go over homework III. Review prior material as needed IV. Surveillance activity 2 video V. First Aid (chapter 10) A. Asthma B. Anaphylaxis C. Secondary assessment using SAMPLE & head to toe exam D. Responding to sudden illness video Diabetic emergencies, fainting, seizures, stroke including FAST E. Responding to injuries video Wounds - internal, external, nosebleeds, eye injuries, injuries to mouth & teeth, scalp injuries, embedded objects, injuries to the abdomen, animal & human bites, severed body parts, burns, bites & stings, poisoning F. Caring for shock G. Heat and cold related emergencies H. Emergency childbirth I. First aid scenarios (skill session) J. Morning skill session Controlling external bleeding Injuries to muscles, bones & joints - RICE Controlling external bleeding (skill session) Secondary assessment (skill session during controlling bleeding) Day 3, Afternoon Skills Sessions I. Caring for head neck & back injuries on land (chapter 11) video II. Caring for head neck & back injuries in the water (chapter 11) video A. Head splint (over arm & under arm/face up & face down) shallow water B. Head & chin support (face up & face down) shallow water C. Spinal backboarding procedure shallow water D. Head splint (over arm & under arm/face up & face down) deep water E. Head & chin support (face up only) - deep water F. In-line stabilization for submerged victim deep water G. Spinal backboarding procedure deep water III. Multiple rescuer scenario 4 IV. Multiple rescuer scenario 5/6 Last Updated: Sunday, 02 April, 2017 Page 5 of _4-day_lifeguarding_course_outline_rev_0.2.doc
6 Day 4, Morning Skills Practice & Scenarios Session I. Review as needed II. Additional skills A. Putting on gloves when wet B. In water ventilations in shallow water C. In water ventilations in deep water D. EAP Activity - Active drowner recognition & response III. Scenarios and skills practice may continue if needed IV. Scenario 1 deep water submerged victim rescue - timed response Activate EAP & enter (stride/compact/slide in), swim 10yd, rescue using tube for lift keeping face out of water at surface & shout out for 911 & backboard, extricate from the water in 1 minute & 30 seconds Perform primary assessment in about 15 seconds and remember to check for consciousness, breathing & a pulse Provide CPR for 3 minutes remembering that drowning victims receive 2 breaths before starting compressions V. Scenario 2 Multiple rescuer response to show good teamwork One guard enters, rescues & helps remove from water Another guard brings backboard and assists with removal First rescuer with gloves on does primary assessment Second rescuer with gloves on helps with 2 rescuer CPR A third guard brings a BVM A fourth guard brings an AED First rescuer with gloves on assembles BVM and helps with ventilations (3 rescuer CPR) Last guard with gloves on prepares AED - repeating AED prompts (4 rescuer CPR) Provide 2 minutes of care Rotate rescuers Day 4, Afternoon Testing & Skills Practice VI. CPR/AED for the Professional Rescuer & First Aid multiple choice written test covering chapters 7-10 A. 40 questions, 32 correct to pass VII. Lifeguarding Skills written multiple choice test covering chapters 1-6 & 11 A. 35 questions, 28 correct to pass Last Updated: Sunday, 02 April, 2017 Page 6 of _4-day_lifeguarding_course_outline_rev_0.2.doc
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