SLSA Advanced Resuscitation Certificate Assessment Portfolio NAME OF CANDIDATE:

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1 SLSA Advanced Resuscitation Certificate Assessment Portfolio NAME OF CANDIDATE: Surf Life Saving Australia Version 1

2 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. Section 1 Activities and Case Studies Case Study Complete the Incident Report Log form attached for the following incident: Jill was on patrol on Saturday 17 th February at Havananoby Beach when Sarah, a member of the public, came running up to the patrol shelter. Sarah said her husband, Peter, was having chest pains after exiting the water from a body surf. Jill, an SLSA Advanced Resuscitation Certificate holder, grabbed the oxygen equipment from under the patrol shelter and carried it over to where Peter was sitting. When Jill arrived, she found Peter lying down on his back, unconscious. Jill rolled Peter into the lateral position and identified that he was still breathing. Jill immediately placed a therapy mask on Peter and called for assistance from David, a fellow patrolling member. Shortly after David arrived, Jill noticed that Peter s complexion was becoming pale and his lips had turned blue. David checked for breathing again and it was now absent. They immediately commenced 2-person CPR with Jill administering mouthto-mask oxygen aided resuscitation. Jill could not get Peter s chest to rise. Jill decided to insert an oropharyngeal airway to see if this opened the airway. It did and they continued. After performing CPR for 2 minutes, Susan, another SLSA Advanced Resuscitation Certificate holder, came running over to give assistance. Jill asked Susan to set up the oxygen airbag. After administering CPR with airbag oxygen resuscitation for a further 2 minutes, David noticed that colour was returning to Peter s face and breathing returned. David and Jill turned Peter into the lateral position as he was still unconscious and monitored his breathing and signs of life. Any minor information that you do not find out from the above case study, please make up and complete the associated sections on the Incident Report Log. Class/Group Activity As a class, or in small groups, write up a list of what could have been done differently by the patrolling members in Case Study Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia

3 Resuscitation Report Form 1. Patients condition when first observed: 1 Conscious 2 Unconscious 3 Breathing 4 Not Breathing 5 Pulse Present 6 Pulse Absent 1.a Resuscitation was administered Yes No 2. Colour of patient when first observed: 1 Normal 2 Pale 3 Blue 4 Grey 3. Patients colour changed during resuscitation 1 Normal 2 Pale 3 Blue 4 Grey 4. Airway of the patient was obstructed when first observed by: 1 Vomit 2 Seaweed 3 Dentures 4 Clenched jaw 5 Airway was clear 5. How long was it, from when the incident was first reported to the time of the first artificial breaths: min min min min min 6 Other 6. How long was Rescue Breathing carried out for: min min min min min 6 Other 7. Which method was used? 1 Mouth to Mask 2 Mouth to Mouth 3 Mouth to Nose 4 Bag valve mask 8. What oxygen equipment was used: 1 Oxygen Therapy 2 Air Bag Resuscitator 9. How long was oxygen administrated for: min min min min min 6 Other 10. The patient regurgitated / vomited due to: 1 Mechanical Device 2 Blocked Airway 3 Revival 11. An Airway was Inserted: (type) 1 OP Airway 2 Combitube 3 LMA Mask 4 Other 12. How long was it, from when the incident was first reported to the time an airway was inserted? min min min min min 6 Other 13. How long was ECC carried out? min min min min min 6 Other 14. A defibrillator was used by: 1 Lifesaver 2 Lifeguard 3 Ambulance 4 Doctor 15. How long was it, from the incident was first reported to the time the defibrillator was applied? min min min min min 6 Other 16. How many times was a shock delivered? Other 17. Did the patient regain consciousness? Yes No 18. How long, after calling for assistance, did the ambulance arrived? min min min min min 6 Other 19. The patient conveyed to hospital by? 1 Ambulance 2 Helicopter 3 Private vehicle 4 Other 20. Which hospital was the patient conveyed to? 21. What condition was the patient in when transport? 1 Conscious 2 Unconscious 3 Deceased 4 Unknown 22. Condition on discharge from hospital (if known) 1 Full recovery 2 Deceased 3 Unknown 23. Trauma counselling was arranged for the rescuer/s 1 Yes 2 No 24. Was a carry used: 1 Yes 2 No If yes, what kind? Name of person completing form: (If different from other side of form) Position: Phone: Signature: Please provide brief details of the incident including any recommendations: Surf Life Saving Australia Version 1

4 Section 2 - Self Assessment Training Candidates should be able to perform the following demonstrations in line with training standards and lifesaving Standard Operating Procedures and Policies. The trainer should ensure that each candidate has been able to perform these demonstrations competently and has signed off on each area once complete. Oxygen Resuscitation DEMONSTRATION 1 Equipment Components a) Operator lists and describes all equipment contained in the unit: Protective case Medical oxygen cylinder Cylinder cradle, cylinder yoke Sealing washer Locating pins Thumb screw, cylinder key wheel External cylinder connection Contents gauge, regulator OP airways Airbag, oxygen reservoir bag Tubing Control valves Anaesthetic masks and therapy masks Chalk, gloves, pens, pencils, paper OPTIONAL Automatic oxygen-powered resuscitator Suction Routine Check of DEMONSTRATION 2 Equipment a) Operator explains and demonstrates: Protective plastic wrapping removed Cylinder cracked Cylinder inserted into yoke correctly Sealing washer checked Cylinder contents checked accordingly Oxygen tubing checked Therapy and anaesthetic masks checked Oropharyngeal airways checked Chalk, pens, gloves, spare sealing washer checked Check flow of oxygen Ensure no odour from oxygen Check operation of oxygen nipples Check the airbag Fully drain oxygen from system Whole unit kept clean Sign Off Sign Off Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia

5 Routine Check Of DEMONSTRATION 3 Equipment OPTIONAL Suction Removed large suction tubing Turn suction lever fully on Test for suction against hand Turn lever off Remove catheter and fit to large tubing Turn suction lever fully on Test for suction again Turn lever off Return to case in original position OPTIONAL Automatic Oxygen-powered Resuscitator As per oxygen equipment plus: Block off powerhead/demand valve outlet Check for valve release Check for blockages DEMONSTRATION 4 Administer Oxygen Therapy a) Operator assesses need for oxygen therapy b) Operator assembles unit ready for use attaching appropriately sized therapy mask to therapy tubing c) Operator reassures patient d) Mask is put on patient s face e) If the patient doesn t want the mask, remove it from tubing and direct flow towards patients mouth and nose f) Manage cause Sign Off Sign Off DEMONSTRATION 5 Airbag Checks Sign Off a) Check the airbag for leaks and direction of airflow b) Check the function of the yellow disc membrane on the patient valve c) Check the overflow membrane of the reservoir valve (Laerdal bag only) d) Check the air-intake membrane located in the rear valve of the airbag and the reservoir valve of the Laerdal bag Surf Life Saving Australia Version 1

6 DEMONSTRATION 6 Setting up Oxygen Resuscitation Equipment a) Operator sets up equipment clear of patient and other resuscitation operators b) Open case choose then introduce appropriately sized anaesthetic mask unless mouth to mask resuscitation is in progress c) Operator checks Correct operation of patient valve 1. Check for correct flow direction and leaks (block patient valve with thumb and compress airbag, release and ensure rapid refill) 2. Check function of yellow disc membrane (place reservoir bag over patient valve and inflate, then squeeze, watching for yellow disc membrane lift) Correct operation of valve to oxygen reservoir 1. Attach inflated reservoir bag and squeeze airbag to ensure correct operation Connection to oxygen supply d) Regulator set to 14 or 15 litres per minute then cylinder and regulator are turned on e) Airbag is compressed to expel air and fill system with oxygen Sign Off DEMONSTRATION 7 CPR with Airbag Sign Off a) When oxygen reservoir is full, airbag is ready and airbag operator signals (Tap on the shoulder and explanation) to Rescue Breathing operator and introduces the airbag, connecting it to the anaesthetic mask (there should be no delay in resuscitation when this occurs) b) Airbag is compressed with two hands (one hand for a child) and allowed to fully inflate with correct timing following normal procedures for Rescue Breathing or CPR c) Both the airbag operator and the Rescue Breathing operator are responsible for watching the rise and fall of the chest d) If either operator is unhappy with performance of equipment, Rescue Breathing should be restarted by the Rescue Breathing operator while the problem is corrected by the airbag operator Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia

7 DEMONSTRATION 8 Perform Oxygen Assisted Resuscitation a) Operator assembles unit and administers flow rates as decided by assessor b) Operator works with and communicates effectively with rescuer administering Rescue Breathing c) Operator turns off unit, "bleeds" and disassembles unit. d) Operator describes care after use and correct storage Sign Off DEMONSTRATION 9 Oropharyngeal Airways Sign Off a) Tilt the patient s head backwards; open the patient s mouth with one hand using jaw support (or jaw thrust, if necessary) b) With the patient on their side, visually check the patient's airway and manually clear if necessary c) Obtain correct size oropharyngeal airway. (Measure from centre of patient s lips to angle of jaw) d) Remove the oropharyngeal airway from the packet and lubricate using moisture on the lips of the patient or with water e) Hold the airway via the flange and with the tip pointing upwards towards the roof of the casualty s mouth, insert the airway into the casualty s mouth to approximately one-third of its length f) Whilst gently pushing the airway further in, rotate it 180 until the tip points downwards, at the same time sliding it over the patient s tongue into the back of the pharynx until the flange is touching the lips g) It should slip easily into place. If it is difficult, stop, re-position the patient s lower jaw and tongue before trying again. Never force it into position h) Remove airway due to rejection or gag reflex, following its natural curve, without rotation Surf Life Saving Australia Version 1

8 DEMONSTRATION 10 Administering Suction Sign Off OPTIONAL - a) Suction utilisation correctly identified b) Rescuer wearing gloves attaches catheter to suction tubing correctly c) Distance measured and catheter lubricated correctly d) Mouth opened e) Suction administered correctly ensuring prevention of hypoxia and appropriate areas are cleared DEMONSTRATION 11 Administering Automatic Oxygenpowered Resuscitation OPTIONAL - a) Oxygen supply turned on b) Control lever/equivalent is turned to appropriate position, if necessary c) Tidal flow &/or frequency control are adjusted if necessary d) Airway cleared and opened appropriately e) Oropharyngeal airway inserted if necessary f) Mask placed correctly ensuring head tilt g) Observe patients chest to ensure adequate tidal volume being delivered h) Control lever/equivalent adjusted appropriately for a breathing patient Sign Off Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia

9 Section 3 Overview of Assessment Components The SLSA Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation will be made up of three sections: 1. Underpinning knowledge (theory) 2. Demonstration of practical skills 3. Scenario PART 1 THEORY Written Assessment Paper A written assessment paper detailing the underpinning knowledge for the SLSA Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation. Candidates must be competent in the underpinning knowledge prior to continuing to the next stage of the assessment. PART 2 PRACTICAL SKILLS Patient Assessment Assessment on a live patient and manikin. Rescue Breathing & CPR One and two person Rescue Breathing and CPR to be demonstrated during a simulation on a manikin. Oxygen Equipment Pre-Operational Checks Components explained, set up, checks conducted, restored. CPR with Airbag Introduction of yourself, components assembled, checks conducted, performance of use, administering of oxygen therapy, restored. Oropharyngeal Airways Measured, inserted, removed, care of. Incident Report Log Documentation completed appropriately according to details provided during assessment of CPR with Airbag section. Surf Life Saving Australia Version 1

10 Suction Checks conducted, performance of use, restored. This section can be assessed during assessment of oxygen equipment component. Automatic Oxygen-powered Resuscitation Checks conducted, performance of use, restored. This section can be assessed during assessment of oxygen equipment component. PART 3 SCENARIO Scenario will include correct identification of patient condition and appropriate management utilising appropriate equipment where qualified. Resuscitation of an infant, child, or adult. Certification The candidate should check with their trainer as to when the club presents certificates. Some clubs present certificates to members on the clubs presentation night at the end of the year. Should the student require evidence of their qualification sooner, the candidate should contact their trainer and ask for advice pertaining to gaining the certificate or proof of having gained the award Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia

11 Advanced Resuscitation Certificate Assessment Work Card Surname (Use Block Letters) Given Names / / Prerequisite: Club/Group Date of Birth Member Classification Award PUAEME001A Provide Emergency Care. This may be covered under any one of the following (Tick [] appropriate box): PUAEME001A. Provide emergency care unit of competency SLSA Bronze Medallion 32 nd Edition Training Manual PUA21004 Cert II in Public Safety (Aquatic Rescue) SLSA Senior First Aid Certificate Non-SLSA Senior First Aid Certificate (RPL form required) Candidates may not be enrolled until they have provided evidence of the above prerequisite Section Activity Date Signature C/NYC 1.1 Candidates Workbook Checked and signed by TO 1.2 Assessment Paper Multi-choice answer 2.1 Oxygen equipment Name and assemble oxygen equipment 2.2 Oxygen equipment Check oxygen equipment 2.3 Oxygen equipment Restore oxygen equipment 3.1 OP Airways Check then sizing 3.2 OP Airways Insertion 3.3 OP Airways Remove and restoring Oxygen aided resuscitation (Airbag, etc) Oxygen aided resuscitation (Airbag, etc) Introduction Operation 5 Oxygen therapy Conscious/unconscious 6 Suction (Optional) Check, use Automatic Oxygenpowered 7 Resuscitator Check, use (Optional) 8 Scenario Surf Life Saving Australia Version 1

12 This form shall be completed and returned to the assessor in charge on the day of the final assessment for award processing. FOLLOW-UP ACTION (ONLY COMPLETE IF CANDIDATE IS NOT YET COMPETENT ) Follow-up Action Recommended (to be completed by assessor and discussed with the candidate) I have agreed to the recommended follow-up action. Candidate Date The candidate has agreed to the recommended follow-up action. Assessor Date ASSESSOR COMMENTS (OPTIONAL) Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia

13 Surf Life Saving Australia Assessment Paper 2006/2007 Advanced Resuscitation / PUAEME003B Administer Oxygen in an Emergency Situation ANSWER SHEET CANDIDATE S NAME: CLUB DATE SCORE: / 20. COMP / ORAL / NYC Circle the letter corresponding to your chosen answer. If you wish to change your answer put a x through the answer you wish to change and circle your new selection. 1 a b c d 11 a b c d 2 a b c d 12 a b c d 3 a b c d 13 a b c d 4 a b c d 14 a b c d 5 a b c d 15 a b c d 6 a b c d 16 a b c d 7 a b c d 17 a b c d 8 a b c d 18 a b c d 9 a b c d 19 a b c d 10 a b c d 20 a b c d Surf Life Saving Australia Version 1

14 Surf Life Saving Australia Level 1, 1 Notts Avenue Locked Bag 2 Bondi Beach NSW Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia