TQUK Level 3 Award in Emergency First Aid at Work (RQF) Assessment Record. first aid assessment. Course Ref. Learner Name.

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1 first aid assessment TQUK Level 3 Award in Emergency First Aid at Work (RQF) Assessment Record Course Ref. Learner Name Office Use Only Regulated Qualification completed Tourniquets & Haemostatic Dressings optional learning section completed

2 Level 3 Award in Emergency First Aid at Work (RQF) Assessment Record Guidance Learners must: Participate in all assessment activities Fully complete the Assessment Record Ensure the Assessment Record is signed and dated If any help or support is offered when a learner is completing the assessments, the trainer/assessor must note this in the Learner Feedback box. When all learning outcomes have been completed, the learner, trainer/assessor and IQA (where appropriate) should sign the back of the Assessment Record. The trainer/assessor must indicate the result of the assessment. The Assessment Record must be kept by the centre for a minimum of one year. All Assessment Records may be subject to review during external verification activities. This assessment record also includes optional learning sections. Evidence of completing these sections can be included on certificates where this type of training has taken place. Please note: Learners should ONLY complete sections in which the answer box is grey. Please DO NOT complete the trainer/assessor use sections. Reference Number Learner name Y/601/9697 Trainer name Date assessment carried out Assessment requirements This unit must be assessed in accordance with the Skills for Health document Assessment Principles for First Aid Qualifications. (Appendix 1 of the qualification specification) Simulation is allowed for this unit. RQF Version 1

3 Learning outcome 1 Understand the role and responsibilities of a first aider Identify the role and responsibilities of a first aider AC 1.1 achieved? Y N 1. Identify the role of a first aider. To give immediate assistance or treatment to someone injured or suddenly taken ill before the arrival of an ambulance, doctor or other appropriately qualified person. pg Which of the following is the first aider s responsibility? (tick all that are correct) Assess casualty Report incident to HSE Complete accident/incident report form Treat injuries appropriately Make area safe Restock first aid kit Identify how to minimise the risk of infection to self and others AC 1.2 achieved? Y N 3. Risk of infection can be minimised by: (tick all that are correct) Washing your hands before dealing with a casualty Wearing disposable protective gloves Covering up any cuts you may have Washing your hands immediately after dealing with a casualty Opening a window to improve ventilation Disposing of soiled dressings in a yellow clinical waste bag or follow company procedure Asking your casualty to remove clothing pg.04 5

4 Learning outcome 1 Understand the role and responsibilities of a first aider Learning outcome 3 Be able to provide first aid to an unresponsive casualty Identify the need for consent to provide first aid AC 1.3 achieved? Y N Identify when to administer Cardiopulmonary Resuscitation (CPR) AC 3.1 achieved? Y N 1. Identify why ongoing consent should be obtained before first aid is provided. Respect for the person s dignity Cultural & religious preferences Make clear the purpose of your actions To help to reassure the casualty 1. You should start CPR if the casualty is: (tick all that are correct) Unresponsive but breathing normally Unresponsive and not breathing normally Unresponsive and not breathing Responsive and choking pg.13 pg.04 Tick to confirm that you have completed the below as part of your CPR training. Correct placement of AED pads. Following the AED instructions. Justify when to place a casualty into the recovery position AC 3.3 achieved? Y N Learning outcome 2 Be able to assess an incident Summon appropriate assistance when necessary 2. When should you call for help during a first aid emergency? Assess the casualty and establish it is safe to approach. If the casualty s condition is serious call for help immediately. Dial 999/112 and ask for ambulance. Only leave a casualty to do this if there s no alternative - otherwise get a bystander to do this/use speakerphone if you can. AC 2.3 achieved? Y N pg It is important to place an unresponsive casualty into the recovery position: To identify casualty to ambulance service To maintain an open airway (prevent the tongue from falling to the back of the throat) To keep casualty warm To prevent infection Identify how to administer first aid to a casualty who is experiencing a seizure pg When managing a seizure, you should: (tick all that are correct) Ensure the area around the casualty is free from danger Cushion and protect the casualty s head to prevent injury Encourage the casualty to stand up Stay with the casualty until their recovery is complete Reassure the casualty Record the length of the seizure Encourage the casualty to swallow tablets AC 3.5 achieved? Y N pg

5 Learning outcome 4 Be able to provide first aid to a casualty who is choking Learning outcome 6 Know how to provide first aid to a casualty who is in shock Identify when choking is mild or severe AC 4.1 achieved? Y N Recognise a casualty who is suffering from shock AC 6.1 achieved? Y N 1. Which of the following indicates whether a casualty has a mild (M) airway blockage or a severe (S) blockage? Casualty is red faced but able to speak, cough and breathe. Casualty cannot speak, cough or breathe. pg.22 Learning outcome 5 Be able to provide first aid to a casualty with external bleeding Identify the severity of external bleeding AC 5.1 achieved? Y N M S 1. The possible symptoms of shock include: (tick all that are correct) Pale, cold and clammy skin Fast, shallow breathing Red face Rapid, weak pulse Dizziness/Light-headedness Slow, deep breathing Nausea Identify how to administer first aid to a casualty who is suffering from shock pg.39 AC 6.2 achieved? Y N 2. What are the important steps you should follow in order to provide the best possible support to a casualty who is suffering from shock? 2. Fill in the blanks. Bright red, spurting blood would be an example of bleeding from An arterial bleed. Darker/duller blood that gushes from a wound would be an example of bleeding from A venous bleed.. Lay the casualty down on the floor Support and elevate the casualty s legs Keep the casualty warm Reassure the casualty Monitor the casualty s breathing and airway Call 999/112 for an ambulance pg.39 Blood that oozes or trickles from a wound would be an example of bleeding from A capillary bleed.. pg

6 Learning outcome 7 Know how to provide first aid to a casualty with minor injuries Practical exercises Trainer/Assessor Section Identify how to administer first aid to a casualty with: small cuts, grazes, bruises, small splinters 1. Identify how to administer first aid to a casualty with: AC 7.1 achieved? Y N Conduct a scene survey Assess the situation? Make the area as safe as possible? Find out what has happened? Take control? Send for help? Begin providing first aid? AC 2.1 achieved? Y N Small Cuts Clean with water to remove any foreign objects, pat wound dry with sterile swab, cover with dressing or plaster. Conduct a primary survey of a casualty Put on gloves? Prioritise casualties Assess the casualty using DRAB AC 2.2 achieved? Y N Grazes Clean with water to remove any foreign objects, pat wound dry with sterile swab, cover with dressing or plaster. Demonstrate CPR using a manikin Bruises Reduce swelling with ice on the wound for 10 minutes and apply pressure. If no ice, cold water. Use DRAB before stating CPR? Carry out chest compressions of correct depth and rate? Give rescue breaths correctly? Continue CPR for up to 2 mins? AC 3.2 achieved? Y N Small Splinters Brush splinter off with a blunt edge, your finger or use tweezers, gently squeeze wound to help remove dirt, clean and dress the wound. pg.31 Demonstrate how to place a casualty into the recovery position Explain what they were doing to the casualty? Correctly place a casualty in the recovery position? Monitor the casualty? AC 3.4 achieved? Y N Identify how to administer first aid to a casualty with minor burns and scalds 2. How would you initially treat a casualty with a minor burn or scald? Cool the burn down under cold running water for a minimum of 10 minutes. pg.55 AC 7.2 achieved? Y N Demonstrate how to administer first aid to a casualty who is choking Administer back blows correctly? Administer abdominal thrusts correctly? Demonstrate control of external bleeding Put on gloves? Move the casualty to an appropriate position? Check the wound for embedded objects? Use appropriate technique to control bleeding? AC 4.2 achieved? Y N AC 5.2 achieved? Y N 10 11

7 Feedback and Declarations Optional Learning Declaration Trainer/Assessor Feedback to Learner Tourniquets & Haemostatic Dressings (Higher Risk Environments) Tick to confirm that the learner has demonstrated competence, knowledge and understanding in the following: When to apply a tourniquet Where and how to apply the tourniquet safely When to apply a haemostatic dressing Where and how to apply a haemostatic dressing Learner - I certify that I have completed all elements of the Tourniquets and Haemostatic Dressings optional learning section. Learner - I can confirm that I have received feedback from the Trainer/Assessor and I am happy with the feedback I have received. Learner Signature: Learner Signature: Trainer/Assessor - I certify that the learner has demonstrated competence, knowledge and understanding of the safe use of the Tourniquets and Haemostatic Dressings optional learning section. Trainer/Assessor Signature: Learner - I certify that I have completed all elements of the assessment. Learner Signature: Trainer/Assessor - I certify that the learner has has not (please tick) demonstrated competence, knowledge and understanding to the required standard with regards to all elements of the assessment. Trainer/Assessor Signature: IQA - I certify that I have internally verified this assessment record. Internal Verifier Name: Signature:

8 Course Evaluation Please complete this evaluation with honesty, so that we can continue to uphold our high standards. RIGHT WRONG Please fill in the relevant marks Poor Fair Good Very Good Excellent 1. Course content 2. Effectiveness of training 3. Support materials and handouts 4. Pace of Course 5. Training Facilities Use the following rating scale and indicate your response by filling in the appropriate number: 1= Strongly Disagree 2= Disagree 3= Neutral 4= Agree 5= Strongly Agree 1. The trainer provided clarity and focus during the tasks and exercises The trainer demonstrated knowledge and expertise in the subject matter The trainer adapted and responded to the needs of individuals The trainer created the right climate for honest and constructive feedback The trainer gave useful feedback which helped individuals and the group The trainer provided appropriate guidance when needed The objectives of the programme were met within the time available The content was appropriate and relevant to individual needs The structure enabled the learning objectives to be met Any other comments? C TQUK

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