Guidance & Syllabus for Pool Lifeguard Trainer Assessors

EFFECTIVE FRom JANUARy 2016 Guidance & Syllabus for Pool Lifeguard Trainer Assessors National Pool Lifeguard Qualification (NPLQ) 8th Edition (First Revision) Guarding Lives Saving Lives

Guidance & Syllabus for Pool Lifeguard Trainer Assessors National Pool Lifeguard Qualification (NPLQ) 8th Edition (First Revision) Royal Life Saving Society UK (RLSS UK) Tel: 0300 3230 096 Email: info@rlss.org.uk www.rlss.org.uk

- National Pool Lifeguard 8th Edition Eighth Edition (First Revision) published in 2016 by Royal Life Saving Society UK (RLSS UK) Tel: 0300 3230 096 Email: info@rlss.org.uk www.rlss.org.uk Text copyright 2016 by RLSS UK National Pool Lifeguard Qualification is a registered UK trademark of the Royal Life Saving Society UK. All rights reserved. This publication has been produced to facilitate the teaching and assessing of the RLSS UK vocational award by RLSS UK qualified instructors. No part of this publication may be reproduced, stored in a retrieval system or transmited in any form by any means electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of the copyright owners. All enquiries regarding any extracts or re-use of any material in this book should be addressed to the publishers, RLSS UK. Eighth Edition - 2012 Eighth Edition (First Revision) - 2016 Copyright Copyright 2016 The Royal Life Saving Society UK (RLSS UK) Published by RLSS UK ISBN 978-1-905008-48-3 PB3301A

Contents part one Introduction page 2 part two Syllabus page 8 part three Assessment Guidance page 14 part four Candidate Assessment Matrices page 21 part five Course Planning and Record Keeping page 31 1

part one Training and Assessing Candidates for the National Pool Lifeguard Qualification (NPLQ) 8th Edition (First Revision) Introduction Published in 2012 and revised in 2016, The National Pool Lifeguard Qualification 8th Edition was developed through widespread consultation within the leisure sector and RLSS UK training workforce, thus ensuring that the NPLQ remains a contemporary qualification for trainers, operators and candidates. The qualification also enables swimming pool operators to meet industry standards, in particular the criteria set out in the guidance published by the Health and Safety Executive entitled Managing Health and Safety in Swimming Pools. (HSG 179/2003) and the European Standards EN 15288 part 2. This qualification has been incorporated into the Qualifications and Credits Framework (QCF) as Level 2 Award in Pool Lifeguarding, Intervention, Supervision and Rescue. Visit www.rlss.org.uk for more details relating to the accreditation status of this qualification. This Guidance Booklet This booklet has been designed to assist RLSS UK Pool Lifeguard Trainer Assessors to plan, deliver or assess candidates for the National Pool Lifeguard Qualification. The booklet addresses training and candidate requirements, course organisation and evaluation, record keeping, assessment organisation, procedures and assessment criteria. The Qualification Training and assessment for the qualification is in three sections (or QCF units): Section 1 Section 2 Section 3 The Lifeguard, Swimming Pool and Supervision Intervention, Rescue and Emergency Action Plan CPR, AED and First Aid Each section is broken into a further 3 elements (AED optional). Candidates must pass all sections and elements to achieve the RLSS UK National Pool Lifeguard Qualification. Assessment for the RLSS UK National Pool Lifeguard Qualification takes place at the conclusion of a training course of a minimum of 36 hours for new candidates. It determines a candidate s knowledge, understanding and application of the principles of working as a pool lifeguard and of his or her ability in a range of lifesaving skills as they relate to rescue in a range of common emergency situations that could occur in any pool. Organisation of Training RLSS UK NPLQ 8th Edition (First Revision) - new candidates New candidates must meet the following criteria: MUST be 16 years of age prior to assessment; Complete a minimum of 36 contact hours of theory and practical training prior to assessment; Complete exercises in The Lifeguard manual; Be able to meet the following basic fitness criteria: - Jump/dive into deep water - Swim 50 metres in no more than 60 seconds - Swim 100 metres continuously on front and back - In deep water, tread water for 30 seconds - Surface dive to the floor of the pool - Climb out unaided without ladder/steps and where the pool design permits PART one: Introduction 2

Introduction part one Minimum guided learning hours for each section of the NPLQ have been developed and are as follows: The Lifeguard, Swimming Pool and Supervision Intervention, Rescue and Emergency Action Plan CPR, AED and First Aid Consolidation and revision at end of course Course total Optional AED bolt on Independent Assessment Combined Total 12 hours 10 hours 13 hours 1 hour 36 hours* 1½ hours 2½ hours 40 hours * An ATC/P can choose to replace the Rescue Board with the PXB with the course total remaining the same (36 hours) or both the Rescue Board and PXB can be delivered increasing the course total by an additional 2 hours (38 hours in total). To help pool Trainer Assessors to more easily and consistently deliver RLSS UK NPLQ 8th Edition (First Revision), a Master Programme containing lesson plans and key teaching points for each of the 36 hours outlined above has been developed. To accompany the Master Programme, pre-prepared presentations for the theory and aquatic lessons have also been developed. Trainer Assessors must use this resource and the presentation slides when delivering the NPLQ. Included in this Master Programme is a full programme overview, aims and objectives for each lesson along with suggestions for course structures. There should be no more than 12 candidates to 1 RLSS UK Trainer Assessor per course. Contact time for new candidates should not exceed 8 hours each day, not including breaks and time for organisational arrangements such as changing, moving from pool to lecture room, etc. and the guided learning times provide for a revision session at the conclusion of the training course. Emergency First Aid at Work (EFAW) / First Aid at Work (FAW) RLSS UK First Aid Trainer Assessors may choose to integrate either EFAW or FAW as part of the RLSS UK National Pool Lifeguard Qualification. Information on course timing, record keeping and assessment process can be found in the RLSS UK Guidance & Syllabus for First Aid Trainer Assessors. Training Records The preparation of training records is compulsory for all Trainer Assessors when running courses. Training records are the means whereby a candidate s developing competence is monitored and provide the essential evidence as to training that has been delivered. Trainer Assessors must take account of the fact that, in the event of an investigation into an incident, whilst the qualification itself is important, investigators may need to assess the route to gaining the qualification. Without comprehensive records, this is simply not possible. Training records must record the following details: Training plan for new / renewal courses or on-going training Subject[s] covered at each session Time taken for each subject/session Attendance at each session On-going competence assessment for each participant Areas for further skill and/or knowledge improvement A statement to confirm that the candidates have met all of the training criteria and are ready for assessment The operations manual is available at www.ongoingtandca.org.uk and provides trainer assessors with all the relevant forms and paperwork required to meet the training record requirements. Access to the documents will be through the Centre Coordinator for each Approved Training Centre / Provider. PART one: Introduction 3

Introduction part one Training Exemptions through Accredited Prior Learning (APL) In some circumstances, candidates may be able to show evidence of prior achievement in a particular area of the NPLQ Syllabus. In such circumstances, training times may be able to be reduced in situations where this would not create disruption to a course programme by disadvantaging other candidates; for example, where the number of candidates remaining for a part of the course is too small to make the delivery of effective training possible. Exemptions may apply to holders of the following awards and qualifications [guided learning time credits are shown in brackets] Current RLSS UK National Beach Lifeguard Qualification / National Vocational Beach Lifeguard Qualification [12 hours] Current First Aid at Work Certificate or Occupational First Aid Certificate [9 hours] Current STA NARS [PL] Qualification [9 hours] Current HABC Pool Lifeguard Qualification [9 hours] Where candidates wish to claim a training exemption, they MUST provide course trainers with original qualifications [photocopies WILL NOT be accepted] prior to the start of the course. Centre Co-ordinators and/or Trainers, when planning courses, should alert potential candidates to the exemption scheme in course promotional materials. A maximum of 12 hours accreditation for prior learning may be claimed. Assessment exemptions In some circumstances, candidates may be able to show evidence of prior achievement. In such circumstances, assessment times may be able to be reduced where candidates can demonstrate appropriate competence. In all cases, candidates will be required to produce original insignia for the relevant award or qualification; photocopies WILL NOT be accepted. First aid at work Holders of a current First Aid at Work Certificate or Occupational First Aid Certificate may be given exemption from the First Aid part of the NPLQ assessment syllabus. In accordance with the general principles of accrediting prior achievement, candidates will be asked to demonstrate one practical element and answer a related question from the relevant skills to show that they have the underpinning knowledge. Where a candidate is unable to demonstrate a skill and to show appropriate underpinning knowledge to a satisfactory standard, the exemption will not be allowed and the candidate will be required to complete the full section of the syllabus. PART one: Introduction 4

Introduction part one Assessment Procedures New candidates Candidates must have completed a minimum of 36 hours training and be able to provide written evidence of: Attendance at all sessions Having completed all of the skill and knowledge areas and completed exercises in The Lifeguard manual Having undergone continuous assessment of their progress throughout the course Holding a qualification for which they propose seeking APL NPLQ - renewal candidates Renewal candidates may renew their qualification only within the period of validity of their existing qualification as stated on their certificate. Candidates must meet the following on-going training criteria before being submitted for a renewal assessment: Provide written or electronic evidence of having completed a minimum 20 hours lifesaving, CPR, first aid training and competency assessment Hold a current, full National Pool Lifeguard Qualification Have access to the most up to date copy of The Lifeguard Where lifeguards undertake their activities as part of a club or other voluntary group, the same criteria must be applied in order to ensure a consistent standard but within the constraints of their reduced responsibilities Assessment Time and Arrangements Assessors must not assess more than four candidates at any one time. It is always difficult to be prescriptive about the time taken to complete an NPLQ assessment. However, in circumstances where there is sufficient equipment and there are an appropriate number of casualties and support team members, a target time, which is contact assessment time, (excluding changing time and breaks) of between 2½ and 3 hours is felt to be realistic for four candidates. Assessors will be required to note the duration of assessments on the Assessment Report Form. NPLQ Assessment Time Limit New Candidate All elements of the NPLQ must be successfully assessed within a 28 day period (of and including the first day of assessment). E.g. If, on the 2nd January 2016, a candidate is presented for assessment and is unsuccessful on any Section, the candidate must be reassessed and successfully pass all Sections by the 29th January 2016. Renewal Assessment Time Limit Renewal candidates must pass the assessment prior to the expiry date of their existing National Pool Lifeguard Qualification and this includes any reassessment of any failed sections. All elements of the NPLQ for renewal candidates must also be successfully assessed within a 28 day period (of and including the first day of assessment) If a candidate s qualification expires they must meet the criteria for, and be assessed as, a new candidate. E.g. provide evidence of 36 hours of training in the full syllabus of the NPLQ. Please note It is not possible to extend the expiry date of the RLSS UK NPLQ. PART one: Introduction 5

Introduction part one Assessment Performance Criteria Where particular performance criteria are shown in shaded boxes, candidates MUST meet the specific criteria set out in The Lifeguard for the particular skill or area of knowledge. Candidates who do not meet the specific performance criteria as set out in The Lifeguard MUST fail the whole of that section of the assessment. When the candidate fails they must be reassessed on the whole of the relevant section or sections they were unsuccessful in. For example, during the assessment of the sequence of adult Basic Life Support: Give 30 chest compressions x Give 2 rescue breaths Continue 30 chest compressions followed by 2 rescue breaths for 2 minutes or for the first timed swim fitness element of the water rescue practical: Safe entry, swim and approach Effective tow Time from start to end of the tow must not exceed 65 seconds 66 secs secs secs secs This would mean the candidate would need to be re assessed on the whole section where they were not deemed competent in a specific criteria. If all candidates are unsuccessful then a report, completed by the assessor, outlining the reasons behind this must be sent to IQL at mail@iql.org.uk within 5 working days of the assessment. Selecting the Assessor The Assessor must be suitably qualified and hold the relevant RLSS UK Trainer Assessor endorsements to be able to complete an NPLQ Assessment (e.g. Pool Extraction Board where appropriate). The selection of Assessors is important and should be undertaken by the Centre Co-ordinator in conjunction with the course Trainer. Assessors MUST be wholly independent of the training, of the candidates and of the Trainer. The test of independence is whether or not, when asked, an independent person, knowing of any link between the Assessor and the Trainer/candidates might see the possibility of bias. When choosing an assessor for independently assessed qualifications the ATC/P must ensure that the assessor is: Independent of the Assessment Venue Assessors must not assess candidates at a venue where they have delivered training Assessors must not assess candidates at a venue where they work in any capacity or have worked in the previous six months PART one: Introduction 6

Introduction part one Independent of the Training For new candidates assessors must have had no involvement with the training of the candidates For renewal candidates assessors must have not trained the candidate during the validity period of their current qualification Independent of the Candidate Assessors must not work at the same facility as the candidate Assessors must not be related to the candidate i.e. spouse, partner, step parent, child, brother, sister etc. Independent of the Trainer Assessors must not be related to the trainer i.e. spouse, partner, step parent, child, brother, sister etc. Assessors must not work at the same facility as the trainer Inevitably, there will be occasions where circumstances may mean that there is a potential conflict of interest. In such situations, Trainers and Centre Co-ordinators are advised to contact IQL UK for further guidance. Approved Training Providers (ATP) With reference to independence of assessor governance an ATP is measured as a mobile ATC, therefore the ATP will be considered as the venue regardless of the location of training/assessment An Assessor MUST NOT undertake candidate assessment at the same centre on more than three consecutive occasions. Where an Assessor regularly undertakes assessment at a centre, the Centre Co-ordinator MUST make arrangements for a different Assessor to undertake assessments on at least every fourth occasion. An Assessor may not undertake more than two assessments within any 12 hour period or assess more than four candidates at a time. PART one: Introduction 7

part two RLSS UK National Pool Lifeguard Qualification 8th Edition (First Revision) SYLLABUS The qualification assessment is in three sections. Section 1 Section 2 Section 3 The Lifeguard, Swimming Pool and Supervision Intervention, Rescue and Emergency Action Plan CPR, AED and First Aid Section 1 assesses the candidate s generic knowledge and skills in the role of the lifeguard, the law, pool safety operating procedures, swimming pool environments, activities and supervision skills. Section 2 assesses the candidate s ability to understand the principles of early intervention, lifeguarding skills, knowledge and application of Emergency Action Plans. Section 3 assesses the candidates in CPR, AED (optional) and First Aid skills. There are three elements to each section: Section 1 Element 1 Element 2 Element 3 Section 2 Element 1 Element 2 Element 3 Section 3 Element 1 Element 2 Element 3 The Lifeguard and the Law The Swimming Pool, Hazards and Control Measures Swimming Pool Supervision Intervention and Rescue Rescue of a Casualty with a Suspected Spinal Injury Emergency Action Plan Cardiopulmonary Resuscitation (CPR) Automated External Defibrillation (AED) (optional) First Aid The source material for candidate training for this part of the qualification is the current edition of The Lifeguard manual. It is important to recognise that, whilst the programme is delivered in a number of countries around the world, references to legislation and Codes of Practice relate to UK Law only ( The Lifeguard manual and training resources contain some references to Irish and Scottish law). Trainer Assessors may need to make adjustments to both training and assessment to encompass local legal provisions. PART TWO: Syllabus 8

Syllabus part two Section 1: The Lifeguard, Swimming Pool and Supervision Theory Assessment 1.1 Element 1 - The Lifeguard and the Law Demonstrate an understanding in the principles involved with the role of the lifeguard and the law. Answer 6 questions with at least one from the following five sections: 1. Role of the lifeguard, accountability, pool operators responsibilities and lifeguard responsibilities 2. The law, regulations, guidance and maintaining standards 3. Teamwork, uniform and equipment, customer care and dealing with the public 4. The pool operator, Pool Safety Operating Procedures and relevance to the lifeguard 5. Safeguarding, equality and diversity and post-traumatic stress disorder (PTSD) 1.2 Element 2 - The Swimming Pool, Hazards and Control Measures Answer 6 questions with at least one from the following five sections: 1. Types of swimming pools, principles of risk assessment, hazard categories and identification 2. Potential risk factors, systems of work and operational systems 3. Common pool hazards, equipment, features and relevant control measures by a lifeguard 4. People hazards, task hazards and relevant control measures by a lifeguard 5. Detailed work instructions, activity hazards and relevant control measures by a lifeguard 1.3 Element 3 - Swimming Pool Supervision Answer 6 questions with at least one from the following five sections: 1. Principles of early intervention, critical intervention and non critical interventions 2. Lifeguard zones and scanning 3. Maintaining concentration, lifeguard numbers, positions and visibility 4. Maximum pool user loads, lifeguard rotation and lifeguard duties and responsibilities 5. Communication including whistles and hand signals. Details of alarm systems and emergency equipment Section 2: Intervention, Rescue and Emergency Action Plan Element 1 - Intervention and Rescue 2.1 Practical rescue - immediate response Demonstrate a rescue using the principles of reaching, throwing or wading during a simulated incident. A single casualty is located not more than 8 metres from a point of safe landing. The candidate may use recognised poolside rescue equipment and may call on support from at least one other member of the lifeguard team to assist with the recovery of the casualty. The position of the casualty will be determined by the Assessor. The type of rescue will then be chosen by the candidate and can be either: A wading rescue with a torpedo buoy or recognised rescue aid OR A poolside rescue using a reaching or throwing aid Following the rescue the candidate will explain the action taken to demonstrate that they have the required underpinning knowledge. 2.2 Contact rescue - deep water Demonstrate a contact rescue of a casualty in deep water over a short distance. Enter the water, approach a casualty and demonstrate an effective rescue over a distance of 5 metres to a point of safety. The Assessor will choose a swim/tow rescue from: Hip support Under shoulder support Under arm support PART TWO: Syllabus 9

Syllabus part two 2.3 Deep water recovery Demonstrate the rescue and recovery of a casualty who is lying on the bottom of the deepest part of the pool. Using either a surface dive or other safe method of entry from the poolside, submerge to the deepest part of the pool and recover an RLSS UK approved submersible manikin to the surface on the FIRST ATTEMPT. Exchange the manikin for a simulated unconscious casualty floating face down in the water. Turn the unconscious casualty onto their back and rescue by an approved tow to a point of support. Then at the discretion of the Assessor the candidate will either: Remove the casualty from the water using the assistance of other members of the lifeguard team. Turn the casualty onto their back and assess for breathing of the casualty which will be deemed to be absent/not normal OR At the point of support assess the breathing of the casualty which will be deemed to be absent/not normal. Assuming delay in the arrival of assistance give simulated rescue breaths until help arrives. Remove the casualty from the water using the assistance of other members of the lifeguard team. Turn the casualty onto their back, and re-assess the breathing of the casualty which will still be deemed to be absent/not normal Following one of the above actions: Give five simulated rescue breaths Demonstrate the technique for managing a casualty who regurgitates stomach contents Place the casualty in the recovery position 2.4 Timed swim rescue - conscious casualty Demonstrate personal fitness through performing the rapid rescue, over a distance, of a conscious casualty who is in deep water. Alert other members of the lifeguard team to the emergency using a signal or other suitable method of communication. Enter the water safely and swim 20 metres to a conscious, co-operative casualty who is in deep water. Rescue the casualty using a torpedo buoy* or an approved tow over a distance of 20 metres to a point of safety at the edge of the pool or standing in shallow water. The time limit from the word GO at the point of alerting others to the point of touching the pool edge or standing up, secure and in a stable position in shallow water at the end of the swim and tow, is 65 seconds. This time must not be exceeded. *Where torpedo buoys are available they must be used. 2.5 Timed swim rescue - unconscious casualty Demonstrate personal fitness through performing the rapid rescue, over a distance, of an unconscious casualty who is in deep water. Alert other members of the lifeguard team to the emergency using a signal or other suitable method of communication. Enter the water safely and swim 20 metres to a simulated unconscious casualty who is floating face down. Turn the casualty onto their back and rescue the casualty by any approved lifeguard tow over a distance of 10 metres to a point of safety at the edge of the pool or standing in shallow water. The time limit from the word GO at the point of alerting others to the point of touching the pool edge or standing up, secure and in a stable position in shallow water at the end of the swim and tow, is 45 seconds. This time must not be exceeded. The following element of CPR can be completed directly after the second timed swim: Demonstrate adult CPR with more than one rescuer and pocket mask. The casualty will be deemed to have drowned. PART TWO: Syllabus 10

Syllabus part two Element 2 - Rescue of a casualty with a suspected spinal injury 2.6 Spinal Cord Injury Management This section may be taken at any time during the assessment as local conditions and staffing levels permit. Demonstrate the rescue, stabilisation and recovery of a casualty with a suspected spinal cord injury to a casualty who is deemed to be conscious and cooperative. Assistance with some parts of the stabilisation techniques may be performed by non-lifeguard staff who have received the appropriate training. 2.6.1 Deep water rescue Enter the water and approach a casualty who is face down in the water and who is out of the rescuer s standing depth or in the deepest part of the pool. The casualty is located not more than 8 metres from a point of entry. The casualty shall simulate a suspected spinal cord injury. Apply a vice grip, turn the casualty into a face up position and trawl for a distance of 10 metres to a point of firm, secure support within the rescuer s comfortable standing depth. NOTE: If there is only shallow water, the candidate will demonstrate a head splint as selected by the Assessor. 2.6.2 Shallow water rescue If the candidate has not already demonstrated a head splint, it may be selected by the Assessor at this stage. If the head splint has already been assessed the Assessor may ask candidates questions to determine their underpinning knowledge of the management of suspected spinal injuries and the recovery of such casualties. Demonstrate head splint technique to turn a casualty with a suspected spinal cord injury from a face down to a face up position. With assistance from members of the lifeguard team and from other trained staff, stabilise the casualty. The casualty need not be recovered onto the poolside if this technique has already been demonstrated. 2.6.3 Stabilisation and casualty recovery from the water using the Rescue Board or Pool Extraction Board (PXB) Rescue Board On completion of the initial rescue and with the rescuer standing in shallow water at a comfortable depth, assisted by members of the lifeguard team and other trained staff, stabilise the casualty in shallow water. Where a rescue board is available at the assessment centre and where staffing levels permit, working as a member of the team, recover the casualty into a safe position on the poolside. One candidate, selected by the Assessor, will take the role of team leader. The Assessor has the discretion to ask other candidates to demonstrate the use of the rescue board to recover a suspected spinal casualty onto the poolside. OR PXB On completion of the initial rescue and with the rescuer standing in shallow water at a comfortable depth, assisted by the other member of the lifeguard team stabilise the casualty in shallow water using the PXB. Where a PXB is available at the assessment centre and working as a member of the team (2 or 3 lifeguards), recover the casualty into a safe position on the poolside. Each candidate, selected by the Assessor will have to demonstrate either: Using the PXB from poolside to stabilise and remove a casualty from the water Working from within the water to stabilise and remove casualty from the water The Assessor will need to see each candidate perform at least one role, this may require the Assessor to see more than one PXB sequence depending on the number of candidates being assessed and the type of pool (deck level of freeboard). PART TWO: Syllabus 11

Syllabus part two OR Where an approved rescue board / PXB is not available, but where the pool configuration permits and staffing levels are appropriate, working as a member of the team, recover the casualty into a safe position on the poolside using a horizontal lift. At least one candidate, selected by the Assessor, will demonstrate leading the recovery by a horizontal lift. The Assessor has the discretion to ask other candidates to demonstrate the horizontal lift to recover a suspected spinal casualty on to poolside. OR ONLY where an approved rescue board / PXB is not available and a horizontal lift cannot be safely demonstrated. The candidate shall, under these circumstances, describe to the Assessor the procedures for a horizontal lift. Following one of the above actions: On the poolside demonstrate the technique for managing a casualty who is regurgitating stomach contents and has a suspected spinal cord injury. Element 3 Emergency Action Plan 2.7 Demonstrate an understanding in the principles involved with the application of Emergency Action Plan Answer five questions with at least one question from each section: 1. The role of each person in an emergency action plan and incident management 2. Overcrowding, disorderly behaviour and lost or found child 3. Lack of water clarity, fire and evacuation procedures and bomb threat. Lighting or power failure and structural, component or equipment failure and toxic gas or chemical spill 4. Serious injury to a member of the public, discovery of a casualty in the water and faecal, blood or vomit contamination Section 3: CPR, AED and First Aid Element 1 - Cardiopulmonary Resuscitation (CPR) 3.1 Practical applications Demonstrate appropriate casualty management and perform emergency resuscitation on a casualty. 3.1.1 Adult CPR and casualty management Demonstrate competence in the management of an unconscious casualty and in the application of adult CPR. The casualty will be deemed to have suffered a sudden collapse and the team has been alerted to the development of an emergency / EAP implemented. On an approved manikin, demonstrate effective CPR for a period of approximately 2 minutes. For the purposes of the test, the manikin will represent a casualty who is unconscious and not breathing normally. 3.1.2 Adult CPR with more than one rescuer and pocket mask Demonstrate competence in adult CPR combined with the use of a Pocket Mask, on an approved adult manikin. The casualty will be deemed to have drowned and the team has been alerted to the development of an emergency / EAP implemented. Commencing with an adult manikin in a face up position, demonstrate effective CPR with more than one rescuer. For the purposes of the test, the manikin will represent a casualty who is unconscious and not breathing normally. Each candidate will demonstrate rescue breathing with a Pocket Mask and demonstrate chest compressions. 3.1.3 Child or infant CPR Demonstrate competence in the application of cardiopulmonary resuscitation on a child OR infant manikin. The team has been alerted to the development of an emergency / EAP implemented. Each candidate will demonstrate either: Using an approved child manikin, demonstrate for a period of approximately 2 minutes the technique for CPR OR Using an approved infant manikin demonstrate for a period of approximately 2 minutes the technique for CPR PART TWO: Syllabus 12

Syllabus part two 3.1.4 Adult CPR on a casualty with a suspected upper spinal cord injury Demonstrate the technique for obtaining a clear airway and effective rescue breaths and chest compressions with team support for a period of approximately 2 minutes on an approved adult manikin. The casualty will be deemed to have sustained an upper spinal cord injury and the team has been alerted to the development of an emergency / EAP implemented. 3.2 CPR theory Demonstrate knowledge and understanding of a range of conditions associated with casualties who are not breathing normally. Answer six questions with at least one from each section: 1. Principles of resuscitation, agonal gasps, when to stop CPR and airway management 2. Drowning, choking 3. Principles of airway management on a casualty with a suspected spinal cord injury 4. The use of a Pocket Mask or other barrier during rescue breathing Element 2 - Automated External Defibrillation (AED) (optional) 3.3 Adult CPR and use of an AED on an adult casualty Demonstrate competence in the use of an AED with trained support, on an approved adult manikin. The casualty will be deemed to have suffered a sudden collapse. Element 3 - First Aid 3.4 First aid practical Demonstrate the emergency management of a casualty who has sustained an injury. Each candidate will demonstrate the following as selected by the Assessor: The full secondary survey of a conscious casualty and then either: a) The management of wounds and bleeding by treating one of the following: Wound to an upper or lower limb The application of either an arm or elevation sling at the discretion of the Assessor Management of a nosebleed OR b) The management and stabilisation of dislocations and fractures by treating one of the following: Dislocated shoulder Fractured upper limb Fractured lower limb Head injury At the conclusion of this test, the candidate will be expected to explain their actions to the Assessor to ensure that the candidate has sufficient underpinning knowledge of the subject. 3.5 First aid theory Demonstrate knowledge and an understanding of a range of conditions associated with casualties who have sustained an injury or have become ill. Answer six questions with one question from each section: 1. Priorities of first aid, first aid supplies and training, hygiene, needles and sharps 2. Heart attack, shock, asthma, anaphylactic shock and hyperventilation 3. Bleeding, burns and scalds, fractures and dislocation 4. Sprains and strains, cramp and head injuries 5. Eye injuries, dental injuries, fainting and stroke 6. Poisoning, bites and stings, diabetes, seizures, heat and cold injuries PART TWO: Syllabus 13

part three RLSS UK National Pool Lifeguard Qualification 8th Edition (First Revision) Assessment Guidance To be read in conjunction with the assessment matrix Introduction The tests listed in the NPLQ are generic and Assessors must be satisfied the candidate would be competent in applying the core skills in any swimming pool. Before starting the assessment the Assessor MUST review the course training records to confirm that the relevant number of training hours have been completed and each candidate s competence has been internally assessed. The Assessor should view the training records with the sampling aspects of the assessment in mind and annotate their assessment matrix with the required skills and knowledge elements tested for each candidate. It is important to remember that the assessors role is to assess the candidates and not teach during the assessment. Theory questions For all theory elements of the assessment the questions MUST be taken from the RLSS UK NPLQ question bank. Section 1 - The Lifeguard, Swimming Pool and Supervision Theory assessment Element 1 The Lifeguard and the law Element 2 The Swimming Pool, Hazards and Control Measures Element 3 Swimming Pool Supervision Demonstrate an understanding in the principles involved with the role of the lifeguard and the law. New Candidates The Assessor will ask the stated number of questions to determine the candidate s underpinning knowledge of each of the subject areas. Renewal Candidates - hold a current National Pool Lifeguard Qualification Where candidates are renewing their qualification, they must demonstrate that they have an acceptable level of underpinning knowledge. Assessors must be satisfied that the candidate s knowledge is appropriate and one or two questions asked on each subject area will be considered appropriate. Asking questions For both new and renewal candidates, Assessors MUST record the relevant question bank reference number that they have used on to the assessment matrix. The questions that the Assessor asks can only be taken from the RLSS UK NPLQ question bank(s). The Assessor must record questions asked of each candidate by referencing them as per the example below. Supplementary questions may be asked only if necessary to confirm the candidate s underpinning knowledge. Section 1 Element 1 Candidate Candidate Candidate Candidate The Lifeguard and the Law The candidate must demonstrate an understanding in the principles involved with the role of the lifeguard and the law by satisfactorily answering 6 questions taken from the RLSS UK NPLQ question bank with at least one from each of following five sections Role of the lifeguard, accountability, 1a 1b 1c 1d pool operators responsibilities and lifeguard responsibilities PART three: Assessment guidance 14

Assessment Guidance part three Section 2 - Element 1 Intervention and Rescue Water rescue skills The candidate shall be dressed in poolside uniform throughout the water rescue skills section and have a whistle. Minimum poolside uniform is considered to be T-shirt and shorts (no trousers or tracksuit bottoms). The Assessor should agree the method which candidates will use to indicate raising the alarm or communicating with team members with the Trainer prior to the commencement of the water rescue skills assessment. 2.1 Practical rescue - immediate response Candidates will be required to demonstrate a rescue during a simulated incident using reaching, throwing or wading rescue skills. The Assessor will brief all casualties thoroughly ensuring they are co-operative and able to understand instructions given by the candidate. The simulated incident must be a simple pool emergency. Where torpedo buoys are available they must be accessible to the candidates for this section. The candidate will determine the type of rescue they should demonstrate as a result of the positioning and actions of the casualty. The candidate will explain their actions at the conclusion of the rescue. 2.2 Contact rescue - deep water Candidates will demonstrate a hip support tow OR under-shoulder support tow OR under-arm support tow in deep water over a distance of 5 metres. The casualty will be in deep water and co-operative throughout the rescue. The rescue will finish with the casualty supported and secured at the side of the pool. Assessors should not allocate the same support tow to all candidates. The return tow need not be to the point of entry. 2.3 Deep water recovery A submersible manikin will be placed on the floor at the deepest part of the pool. The candidate will be expected to recover the manikin following a safe entry either directly from the poolside or from the surface of the water. Relevant safety warnings covering diving to depths and manual handling MUST be given before beginning this test and the manikin must be retrieved on the first attempt. Where candidates fail to recover the manikin on the first attempt, they shall fail the whole of Section 2 of the assessment. The manikin MUST be retrieved from the deepest part of the pool where the assessment is being conducted. If there is a separate diving pit the candidate may undertake the depth assessment in either the diving pit (subject to appropriate training provision) or main pool. The relevant depth endorsement will be recorded on each candidate s assessment form. Trainers should ensure candidates are aware of appropriate employment aspects of working in pools of a different depth. The manikin will be brought to the surface and exchanged for a live casualty who will have been briefed to be in a face down position. (Simulated casualties may lift their head to breathe whilst awaiting recovery). The casualty will be turned into a supine position, towed to the poolside or to a point standing in shallow water in a beach area. At this point in the assessment the candidate will be instructed to either: Remove the casualty from the water onto the poolside using the assistance of other members of the lifeguard team OR Assuming delay in arrival of assistance assess the casualty for breathing, which will be deemed to be absent/not normal, whilst still in the water. The candidate will then give simulated rescue breaths and then go on to remove the casualty from the water using assistance upon arrival PART three: Assessment guidance 15

Assessment Guidance part three Single person lifts are NOT permitted. Prior to the start of this element of the assessment, the Assessor must ensure there are sufficient team members immediately available to assist in landing the simulated unconscious casualty. Following removal of the casualty onto the poolside, all candidates will be required to complete the casualty management procedures set out in the remainder of the test. Assessors should give their instructions in stages, to ensure that each candidate can concentrate on the skill required and that the test does not become one of memory. 2.4 Timed swim rescue - conscious casualty (Fitness Skills) This is a test solely of physical fitness and the ability to respond to an in-water emergency quickly. The casualty is co-operative, uninjured and will face away from the candidate, if so instructed. Under no circumstances must casualties kick their legs or scull to provide propulsion irrespective of any instructions given by the candidate. Any tow listed in the current edition of The Lifeguard may be used. Torpedo buoys must be used if available at the assessment centre. The time starts with the candidate ready on the poolside and will finish when the candidate touches the wall at the end of the tow, or stands in shallow water. Entry into the water MUST be of a safe nature and in accordance with the pool rules in operation at the assessment venue. Diving and straddle entries into shallow water ARE NOT PERMITTED. The rescue finishes with the casualty held in a support position. Candidates will be expected to have alerted other members of the team to the need for an in-water rescue, prior to entering the water. 2.5 Timed swim rescue - unconscious casualty (Fitness Skills) The test should immediately follow the timed swim rescue for a conscious casualty. The only rest period allowed is the time required to brief the candidates and casualties. This is a test of physical fitness to respond quickly to an in-water emergency using the correct technical skills, for a non-breathing casualty who is floating face down in the water. The time starts with the candidate ready on the poolside and finishes with the candidate touching the wall at the end of the tow, or standing in shallow water. Entry MUST be of a safe nature and in accordance with the pool rules in operation at the assessment venue. Diving and Straddle entries into shallow water ARE NOT PERMITTED. Candidates will be expected to have alerted other members of the team to the need for an in-water rescue prior to entering the water. NOTE: Candidates who are unable to complete either or both of the timed tests within the time stated MUST FAIL the whole of Section 2 of the assessment. 2.6 Spinal Cord Injury Management NOTE: SCIM elements of the candidate assessment may be taken out of sequence to account for the availability of facilities, equipment and personnel. 2.6.1 Deep water rescue The Assessor shall position the casualty at a point in deep water and in a position where a spinal cord injury is likely to have occurred. The casualty will be face down. The Assessor MUST provide a thorough briefing ensuring the casualty will be face down as the candidate approaches and applies the vice grip. Candidates MUST demonstrate effective communication, a safe entry and approach consistent with the need for urgency, an effective vice grip, righting of the casualty and an effective trawl over a distance of 10 metres maintaining the vice grip throughout to a point in comfortable standing depth. The candidate will direct other members of the team to provide additional support to the casualty in accordance with the techniques set out in The Lifeguard. This skill may NOT be repeated unless other pool users or the casualty have compromised the candidate s ability to demonstrate the skill. PART three: Assessment guidance 16

Assessment Guidance part three Assessors may direct candidates to demonstrate a head splint if the pool has only shallow water. This does not exempt candidates from the shallow water spinal rescue. Key points during assessment Assessors should look for urgency of response, communication with other team members, care of the casualty throughout the rescue, minimum movement of the casualty throughout the rescue and effective teamwork. It is essential that current protocols for rescue technique are adhered to as taken from the RLSS UK publication The Lifeguard. Assessors should ensure that the casualty is fully briefed and prepared before this test. Assessors MUST ensure all practices are safe. Where a rescue board/pxb is NOT available and there are suitable number of candidates a horizontal lift should be performed: The candidate MUST be seen to organise the position of each of the team members but need not be in a position to give the final instructions. The Assessor must be satisfied that the candidate is competent to give initial instructions and to undertake the lifting tasks, demonstrating controlled lift and exchange of control on the head. The Assessor may ask additional questions after this test to determine underpinning knowledge. The Assessor MUST brief the casualty thoroughly before this test. Where a rescue board / PXB is NOT available, candidate levels do not permit or where the pool profile would prohibit a horizontal lift candidates must not demonstrate a horizontal lift. The candidate will direct other members of the team to assist in the support of the casualty in shallow water, adjacent to the nearest appropriate point of exit from the water. The candidate will explain the role of the lifeguards in the rescue and how to perform a horizontal lift. The candidate must be able to demonstrate the appropriate technique and show knowledge of the theory and practice associated with the action for regurgitation of stomach contents on a casualty with a suspected spinal cord injury. The assessor may ask candidates to undertake the practical aspects with a casualty secured on the rescue board or lying on the poolside, BUT NOT WITH THE CASUALTY IN THE WATER. 2.6.2 Shallow water rescue Candidates are expected to demonstrate a head splint technique. The head splint should be performed commencing with the casualty face down in the water. All casualties MUST have been fully briefed. Team members should be expected to stabilise the casualty. Assessors should look for effective pre-rescue communications to indicate that the candidate is able to give clear instructions to those expected to assist. If water depth does not permit, the Assessor will ask questions to determine underpinning knowledge of spinal injuries. Candidates demonstrating the head splint technique will be expected to use the skill for turning a casualty into a supine position and providing appropriate stability in shallow water. 2.6.3 Stabilisation and casualty recovery from the water This section may follow the deep water spinal rescue or shallow water spinal rescue depending on pool availability and may take one of following forms: Rescue Board The Assessor will direct at least one candidate to undertake the removal of a suspected spinal casualty by the method appropriate for the pool following reference to the training records. The Assessor has the absolute discretion to ask other candidates to undertake the same skill depending on the review of the candidate training records and the performance of other candidates. The candidate will direct other members of the team to assist in the support of the casualty in shallow water. Using a rescue board, secure and recover the casualty onto the poolside. The candidate will explain the role of the lifeguards in the rescue and any subsequent recovery on the arrival of the emergency services to the Assessor. PART three: Assessment guidance 17

Assessment Guidance part three Pool Extraction Board (PXB) This element of the assessment MUST be completed in the shallow end (standing depth) of the pool. Where the pool has a freeboard this MUST not be greater than 30cm above the water surface. The Trainer Assessor will direct each candidate to either: Use the PXB from poolside to stabilise and remove a casualty from the water Working from within the pool to stabilise and remove the casualty from the water The candidate will work with the lifeguard team (two in deck level pools or three in a pool with a freeboard) to assist in the support of the casualty in shallow water. Using a Pool Extraction Board (PXB), secure and recover the casualty onto the poolside. The lift out part of the competency assessment MUST only be performed in shallow water (standing depth) when the Trainer Assessor can confirm the casualty is central and stable on the PXB. Where candidates have been trained on the Rescue Board and PXB the candidates can be assessed on both the Rescue Board and PXB. Section 2 - Element 3 Emergency Action Plan 2.7 Demonstrate an understanding in the principles involved with the application of Emergency Action Plans Asking questions For both new and renewal candidates the questions that the Assessor asks can only be taken from the RLSS UK NPLQ question bank(s) with the relevant reference recorded on the assessment matrix. The Assessor must record questions asked of each candidate by referencing them as previously shown. Supplementary questions maybe asked only if necessary to confirm candidate s knowledge. Note: Section 2 element 3 questions can be asked after the completion of questions for Section 1 elements 1, 2 and 3. Section 3 - Element 1 Cardiopulmonary Resuscitation (CPR) The tests in Section 3 may be completed in any order as determined by the Assessor to take account of the availability of manikins and other equipment. Emergency resuscitation techniques The Assessor must give a clear, thorough briefing of the casualty for all test sections involving a live casualty. The Assessor should ensure that the casualty understands the actions expected of the candidate and is prepared to act as a casualty for these techniques. 3.1 Practical applications The demonstration of CPR must be carried out using approved manikins. Assessors should ensure candidates are familiar with the manikins and that manikin cleansing wipes are in accordance with RLSS UK Policy Statements. The Assessor must ensure adequate floor space in order for candidates to demonstrate skills to the best of their ability. Assessors must be able to position themselves in order to clearly observe all candidates performing demonstrations simultaneously or on a staggered basis. 3.1.1 Demonstration of adult CPR The assessment matrix sets out the competencies approved by the Resuscitation Council [UK] for this technique. Assessors should not request additional skills to be demonstrated over and above those in The Lifeguard and included in the matrix. 3.1.2 Demonstration of adult CPR with more than one rescuer and pocket mask Assessors should ensure that only pocket mask-style barrier devices are used as these have been shown to provide a combination of effective barrier to infection with good airflow. PART three: Assessment guidance 18