TQUK Level 3 Award in First Aid at Work (RQF) Assessment Record

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

Level 3 Award in 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 Unit Title: Emergency First Aid in the Workplace Reference Number: R/616/0431 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. Structure: Learners must achieve 3 credits from the two mandatory units to be awarded the Level 3 Award in First Aid at Work (RQF). Please note: Learners should ONLY complete sections in which the answer box is grey. Please DO NOT complete the trainer/assessor use sections. Learner name 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

Learning outcome 1 Understand the role and responsibilities of a first aider 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 Identify the need for consent to provide first aid AC 1.3 achieved? Y N 1. Identify the role of a first aider. 1. Identify why ongoing consent should be obtained before first aid is provided. 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.04 Respect for the person s dignity Cultural & religious preferences Make clear the purpose of your actions To help to reassure the casualty pg.04 2. 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 04-06 Identify how to minimise the risk of infection to self and others 3. Risk of infection can be minimised by: (tick all that are correct) AC 1.2 achieved? Y N pg.04 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 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.05 4 5

Learning outcome 3 Be able to provide first aid to an unresponsive casualty Learning outcome 4 Be able to provide first aid to a casualty who is choking Identify when to administer Cardiopulmonary Resuscitation (CPR) AC 3.1 achieved? Y N Identify when choking is mild or severe AC 4.1 achieved? Y N 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 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 3. 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 pg.12 pg.13 AC 3.3 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. 2. Fill in the blanks. 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 Bright red, spurting blood would be an example of bleeding from An arterial bleed. M S Identify how to administer first aid to a casualty who is experiencing a seizure AC 3.5 achieved? Y N Darker/duller blood that gushes from a wound would be an example of bleeding from A venous bleed.. 4. 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 pg.62 Blood that oozes or trickles from a wound would be an example of bleeding from A capillary bleed.. pg.29 6 7

Learning outcome 6 Know how to provide first aid to a casualty who is in shock Learning outcome 7 Know how to provide first aid to a casualty with minor injuries Recognise a casualty who is suffering from shock 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 AC 6.1 achieved? Y N pg.39 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: Small Cuts Grazes AC 7.1 achieved? Y N Clean with water to remove any foreign objects, pat wound dry with sterile swab, cover with dressing or plaster. Clean with water to remove any foreign objects, pat wound dry with sterile swab, cover with dressing or plaster. Identify how to administer first aid to a casualty who is suffering from shock 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? Bruises Reduce swelling with ice on the wound for 10 minutes and apply pressure. If no ice, cold water. 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 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. 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.31 AC 7.2 achieved? Y N pg.55 8 9

Practical exercises Trainer/Assessor Section Feedback and Declarations 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 Trainer/Assessor Feedback to Learner Conduct a primary survey of a casualty Put on gloves? Prioritise casualties Assess the casualty using DRAB AC 2.2 achieved? Y N Demonstrate CPR using a manikin 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? 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? 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 3.2 achieved? Y N AC 3.4 achieved? Y N AC 4.2 achieved? Y N AC 5.2 achieved? Y N Learner - I can confirm that I have received feedback from the Trainer/Assessor and I am happy with the feedback I have received. 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: Internal Verifier - I certify that I have internally verified this assessment record. Internal Verifier Name: Signature: Learner Signature: 10 11

Learning outcome 1 Be able to conduct a secondary survey Identify the information to be collected when gathering a casualty history AC 1.1 achieved? Y N Unit Title: Recognition and Management of Illness and Injury in the Workplace Reference Number: Y/616/0432 1. Identify the information to be collected when gathering a casualty history. (tick all that are correct) Ask what happened Ask about medication Ask about medical history Ask about allergies Identify when they last ate/drank Presence of a medical warning bracelet pg.10 Learner name Learning outcome 2 Be able to provide first aid to a casualty with suspected injuries to bones, muscles and joints 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. Recognise suspected: fractures and dislocations, sprains and strains AC 2.1 achieved? Y N 2. The possible symptoms of fractures, dislocations, sprains and strains include: (tick all that are correct) Pain at injury site Pale, clammy skin at injury site Swelling, inflammation, bruising Irregularity/deformity pg.50 13

Learning outcome 2 Be able to provide first aid to a casualty with suspected injuries to bones, muscles and joints Learning outcome 3 Be able to provide first aid to a casualty with suspected head and spinal injuries Identify how to administer first aid for: fractures and dislocations, sprains and strains 1. Identify how to administer first aid to a casualty with: Fractions and Dislocations AC 2.2 achieved? Y N Support and immobilise the injured limb. Help the casualty into a comfortable position. Treat or prevent the casualty for shock. Call 999/112 for an ambulance. Recognise a suspected: head injury, spinal injury AC 3.1 achieved? Y N 1. The possible symptoms of concussion or skull fracture include: (tick all that are correct) Impaired level of responsiveness Unequal pupil size Nausea/dizziness Clear fluid leaking from ears/nose 40-41 Sprains and Strains R.I.C.E Rest, Ice, Comfort, Elevate; If there are any doubts about the injury, treat as a fracture and call 999/112 for an ambulance. 2. The possible symptoms of cerebral compression include: (tick all that are correct) Nausea/dizziness Unequal pupil size High temperature 3. The possible symptoms of spinal injury include: (tick all that are correct) Loss of control of limbs Bruising or tenderness at injury site Strong, slow pulse pg.42 pg.43 Identify how to administer first aid for a suspected head injury AC 3.2 achieved? Y N 4. Identify the initial steps to treating someone with a suspected head injury. pg.50 Sit the casualty down and provide a cold compress to hold against the injury. Assess the casualty s level of response as per APVU scale (Alert, Voice, Pain, Unresponsive). Regularly monitor and record vital signs, if their level of responsiveness deteriorates call 999/112 for an ambulance. pg.40 14 15

Learning outcome 4 Know how to provide first aid to a casualty with suspected chest injuries Learning outcome 5 Know how to provide first aid to a casualty with burns and scalds Recognise a suspected: flail chest, penetrating chest injury AC 4.1 achieved? Y N Identify the factors that affect the severity of burns and scalds AC 5.1 achieved? Y N 1. The different types of chest injury can be recognised by the presence of: (tick all that are correct) Flail Chest Penetrating Chest Injury Difficulty breathing Dizziness/nausea External bleeding at the site of the injury Bruising or swelling Signs of internal bleeding Difficulty breathing Grey-blue skin colouration Frothy, red blood High temperature Sound of air being sucked into the chest Identify how to administer first aid for a: flail chest, penetrating chest wound 2. Identify how to administer first aid for each of the following: Flail Chest 48-59 AC 4.2 achieved? Y N Help the casualty to sit down comfortably, ensure they support the arm on the injured side (if necessary place in a sling), arrange to seek further medical assistance. 48-49 1. The factors affecting the severity of burns and scalds include: (tick all that are correct) Thickness of the burn The weight of the casualty Size of affected area The sex of the casualty Age of the casualty Identify how to administer first aid for burns involving dry heat, wet heat, electricity, chemicals 2. List how you would treat dry and wet burns. Cool the burn down for minimum 10 minutes Remove jewellery if appropriate before swelling occurs Cover with cling film or non-fluffy dressing Treat for shock 999 / 112 if appropriate 3. What should you be aware of when treating an electrical burn? pg.53 AC 5.2 achieved? Y N pg.55 Penetrating Chest Wound Help the causalty to sit down comfortably, encourage them to lean towards their injured side, leave the wound exposed unless there is substancial bleeding. Apply dressing if necessary. Call 999/112 for an ambulance and monitor casualty until help arrives. Entry and exit points Internal damage Electrical burns 4. How long should you cool the affected area when you are faced with a chemical burn? pg.54 20 minutes pg.54 16 17

Learning outcome 6 Know how to provide first aid to a casualty with an eye injury Learning outcome 7 Know how to provide first aid to a casualty with sudden poisoning Identify how to administer first aid for eye injuries involving dust, chemicals, embedded objects 1. When administering first aid to a casualty who has an eye injury you should: (tick all that are correct) Reassure the casualty Use a sterile eye wash or clean running water Cover the eye with a sterile dressing and secure it Encourage casualty to try and remove object Ask the casualty to rest the other eye to reduce movement of the injured eye If the casualty cannot remove the item, you have a go Send the casualty to hospital AC 6.1 achieved? Y N pg.38 Learning outcome 7 Know how to provide first aid to a casualty with sudden poisoning Identify the routes that poisons can take to enter the body 2. Give examples of how poisons could enter the body. Absorbed through the skin Swallowed Spilled in the eye Injected Inhaled through the nose or mouth AC 7.1 achieved? Y N Identify how to administer first aid to a casualty affected by sudden poisoning 1. Identify the initial stages of treating someone with sudden poisoning. Injected Poisons Absorbed Poisons Splashed in the Eye Swallowed Poisons Inhaled Poisons Identify sources of information for treating those affected by sudden poisoning AC 7.2 achieved? Y N For bites and stings remove the sting by scraping off if possible. If it cannot be removed seek further medical advice. Monitor casualty for anaphylactic shock. Wash the area for 20 minutes if a chemical burn/poison, call 999/112 for an ambulance, monitor casualty and be prepared to resuscitate. Flush the eye with plenty of clean water if it is a chemical, wash for at least 20 minutes. Dress with a non fluffy dressing and seek immediate medical assistance. Identify the poison taken, and ensure the casualty is sat down. Keep the casualty still and call 999/112 for an ambulance. Move the casualty outside or into fresh air if it is safe to do so. Call 999/112 for an ambulance. pg.57 AC 7.3 achieved? Y N pg.56 2. Where would you look for information on how to treat a casualty who is affected by sudden poisoning? On the product label COSHH or Safety Data Sheets NHS/Ambulance service pg.56 18 19

Learning outcome 8 Know how to provide first aid to a casualty with anaphylaxis Learning outcome 9 Know how to provide first aid for a casualty with suspected major illness Identify common triggers for anaphylaxis AC 8.1 achieved? Y N 1. List possible causes of an anaphylactic reaction. Anaphylaxis can be triggered by eating items such as shellfish, nuts, medicines and dairy products or coming into contact with chemicals, animals and insects. Recognise suspected anaphylaxis AC 8.2 achieved? Y N 2. The possible symptoms of anaphylaxis include: (tick all that are correct) Cold, clammy skin Difficulty in breathing Swelling of the face, neck, mouth or tongue Dizziness Tingling in the hands and feet Pain, redness and swelling around the area of contact Identify how to administer first aid for a casualty suffering from anaphylaxis pg.58 pg.58 AC 8.3 achieved? Y N Recognise suspected heart attack, stroke, epileptic seizure, asthma attack, diabetic emergency 1. Identify several main features of each. Vice-like crushing chest pain rapid breathing Heart attack shortness of breath rapid or irregular pulse fear or anxiety Facial weakness Arm weakness Stroke Speech problems Dizziness and confusion Sudden, severe headache Epilepsy Asthma Minor Major Staring blankly Twitching Plucking at clothing Loss of conciousness/sudden collapse Rigid arching of the back/ stiffening of muscles Casualty begin to convulse/jerk violently Difficulty in breathing Wheezy breathing Difficulty in speaking Signs of anxiety and AC 9.1 achieved? Y N 60-67 Pale, cold,clammy skin Ashen colour Blue around lips Collapse without warning Sudden problems with vision in one or both eyes Sudden lack of mobility or co-ordination. Lip smacking rubbing hands Making strange sounds Breathing becomes difficult Possible loss of bladder/bowel control Seizure then subsides and breathing should return to normal distress Hypoxia Cyanosis 3. Which of the following are correct when assisting someone who is suffering from anaphylaxis? Yes (Y) or No (N) Call for additional medical support Stop the casualty from taking their own medication Allow the casualty to move into a comfortable breathing position Don t administer medication like auto injectors more than once Be prepared to treat for the onset of shock Be prepared to resuscitate pg.58 Y N Y N Y Y Diabetes Hyper Hypo Dry, warm skin Rapid breathing Rapid, weak pulse Pale, cold and clammy skin Normal breathing Normal smelling breath Fruity, sweet smelling breath Thirst Confusion, drunken-like behaviour 20 21

Learning outcome 9 Know how to provide first aid for a casualty with suspected major illness Identify how to administer first aid to a casualty suffering from heart attack, stroke, epileptic seizure, asthma attack, diabetic emergency AC 9.2 achieved? Y N 1. List how you would treat someone who you suspect is having a heart attack. pg.61 Learning outcome 9 Know how to provide first aid for a casualty with suspected major illness 1. What should you be aware of when treating someone who is suffering an asthma attack? Help them to control their breathing and use their reliever inhaler, make sure they re comfortable, if no change in condition ask them to reuse inhaler every 2 minutes until maximum of 10 uses, call 999/112 for an ambulance if no change, if become unresponsive open airway, check breathing and be prepared to perform CPR. Sit the casualty down supporting the knees, call 999/112 and ask for ambulance stating that you suspect a heart attack, help casualty to take 300mg of aspirin and advise to chew slowly, if they have angina medication assist them in taking it, ensure casualty rests until help arrives. 2. In order to help someone who has suffered a stroke, you must act FAST. Please identify each stage of the recommended guide. Perform the F.A.S.T test (Facial weakness, Arm weakness, Speech problems, Time to call 999/112), Allow casualty to adopt a comfortable position, reassure and monitor, place in recovery position and monitor airway/ breathing if unresponsive, locate defibrillator and be prepared to resuscitate. pg.65 2. What are your key objectives when helping someone who is suffering a diabetic emergency? Hyper Call 999/112 for an ambulance, if the casualty goes unresponsive place in the recovery position, monitor breathing. pg.60 3. How would you assist someone suffering a minor/major seizure? Minor Calm and reassure casualty and help them to sit comfortably in a quiet environment, allow them to recover in their own time, be alert to cardiac arrest and check breathing. 66-67 Major 62-63 Clear the area around the casualty ensuring they are free from hazards, cushion and protect the casualty s head, try and record the length of seizure, stay with casualty until seizures stop, be alert to cardiac arrest and check breathing Hypo Ensure the casualty is sitting down, allow the casualty to take 15-20g of glucose (tablets or gel) if available if not, sugary drinks can help, call 999/112 if their condition does not improve, monitor airway and breathing. 22 23

Practical exercises Trainer/Assessor Section Feedback and Declarations Trainer/Assessor Feedback to Learner Demonstrate how to conduct a head to toe survey Use DRAB to initially assess the casualty? Examine the head and neck? Feel around the back of the head and neck? Check the easr for fluid and talk to the casualty? Look in both eyes for discolouration and foreign objects, compare pupil size Assess skin - normal colour, pale/flushed, hot/cold, wet/dry? AC 1.2 achieved? Y N Demonstrate how to apply: a support sling, an elevated sling Ask the casualty to support their injured arm? Place the sling correctly? Ensure the injured arm is secure but not too tightly wrapped? AC 2.3 achieved? Y N 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 - I certify that I have completed all elements of the assessment. Learner Signature: Demonstrate how to administer first aid for a suspected spinal injury Leave the casualty in the position they found them? Support the casualty's head and neck? Continue to reassure the casualty, keep them warm and tell them not to move? AC 3.3 achieved? Y N 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: 24 25

Optional Learning Declaration Course Evaluation Tourniquets & Haemostatic Dressings (Higher Risk Environments) Please complete this evaluation with honesty, so that we can continue to uphold our high standards. RIGHT WRONG 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 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: 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 1 2 3 4 5 2. The trainer demonstrated knowledge and expertise in the subject matter 1 2 3 4 5 3. The trainer adapted and responded to the needs of individuals 1 2 3 4 5 4. The trainer created the right climate for honest and constructive feedback 1 2 3 4 5 5. The trainer gave useful feedback which helped individuals and the group 1 2 3 4 5 6. The trainer provided appropriate guidance when needed 1 2 3 4 5 7. The objectives of the programme were met within the time available 1 2 3 4 5 8. The content was appropriate and relevant to individual needs 1 2 3 4 5 9. The structure enabled the learning objectives to be met 1 2 3 4 5 Any other comments? C TQUK 2017 26 27

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