






First Person on Scene Intermediate Level 3

Clinically Endorsed: by Royal College of Surgeons Edinburgh, Faculty of Pre-Hospital Care (FPHC)
Approved by: The Association of First Aiders - Qualification Type: Ofqual Regulated - Guided Learning Hours: 24 - Total Qualification Hours: 30
1 Understand the role and responsibilities of the first person on scene during an emergency incident.
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1.1 Explain the role and the responsibilities of the first person on scene.
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1.2 List the types of personal protective equipment to be worn at an incident.
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1.3 Explain the principles of scene safety.
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1.4 Explain how to minimise the risk of infection.
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1.5 Explain how to undertake a dynamic risk assessment of an incident scene.
2 Understand the principles of scene management in pre-hospital care.
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2.1 Differentiate between the capabilities of different emergency services personnel.
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2.2 Explain the principles of using appropriate radio communications at an incident.
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2.3 Differentiate between patients using the principles of triage to manage in accordance of the most life threatening conditions first.
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2.4 Demonstrate scene safety management.
3 Know the principles required for effective and safe patient assessment in the pre-hospital care setting.
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3.1 Explain the requirements for gaining consent from a patient before providing emergency care.
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3.2 Explain the principles of communicating with patients.
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3.3 Explain how to undertake a manual handling risk assessment.
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3.4 Summarise the functions of the spine.
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3.5 Summarise the principles of how to keep the back healthy.
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3.6 Summarise the principles of undertaking a primary survey.
4 Be able to assess an incident for dangers and respond appropriately.
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4.1 Demonstrate how to assess an incident for any dangers to the first person on scene, the patient and others.
5 Be able to assess patient’s levels of consciousness.
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5.1. Demonstrate how to assess a patients levels of consciousness using:
Alert – Voice – Pain - Unresponsive6 Be able to recognise and manage a patient with a catastrophic bleed.
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6.1 Explain the term ‘catastrophic bleeding’.
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6.2 Explain the recognition features of catastrophic bleeding.
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6.3 Summarise the different types of bleeding:
Arterial – Venous - Capillary
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6.4 Demonstrate how to apply direct pressure.
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6.5 Demonstrate how to apply indirect pressure.
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6.6 Demonstrate how to apply a tourniquet.
7 Be able to assess and manage a patient’s airway and recognise and manage a patient with a suspected spinal injury.
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7.1 Summarise how to recognise an obstructed airway.
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7.2 Demonstrate how to place the patients head in neutral alignment.
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7.3 Demonstrate how to open a patient’s airway using the head tilt and chin lift procedure.
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7.4 Explain the types of situations which may indicate a cervical spine injury.
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7.5 Demonstrate how to open a patient’s airway using the jaw thrust procedure.
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7.6 Demonstrate postural airway management.
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7.7 Demonstrate how to use suction.
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7.8 Demonstrate how to size and insert an oropharyngeal airway for an adult.
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7.9 Demonstrate how to manage an adult patient who is choking in accordance with current guidelines.
8 Be able to assess and manage a patient who is not breathing normally.
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8.1 Demonstrate how to assess if a patient is breathing normally.
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8.2 Perform a respiratory assessment for breathing rate, depth and quality.
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8.3 Demonstrate cardio-pulmonary resuscitation on an adult manikin in accordance to current guidelines.
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8.4 Explain the safety considerations when using an automated external defibrillator.
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8.5 Demonstrate how to use an automated external defibrillator safely and in accordance to current guidelines.
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8.6 Explain the safety considerations when using oxygen.
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8.7 Demonstrate how to administer oxygen via a bag valve mask.
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8.8 Judge in accordance to current guidelines when to administer oxygen using:
Non-rebreathe mask - 28% venture mask - Nasal cannula
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8.9 Summarise the different causes of unconsciousness.
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8.10 Demonstrate how to place an unconscious patient in the recovery position.
9 Be able to assess a patient’s circulation and manage a patient who is in shock.
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9.1 Demonstrate how to assess the presence, rate and rhythm of circulation.
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9.2 Demonstrate how to assess a patient’s capillary refill time.
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9.3 Summarise the different types of wounds:
Incision – Puncture – Laceration – Contusion - Gunshot
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9.4 Explain how to estimate the amount of blood loss based on the types of wounds.
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9.5 Demonstrate how to manage a patient who is bleeding.
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9.6 Explain the term ‘shock’.
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9.7 Summarise the different types of shock:
Cardiogenic shock - Neurogenic shock - Septicaemic shock - Anaphylactic shock - Hypovolaemic shock -
9.8 Demonstrate how to manage a patient in hypovolaemic shock.
10 Be able to assess a patient’s level of disability.
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10.1 Demonstrate how to reassess a patients levels of consciousness using:
Alert – Voice – Pain - Unresponsive
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10.2 Demonstrate how to perform a FAST test to recognise signs and symptoms of a possible stroke in a patient:
Face – Arms – Speech - Time11 Know the principles of exposing the patient for further assessment and act upon environmental considerations.
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11.1 Explain how to examine the clothes and areas surrounding the patient for signs of external bleeding.
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11.2 Perform a head to toe secondary survey.
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11.3 Explain how to undertake a patient history using SAMPLE
Signs and symptoms – Allergies – Medications - Past history - Last meal - Events leading up to the incident12 Know how to recognise and manage a range of medical emergencies in the pre-hospital care setting.
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12.1 Summarise the recognition features of a range of pre-hospital medical emergencies including:
Heart attack and angina
Diabetes – Stroke – Seizures – Asthma – Anaphylaxis – Fainting - Poisoning
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12.2 Explain the management of a range of pre-hospital medical emergencies including:
Heart attack and angina - Diabetes – Stroke – Seizures – Asthma – Anaphylaxis – Fainting - Poisoning
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12.3 Demonstrate the safe use of an adrenaline auto injector using a training device.
13 Know how to recognise and manage a range of trauma related emergencies in the pre-hospital care setting.
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13.1 Summarise the recognition features and management of
Fractures – Dislocations - Sprains and strains -
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13.2 Summarise the recognition features and management of:
Concussion - Cerebral compression - Skull fracture - Spinal injury
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13.3 Demonstrate the application of a cervical collar.
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13.4 Summarise the recognition features and management of burns and scalds.
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13.5 Summarise the management of a patient with an eye injury.
14 Understand the recognition features of red flag sepsis in the pre hospital care setting.
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14.1 Explain the term ‘sepsis’.
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14.2 Summarise the recognition features of red flag sepsis in accordance to current guidelines.
15 Know how to recognise emergency care equipment to assist the health care professional.
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15.1 Explain how to handover a patient to a healthcare professional.
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15.2 State the purpose of a range of emergency care equipment.
16 Be able to manage a paediatric patient who is not breathing normally.
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16.1 Demonstrate how to perform cardio-pulmonary resuscitation on a child and an infant in accordance to current guidelines.
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16.2 Demonstrate how to manage a choking child and infant in accordance to current guidelines.
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16.3 Demonstrate how to place an unconscious infant and a child in the recovery position.
Assessment:
The practical Learning Outcomes are assessed by observation.
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Multi Choice Questions (MCQ) for theory and underpinning knowledge.
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The Practical demonstration of skills
To Awarded this qualification the Learner must 100% pass of the assessments carried out by observation together with a percentage pass in the MCQ paper.