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.

1.1 Explain the role and the responsibilities of the first person on scene.
1.2 List the types of personal protective equipment to be worn at an incident.
1.3 Explain the principles of scene safety.
1.4 Explain how to minimise the risk of infection.
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.

2.1 Differentiate between the capabilities of different emergency services personnel.
2.2 Explain the principles of using appropriate radio communications at an incident.
2.3 Differentiate between patients using the principles of triage to manage in accordance of the most life threatening conditions first.
2.4 Demonstrate scene safety management.

3 Know the principles required for effective and safe patient assessment in the pre-hospital care setting.

3.1 Explain the requirements for gaining consent from a patient before providing emergency care.
3.2 Explain the principles of communicating with patients.
3.3 Explain how to undertake a manual handling risk assessment.
3.4 Summarise the functions of the spine.
3.5 Summarise the principles of how to keep the back healthy.
3.6 Summarise the principles of undertaking a primary survey.

4 Be able to assess an incident for dangers and respond appropriately.

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.

5.1. Demonstrate how to assess a patients levels of consciousness using:
Alert – Voice – Pain - Unresponsive

6 Be able to recognise and manage a patient with a catastrophic bleed.

6.4 Demonstrate how to apply direct pressure.
6.5 Demonstrate how to apply indirect pressure.
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.

7.1 Summarise how to recognise an obstructed airway.
7.2 Demonstrate how to place the patients head in neutral alignment.
7.3 Demonstrate how to open a patient’s airway using the head tilt and chin lift procedure.
7.4 Explain the types of situations which may indicate a cervical spine injury.
7.5 Demonstrate how to open a patient’s airway using the jaw thrust procedure.
7.6 Demonstrate postural airway management.
7.7 Demonstrate how to use suction.
7.8 Demonstrate how to size and insert an oropharyngeal airway for an adult.
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.

8.1 Demonstrate how to assess if a patient is breathing normally.
8.2 Perform a respiratory assessment for breathing rate, depth and quality.
8.3 Demonstrate cardio-pulmonary resuscitation on an adult manikin in accordance to current guidelines.
8.4 Explain the safety considerations when using an automated external defibrillator.
8.5 Demonstrate how to use an automated external defibrillator safely and in accordance to current guidelines.
8.6 Explain the safety considerations when using oxygen.
8.7 Demonstrate how to administer oxygen via a bag valve mask.
8.8 Judge in accordance to current guidelines when to administer oxygen using:
Non-rebreathe mask - 28% venture mask - Nasal cannula

8.9 Summarise the different causes of unconsciousness.
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.

9.1 Demonstrate how to assess the presence, rate and rhythm of circulation.
9.2 Demonstrate how to assess a patient’s capillary refill time.
9.3 Summarise the different types of wounds:
Incision – Puncture – Laceration – Contusion - Gunshot

9.4 Explain how to estimate the amount of blood loss based on the types of wounds.
9.5 Demonstrate how to manage a patient who is bleeding.
9.6 Explain the term ‘shock’.
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.

10.1 Demonstrate how to reassess a patients levels of consciousness using:
Alert – Voice – Pain - Unresponsive

10.2 Demonstrate how to perform a FAST test to recognise signs and symptoms of a possible stroke in a patient:
Face – Arms – Speech - Time

11 Know the principles of exposing the patient for further assessment and act upon environmental considerations.

11.1 Explain how to examine the clothes and areas surrounding the patient for signs of external bleeding.
11.2 Perform a head to toe secondary survey.
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 incident

12 Know how to recognise and manage a range of medical emergencies in the pre-hospital care setting.

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

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

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.

13.1 Summarise the recognition features and management of
Fractures – Dislocations - Sprains and strains -

13.2 Summarise the recognition features and management of:
Concussion - Cerebral compression - Skull fracture - Spinal injury

13.3 Demonstrate the application of a cervical collar.
13.4 Summarise the recognition features and management of burns and scalds.
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.

14.1 Explain the term ‘sepsis’.
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.

15.1 Explain how to handover a patient to a healthcare professional.
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.

16.1 Demonstrate how to perform cardio-pulmonary resuscitation on a child and an infant in accordance to current guidelines.
16.2 Demonstrate how to manage a choking child and infant in accordance to current guidelines.
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.

Multi Choice Questions (MCQ) for theory and underpinning knowledge.
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.

"First Aid Training Sussex 01342 824715"