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. 

  • 6.1 Explain the term ‘catastrophic bleeding’.

  • 6.2 Explain the recognition features of catastrophic bleeding.

  • 6.3 Summarise the different types of bleeding:
    Arterial – Venous - Capillary

  • 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.

     

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