ALS Provider Course - continuous assessment for high quality CPR and defibrillation Structure Skill description Desired skill outcome Process Demonstration of competency during the skills practice Confirmation of cardiac arrest Open airway, check for breathing and circulation simultaneously, call the resuscitation team and send for resuscitation equipment. Confirms cardiac arrest and ensures help is called Delivery of high quality chest compressions Hand position, depth, rate, dutycycle, and recoil of compressions. 30:2 ratio. Avoids unnecessary interruptions in chest compression. Support of the circulation during cardiac arrest Task allocation and planning for defibrillation Allocates tasks and plans actions of team to minimise preshock pause Safe and effective use of defibrillator Identifies competencies and allocates tasks accordingly. Explains sequence to team members to minimise pre-shock pause: pads applied while chest compressions are on-going compressions stopped for rhythm check, <5 s if shockable rhythm, team stands clear except person doing chest compressions and defibrillator charged compressions stop, hands clear of chest, and shock delivery immediate resumption of CPR Ensures delivery of planned actions by team: correct application of self-adhesive pads correct diagnosis of shockable rhythm minimises pre-shock pause; warns team to stand clear, charges defibrillator with on-going chest compressions tells person delivering chest compressions to stand clear shock delivered and immediate resumption of CPR no pause or rhythm checks immediately post shock ensures safety of self and team during defibrillation 1st Instructor name: Candidate name: Achieved assessment outcome: Yes No Assessment Please tick Not Achieved achieved Safe and effective defibrillation, minimal preshock pause 2nd Instructor name: Date: Comments: Continue overleaf if required ALS Provider Course Resuscitation Council (UK) Tel: (020) 7388 4678 | Fax: (020) 7383 0773 ALS@resus.org.uk | www.resus.org.uk Page 1 of 1
