Cascade Resuscitation Training Guideline
Reference Number
N/A
Version
3
Name of responsible (ratifying) committee
PHT Resuscitation Committee
Date ratified
26th October 2012
Document Manager (job title)
Resuscitation Officer
Date issued
07th November 2012
Review date
October 2015
Electronic location
Corporate Clinical Guidelines
Related Procedural Documents
Cardiopulmonary Resuscitation Policy
Generic Competency Framework for Registered and
Unregistered Practitioners
Key Words (to aid with searching)
Cascade training; basic life support; resuscitation; elearning; e-MOT’s; anaphylaxis; trainer;
cardiopulmonary; CPR; Competency
Cascade Resuscitation Training Guideline. Version 3. 26th October 2012
18/02/2016
(review date October 2015)
Page 1 of 9
CONTENTS
QUICK REFERENCE GUIDE ...................................................................................................... 3
1. INTRODUCTION ......................................................................................................................... 4
2. PURPOSE ................................................................................................................................... 4
3. SCOPE ........................................................................................................................................ 4
4. DEFINITIONS .............................................................................................................................. 5
5. DUTIES AND RESPONSIBILITIES .............................................................................................. 5
6. PROCESS ................................................................................................................................... 7
7. TRAINING REQUIREMENTS ...................................................................................................... 8
8. REFERENCES AND ASSOCIATED DOCUMENTATION ............................................................ 8
9. MONITORING COMPLIANCE WITH, AND THE EFFECTIVENESS OF, PROCEDURAL
DOCUMENTS .............................................................................................................................. 9
10. EQUALITY IMPACT STATEMENT
Cascade Resuscitation Training Guideline. Version 3. 26th October 2012
18/02/2016
(review date October 2015)
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QUICK REFERENCE GUIDE
This Guideline must be followed in full to ensure effective Cascade Resuscitation Training is
carried out by appropriately trained Cascade Trainers.
For quick reference the guide below is a summary of actions required. This does not negate the
need for staff to be aware of and follow the detail of the guideline.
1. The Cascade Resuscitation Training Guideline was formulated to ensure that quality and
standards are protected by ensuring that resuscitation training is carried out in a consistent
manner.
2. The Resuscitation Dept will keep a record of all training carried out by cascade trainers
using the Electronic Staff Record system.
3. Cascade resuscitation training will provide another means of staff achieving their essential
skills requirements.
4. The type of training carried out and the clinical areas covered depends on the speciality
and experience of the cascade trainer.
5. Prospective cascade trainers will be required to observe training carried out by a
Resuscitation Officer and in turn the Resuscitation Officer will observe the Cascade
Trainer undertaking their own training session.
6. Each Cascade Trainer will be allocated a link Resuscitation Officer. The Resuscitation
Officer will provide advice, support and feedback and inform the cascade trainer of any
changes to local or national guidelines/policies.
7. Cascade Trainers should provide the Resuscitation Department with details of all training
sessions and attendance records.
8. The Resuscitation Department will keep a log of current cascade resuscitation trainers.
Cascade Resuscitation Training Guideline. Version 3. 26th October 2012
18/02/2016
(review date October 2015)
Page 3 of 9
1. INTRODUCTION
The Resuscitation Council document, Standards for Clinical Practice and Training (2004,
updated 2008) states that all clinical staff should receive annual resuscitation training
appropriate for their level of responsibility. At a local level, the Cardiopulmonary
Resuscitation policy (Clinical Policies) also states that all clinical staff should have annual
resuscitation training. The Resuscitation Department may delegate this responsibility to
other appropriately trained personnel. The Cascade Resuscitation Training Guideline was
formulated to ensure that quality and standards are protected by ensuring that training is
carried out in a consistent manner and in accordance with current national and Trust
resuscitation guidelines/policies
2. PURPOSE
The purpose of this guideline is:
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To ensure that cascade resuscitation training is carried out by appropriately trained
personnel
To protect and maintain the quality and standards of resuscitation training
To ensure the content and method of training is consistent and in accordance with current
national and Trust guidelines/policies
To enable the Resuscitation Department to keep an accurate record of training delivered
To enhance access to training for clinical staff
3. SCOPE
The following types of training can be carried out as cascade training
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Adult Basic Life Support
Paediatric Basic Life Support (Infant and Child)
Newborn Life Support
Anaphylaxis
Basic Life Support E-MOT’s (part 2, practical assessment)
The following clinical areas can carry out cascade training (as appropriate for their patient
group)
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Department of Critical Care
Cardiac Care Unit
Emergency Department
Theatres
Paediatric Department
Newborn Unit
Maternity Department
Other clinical areas as agreed on an individual basis with the Resuscitation Department
‘In the event of an infection outbreak, flu pandemic or major incident, the Trust
recognises that it may not be possible to adhere to all aspects of this document. In such
circumstances, staff should take advice from their manager and all possible action must
be taken to maintain ongoing patient and staff safety’
Cascade Resuscitation Training Guideline. Version 3. 26th October 2012
18/02/2016
(review date October 2015)
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4. DEFINITIONS
For the purposes of resuscitation, the following definitions apply:
Adult:
Paediatric
Infant
Child
Neonate
From puberty onwards
Includes infant and child
0-1 years of age
1 year to puberty
For the purpose of this guideline a neonate is any infant cared for within the
Maternity Unit or Neonatal Intensive Care Unit regardless of age. For other
areas within the organisation the neonate is a baby below 29 days of age.
BLS
ALS
EPLS
APLS
NLS
BLS E-MOT
Basic Life Support
Advanced Life Support
European Paediatric Life Support
Advanced Paediatric Life Support
Newborn Life Support
Two parts, Part 1 is an E-learning package with a minimum pass mark of
75%, Part 2 is a 15 minute practical assessment of BLS skills
5. DUTIES AND RESPONSIBILITIES
Chief Executive
The Chief Executive has ultimate responsibility for Corporate Governance; including
ensuring processes are in place to support good procedural document management.
Trust Board
The Trust Board members have overall responsibility for ensuring that, through good
procedural document management, the organisation complies with all legal, statutory and
good practice requirements.
Governance and Quality Committee for PHT
The Governance and Quality Committee members are responsible for ensuring that
appropriate action is taken to ensure all procedural documents are in date for PHT. To fulfil
this responsibility the Committee will receive annual reports from the PHT Resuscitation
Committee.
The PHT Resuscitation Committee
The PHT Resuscitation Committee members are responsible for ensuring that:
This procedural document is in place and for providing assurance to the Governance and
Quality Committee through the provision of an annual report, including any necessary
recommendations to address identified deficits. The Committee members will also supply
advice to the author of this procedural document, as required;
Appropriate approval is given, and the appropriate author identified, for the development of
any new, or the revision of this policy;
An appropriate author is assigned responsibility for development of this policy and they
follow the Policy for the Development and Management of Procedural Documents;
Procedural documents referred to them are assessed against the standards set out in the
Policy for the Development and Management of Procedural Documents and document
authors are advised accordingly;
Cascade Resuscitation Training Guideline. Version 3. 26th October 2012
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(review date October 2015)
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Procedural documents referred to them comply with any relevant National Health Service
Litigation (NHSLA or CNST) standard(s);
Consultation with appropriate stakeholders has occurred and a consensus view reached;
The procedural document is technically accurate and in line with evidence based best
practice;
An accurate record is kept of discussion and approval of the procedural documented is
recorded in the minutes of the meeting. These minutes must be available upon request;
Processes to enable an audit of compliance with the procedural document are detailed in
the document;
Ratified Trust procedural documents are forwarded to the Trust Policy Officer (TPO),
together with required accompanying documentation as per Policy for the Development and
Management of Procedural Documents.
The Resuscitation Department Staff
The Resuscitation Officers are responsible for ensuring that:
Resuscitation training delivered adheres to the current Resuscitation Council (UK)
guidelines and incorporates current PHT Early Warning Scoring (EWS) processes for the
identification of at risk patients, including the systems for summoning help, and DNACPR
decision making;
Cascade trainers are provided with appropriate training and support to undertake the role
and that cascade trainers have their sessions reviewed annually.
They sign off the relevant Competency Statements to at least level 3 for Cascade Trainers.
Cascade Trainers are aware of Infection control practices with regard to cleaning and
maintenance of manikins.
The Resuscitation Administration staff are responsible for ensuring that:
The attendance records returned by the Cascade Training staff are entered onto ESR.
The Resus Admin Team are kept informed of the status of current Cascade Resuscitation
Trainers so that they keep the log up to date.
PHT Cascade Resuscitation Training Staff
All Cascade Resuscitation Trainers are responsible for ensuring that they:
Remain in date with their own resuscitation training. ILS, ALS, APLS and EPLS Instructors
automatically remain in date for the relevant type of training for as long as they have current
Instructor Status and keep the Resuscitation Admin Team informed of courses they teach
on outside of PHT.
Cooperate and comply with the implementation of this guideline;
Inform the Resuscitation Department of training dates and return attendance records to the
Resuscitation Department.
When carrying out e-MOT assessments, the Cascade Trainer must make efforts to ensure
the candidate has successfully completed part 1 prior to undertaking part 2 of the
assessment.
Cascade Resuscitation Training Guideline. Version 3. 26th October 2012
18/02/2016
(review date October 2015)
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Raise any queries about implementation of this guideline with their link Resuscitation
Officer. These queries should then be discussed at the appropriate forum and then
documented in the relevant minutes. This will either be with the Resuscitation Manager,
Resuscitation Link Network meeting, the PHT Resuscitation Committee or at the Trust
Governance and Quality Committee;
Cascade Trainers deemed to be competent to at least level 3 in the skill they are teaching,
should then sign the relevant Competency Statements to the appropriate level for their
candidates. See the Generic Competency Framework for Registered and Unregistered
Practitioners (N&M Policies)
A Resuscitation Officer will observe the Cascade Trainer carrying out a relevant cascade
training session annually.
Keep their link Resuscitation Officer informed of updates to their Cascade Resuscitation
Trainer status so that the Cascade Resuscitation log can be kept up to date.
6. PROCESS
Staff interested in becoming a cascade trainer should contact the resuscitation department.
A Resuscitation Officer will then ensure that they possess the relevant experience/skills.
Each cascade trainer will have a link Resuscitation Officer allocated to them.
.
If the prospective cascade trainer intends to provide full BLS and/or anaphylaxis sessions,
they must observe a minimum of two classroom based BLS or anaphylaxis sessions as
appropriate (1 session for current ALS/EPLS/APLS Instructors) by different Resuscitation
Officers.
If the prospective cascade resuscitation trainer is going to be doing BLS e-MOT Part 2
assessments then they must observe a minimum of one classroom based BLS and then one
BLS e-MOT Part 2 assessment session, instead of the 2 classroom sessions stated above.
They will use the relevant lesson plan as guidance and the prospective cascade
resuscitation trainer will maintain their own record of this contact.
For their records, the link RO will also be informed that these two observations have
occurred.
The cascade trainer will then be observed providing a relevant training session. The
Resuscitation Officer will provide advice, support and feedback. On an annual basis, a
Resuscitation Officer will observe and peer review the cascade trainer providing a training
session.
The Resuscitation Officer will inform the cascade trainer of any changes to national or local
guidelines/polices which effect the training
If a candidate does not achieve the learning objectives stated in the relevant lesson plan,
the Resuscitation Departments Record Form for this purpose should be completed and
actioned. (Form available on intranet or from Resuscitation Dept)
All cascade training that has been delivered must be recorded on a registration form which
must then be returned to the Resus Admin Team so that the training can be recorded onto
ESR
Cascade Resuscitation Training Guideline. Version 3. 26th October 2012
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(review date October 2015)
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A log of current cascade resuscitation trainers will be maintained on the Resuscitation
Department intranet site – General – Cascade Training. It is the current cascade
resuscitation trainers and link RO’s responsibility to keep the Resuscitation Admin team up
to date on who should be on this log.
All relevant documentation is available on the intranet or from the resuscitation department
7. TRAINING REQUIREMENTS
Cascade trainers must hold a relevant teaching qualification e.g. E.N.B 998/C&G 730
Cascade trainers must be deemed competent in relevant type of training by the
Resuscitation Officer (RO) on an annual basis. They will be signed off to Level 3 of the
relevant Competency Statement.
Trainers must observe a minimum of two BLS sessions (1 session for current
ALS/EPLS/APLS Instructors) by different RO’s.
Trainers must read and demonstrate an understanding of the appropriate lesson plan
(available from Resuscitation Dept or Intranet) and current relevant Trust policies and
adhere to these in their training sessions.
Trainers must demonstrate an understanding of infection control precautions, and
maintenance of manikins
On an annual basis, a Resuscitation Officer will observe and peer review the cascade
trainer providing a BLS/MOT/Anaphylaxis session as appropriate.
8. REFERENCES AND ASSOCIATED DOCUMENTATION
1. Resuscitation Council (UK) (2004. Updated June 2008) CPR Standards for Clinical
Practice and Training. http://www.resus.org.uk/pages/standard.htm
2. Current PHT Cardiopulmonary Resuscitation Policy. On the intranet under clinical
policies.
3. Current Generic Competency Framework for Registered and Unregistered Practitioners.
Home - Nursing and Midwifery Policies
ASSOCIATED DOCUMENTATION / REFERENCES (including related policies and procedures).
The following documents are stored in the Cascade Training Folder can be found on the
intranet. Go to Departments – Resuscitation – General – Cascade Training for the most recent
versions Cascade Training Documents
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Adult Basic Life Support Lesson Plan
Paediatric Basic Life Support Lesson Plan
Newborn Life Support Lesson Plan
Peer Observation of Teaching Session Feedback Pro Forma
Record Form for Candidates Who Do Not achieve Learning Objectives
Flow Chart for Candidates Who Do Not achieve Learning Objectives
Training Registration Form
Cascade Resuscitation Training Guideline. Version 3. 26th October 2012
18/02/2016
(review date October 2015)
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Obtained from the Resuscitation Department
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Cascade Adult Basic Life Support Certificate of Attendance
Cascade Paediatric Basic Life Support Certificate of Attendance
Newborn Life Support Certificate
An Organisation-Wide Policy for the Development and Management of Procedural
Documents: NHSLA, May 2007. www.nhsla.com/Publications/
9. MONITORING COMPLIANCE WITH, AND THE EFFECTIVENESS OF,
PROCEDURAL DOCUMENTS
Compliance and effectiveness will be monitored by;
Annually a Resuscitation Officer will observe and peer review the cascade trainer providing
a training session
Ensuring the cascade trainer adheres to the lesson plan through use of peer reviews.
Candidate led course evaluations to be carried out on 10% of training sessions provided by
the cascade Trainer.
10. QUALITY IMPACT STATEMENT
Portsmouth Hospitals NHS Trust is committed to ensuring that, as far as is reasonably
practicable, the way we provide services to the public and the way we treat our staff reflects
their individual needs and does not discriminate against individuals or groups on any
grounds.
This guideline has been assessed accordingly
Cascade Resuscitation Training Guideline. Version 3. 26th October 2012
18/02/2016
(review date October 2015)
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