DP0F 04 (CHS36) Provide basic life support About this Unit This Unit covers preparing for and providing basic life support. Note that this workforce competence does not include the use of automated external defibrillators — this is covered in a separate Unit within the Emergency, Urgent and Scheduled Care suite (EC18). Scope The scope is here to give you guidance on possible areas to be covered in this Unit. The terms in this section give you a list of options linked with items in the performance criteria. You need to provide evidence for any option related to your work area. Condition could include: conscious unconscious Individual could include: child or young person adult of working age older person pregnant woman Techniques for establishing an open airway could include: head tilt/jaw thrust opening and clearing airway of visible oral obstructions back slaps abdominal thrusts (Heimlich manoeuvre/chest thrusts) Techniques for ventilating an individual could include: mouth to mouth mouth to nose mouth to mouth and nose Unit: DP0F 04 (CHS36) Provide basic life support 1 DP0F 04 (CHS36) Provide basic life support Specific Evidence Requirements for this Unit Simulation: Simulation is permitted for this Unit. The following forms of evidence are mandatory: Direct observation: Your assessor/expert witness may observe you in real work activities which provide evidence for some of the performance criteria for this Unit. Observations should describe actual emergencies you have dealt with. However it is recognised that emergencies requiring basic life support may not occur frequently, and therefore many of the performance criteria may be observed by a witness. Witness testimony: Can be a confirmation or authentication of the activities described in your evidence which your assessor has not seen. This could be provided by other work colleagues. Reflective accounts/professional discussion: This will be a description of your practice in dealing with a particular real emergency situation, this should also include a description of how you interact with the individuals you are working with when giving basic life support. Competence of performance and knowledge could also be demonstrated using a variety of evidence from the following: Questioning: May be used to provide evidence of knowledge, legislation, policies and procedures which cannot be fully evidenced through direct observation or reflective accounts. In addition the assessor/expert witness may also ask questions to clarify aspects of your practice. Products — Suggestions: accident report, post incident reports, additions to an individual’s care plan detailing the emergency etc NB Confidential records are not required to be in your portfolio, they can remain where the are normally stored and checked by your assessors and verifier. If they are included they must be made anonymous APL/Assignment/Project: You may have already completed a project or assignment from vocationally related Qualification, you may also have evidence from other training eg First aid course, Moving and Handling, Health and Safety, Infection control, Personal Protective Clothing/equipment, pressure area care course, administration and control of medicines, recording and reporting. COSHH, communication. General guidance Prior to commencing this Unit you should agree and complete an assessment plan with your assessor which details the assessment methods you will be using, and the tasks you will be undertaking to demonstrate your competence. Evidence must be provided for ALL of the performance criteria ALL of the knowledge and the parts of the scope that are relevant to your job role. The evidence must reflect the policies and procedures of your workplace and be linked to current legislation, values and the principles of best practice within Health Settings. This will include the National Service Standards and/or KSF for your areas of work and the individuals you care for. All evidence must relate to your own work practice. Unit: DP0F 04 (CHS36) Provide basic life support 2 DP0F 04 (CHS36) Provide basic life support KNOWLEDGE SPECIFICATION FOR THIS UNIT Competent practice is a combination of the application of skills and knowledge informed by values and ethics. This specification details the knowledge and understanding required to carry out competent practice in the performance described in this Unit. When using this specification it is important to read the knowledge requirements in relation to expectations and requirements of your job role. You need to provide evidence for ALL knowledge points listed below. There are a variety of ways this can be achieved so it is essential that you read the ‘knowledge evidence’ section of the Assessment Guidance. You need to show that you know, understand and can apply in practice: Legislation, policy and good practice 1 A working understanding of the anatomy of the respiratory system. 2 A factual awareness of the priorities in life support (ABC) 3 A factual awareness of the time frame within which assessment of individual needs should be carried out and the life support response initiated in order to maximise an individual’s chance of survival. 4 A factual awareness of the information which may need to be recorded following the application of basic life support. Basic airway management and respiration 5 A working understanding of clinical signs of airway obstruction. 6 A working understanding what to do in the event of foreign body obstruction of an individual’s airway. 7 A working understanding of the differences in techniques needed for ensuring an open airway on different types of individuals. 8 A factual awareness of the factors to be taken into account in determining the technique that will lead to the best possible outcome for the individual. 9 A working understanding of why the head tilt techniques should not be used where neck or spinal injury is suspected. 10 A working understanding of the different techniques used to ventilate an individual and when each should be used. 11 A factual awareness of the ventilation ratio and rate for different types of individuals and conditions. 12 A working understanding of the importance to the outcome of the positioning of the individual and the person applying basic life support, including the specific positioning needs of pregnant women in the third trimester. 13 A working understanding of the observations to be carried out to identify adequate oxygenation in different types of individual. Applying external chest compressions 14 A factual awareness of the rate and depth of compressions needed for different types of individuals. 15 A factual awareness of the compression: ventilation ratio in different types of individuals. 16 A working understanding of the procedure to establish the correct hand/finger placement for applying external chest compression. 17 A factual awareness of the differences between certification and diagnosis of death in accordance with best practice, and who is authorised to carry out these activities. Unit: DP0F 04 (CHS36) Provide basic life support Enter Evidence Numbers 3 DP0F 04 (CHS36) Provide basic life support You need to show that you know, understand and can apply in Enter Evidence practice: Numbers 18 A working understanding of personal safety as well as general health and safety, and the range of situations and responses. 19 A working understanding of why a firm base is needed for chest compressions, and what action to take when one is not available. 20 A working understanding of the different methods of chest thrusts and back slaps to use in the cases of children/young people and adults. 21 A factual awareness of the compression: ventilation ratio in one and two person Basic Life Support. Legislation, policy and good practice 22 A working understanding of the legislation regarding confidentiality and information sharing, the provision of services, the rights of the individual, protection issues, anti-discriminatory practice, informed consent, relevant mental health legislation and care programme approach. 23 A working understanding of how to interpret and apply legislation to the work being undertaken. 24 A working understanding of the ethics concerning consent and confidentiality, and the tensions which may exist between an individual’s rights and the organisation’s responsibility to individuals. 25 A working understanding of the importance of gaining assent from individuals who lack capacity to consent. Unit: DP0F 04 (CHS36) Provide basic life support 4 DP0F 04 (CHS36) Provide basic life support Performance criteria 1 2 3 4 5 6 7 8 9 DO RA EW Q P WT Accurately and promptly confirm that the individual’s circulation and breathing has stopped and establish the need for basic life support. Ensure your actions comply at all times with: (a) established protocols and guidelines (b) evidence based best practice (c) your own scope of practice (d) health and safety and infection control precautions (e) legislation Seek additional specialist support at the earliest opportunity. Check and confirm that the individual is not breathing unaided and that resuscitation is not contraindicated. Use relevant, safe techniques for clearing and opening the individual’s airway where appropriate. Position the individual and yourself appropriately to apply external chest compression and ventilation safely and effectively taking account of: (a) the individual’s condition (b) the need for a sufficiently firm base to facilitate external chest compression (c) the potential need to maintain compressions and ventilation for a prolonged period Use the appropriate ratio when alternating compressions with ventilation and comply with the correct rates and depths of each, ensuring compression is applied on the correct site of the individual’s chest. Monitor and evaluate the individual’s respiratory function and the effectiveness of compressions and ventilation, responding promptly and appropriately to achieve the best possible outcome for the individual. Cease the application of any techniques when the individual regains airway and circulation control. DO = Direct Observation EW = Expert Witness RA = Reflective Account P = Product (Work) Unit: DP0F 04 (CHS36) Provide basic life support Q = Questions WT = Witness Testimony 5 DP0F 04 (CHS36) Provide basic life support Performance criteria 10 11 12 DO RA EW Q P WT Continue ventilation and compressions until: (a) the individual shows clear signs of unaided circulation and adequate spontaneous breathing is established (b) the individual is handed over to the care of others (c) you become exhausted (d) death is confirmed by an authorised practitioner Accurately and clearly report the actions you have taken, and the duration, when handing over to a specialist Reinstate equipment and materials to working status after use. DO = Direct Observation EW = Expert Witness RA = Reflective Account P = Product (Work) Unit: DP0F 04 (CHS36) Provide basic life support Q = Questions WT = Witness Testimony 6 DP0F 04 (CHS36) Provide basic life support To be completed by the Candidate I SUBMIT THIS AS A COMPLETE UNIT Candidate’s name: …………………………………………… Candidate’s signature: ……………………………………….. Date: ………………………………………………………….. To be completed by the Assessor It is a shared responsibility of both the candidate and assessor to claim evidence, however, it is the responsibility of the assessor to ensure the accuracy/validity of each evidence claim and make the final decision. I CERTIFY THAT SUFFICIENT EVIDENCE HAS BEEN PRODUCED TO MEET ALL THE ELEMENTS, PCS AND KNOWLEDGE OF THIS UNIT. Assessor’s name: ……………………………………………. Assessor’s signature: ……………………………………….... Date: ………………………………………………………….. Assessor/Internal Verifier Feedback To be completed by the Internal Verifier if applicable This section only needs to be completed if the Unit is sampled by the Internal Verifier Internal Verifier’s name: …………………………………………… Internal Verifier’s signature: ……………………………………….. Date: ……………………………………..………………………….. Unit: DP0F 04 (CHS36) Provide basic life support 7