HLTAID013 — Provide First Aid in remote or isolated site

Elements & performance criteria

Performance evidence

• managed, in line with ARC guidelines, the unconscious, breathing casualty including appropriate positioning to reduce the risk of airway compromise
• managed, in line with ARC guidelines, the unconscious, non-breathing adult including:  performing at least 2 minutes of uninterrupted single rescuer cardiopulmonary resuscitation (CPR) (5 cycles of both compressions and ventilations) on an adult resuscitation manikin placed on the floor  performing at least 2 minutes of ventilation and at least 2 minutes of compressions during a two-rescuer procedure on an adult resuscitation manikin placed on the floor  following the prompts of an automated external defibrillator (AED) to deliver at least one shock  responding appropriately in the event of regurgitation or vomiting  demonstrating a rotation of operators with minimal interruptions to compressions
• managed, in line with ARC guidelines, the unconscious, non-breathing infant, including:  performing at least 2 minutes of uninterrupted single rescuer CPR (5 cycles both compressions and ventilations) on an infant resuscitation manikin placed on a firm surface
• managed casualties, with the following:  anaphylaxis  asthma  non-life-threatening bleeding  choking  minor wound cleaning and dressing  nosebleed  shock  envenomation, using pressure immobilisation  fractures, dislocations, sprains and strains, using appropriate immobilisation techniques for remote situations and appropriate equipment improvisations  head, neck and spinal injuries  hypothermia and hyperthermia  life threatening bleeding requiring use of tourniquets and haemostatic dressings
• responded to at least one simulated first aid incident contextualised to the candidate’s workplace or community setting, where the candidate has no knowledge of the casualty’s condition prior to starting treatment, including:  identifying the casualty’s illness or injury through history, signs and symptoms  using personal protective equipment (PPE) as required  conducting a secondary survey assessment  assessing vital signs respirations, pulse, temperature  level of consciousness  providing appropriate first aid treatment  conveying incident details to emergency services or advising casualty on any required post incident action  providing an accurate verbal and written report of the incident  reviewing the incident
• conducted a basic triage for a multiple casualty incident.

Knowledge evidence

• guidelines and procedures including:  ARC guidelines relevant to the provision of first aid  first aid guidelines from Australian national peak clinical bodies including those relevant to remote or isolated sites  potential incident hazards and risk minimisation processes when providing first aid  infection control procedures, including use of standard precautions and resuscitation barrier devices  requirements for currency of skill and knowledge  first aid codes of practice  appropriate workplace or site procedures relevant to the provision of first aid  contents of first aid kits
• legal, workplace and community considerations including:  duty of care requirements  own skills and limitations  consent and how it relates to the conscious and unconscious casualty  privacy and confidentiality requirements  awareness of potential need for stress management techniques and available support for rescuers
• in relation to the administration of medication  legal requirements  the five rights  the responsibilities of the first aider
• considerations when providing CPR, including:  upper airway and effect of positional change  appropriate duration and cessation of CPR  appropriate use of an AED  safety and maintenance procedures for an AED  chain of survival  how to access emergency services
• techniques for providing CPR to adults, children and infants including:  how to recognise that a casualty is unconscious and not breathing normally  rate, ratio and depth of compressions and ventilations  correct hand positioning for compressions  basic anatomy, physiology and the differences between adults, children and infants relating to CPR
• signs, symptoms and management of the following conditions or injuries:  allergic reaction  anaphylaxis  asthma  non-life-threatening bleeding  burns  cardiac conditions, including chest pain  choking  diabetes  drowning  envenomation - all current treatments  eye injuries  fractures, dislocations, sprains and strains  head, neck and spinal injuries  hypothermia  hyperthermia  minor wounds  nose-bleed  poisoning  seizures  shock  sharps injuries  stroke  life threatening bleeding including use of tourniquets and haemostatic dressings
• considerations when providing first aid including:  assessment, interpretation and documentation of vital signs, including normal clinical values for respirations, temperature, pulse and level of consciousness  how to conduct a secondary assessment of a casualty  basic triage processes  ongoing care requirements of casualty beyond initial treatment
• remote considerations in the provision of first aid, including:  the nature of remote or isolated sites and how this may impact on first aid management  key features, functions and limitations of different types of emergency communication equipment used in remote or isolated sites, and factors that affect choice:  radio equipment  mobile phones  satellite phones  alerting and tracking devices including personal locator beacons (PLBs)  management options relating to transporting casualty, including aero-medical evacuation  specific considerations contextualised to alpine, desert, marine, rural or remote settings and tropical environments  methods used to assist emergency services to locate incident sites and the key features, functions and limitations of resources used to assist:  verbal directions  flags  flares or smoke  fires  use of man-made and natural resources to supplement first aid equipment  content of remote area first aid kits  content of remote area medication boxes  psychological impacts of first aid incidents on rescuers and how to seek help.

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Questions about assessing HLTAID013