First Aid Draft 1

HLTAID011 Provide First Aid Draft 1 Aug 19

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Unit application and prerequisites

UNIT CODE

HLTAID011

UNIT TITLE

Provide First Aid

APPLICATION

This unit describes the skills and knowledge required to provide a first aid response to a victim in line with first aid guidelines determined by the Australian Resuscitation Council and other Australian national peak clinical bodies.

 

The unit applies to all persons who may be required to provide a first aid response in a range of situations, including community and workplace settings.

 

Specific licensing/regulatory requirements relating to this competency, including requirements for refresher training should be obtained from the relevant national/state/territory Work Health and Safety Regulatory Authorities.

PREREQUISITE UNIT

Nil

UNIT SECTOR

First Aid

6 Comments

First aid focus on preventable deaths

"First aid training must focus on ensuring competency for causes of preventable death including BLS, airway management, management of the unconscious person, recognition and management of anaphylaxis and control of major haemorrhage (including touniquets). These are the fundamentals of providing first aid."

A/Prof Jason Bendall 03.09.2019 12.07PM

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All HLTAID units

"There is no warrant for them to not be equivalent the application of the units have not changed you have just decided to change language and alter wording - this does not warrant the non equivalence status - just money grabbing to have everyone add them to scope again "

Jessica Gwynne 15.08.2019 11.28AM

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1 Reply

"Well said "

Glenn Bowman 01.09.2019 11.45AM

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NO to new code

"I agree with Peter, this doesn't warrant a new course code. Unfortunately I see this as a revenue raising as these units are not equilvents and will require a whole new registration"

Patricia Heumiller 14.08.2019 12.41PM

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1 Reply

"Well done "

Glenn Bowman 01.09.2019 11.46AM

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Code Change

"Changes are insignificant and only rearrangement of words. Does not warrant a change in code. See comments on HLTAID009 re other implications."

Peter Allan 09.08.2019 02.04PM

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Elements and performance criteria

ELEMENTS

PERFORMANCE CRITERIA

Elements describe the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

  1. Respond to an emergency situation
    1. Recognise an emergency situation.
    2. Ensure safety for self, victim and bystanders.
    3. Assess the victim and recognise the need for first aid response.
    4. Assess the situation and seek assistance from emergency.
    5. response services.
  1. Apply appropriate first aid procedures.
    1. Perform cardiopulmonary resuscitation (CPR) in accordance ARC guidelines.
    2. Provide first aid in accordance with established first aid principles.
    3. Display respectful behaviour towards victim.
    4. Obtain consent from victim where possible.
    5. Use available resources and equipment to make the victim as comfortable as possible.
    6. Operate first aid equipment according to manufacturer’s instructions.
    7. Monitor the victim’s condition and respond in accordance with first aid principles.
  1. Communicate details of the incident.
    1. Accurately convey incident details to emergency response services.
    2. Report details of incident in line with workplace procedures.
    3. Complete relevant workplace documentation, including incident report form.
    4. Maintain privacy and confidentiality of information in line with statutory and/or organisational policies.
  1. Evaluate the incident and own performance.
    1. Recognise the possible psychological impacts on self and other rescuers and seek help when required
    2. Review the first aid response provided

15 Comments

Use of the word 'victim'

"The word 'victim' implies that a crime has been committed. The word 'casualty' is much better suited to this unit of competency. "

Miriam Troy 20.09.2019 11.15AM

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Performance Criteria Numbering

"The Performance Criteria for Elements 2, 3 & 4 are numbered incorrectly, should be 2..., 3...., 4..."

Sharyn Conneally 10.09.2019 10.50AM

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""

Immah Cocliff 02.09.2019 12.08PM

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4.2

"Good change. This needed to be made clearer than how it is written in current unit."

Peter Allan 09.08.2019 02.20PM

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3.3

"Restricting the context of the application of this unit to a workplace environment. PC 3.3 should be in Knowledge Evidence and not in performance criteria. A first aider will not always be required to fill out an incident report, so it should not be in the PC's."

Peter Allan 09.08.2019 02.17PM

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2 Replies

"PC 3.2 and 3.3. When delivering training across industry sectors this provides a very vague benchmark. These criteria are more applicable to workplace inductions and WHS training. "

Natalie Middleton 16.08.2019 02.11PM

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"A workplace incident and accident report should not be part of a first aid course, as this procedure is carried out in an induction to a workplace and every workplace has a different form. And with technology there are different programs used within different companies who are paperless. More accidents happen outside of the workplace, so a general notepad should suffice, to cover S.A.M.P.L.E."

Wayne Christiansen 03.09.2019 03.43PM

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2.2

"Change to "Provide first aid in accordance with current ARC Guidelines and best practice." This will allow for changes to procedures without having to rework the unit."

Peter Allan 09.08.2019 02.14PM

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1.2

"Removal of the Risk Identification and considering only safety and not health factors seems like a step back from the current unit"

Peter Allan 09.08.2019 02.11PM

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PC 1.4 and PC 1.5

"I think someone hit the "ENTER" Key in Element 1"

Peter Allan 09.08.2019 02.09PM

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Incorrect numbering

"Performance Criteria are incorrectly numbered"

Peter Allan 09.08.2019 02.07PM

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Incorrect Terminology

"The use of the word victim is incorrect. A Victim is a person harmed, injured, or killed as a result of a crime, accident, or other event or action. This does not cover a casualty with an illness. Change all references to victim back to casualty. "

Peter Allan 09.08.2019 02.06PM

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3 Replies

"Its either a "casualty" or a "patient" NOT a victim. I prefer casualty, thats what it has been since way back when."

Robert J Marmont 25.08.2019 11.45AM

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"I agree, casualty is appropriate. Victim is not appropriate, not accurate and in some ways may be demeaning"

Liz Boston 25.08.2019 11.24PM

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"The word at a First Aid level is Casualty to simplify things Patient is for medical professionals the word victim should be GONE "

Glenn Bowman 01.09.2019 11.48AM

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Foundation skills

FOUNDATION SKILLS

Foundation skills essential to performance are explicit in the performance criteria of this unit of competency.

UNIT MAPPING INFORMATION

No equivalent unit.

LINKS

Companion Volume Implementation Guide

3 Comments

Equivalent

"This unit is equivalent to HLTAID003. There has been no content changes at all and only rewording. "

Peter Allan 09.08.2019 02.20PM

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2 Replies

"I totally agree with you Peter, I see this as a revenue raising change, plus it is going to add to the confusion in the workplace and with clients"

Patricia Heumiller 14.08.2019 12.42PM

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"Leave the Unit codes as they are - save confusion"

Robert J Marmont 25.08.2019 11.41AM

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Performance evidence

TITLE

Assessment Requirements for HLTAID011 Provide first aid

PERFORMANCE EVIDENCE

Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role.

 

There must be evidence that the candidate has completed the following tasks in line with state/territory regulations, first aid codes of practice, first aid guidelines determined by the Australian Resuscitation Council (ARC) and other Australian national peak clinical bodies and workplace procedures:

  • followed DRSABCD in line with ARC guidelines, including:
    • managed the unconscious, breathing victim including appropriate positioning to reduce the risk of airway compromise
    • Performed at least 2 minutes of uninterrupted single rescuer cardiopulmonary resuscitation (CPR) (5 cycles of both compressions and ventilations) on an adult or child resuscitation manikin placed on the floor
    • performed 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
    • responded appropriately in the event of regurgitation or vomiting
    • demonstrated a rotation of operators with minimal interruptions to compressions
    • followed the prompts of an Automated External Defibrillator (AED) to deliver at least one shock
    • show respectful behaviour towards the victim
  • Applied first aid procedures for the following:
    • Anaphylaxis
    • asthma
    • bleeding
    • choking
    • envenomation, using pressure immobilisation
    • fractures, dislocations, sprains and strains, using appropriate immobilisation techniques
    • medical shock
    • minor wound cleaning and dressing
    • nose bleed
  • Responded to at least four simulated first aid scenarios contextualised to the candidate’s workplace/community setting, including:
    • one simulated scenario dealing with an unconscious, breathing victim
    • one simulated scenario dealing with an unconscious, non-breathing victim including the use of an AED.
    • One simulated scenario dealing with a medical condition including the use of standard infection control precautions
    • One simulated scenario dealing with a trauma condition including the use of standard infection control precautions
  • provided at least one accurate written report of an incident.

33 Comments

Scenario based learning instead of knowledge evidence

"First Aid in real life is about actually doing the treatment. Often the people who are the best at the actual first aid are not the best at the bookwork/ computer work, but if I am injured, I want the person who could do the prac to help me. People want to do practical work in first aid classes. They remember the practical work and the story they worked on. We can embed a lot of the knowledge evidence - "respectful behaviour" type knowledge - into scenarios teaching the application of first aid. Knowledge of how to treat is important, but they need to show treatment or it's just words. If injuries such as burns/ heat/ cold/ seizures/ stroke/ poisoning/ eye/ diabetes/ needle stick/ cardiac/ allergic/ bites and stings/ head neck and spinal/ abdominal injury/ crush/ drowning/ febrile convulsions are in the performance evidence instead of the knowledge evidence it would give the trainer the time to do the prac rather than having to get through bookwork - which most students don't find very helpful - they accept it as part of an unavoidable process. But if the assessor is qualified to assess, there is no reason why they cannot assess a practical scenario rather than marking a written test. (Yes I saw some of these things were taken out of the new write up, but I think in the country they are important.)"

Fiona Taylor 21.09.2019 11.03PM

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Performance Criteria

""on an adult or child resuscitation manikin" This assumes students can now complete their First Aid Qualifications having never attempted resuscitation on an adult (i.e. CPR assessment completed on child manikin only). As the techniques are different, my team is concerned about students performing CPR on an adult in a real-life situation."

Janette Derrick 19.09.2019 04.55PM

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Focus performance criteria on managing causes of preventable death

"The ARC recognise that severe uncontrolled bleeding is an important cause of preventable death. The ARC supports all levels of first aider being trained to control life threatening bleeding including the use of tourniquets and haemostatic dressings. We assert that first aiders should receive specific competency in the application of simple life-saving bleeding control interventions, including tourniquets and haemostatic dressings, as per ANZCOR Guideline 9.1.1. These interventions should not be embedded only in advanced units of competency."

A/Prof Jason Bendall 03.09.2019 12.14PM

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Performance criteria

"Although I agree about the use of "victim", unfortunately ARC has embedded this word through their documentation. In terms of performance criteria, it will certainly be a challenge to fit all that is required in a small time frame. May I suggest a universal template for written documentation, to ensure consistency with assessment criteria Is it possible to merge some of those scenarios, perhaps we need a bit more guidance - if we have a class of 15, does this mean each student must demonstrate competence in 4 separate scenarios, or could some of those assessment requirements be merged"

Anne Moseley 19.08.2019 09.24AM

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3 Replies

"I have been teaching first aid for 45+ years as a paramedic. In most cases it is possible to combine ALL assessment criteria into one and no more than two scenarios. If you assess each student on their own, 5mins per scenario = 20 mins times 15 = 5 hours - half that in pairs - thats a two day course."

Robert J Marmont 25.08.2019 11.54AM

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"Agree Robert, I currently merge assessment criteria into one to two scenarios. However, I am concerned with this draft that it is steering from what ideally Provide First Aid should be about"

Anne Moseley 26.08.2019 08.48AM

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"The ARC / ANZCOR are progressively replacing "victim" with other terms as guidelines are being updated"

A/Prof Jason Bendall 03.09.2019 12.09PM

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'provided at least one accurate written report of an incident'

"Too vague and open to interpretation. May be difficult to validate on audit. If we are going to continue with reporting there needs to be a standardised form used by all RTO's"

Natalie Middleton 16.08.2019 02.15PM

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2 Replies

"Its an incident report form- they are fairly standard. Remembering that this is not intended for people in the general public who do not use forms- they should just receive Statement of Attendance (as per companion guide) "

Lea Stevenson 02.09.2019 10.20AM

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"I've personally seen significant variation in the reporting forms used by different RTO's and a great deal of variation in the reporting forms and practices used by different industry areas in the region in which I live and deliver training. Many of my potential students would never use a form in their workplace as the reporting is done online. Can you foresee an actual problem cause BY a standardised reporting form being provided? "

Natalie Middleton 02.09.2019 10.40AM

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Performance criteria

"I feel the performance criteria should reflect those key skills and actions that (when applied correctly) will have positive effect on a time critical / life threatening situation. The opportunity to assess individuals performance in a thoughtfully selected range of key skills that are applicable to time critical / life threatening situations helps training providers underscore the importance of maintaining these skills; in case they are needed urgently. However, the addition of nose bleeds and minor wound care to the performance criteria is inconsistent with this approach and I do not feel it will contribute to the quality of learning outcomes in any meaningful way. As mentioned by others, I also believe these elements can be adequately addressed as knowledge elements."

Greg James 12.08.2019 01.00PM

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1 Reply

"I agree with Greg that 'nose bleeds and minor wound care' can be well addressed as knowledge evidence."

Janette Derrick 19.09.2019 04.36PM

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First Aid Training

"To fit all content into First Aid Courses is only honestly achievable with pre course workbook study and focus on the course content not wasting time data gathering for AVETMISS and the USI There needs to be a re introduction of an update or refresher course for First Aid Training if you can present a current certification or a challenge testing To adequately cover all the Performance Criteria Foundation Skills Performance Evidence in a reasonable time frame is becoming unrealistic luckily most of the topics are only repeated in these areas in different terminology "

Glenn Bowman 09.08.2019 03.56PM

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2 Replies

"When a returning comes back to the RTO, is the RTO not obliged to give credit and re-issue as a Credit Transfer!!?? The exisiting course is not deliverable in a day even with pre-course work. No idea where the nominal hours came from and why everyone thinks a day's training is suitable. The CPR assessment alone takes half the day."

Lea Stevenson 02.09.2019 10.23AM

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"Agreed. 3 nominal hours for 001 is too lean. Also concerning that 003 is 20 nominal hours yet we have RTO's blatantly advertising 5.5 hour 003 courses. "

Natalie Middleton 02.09.2019 10.53AM

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All First Aid Training

"First of all to affirm my background trainer of over 30,000 people in All levels of First Aid I am 63 years of age most of my life has been In the Emergency Care Fields Concurrent to being a Senior Paramedic Advanced Care now retired 3 months ago Other previous skills Medic RAAMC Diver Medical Technician plus a few other things I train about 100 people per month in First Aid MAJOR PROBLEM Too many people instructing first aid as an income with no clinical background Lots of misinformation and poor technique being delivered Implement a clear level of Instructors Ones with a clinical proven background Paramedics And the ones that have no background or minimal Let the public know there is a difference As your Logo says Capable people Make Clever Business Knowledge Evidence Performance Criteria All warm and fuzzy BUT its the Instructor who delivers the goods Also why persist in changing the coding of the courses for example HLTAID003 is it going to be HLTAID011 Lets confuse the public once again just ridiculous "

Glenn Bowman 09.08.2019 02.53PM

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8 Replies

"Agree with this comment "

Peter Allan 09.08.2019 03.06PM

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"Totally agreed"

Patricia Heumiller 14.08.2019 12.43PM

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"In principle, I agree. However, can you advise what you mean by "clinical background"? I think there are plenty of quality instructors without a Paramedic / Nursing / Medical degree. RAAMC / Police / Fire Fighters / First Responders etc have excellent experience to offer as instructors. There are also some awesome Mums and Dads who have genuine passion and experience to offer too! But I agree, to many in it to make a quick buck, especially when training organisations offer one day courses with no pre-course. I do not see how this can be achieved!"

Steve MACK 16.08.2019 03.23PM

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"I think we are in agreement that we need to have a very solid background and subject matter knowledge. Too many people have the opinion “oh it is just First Aid” or “I know first Aid already” and when they come to my course they are surprised how much more they learn. The first aid training sector is made up of a majority of non-medical background trainers so let’s not discourage them as a lot do a quality job at the delivery, but as you said it is the people looking for a quick buck and think they can breeze through it. For me as a Paramedic to stay current I spend up to $6000 a year on Training and CPD, and I should because of the role I play in the community sector, however this also rolls into my training where people are getting the up to date best medical practices. It is one thing that I strongly advertise is that delivery is done by a Registered and experienced Paramedic, but that is not saying I am better than mum and dad training, it is saying that I am coming from a high level of experience in prehospital care and can answer questions that are not easily covered by first aid. Ie I was delivering on the weekend to a disability organisation “what is the difference in Bell’s Palsy and Stroke with there presentations” honestly I do not expect mum and dad to be able to answer those types of questions. The bad things about being trained by people in medical is that we tend to take short cuts in treatments as we do a lot of the basics in our heads, so it looks like we miss things when doing demonstrations or we can count out the step due to it being not applicable. This is where a non-clinical trainer shines as they have not picked up the bad habits from working in the industry or become stuck with using kit that is shiny and goes bing. To say every trainer should have Advanced First Aid is also bad, the current HLTAID006 course is crap and useless, it does not do what it should do and needs changing before we say everyone needs that unit to deliver. Unfortunately there is no simple answer on what skills a person should have which is why I go back to hold the unit and have a solid background in First Aid. "

Peter Allan 16.08.2019 03.51PM

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"Totally agree. The best teachers / instructors in the main are current or retired Paramedics."

Robert J Marmont 25.08.2019 12.00PM

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"Steve Maybe the people with a very limited clinical background should be able to instruct CPR BELS and First aid HLTAID003 but that should be the limitation No offence but no other profession comes even close to having the exposure ,skills ,knowledge and experience to Paramedic s and Medic s in the Defence Force Ultimately Paramedics have outstanding knowledge of both Medical and Trauma pre hospital they don t have the luxury of waiting for a test to come back eg medicine Nurses Doctors may have good clinical knowledge But do not operate in a pre hospital hostile environment Some may have limited exposure but mostly work in a well lit controlled environment Fire fighters and police normally assist Paramedics in some circumstances All cases by Paramedics start with First Aid then progress to more complex skills this could be up to 10 times a day Many clients that attend my First Aid Courses are Doctors Nurses and they are very surprised at how little they knew of the pre hospital environment "

Glenn Bowman 01.09.2019 11.58AM

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"Glenn, I come from the same type of background, ex army medic. Agree with you 100%. I know of a Qantas Baggage Handler and Hot Dog Salesman teaching first aid."

Wayne Christiansen 03.09.2019 03.50PM

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"I agree it is absolutely crucial for all First Aid Instructors to be current in best practice and to be highly competent in techniques. I do not agree that all instructors should be limited to a Paramedic and/or Nurse. An enormous part of providing a First Aid Response is doing so away from the security of a clinical setting. The ideal work team for me delivering First Aid training is the team who has a diverse range of backgrounds. Let's not limit who can deliver this essential training in our community."

Janette Derrick 19.09.2019 04.48PM

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Written Report

"Not all applications of this unit will require a written report. This should be within knowledge evidence instead as an awareness, as it is not a mandatory requirement. "

Peter Allan 09.08.2019 02.50PM

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1 Reply

"Even if the student could write a notebook report, this should suffice as agreed not everyone is in the workplace. We instruct documentation as apposed to full incident report writing"

Patricia Heumiller 14.08.2019 12.45PM

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Scenarios

"4 scenarios to cover Anaphylaxis, asthma, bleeding, Cpr, choking, envenomation, fractures/dislocations, sprains/strain, shock, minor wound cleaning and nose bleed. Lets see how good I am here: S1. Adult patient --> Uncon & not breathing --> CPR --> AED --> Vomits --> Uncon Breathing. S2. Infant patient Choking --> Uncon & not breathing --> CPR S3. Anaphylaxis patient with respiratory distress --> Anaphylaxis Rx --> Asthma Rx --> Shock Rx S4. Envenomation --> PIT --> Shock Rx S5. Assault causing fracture, sprain, nose bleed and abrasions --> Fracture Rx - Sprain Rx --> Nose Bleed Rx --> Minor wound Cleaning Did I get them all? The performance criteria and the scenarios requirement does not match at all and is not achievable without being stupid. "

Peter Allan 09.08.2019 02.48PM

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Nose Bleed and Wound Cleaning

"This should be in knowledge evidence, not performance evidence otherwise a separate scenario will need to be raised for each assessment."

Peter Allan 09.08.2019 02.31PM

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1 Reply

"Most certainly. To be adding these to performance evidence takes away time and focus on other skills where people may need training/observation on. These can be surveyed with questions to ascertain understanding."

Kathy Hawke 22.08.2019 07.42PM

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Incorrect Terminology

"Change to include the full name of the technique for envenomation .Envenomation, using the pressure immobilisation technique (PIT) ARC Guideline 9.4.8."

Peter Allan 09.08.2019 02.26PM

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Incorrect Terminology

"Medical Shock? The use of this term is incorrect and confusing. As a paramedic I do not understand what you are meaning by Medical Shock? Shock is a bodies reaction caused by a lack of oxygen to the tissues, this lack of oxygen can be caused by multiple different ways like blood loss (hypovolemic shock), heart failure (Cardiogenic shock), poisoning (Toxic shock), mental health (Psychogenic shock), etc. So what is Medical shock?"

Peter Allan 09.08.2019 02.24PM

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2 Replies

"I agree Peter, it is all very well to add medical shock, however, there needs to be specific criteria, relevant to scope of "provide first aid", and ultimately will this extra knowledge impact on treatment (will you be treating hypovolemic shock, or the external blood loss from an open wound or symptoms of shock as a first aider?)"

Anne Moseley 23.08.2019 09.29AM

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"Agree totally - "

Lea Stevenson 02.09.2019 10.05AM

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Knowledge evidence

KNOWLEDGE EVIDENCE

 

 

 

 

 

 

 

 

 

 

Demonstrated knowledge required to complete the tasks outlined in elements and performance criteria of this unit:

  • Guidelines and procedures including:
    • ARC Guidelines relevant to the provision of first aid
    • First aid guidelines from Australian national peak clinical bodies
    • Identifying potential incident hazards and minimise risks 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
    • workplace procedures relevant to the provision of first aid
  • legal, workplace and community considerations including:
    • duty of care requirements
    • own skills and limitations
    • consent and how it relates to the conscious and unconscious victim
    • privacy and confidentiality requirements
    • awareness of potential need for stress management techniques and available support for rescuers
  • 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 response services
  • techniques for providing CPR to adults, children and infants including:
    • How to recognise that a victim is unresponsive and not breathing normally
    • Rate, ratio and depth of compressions/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/injuries:
    • allergic reaction
    • anaphylaxis
    • asthma
    • bleeding
    • burns
    • cardiac conditions, including chest pain
    • choking
    • diabetes
    • envenomation (all current treatments)
    • eye injuries
    • fractures, dislocations, strains and sprains
    • head, neck and spinal injuries
    • hypothermia
    • hyperthermia
    • medical shock
    • needle stick injuries
    • nose bleed
    • poisoning
    • seizures
    • stroke
    • wounds.

19 Comments

Too much theory not enough prac

"Currently getting through the knowledge evidence soaks up a lot of class time, bookwork style, or is done as "prework". I would like to see the focus of first aid training be on practical application of first aid skills - students demonstrating how they would respond in a simulation - and get rid of all the written assessment - assess their knowledge evidence through practical scenario based work and minimise written work - maybe just the injury report. This would give the trainer time to teach the background of a topic then act it out so students have a visual and a story to link the knowledge to. "

Fiona Taylor 21.09.2019 10.13PM

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Medical Shock (Knowledge Evidence)

"There seems to be a lot of controversy of what ‘medical shock’ is? My understanding of medical shock would be the secondary effects of major haemorrhage that leads to a dramatic drop in blood pressure and therefore unconsciousness. I would think in this position a patient/casualty would need the combined efforts of an intensive care ambulance and a hospital trauma team. If a person is in this situation, it would be far out of the scope of Provide First Aid for a civilian to handle medical shock. Perhaps, the industry experts should define the reasons behind changes so we can comment and not assume what is proposed?"

Wesley Jones 09.09.2019 03.31PM

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needle stick injuries

"Change needle stick injury to sharps injury"

Sarah Hunstead 20.08.2019 02.55PM

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'envenomation (all current treatments)'

"Too vague. There is too much inconsistency around this already. Needs to specify exactly what is to be delivered in the learning materials."

Natalie Middleton 16.08.2019 02.19PM

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7 Replies

"Lets see if we cant get SOME consistency in the treatment, each provider uses a different method in applying the pressure bandage. Either start over the bite then up, or down then up - some start at the toes and up????? "

Robert J Marmont 25.08.2019 12.11PM

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"That is a really concerning statement given how clear the instructions are in ARC guideline 9.4.8"

Natalie Middleton 26.08.2019 12.46PM

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"Considering 9.4.8 describes 2 different methods to apply the PIT bandage. The priority is pressure over bite site, immobilise then pressure on rest of limb. With the new snake bite indicator bandages it can be done with one bandage as they are twice as long as a normal bandage with normal bandages if you have 2 bite site first then fingers/toes up, 1 bandage fingers/toes up. "

Peter Allan 26.08.2019 01.27PM

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"Interesting that you interpret it that way given that the second paragraph reads 'apply a further pressure bandage...' Again, the entire package appears to need more explicit directions as there seems to be a great deal of interpretation going on in the training room. With RTO's out there advertising 5.5 hour HLTAID003 (when the unit is 20 nominal hours)courses it would seem that the integrity of the training package is questionable."

Natalie Middleton 26.08.2019 01.36PM

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"Then read the third paragraph about the single bandage technique. Also this was written (2011) prior to the development of indicator bandages so it is now not reflecting best medical practice. “If on a limb, apply a broad pressure bandage over the bite site as soon as possible.. Elasticised bandages (10-15cm wide) are preferred over crepe bandages, if neither are available, clothing or other material should be used.5 [Class A; LOE: III-2]The bandage should be firm and tight, you should be unable to easily slide a finger between the bandage and the skin. In order to further restrict lymphatic flow and to assist in immobilisation of the limb, apply a further pressure bandage, commencing at the fingers or toes of the bitten limb and extending upward covering as much of the limb as possible.3 [Class A; LOE: III-2] The bandage should be applied over existing clothing if possible. The purpose of this bandage is to further restrict lymphatic flow and assist immobilisation. (Alternatively, a single bandage may be used to achieve both pressure on the bite site and immobilisation of the limb. In this method, the bandage is initially applied to the fingers or toes and extended up the limb as far as possible including the bite site).4, 8 [Class A; LOE: Expert Consensus Opinion].)” See two different techniques in the ARC guidelines."

Peter Allan 26.08.2019 01.55PM

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"I would say that the instructions for a single bandage are even more explicit. Again, I find it concerning that people are reporting inconsistency in the delivery and assessment of this skill when we are provided with clear guidelines. PIT is only one element of this topic and I stand by my initial comment regarding envenomation. Too vague. There is too much inconsistency around this already. Needs to specify exactly what is to be delivered in the learning materials."

Natalie Middleton 26.08.2019 02.09PM

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"Depends on where you buy the snake bite bandages. Some are 10m, but there are others that are 2.4m long"

Wayne Christiansen 03.09.2019 03.54PM

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glucagon

"Probably a bit ambitious If we want better pre hospital outcomes with so much chronic illness in our society We need to look at maybe a course that includes topics such as Glucagon aspirin gtn etc I already in my course demonstrate glucogel glucagon gtn etc It is better clients have some idea rather than sit by and watch a casualty die First Aid was when I first started simply bleeding burns fractures some cpr The added complications are now the legal documentation mental health etc medical I guess if we look at the Package for HLTAID011 just let them do what they want to do and play the game If you know your profession then you work around the package or as the flavour word is contextualise There are many topics not well covered but I think from here I will call it quits "

Glenn Bowman 12.08.2019 05.37PM

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"I think add these extras into the Advanced course to cover this suggestion, rather than have it a repeat of 003 with a few extras. Make 003 a prerequisite so they already have that knowledge and teach advanced topics like first responder pharmacology, BVM, Response team leadership and managing resources, helmet removal, c-spine management with soft collars, clinical assessment including HR, RR, Auto B/P, SpO2, pain assessment, AVPU, BSL, etc. "

Peter Allan 12.08.2019 05.55PM

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First Aid

"I guess there is scope for the trainer to put things like chest injuries under wounds or fractures "

Glenn Bowman 12.08.2019 01.32PM

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First Aid

"I am not seeing much on hypoglycaemia also we need to introduce glucagon /hypokit into the training for aloc hypoglycaemia "

Glenn Bowman 12.08.2019 01.27PM

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"I am probably against the inclusion of Glucagon Injection in this unit. I am aware ARC added it within their guidelines I believe in Dec 2017, so that the injection could fall under the scope of First Aid, however they also stated that they need to be trained by an appropriate person, ie doctor, diabetic nurse, etc. if this was included in the qualification, overnight we will be having untrained people deliver a qualification on how to give a S/C injection which would be potentially dangerous. EpiPen is fins as there is no preparation of the needle and it is self included. A glucagon injection posses a greater risk and needs additional and appropriate training. I would however like to see the inclusion of the Glucagel formally introduced as the 4th medication a first Aider can give. Ie adrenaline auto injector, salbutamol inhaler, aspirin and glucagel. But the glucagon injection unless it becomes an auto injector instead of a normal syringe. There would also bee so arguments for anticonvulsants that are currently used by family members for seizures. I think and additional course would need to be developed for that ie First Aid Advanced Pharmacology Treatments."

Peter Allan 12.08.2019 03.00PM

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"Agree, we are teaching / training First Aid, not training Paramedics."

Robert J Marmont 25.08.2019 12.16PM

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Incorrect Terminology

"Wounds? what about wounds and what sort? This should be wound cleaning from the performance evidence."

Peter Allan 09.08.2019 02.55PM

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Missing conditions

"Ear and mouth/dental Injuries, crush injuries, febrile convulsions, unconscious and respiratory distress (non asthma related breathing problems)"

Peter Allan 09.08.2019 02.54PM

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Assessment conditions

ASSESSMENT CONDITIONS

Skills must be demonstrated working individually in an environment that provides realistic in-depth, industry-validated scenarios and simulations to assess candidates’ skills and knowledge.

 

Due to the nature of this type of training, it is acceptable for the performance evidence to be collected in a simulated environment.

 

Compression and ventilation skills must be demonstrated on resuscitation manikins in line with ARC guidelines for the purpose of assessment of CPR procedures.

 

Assessment must ensure access to:

  • adult or child resuscitation manikins in line with ARC Guidelines for the purpose of assessment of CPR procedures
  • infant resuscitation manikins in line with ARC Guidelines for the purpose of assessment of CPR procedures
  • adrenaline auto-injector training device
  • AED training device
  • placebo bronchodilator and spacer device
  • different types of wound dressings and bandages
  • blankets and items to make the victim comfortable
  • disposable gloves and other PPE as required
  • workplace injury, trauma and/or illness record, or other appropriate workplace incident report form.

 

Simulated assessment environments must simulate the real-life working environment where these skills and knowledge would be performed, with all the relevant equipment and resources of that working environment.

 

Assessors must satisfy the Standards for Registered Training Organisations’ requirements for assessors; and:

  • must hold one of the following or equivalent units:
    • HLTAID012 Provide first aid in an education and care setting
    • HLTAID013 Provide first aid in remote situations
    • HLTAID014 Provide Advanced First Aid.

LINKS

Companion Volume Implementation Guide

8 Comments

Assessor requirements

"Why is HLTAID011 Provide First Aid the only unit out of the four (HLTAID012,HLTAID012, HLTAID013, HLTAID014) that requires the assessor to hold one of the other three in addition to the unit in order to assess?"

Sharyn Conneally 10.09.2019 10.47AM

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Assessor requirements

"Why do we keep focusing on bits of paper rather than their professional experience. As an ex-paramedic with Ass Dip in Health Science, who has been teaching First Aid since mid-1990's, and maintained currency- I will no longer be able to teach under these new requirements?? Unless I go and get another piece of useless paper for a course delivered and assessed in less than a day. :( "

Lea Stevenson 02.09.2019 10.09AM

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Assessment Conditions

"It appears that the only requirement is that you possess the Modules above the course you are conducting for Example Provide Advanced First Aid to instruct Provide First Aid where is the requirement to have current or previous industry experience for example a background as a Paramedic to give the course credibility to be able to answer the questions that are asked the trainer should have a clinical background we need to have a criteria that you cannot teach past a certain level if you do not have a clinical background in Emergency Care "

Glenn Bowman 12.08.2019 01.23PM

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1 Reply

"Agree."

Robert J Marmont 25.08.2019 12.19PM

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Remove incident report form

"Remove the incident report form from required equipment. This units application is not always in a workplace. Incident reporting process should be knowledge evidence in this unit and not a mandatory requirement."

Peter Allan 09.08.2019 03.04PM

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All comments on HLTAID010

"My comments on HLTAID010 apply here as well with the tightening up of what an AED training device is."

Peter Allan 09.08.2019 03.02PM

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Required assessor units

"Why is HLTAID011 not on there as it is the same level as HLTAID012 and 013. Either include it or remove 012 and 013 and limit it to HLTAID014 or equivalent. This will have a significant impact on trainers and assessors of this unit if it is not included. "

Peter Allan 09.08.2019 03.00PM

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"Totally agree why is the HTLAID011 unit not int his list - trainers should be able to hold the unit they are delivering it should just be the units above this one - well are they really above this unit - and agree what about currency of the units "

Jessica Gwynne 15.08.2019 11.35AM

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