1. HEALTH AND SAFETY. 1.1 Health and Safety/Universal Precautions PRIMARY CARE 2.1 PATIENT EXAMINATION
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1 Work Instruction Number TITLE OF WORK INSTRUCTION 1. HEALTH AND SAFETY Date Amended 1.1 Health and Safety/Universal Precautions 2. PRIMARY CARE 2.1 PATIENT EXAMINATION Basic life support Primary survey flow chart Physical examination (Secondary survey) Palpate and record a radial pulse Palpate and record a carotid pulse Palpate and record a brachial pulse Measure and record a systolic blood pressure by palpation Measure and record a blood pressure by auscultation Chest auscultation Respiratory status assessment Conscious state assessment (Glasgow Coma Score) Perfusion status assessment Performing a random Blood Glucose analysis Reagant Strip Performing a random Blood Glucose analysis Advantage Glucometer Quality Control Check - Advantage Glucometer Performing a random Blood Glucose analysis Precision Glucometer Calibrating the Precision Blood Glucose Monitoring System Perform a Sensory Motor Spinal Examination Blood Glucose Testing System Medisense AIRWAY MANAGEMENT Manual airway clearance Triple airway manoeuvre including jaw thrust Oropharyngeal airway Nasopharyngeal airway Mechanical suction - Y suction catheter Mechanical suction - Yankauer rigid sucker Stable side position lateral Choking Patient Paediatric choking algorithm flow-chart conscious & unconscious patient Airway clearance back blows Airway clearance abdominal thrusts - Adult Airway clearance lateral chest thrusts - Paediatric Inspection of upper airway using laryngoscope Removal of impacted foreign body using Magill's forceps Insertion of a Laryngeal Mask Airway
2 2.2 AIRWAY MANAGEMENT (Cont) Insertion of an endotracheal tube Performing an 'oesophageal detector' test - Adult Performing an 'oesophageal detector' test - Paediatric Performing an endotracheal detector (squash) test Hand Operated Portable Suction (Res-Q-Vac) Cricothryroidotomy - Minitracheostomy Tracheal Tube Introducer (Single Use Bougie) RESUSCITATION Expired air resuscitation (EAR) Cardio-pulmonary resuscitation - adult/single rescuer Cardio-pulmonary resuscitation - adult/two rescuers Cardio-pulmonary resuscitation - newborn/infant Cardio-pulmonary resuscitation - child/1-14 years Performing a precordial thump Basic life support flow chart defibrillation Daily check - Zoll PD Cardiac monitoring - Zoll PD Direct current counter shock - Zoll PD Manual mode Direct current counter shock - Zoll PD Shock advisory mode Synchronised cardioversion (Zoll PD 1600) External check procedure for the Lifepak 10 monitor/defibrillator Test procedure - Lifepak 10 monitor/defibrillator Cardiac monitoring - Lifepak 10 monitor/defibrillator Direct current counter shock - Lifepak 10 (leads on) Synchronised cardioversion - Lifepak External check - Hewlett Packard monitor/defibrillator Test procedure - Hewlett Packard monitor/defibrillator Cardiac monitoring - Hewlett Packard monitor/defibrillator Direct current counter shock - HP (leads on) Synchronised Cardioversion HP External check procedure for the Lifepak 5 monitor/defibrillator Test procedure - Lifepak 5 monitor/defibrillator Cardiac monitoring - Lifepak 5 monitor/defibrillator Direct current counter shock Lifepak 5 (leads on) Synchronised Cardioversion - Lifepak Check Procedure for MRL PIC Monitor Defibrillator Defibrillation using the MRL PIC Monitor Defibrillator Check Procedure for the Laerdal HeartStart 3000 (AED) Defibrillation with Laerdal HeartStart (AED) Defibrillation with HeartStream ForeRunner (AED) Check Procedure for HeartStream ForeRunner (AED) Defibrillation with MRL Lifequest AED in Semi-Automatic Mode Check Procedure for MRL Lifequest (AED) Cable Monitoring via Cable Electrodes (leads) Using MRL PIC Monitor OXYGEN THERAPY AND VENTILATION Application of rigid face mask
3 2.4.2 IPPV with closed circuit resuscitator IPPV with bag valve mask (BVM) resuscitator Adult IPPV with bag valve mask (BVM) resuscitator Paediatric Applying assisted IPPV with positive end-expiratory pressure (PEEP) Oxygen by disposable face mask Oxygen by nasal cannula Performing gentle lateral chest pressure in severe asthma Insertion of a naso-gastric tube Assemble and check oxy-resuscitator End tidal CO2 monitoring Capnography and Pulse Oximetry using the Novametrix Tidal Wave SP Daily check of Novametrix Capnograph Tidal Wave SP ADVANCED LIFE SUPPORT 3.1 ADVANCED LIFE SUPPORT Diagnostic confirmation of a tension pneumothorax Decompression of a tension pneumothorax Application of a pneumatic antishock garment - Gladiator suit Application of a pneumatic antishock garment - Mast suit Application of sterile gloves Needle decompression of tension pneumothorax 3.2 DRUG ADMINISTRATION TECHNIQUES Administration of Methoxyflurane via analgiser inhaler Administration of Glyceryl Trinitrate - Buccal / Sublingual route Administration of nebulised salbutamol - via aerosol mask Administration of nebulised salbutamol - via 'T' piece - adult Drug administration by intramuscular injection Placement of an intravenous cannula Assemble intravenous infusion line Connect and secure an infusion line to a cannula Change an intravenous soft pack Draw up a drug for administration - glass ampoule Draw up a drug for administration - plastic ampoule Administration of a pharmacological agent via the rectal route Insertion of an intraosseous needle EpiPen Administration SECONDARY CARE 4.1 BANDAGES, KNOTS AND DRESSINGS Tie a reef knot Tie a clove hitch Application of an arm sling Application of a high arm sling (St John sling) Application of a collar and cuff sling Triangular bandage (figure-of-eight) around feet and ankles Prepare and apply a ring pad Application of a roller bandage (simple spiral)
4 4.1.9 Application of a combined pad and bandage to a limb Control external bleeding to a limb Preserve Severed Parts SPLINTING Application of an air splint Application of a cervical collar Anatomical splinting (lower limbs) Application of a Donway Splint Application of Cardboard Splint Application of the Oregon Spine Splint II (OSSII) Helmet Removal
5 5. OTHER 5.1 LIFTING AND LOADING Safe lifting of a patient (correct lifting technique) Fore and aft lift Load an ambulance with a Ferno-Washington stretcher trolley Unload a Ferno-Washington stretcher trolley from an Ambulance Application of a Ferno-Washington Patient Harness Performing a log-roll of a patient (from supine position) Performing a log-roll of a patient (from prone position) Application of spine board patient supported in log roll side position Application of the scoop stretcher - side application - (patient supine) Application of the scoop stretcher - scissor application - (patient supine) Application of spine board/scoop stretcher patient securing straps Load a patient to stretcher using the scoop or spine board Application of the Kendrick Extraction Device (K.E.D) Secure a patient to a Paraguard stretcher Application and use of restraint straps - supine position Patient Slide (Patslide) Application of Pedi-Mate Harness Application of Ferno-Model 417 Harness Restraint System Operating the Ferno Folding Carry Chair Model Converting the 403 Seat Stretcher in the Mercedes Sprinter VEHICLE AND EQUIPMENT Equipment check Driver's check Prepare stretcher for use
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