Reference material: EFR First Aid at Work Instructor Guide (Asia Pacific Edition)

Size: px
Start display at page:

Download "Reference material: EFR First Aid at Work Instructor Guide (Asia Pacific Edition)"

Transcription

1 Reference material: EFR First Aid at Work Instructor Guide (Asia Pacific Edition) To develop student knowledge and skills, conduct the following presentations: Knowledge Development Primary Care, incl. AED Emergency Care in the Workplace Emergency Reference / First Aid procedures for: o Illness Assessment, incl. asthma, allergic reactions, bites & stings Skills Development Primary Care Skills #1 through #9 plus AED Use To assess student competency, use the following assessment tools: Knowledge Assessment Primary Care Knowledge Review and Final Exam Emergency Care in the Workplace Knowledge Review BLS Exam (enclosed) Skills Assessment Scenario 1 Scenario 2 Scenario 3 Scenario 4 To document student competency, use the enclosed BLS Assessment Record Sheet. NOTE TO INSTRUCTORS: On the RTO Student Registration Form, pls tick appropriate YES box if your student s statement of attainment needs to also list the sub unit HLTCPR201A Perform CPR (expiry in 1 year). BLS EXAM INSTRUCTOR ANSWER KEY 1. wheezing 4. a. b. c. d. 2. a. b. c. 5. b. c. d. e. f. 3. rapidly 6. a. b. c. d. f. g. Product No (01/09) BLS version 1.1 1

2 BLS - INCIDENT REPORT FORM Product No (01/09) BLS version 1.1 2

3 BLS EXAM STUDENT ANSWER SHEET Student Name: Date: This theory assessment is a multiple-choice exam; unless otherwise indicated in the question, please select all responses that apply and best answer the question. 1. In severe asthma attacks you may not be able to hear the sound. 2. Asthma is a lung condition which is usually controlled by medication. Which statements are correct in case of a severe asthma attack? a. In a severe asthma attack you may not be able to hear the wheezing sound b. A patient may experience difficulty speaking, drowsiness, or unconscious. c. A severe asthma attack is a medical emergency. d. Severe asthma attacks should not be treated by Emergency Responders. 3. Severe allergic reactions occur, usually immediately after the incident. 4. Severe allergic reactions occur in response to: a. Something the patient eats. b. Being bitten by an insect, such as a fire ant. c. Being stung by insects such as bumble bees, honey bees or wasps. d. In response to ingested or injected medications. e. In response to being too hot. 5. Symptoms of severe allergic reactions include: a. Itchy eyes and runny nose b. Chest tightness c. Stomach pain or nausea d. Wheezing e. Difficulty breathing and swallowing due to swollen throat f. Blood pressure may drop leading to dizziness and fainting [continued on next page] Product No (01/09) BLS version 1.1 3

4 6. Emergency care procedures for allergic reactions include: a. Stop, Think, Act b. Check for medical alert tags c. Phone EMS d. DRABCD S e. Give patient sugary drinks or sweets f. If patient carries an epinephrine kit, help the patient use if following included directions. g. Monitor patients Lifeline Student Statement: I have reviewed the questions and any incorrect answers with my EFR Instructor. Any incorrect answers have been explained and I understand what I had missed: Student Signature: Date: Instructor Name: No.: Instructor Signature: Date: Product No (01/09) BLS version 1.1 4

5 BLS Assessment Record Sheet HLTCPR201A Perform CPR HLTFA201A Provide Basic Emergency Life Support Student Name: Course Date: Knowledge C/NYC Comments Primary Care and Emergency Care in the Workplace Mark: % Mark: % Knowledge Reviews Primary Care Final Exam Mark: % BLS Exam Mark: % Skills C/NYC Comments Scene Assessment Barrier Use Primary Assessment One Rescuer, Adult CPR One Rescuer, Child CPR One Rescuer, Infant CPR Choking Adult Choking Child Choking Infant Serious Bleeding Management Shock Management Spinal Injury Management Automated External Defibrillator (AED) Orientation Skills - continued C/NYC Comments Emergency Oxygen Use Emergency Reference: First Aid procedures for illness assessment incl. asthma, allergic reactions, bites & stings Scenario Practice C/NYC Comments Collapsed Family Member A or B Down in Public A or B Recreational Accident A or B Multi-person accident A or B Reports C/NYC Comments BLS Incident Report Form C = Competent NYC = Not Yet Competent I agree that this assessment has been conducted in a fair and ethical manner and that the results are an accurate reflection of my performance of the skills. Student Signature: Date: I hereby certify that the above results are accurate and have been reached in an ethical and fair manner. I further confirm that the participant has only been assessed as competent in any given skill or scenario when they have demonstrated competence in each and every element of that skill or scenario (as per Emergency First Response First Aid at Work Instructor Guide, Asia Pacific Edition, version 2.0 and RTO Instructor Quick Reference Guide for HLTFA201A Provide Basic Emergency Life Support). Instructor Name: No.: Instructor Signature: Date: HLTFA201A Assessment Record Sheet v1.0 PADI RTO ID#6729, March 09

Management of ANAPHYLAXIS in the School Setting. Updated September 2010

Management of ANAPHYLAXIS in the School Setting. Updated September 2010 Management of ANAPHYLAXIS in the School Setting Updated September 2010 What is an Allergy? Allergies occur when the immune system becomes unusually sensitive and over reacts to common substance that are

More information

Shelley Westwood, RN, BSN

Shelley Westwood, RN, BSN Shelley Westwood, RN, BSN The body requires a constant supply of oxygen for survival. AMERICAN RED CROSS FIRST AID RESPONDING TO EMERGENCIES FOURTH EDITION Copyright 2006 by The American National Red Cross

More information

Health Point: Understanding Allergic Reactions

Health Point: Understanding Allergic Reactions Health Point: Understanding Allergic Reactions What are allergies? Every person s body is different. People s bodies can react differently to the same things. For example, you may like to eat fish, but

More information

4. PAEDIATRIC ILLNESS AND INJURY

4. PAEDIATRIC ILLNESS AND INJURY 4. PAEDIATRIC ILLNESS AND INJURY As well as dealing with emergency situations it is important that you can manage the more common paediatric illnesses and injuries which you are likely to experience in

More information

MIAMI-DADE COLLEGE. Common Course Number: HSC Course Title: Basic Emergency Care. Course Catalog Description:

MIAMI-DADE COLLEGE. Common Course Number: HSC Course Title: Basic Emergency Care. Course Catalog Description: Common Course Number: HSC 2400 MIAMI-DADE COLLEGE Course Title: Basic Emergency Care Course Catalog Description: Designed to provide opportunities to develop, practice, and display skills concerning emergency

More information

ACTION PLAN FOR. Difficult/noisy breathing Swelling of tongue Swelling/tightness in throat Wheeze or persistent cough ACTION FOR ANAPHYLAXIS

ACTION PLAN FOR. Difficult/noisy breathing Swelling of tongue Swelling/tightness in throat Wheeze or persistent cough ACTION FOR ANAPHYLAXIS www.allergy.org.au Name: Date of birth: Photo Confirmed allergens: Family/emergency contact name(s): ACTION PLAN FOR Anaphylaxis SIGNS OF MILD TO MODERATE ALLERGIC REACTION Swelling of lips, face, eyes

More information

Managing Illness 8/9/2010 1

Managing Illness 8/9/2010 1 Managing Illness 1 Fainting Caused by a temporary drop in blood pressure thus causing a reduction in oxygen to the brain. Insufficient oxygen causes casualty to black out and fall. Consciousness normally

More information

ADMINISTRATIVE CHECKLIST FOR ANAPHYLAXIS

ADMINISTRATIVE CHECKLIST FOR ANAPHYLAXIS Appendix 317A ADMINISTRATIVE CHECKLIST FOR ANAPHYLAXIS Information gathering: Physician s information sheet completed Parent consent to give medical treatment form signed Student Care Plan readily available

More information

Epinephrine Intramuscular (IM) Injection Administration EMT Optional Scope Highlights

Epinephrine Intramuscular (IM) Injection Administration EMT Optional Scope Highlights Epinephrine Intramuscular (IM) Injection Administration EMT Optional Scope Highlights Nor-Cal EMS February 2018 version 1 Special Thank You To Seattle / King County EMS NY State Department of Health, Check

More information

St. Joseph s Primary School Numurkah

St. Joseph s Primary School Numurkah St. Joseph s Primary School Numurkah Anaphylaxis Procedure March 2014 Basic Beliefs: Our school community nurtures the development of the whole child. Our School is built on respect and an appreciation

More information

Allergic Reactions and Envenomations. Chapter 16

Allergic Reactions and Envenomations. Chapter 16 Allergic Reactions and Envenomations Chapter 16 Allergic Reactions Allergic reaction Exaggerated immune response to any substance Histamines and leukotrienes Chemicals released by the immune system Anaphylaxis

More information

Allergy Awareness & EpiPen Administration

Allergy Awareness & EpiPen Administration Allergy Awareness & EpiPen Administration 2017-18 Common Allergens in Children! Shellfish! Milk! Egg! Peanut! Tree Nuts! Fish! Soy! Latex! Insect Stings! Exercise What is an allergy? * An allergy is an

More information

New Patient Questionnaire

New Patient Questionnaire - - Toda y 's Date: Primary Care Provider's Name: Was a consultation recommended? Primary Clinic: Referring provider's name (if different): Please answer the following questions to facilitate the diagnosis

More information

Anaphylaxis Emergency Plan (individual)

Anaphylaxis Emergency Plan (individual) Appendix D Anaphylaxis Emergency Plan (individual) Recommendation In schools and other child care settings, each child at risk of anaphylaxis should have an Anaphylaxis Emergency Plan. (See following page.)

More information

PDP 406 CLINICAL TOXICOLOGY

PDP 406 CLINICAL TOXICOLOGY PDP 406 CLINICAL TOXICOLOGY Pharm.D Fourth Year ENVENOMATION Mr.D.Raju.M.Pharm., Lecturer POISONING Poisonous substances can be swallowed, injected, inhaled, absorbed. Poisoning and envenomation can be

More information

Shock Video Shock (3)

Shock Video Shock (3) CHAPTER 9 Shock Video Shock (3) Lesson Objectives 1. Explain what happens inside the body with severe blood loss. 2. List common causes of shock. 3. Describe first aid steps for a victim in shock. 4. Describe

More information

CHAPTER 9. Shock National Safety Council

CHAPTER 9. Shock National Safety Council CHAPTER 9 Shock Shock Dangerous condition: Not enough oxygen-rich blood reaching vital organs, such as brain and heart Caused by anything that significantly reduces blood flow Life-threatening emergency

More information

EMT OPTIONAL SKILL. Cell Phones and Pagers. Epinephrine Auto-injector. Course Outline 9/2017

EMT OPTIONAL SKILL. Cell Phones and Pagers. Epinephrine Auto-injector. Course Outline 9/2017 EMT OPTIONAL SKILL Epinephrine Auto-injector Cell Phones and Pagers Be courteous to your classmates! Please set your cell phones and/or pagers to silent or turn them off. Course Outline Introduction and

More information

1. The 2010 AHA Guidelines for CPR recommended BLS sequence of steps are:

1. The 2010 AHA Guidelines for CPR recommended BLS sequence of steps are: BLS Basic Life Support Practice Test Questions 1. The 2010 AHA Guidelines for CPR recommended BLS sequence of steps are: a. Airway, Breathing, Check Pulse b. Chest compressions, Airway, Breathing c. Airway,

More information

LIFE THREATENING ALLERGIES POLICY

LIFE THREATENING ALLERGIES POLICY LIFE THREATENING ALLERGIES POLICY What is Anaphylaxis? Anaphylaxis is a severe systemic allergic reaction at the extreme end of the allergic spectrum. The whole body is affected usually within minutes

More information

Medical First Responder Program Protocols

Medical First Responder Program Protocols Medical Scene Safety Protocol Verify Scene Safety with Police or Dispatch UNKWN Scene Safe? Enter Continue to Appropriate Protocol Possible to Make Safe Make Safe Then Continue Exit Area and Stage Outside

More information

WILDERNESS EMERGENCY CARE COURSE ADVANCED FIRST AID

WILDERNESS EMERGENCY CARE COURSE ADVANCED FIRST AID RESCUE DYNAMICS 5109-17A Avenue NW Edmonton, Alberta T6L 1K5 (780) 461-5040 phone / fax website: http//:www.rescuedynamics.ca WILDERNESS EMERGENCY CARE COURSE ADVANCED FIRST AID COURSE OUTLINES COURSE

More information

Below are tips for keeping bugs away. Try not to use soaps, shampoos, and deodorants that have a fragrance or perfume.

Below are tips for keeping bugs away. Try not to use soaps, shampoos, and deodorants that have a fragrance or perfume. F O R Y O U R H E A L T H What Do I Do if I Get an Insect Bite? Have you ever been stung by a bee, a wasp, or a hornet? The answer is probably yes! You may have come into contact with all kinds of insects.

More information

Allergy to: NOTE: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe reaction. USE EPINEPHRINE.

Allergy to: NOTE: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe reaction. USE EPINEPHRINE. Name: D.O.B.: Allergy to: PLACE PICTURE HERE Weight: lbs. Asthma: [ ] Yes (higher risk for a severe reaction) [ ] No NOTE: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe

More information

Below are tips for keeping bugs away. Try not to use soaps, shampoos, and deodorants that have a fragrance or perfume.

Below are tips for keeping bugs away. Try not to use soaps, shampoos, and deodorants that have a fragrance or perfume. F O R Y O U R H E A L T H What Do I Do if I Get an Insect Bite? Have you ever been stung by a bee, a wasp, or a hornet? The answer is probably yes! You may have come into contact with all kinds of insects.

More information

Should you have questions or concerns, please contact the Program Supervisor at the location your child is registered.

Should you have questions or concerns, please contact the Program Supervisor at the location your child is registered. Community Services Department, Recreation Division 201 City Centre Drive MISSISSAUGA ON L5B 2T4 mississauga.ca/recreation Dear Parent/Guardian, We are excited to have you join us for camps this season!

More information

Allergy to: Asthma: [ ] Yes (higher risk for a severe reaction) [ ] No For a suspected or active food allergy reaction:

Allergy to: Asthma: [ ] Yes (higher risk for a severe reaction) [ ] No For a suspected or active food allergy reaction: Name: D.O.B.: Allergy to: Weight: lbs. Asthma: [ ] Yes (higher risk for a severe reaction) [ ] No For a suspected or active food allergy reaction: PLACE STudent s Picture here SEVERE SYMPTOMS [ ] if checked,

More information

Managing Allergies and Anaphylaxis at School EPI-PEN TRAINING FOR SCHOOL PERSONNEL

Managing Allergies and Anaphylaxis at School EPI-PEN TRAINING FOR SCHOOL PERSONNEL Managing Allergies and Anaphylaxis at School EPI-PEN TRAINING FOR SCHOOL PERSONNEL Objective: Attendees will be able to: Increase their knowledge about allergies to food and other allergens. Describe the

More information

9220 Haven Avenue, Suite 101 Rancho Cucamonga, CA Tel: (909) Fax: (909) ALLERGY HISTORY

9220 Haven Avenue, Suite 101 Rancho Cucamonga, CA Tel: (909) Fax: (909) ALLERGY HISTORY Name: Date of Birth: Date of Visit: Briefly describe the reason for your visit: How long have you had these problems? How frequently do you have them? NASAL SYMPTOMS ALLERGY HISTORY 1. I have the following

More information

Allergy Management Policy

Allergy Management Policy Allergy Management Policy Food Allergy People with allergies have over-reactive immune systems that target otherwise harmless elements of our diet and environment. During an allergic reaction to food,

More information

You need to know that we will administer the epi-pen if your child is experiencing ANY of the following symptoms:

You need to know that we will administer the epi-pen if your child is experiencing ANY of the following symptoms: MEDICATION ADMINISTRATION AND FOOD ALLERGY POLICY We want to make you aware of the steps Silver Spring Day School (SSDS) is taking to assure the safety of children with serious allergies or a medical condition.

More information

Australian insects: bites and stings guide.

Australian insects: bites and stings guide. Australian insects: bites and stings guide www.healthdirect.gov.au Biters Stingers Biters use their mouths to suck blood. They can infect you with diseases. Stingers inject you with venom, which can trigger

More information

7. Study instruments for 13/14 year olds

7. Study instruments for 13/14 year olds 7. Study instruments for 13/14 year olds 7.1 Instructions for completing questionnaire and demographic questions Examples of instructions for completing questionnaires and demographic questions are given

More information

Lesson 17: Allergies & Anaphylaxis. Emergency Reference Guide p

Lesson 17: Allergies & Anaphylaxis. Emergency Reference Guide p Lesson 17: Allergies & Anaphylaxis Emergency Reference Guide p. 25-30 Objectives Describe basics of allergic reactions & treatment Define anaphylaxis List signs & symptoms of anaphylaxis Describe conditions

More information

Environmental Injury and Illnesses. Dc. Anna Toplaghaltsyan

Environmental Injury and Illnesses. Dc. Anna Toplaghaltsyan Environmental Injury and Illnesses Dc. Anna Toplaghaltsyan Yerevan 2018 BITES AND STINGS Insect bites and stings are a common and an annoying occurrence. Most bites are minor but the potential for a serious

More information

A Sweet Stinger. READTHEORY Name Date. Buzz! Buzz! Buzz!

A Sweet Stinger. READTHEORY Name Date. Buzz! Buzz! Buzz! READTHEORY Name Date A Sweet Stinger Buzz! Buzz! Buzz! If you hear that sound, it means that there could be a honey bee nearby. Honey bees are very important insects. As they fly from one flower to another,

More information

Appendix. Contents A-1. Knowledge Reviews A-2. Knowledge Reviews Answer Keys A-9. Primary Care Final Exam A-11. Secondary Care Final Exam A-17

Appendix. Contents A-1. Knowledge Reviews A-2. Knowledge Reviews Answer Keys A-9. Primary Care Final Exam A-11. Secondary Care Final Exam A-17 Appendix Appendix Contents Knowledge Reviews A-2 Knowledge Reviews Answer Keys A-9 Primary Care Final Exam A-11 Secondary Care Final Exam A-17 Primary Care Final Exam Answer Sheet A-23 Secondary Care Final

More information

Terms What is Anaphylaxis? Causes Signs & Symptoms Management Education Pictures Citations. Anaphylaxis; LBodak

Terms What is Anaphylaxis? Causes Signs & Symptoms Management Education Pictures Citations. Anaphylaxis; LBodak Leslie Bodak, EMT-P Terms What is Anaphylaxis? Causes Signs & Symptoms Management Education Pictures Citations Allergic Reaction: an abnormal immune response the body develops when a person has been previously

More information

Enjoy the Countryside SAFELY

Enjoy the Countryside SAFELY Enjoy the Countryside SAFELY Buzzers and Stingers worksheet 2 LESSON PLAN / TEACHERS' NOTES TOPIC: This lesson plan covers UK creatures that can sting; bees and wasps, caterpillars and ants. AIMS: For

More information

ALLERGY AWARENESS POLICY

ALLERGY AWARENESS POLICY ALLERGY AWARENESS POLICY 1. RATIONALE Allergies are very common and increasing in Australia and New Zealand, affecting around 1 in 5 people at some time in their lives. There are many different causes

More information

STEPS. How to Get Well When You re Sick or Hurt. Nancy Lobb illustrated by David Strauch. Third Edition

STEPS. How to Get Well When You re Sick or Hurt. Nancy Lobb illustrated by David Strauch. Third Edition STEPS To Independent Living Third Edition How to Get Well When You re Sick or Hurt Nancy Lobb illustrated by David Strauch WALCH EDUCATION 1 2 3 4 5 6 7 8 9 10 ISBN 978-0-8251-6489-7 Copyright 1986, 1995,

More information

An allergic reaction is an exaggerated response by the immune system to a foreign substance

An allergic reaction is an exaggerated response by the immune system to a foreign substance ALLERGIC REACTION An allergic reaction is an exaggerated response by the immune system to a foreign substance Anaphylaxis is an unusual or exaggerated allergic reaction; is a life threatening emergency

More information

STAYTON FIRE DISTRICT PROTOCOL QUIZ

STAYTON FIRE DISTRICT PROTOCOL QUIZ STAYTON FIRE DISTRICT PROTOCOL QUIZ Name 1. Please list the appropriate EMS Level for each of the Scope of Practice items below EMR Emergency Medical Responder B Basic Conduct primary and secondary patient

More information

SCHOOL DISTRICT NO. 51 (BOUNDARY) P O L I C Y

SCHOOL DISTRICT NO. 51 (BOUNDARY) P O L I C Y SCHOOL DISTRICT NO. 51 (BOUNDARY) P O L I C Y SECTION TITLE NO. 4020 HEALTH/SAFETY Anaphylaxis (Severe Allergic Reaction) DATE ADOPTED: May 13, 2008 DATE AMENDED: Anaphylaxis is a sudden and severe allergic

More information

First Aid Information

First Aid Information ISSUED May 2018 First Aid Information First Aid Kits Are Located: First Aid Kits Are Managed By: First Aid Kits Are Accessible By: Church Staff Ministry Volunteer Leaders Ministry Volunteer Team Members

More information

Your Anaesthetic Explained

Your Anaesthetic Explained Your Anaesthetic Explained Patient Information Sheet Pre Admission Assessment Clinic Tel: 4920307 What is anaesthesia? The word anaesthesia means loss of sensation. If you have ever had a dental injection

More information

SEVERE ALLERGY/ANAPHYLAXIS ACTION PLAN & TREATMENT AUTHORIZATION Appendix F-4A

SEVERE ALLERGY/ANAPHYLAXIS ACTION PLAN & TREATMENT AUTHORIZATION Appendix F-4A PART I - TO BE COMPLETED BY PARENT Student Date of Birth Teacher/Grade Allergy Route of Exposure Contact Ingestion Weight lbs. Inhalation Sting Asthmatic Yes* No *Higher risk for severe reaction Parent

More information

REQUIREMENTS FOR DEVELOPING AN INDIVIDUALIZED HEALTHCARE PLAN FOR STUDENTS WITH FOOD AND LIFE THREATENING ALLERGIES

REQUIREMENTS FOR DEVELOPING AN INDIVIDUALIZED HEALTHCARE PLAN FOR STUDENTS WITH FOOD AND LIFE THREATENING ALLERGIES REQUIREMENTS FOR DEVELOPING AN INDIVIDUALIZED HEALTHCARE PLAN FOR STUDENTS WITH FOOD AND LIFE THREATENING ALLERGIES Parent/ Guardian: Notify the appropriate school personnel of all student allergies and

More information

Eczema: also called atopic dermatitis; a chronic, itchy, scaly rash not due to a particular substance exposure

Eczema: also called atopic dermatitis; a chronic, itchy, scaly rash not due to a particular substance exposure Allergy is a condition in which the immune system causes sneezing, itching, rashes, and wheezing, or sometimes even life-threatening allergic reactions. The more you know about allergies, the better prepared

More information

CCSD School Nurses. Support of Students with Life Threatening Allergies

CCSD School Nurses. Support of Students with Life Threatening Allergies CCSD School Nurses Support of Students with Life Threatening Allergies The Clark County School District is committed to provide a safe, supportive environment in which all students can learn and achieve.

More information

للأدوية الأليرجياي ي الارتكاس = medication Allergic reaction to

للأدوية الأليرجياي ي الارتكاس = medication Allergic reaction to 1 / 6 Allergic reaction to medication An allergic reaction to a medication is an unintended immune response to the medication. Symptoms can vary from a mild rash to shortness of breath to death. It is

More information

West Houston Allergy & Asthma, P.A.

West Houston Allergy & Asthma, P.A. Consent to Receive Immunotherapy (ALLERGY SHOTS) Procedure Allergy injections are usually started at a very low dose. This dose is gradually increased on a regular (usually 1-2 times per week) basis until

More information

STUDENT HEALTH FORM. Name of Student Birth Date Sex (MM/DD/YY) Entrance Date (MM/DD/YY) Siblings in the School (names and grades)

STUDENT HEALTH FORM. Name of Student Birth Date Sex (MM/DD/YY) Entrance Date (MM/DD/YY) Siblings in the School (names and grades) STUDENT HEALTH FORM If you are a new student enrolling at AISC, please attach a copy of the immunization records & proof of physical exam in the last 12 months & submit the complete form to: Sanja Ilic,

More information

Queen City Independent School District Stock Epinephrine Policy/Protocol

Queen City Independent School District Stock Epinephrine Policy/Protocol Queen City Independent School District Stock Epinephrine Policy/Protocol In accordance with Texas SB 66 as well as Chapter 38 of the Education Code Subchapter E, and the NASN guidelines for stock Epinephrine

More information

LEARN ABOUT ANOTHER WAY TO TREAT YOUR ALLERGIES

LEARN ABOUT ANOTHER WAY TO TREAT YOUR ALLERGIES LEARN ABOUT ANOTHER WAY TO TREAT YOUR ALLERGIES WHAT ARE ALLERGIES? It s probably not something that you think about, but every time you open your mouth or inhale, tiny particles from the environment that

More information

Faith Lutheran College, Redlands Faith in Christ prepared for life A I ANAPHYLAXIS POLICY T H. Last updated June 2017

Faith Lutheran College, Redlands Faith in Christ prepared for life A I ANAPHYLAXIS POLICY T H. Last updated June 2017 F Faith Lutheran College, Redlands Faith in Christ prepared for life A I ANAPHYLAXIS POLICY T H Last updated June 2017 Food Allergy Policy and Procedures Rationale: Within the general community, there

More information

Emergency Care Progress Log

Emergency Care Progress Log Emergency Care Progress Log For further details on the National Occupational Competencies for EMRs, please visit www.paramedic.ca. Check off each skill once successfully demonstrated the Instructor. All

More information

St. Andrew Apostle Family Handbook Acknowledgement

St. Andrew Apostle Family Handbook Acknowledgement 11602 Silver Spring, MD 20902 (301) 649-3555 fax (301) 649 2352 www.standrewapostle.org 2018-2019 Apostle Family Handbook Acknowledgement *The Principal reserves the right to amend the Family Handbook

More information

SESSION PLAN FAA LEVEL 3 AWARD IN FIRST AID AT WORK (RQF) AWARD IN FIRST AID AT WORK AT SCQF LEVEL 6 REQUALIFICATION COURSE.

SESSION PLAN FAA LEVEL 3 AWARD IN FIRST AID AT WORK (RQF) AWARD IN FIRST AID AT WORK AT SCQF LEVEL 6 REQUALIFICATION COURSE. FAA LEVEL 3 AWARD IN FIRST AID AT WORK (RQF) AWARD IN FIRST AID AT WORK AT SCQF LEVEL 6 REQUALIFICATION COURSE Unit 1 : Emergency First Aid in the Workplace : 6 hour duration Full qualification requires

More information

SAN JOAQUIN COUNTY EMERGENCY MEDICAL SERVICES AGENCY. Administration of Epinephrine Auto-Injector Training

SAN JOAQUIN COUNTY EMERGENCY MEDICAL SERVICES AGENCY. Administration of Epinephrine Auto-Injector Training SAN JOAQUIN COUNTY EMERGENCY MEDICAL SERVICES AGENCY Administration of Epinephrine Auto-Injector Training Disclaimer: Authorization - EMT Optional Skills Only authorized Emergency Medical Technicians (EMT)

More information

Package leaflet: Information for the user. Pharmalgen Bee Venom Pharmalgen Wasp Venom. 100μg/ml. powder and solvent for solution for injection

Package leaflet: Information for the user. Pharmalgen Bee Venom Pharmalgen Wasp Venom. 100μg/ml. powder and solvent for solution for injection Package leaflet: Information for the user Pharmalgen Bee Venom Pharmalgen Wasp Venom 100μg/ml powder and solvent for solution for injection Read all of this leaflet carefully before you start using this

More information

UWSP Medical History Form

UWSP Medical History Form UWSP Medical History Form 2017-2018 Student: Please complete the first 6 pages prior to your appointment with your medical provider. The medical provider must sign off on the medical history form. Student

More information

Epinephrine Auto Injector Self-Administration Authorization Packet for Anaphylaxis (A new packet must be completed yearly)

Epinephrine Auto Injector Self-Administration Authorization Packet for Anaphylaxis (A new packet must be completed yearly) Epinephrine Auto Injector Self-Administration Authorization Packet for Anaphylaxis (A new packet must be completed yearly) Packet Contents: 1. Anaphylaxis Medication Self-Administration Form (requires

More information

S:\Admin Staff\100 Administration\2010\109 Policy\Operational Plans\Anaphylaxis Policy.doc

S:\Admin Staff\100 Administration\2010\109 Policy\Operational Plans\Anaphylaxis Policy.doc Growing Together Principal: Mr Paul Andrijich Deputy Principal: Mr Paul Westcott Registrar: Mrs Kerry Vine 65 Coast Road West Swan WA 6055 Telephone: 9250 2711 Mobile: 0434734390 Fax: 9250 2416 EDUCATE

More information

HOW TO HANDLE BASIC MEDICAL EMERGENCIES

HOW TO HANDLE BASIC MEDICAL EMERGENCIES HOW TO HANDLE BASIC MEDICAL EMERGENCIES INTRODUCTION At some point in your career as a Certified Nursing Assistant (CNA) you may be the first person on the scene at a medical emergency. You may witness

More information

PATIENT INFORMATION. Address: Street City State Zip Home phone: Work phone: Cell phone: address: Patient s or parent s employer: Occupation:

PATIENT INFORMATION. Address: Street City State Zip Home phone: Work phone: Cell phone:  address: Patient s or parent s employer: Occupation: Date: PATIENT INFORMATION Name: Birth date: First Last Address: Street City State Zip Home phone: Work phone: Cell phone: E-mail address: How would you prefer to be contacted? Home Cell Text E-mail Are

More information

WELCOME Patient Registration Date:

WELCOME Patient Registration Date: Patient Information WELCOME Patient Registration Date: Mr. Mrs. Ms. Dr. Name: Last First MI Address: Street Apt. # City State Zip Code Home Tel #: Work #: Cell #: Sex: Female Male Birth Date: Married Single

More information

ALLERGY CLINIC JOHN V. BOSSO, MD, FAAAAI, FACAAI, DIRECTOR

ALLERGY CLINIC JOHN V. BOSSO, MD, FAAAAI, FACAAI, DIRECTOR ALLERGY CLINIC JOHN V. BOSSO, MD, FAAAAI, FACAAI, DIRECTOR Name D.O.B. Date Reason for your visit today: Please put a check and complete the blanks which apply to your symptoms: Present Problem Past Problem

More information

Evergreen Speech & Hearing Clinic, Inc. Transforming Lives Through Improved Communication Since 1979

Evergreen Speech & Hearing Clinic, Inc. Transforming Lives Through Improved Communication Since 1979 Audiology Hearing Testing VRA VNG/VEMP OAE BAER/ECochG Hearing Aids Cochlear/Bone Implants Tinnitus CAPD EHDDI Speech-Language Pathology Language Voice Accent Modification Autism Evaluation & Treatment

More information

MEDICAL JEOPARDY. Q. This is the first thing you check when you find an unconscious victim

MEDICAL JEOPARDY. Q. This is the first thing you check when you find an unconscious victim MEDICAL JEOPARDY This is a Medical Jeopardy game with rules similar to Jeopardy on television. Use 3x5 cards with a hole punched in one end on a bulletin board for the game board. Each contestant will

More information

PARENT/ GUARDIAN ANAPHYLAXIS PACKAGE ELEMENTARY/SECONDARY

PARENT/ GUARDIAN ANAPHYLAXIS PACKAGE ELEMENTARY/SECONDARY PARENT/ GUARDIAN ANAPHYLAXIS PACKAGE ELEMENTARY/SECONDARY 2006 PARENT/GUARDIAN INFORMATION & RESPONSIBILITIES: The Board and its schools endeavor to provide a safe environment for children with life threatening

More information

HLTAID003 PROVIDE FIRST AID WORK BOOK

HLTAID003 PROVIDE FIRST AID WORK BOOK 1 HLTAID003 PROVIDE FIRST AID WORK BOOK To be used in conjunction with the E M E R G N E C Y H A N D B O O K FIFTH EDITION READY HEALTH NURSING COLLEGE HLTAID003 PROVIDE FIRST AID WORKBOOK Student s Name:

More information

Bradford Beekeepers Association Certificate of Competence as a Beekeeper Continuing Learning

Bradford Beekeepers Association Certificate of Competence as a Beekeeper Continuing Learning Certificate of Competence as a Beekeeper Continuing Learning This learning guide will help you meet the requirements of the activity: BfdGL2 Carry out a risk assessment for beekeeping activity In this

More information

TREATMENT OF ANAPHYLACTIC REACTION WITH EPINEPHRINE

TREATMENT OF ANAPHYLACTIC REACTION WITH EPINEPHRINE TREATMENT OF ANAPHYLACTIC REACTION WITH EPINEPHRINE FILE: JGCDC Background: The Bibb County School System recognizes the growing concern with severe life-threatening allergic reactions to food items, latex,

More information

1960 FP CENTER FOR SLEEP DISORDERS

1960 FP CENTER FOR SLEEP DISORDERS 1960 FP CENTER FOR SLEEP DISORDERS Sleep Questionnaire Name: Date: Date of Birth: / / Age: Gender: Height: Weight: lbs. Referring Physician: Occupation: Please give a brief description of your sleep problem

More information

GET TRAINED. What Would You Do? You have moments to react. Bianca 1/15/2014 GET TRAINED

GET TRAINED. What Would You Do? You have moments to react. Bianca 1/15/2014 GET TRAINED GET TRAINED It s time to GET TRAINED to administer an epinephrine auto-injector in an emergency! What Would You Do? Bianca has a bee sting allergy She is playing in the garden at her friends house She

More information

SECONDARY INSURANCE Insurance Name Guarantor* *List person or insured name responsible to ensure

SECONDARY INSURANCE Insurance Name Guarantor* *List person or insured name responsible to ensure DATE: Sec. Initials: PATIENT NAME: (Last) (First) Cell: Home: Work: Email: ADDRESS: (Street) (City) (State) (Zip) Date of Birth: Sex: Male Female Race\Ethnicity: Emergency Contact Name: Phone No.: Family

More information

Poisoning KNOWLEDGE OBJECTIVES SKILL OBJECTIVES. 1. List the four ways poisons enter the body.

Poisoning KNOWLEDGE OBJECTIVES SKILL OBJECTIVES. 1. List the four ways poisons enter the body. KNOWLEDGE OBJECTIVES Poisoning 1. List the four ways poisons enter the body. 2. List at least six signs and symptoms of poisoning. 3. Describe the role of a poison centre. 4. Identify the general principles

More information

School Year SEVERE ALLERGY Medical Action Plan (MAP) Student s Name. Date of Birth CONTACT INFORMATION ALLERGIC HISTORY

School Year SEVERE ALLERGY Medical Action Plan (MAP) Student s Name. Date of Birth CONTACT INFORMATION ALLERGIC HISTORY Bus Transportation Office Use ONLY if Needed Bus # Driver Route # Medical File 9758 E Highland Rd. Howell, MI 48843 810-632-2200 phone 810-632-2201 fax School Year SEVERE ALLERGY Medical Action Plan (MAP)

More information

Evergreen Speech & Hearing Clinic, Inc. Transforming Lives Through Improved Communication Since 1979

Evergreen Speech & Hearing Clinic, Inc. Transforming Lives Through Improved Communication Since 1979 Audiology Hearing Testing VRA VNG/VEMP OAE BAER/ECochG Hearing Aids Cochlear/Bone Implants Tinnitus CAPD EHDDI Speech-Language Pathology Language Voice Accent Modification Autism Evaluation & Treatment

More information

REGISTRATION FORM. 1. Full Name. 2. Date of Birth. 3. Gender. 4. Round Square. 5. Do you have any dietary restrictions? 6. School:

REGISTRATION FORM. 1. Full Name. 2. Date of Birth. 3. Gender. 4. Round Square. 5. Do you have any dietary restrictions? 6. School: REGISTRATION FORM Personal Details 1. Full Name 2. Date of Birth 3. Gender Female Male 4. Round Square Rep Staff Student 5. Do you have any dietary restrictions? 5 6. School: 6 7. Parent/Guardian details

More information

Allergy to: NOTE: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe reaction. USE EPINEPHRINE.

Allergy to: NOTE: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe reaction. USE EPINEPHRINE. Name: D.O.B.: Allergy to: PLACE PICTURE HERE Weight: lbs. Asthma: [ ] Yes (higher risk for a severe reaction) [ ] No NOTE: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe

More information

REPORT OF MEDICAL HISTORY Form A Complete History for Pre-Hire or Job Transfer

REPORT OF MEDICAL HISTORY Form A Complete History for Pre-Hire or Job Transfer MEDICAL RECORD REPORT OF MEDICAL HISTORY Form A Complete History for Pre-Hire or Job Transfer Pre-Hire Job Transfer PERSONAL INFORMATION Last name, First name, Middle Initial Social Security Number Today

More information

New Patient Information & Consents

New Patient Information & Consents New Patient Information & Consents Name: DOB: SSN: Gender: Address: City: State: Zip: Home #: Cell #: Other#: Employment Status: Occupation: Email Address: Marital Status: S M D W How did you hear about

More information

CHIROPRACTIC ASSOCIATES CLINIC

CHIROPRACTIC ASSOCIATES CLINIC CHIROPRACTIC ASSOCIATES CLINIC 1127 LAKEWOOD COURT NORTH, REGINA, SK S4X 3S3 PH: (306) 924-5300 FAX: (306) 924-5252 EMAIL: cac.north@accesscomm.ca CHIROPRACTIC INITIAL HEALTH FORM PATIENT INFORMATION Last

More information

Linton Hall School Allergy Action Plan

Linton Hall School Allergy Action Plan Linton Hall School Allergy Action Plan Dear Parent or Guardian, Please provide the information requested below to help us care for your child s life-threatening allergy while at school. Instructions for

More information

Overview and Useful Contacts (Bees EBD) The scheme of work and resources within this zone cover the theme of Beekeeping.

Overview and Useful Contacts (Bees EBD) The scheme of work and resources within this zone cover the theme of Beekeeping. Theme/Zone Identified Overview and Useful Contacts (Bees EBD) The scheme of work and resources within this zone cover the theme of Beekeeping. Key Stage This zone is applicable to Key Stage 4. Ability/NC

More information

EMERGENCY SCREENING PLEASE PROVIDE US THE REASON FOR YOUR VISIT TODAY. Date of Birth: Is today s visit related to work place injury?

EMERGENCY SCREENING PLEASE PROVIDE US THE REASON FOR YOUR VISIT TODAY. Date of Birth: Is today s visit related to work place injury? EMERGENCY SCREENING Welcome to MedStar PromptCare. In order to provide the very best care for you and also protect your privacy, we ask that you complete this form immediately upon presentation to the

More information

Recognize Anaphylaxis Symptoms

Recognize Anaphylaxis Symptoms Recognize Anaphylaxis Symptoms File: JHCD-F1 Recognize the Common Anaphylaxis Symptoms Sudden difficulty breathing, wheezing Hives, generalized flushing, itching, or redness of the skin, Swelling of the

More information

ANAPHYLAXIS POLICY & PROCEDURES

ANAPHYLAXIS POLICY & PROCEDURES PHOENIX P-12 COMMUNITY COLLEGE ANAPHYLAXIS POLICY & PROCEDURES Policy Statement Anaphylaxis is a severe, rapidly progressive allergic reaction that involves various areas of the body simultaneously and

More information

GET TRAINED. A program for school nurses to train school staff to administer epinephrine using an auto-injector

GET TRAINED. A program for school nurses to train school staff to administer epinephrine using an auto-injector GET TRAINED 2015 A program for school nurses to train school staff to administer epinephrine using an auto-injector Get Trained 2016 Updates Information in this presentation was reviewed and updated in

More information

Medical Advisory Committee. Run Review

Medical Advisory Committee. Run Review Nor Cal EMS Medical Advisory Committee Run Review September 2014 Eric M. Rudnick, MD, FACEP, FAAEM Medical Director Northern California EMS September 9, 2014 1 Case #1 Dispatched for a male with chest

More information

ALLERGY QUESTIONNAIRE

ALLERGY QUESTIONNAIRE ALLERGY QUESTIONNAIRE CLIENT INFORMATION Today s Date: Date of Birth Name: Address City State Zip Home Phone: Work Phone Cell /Pager: Age Male Female Email address Marital Status: Married Single Divorced

More information

Package leaflet: Information for the patient. Vertigon 8 mg Tablets Vertigon 16 mg Tablets (betahistine dihydrochloride)

Package leaflet: Information for the patient. Vertigon 8 mg Tablets Vertigon 16 mg Tablets (betahistine dihydrochloride) Package leaflet: Information for the patient Vertigon 8 mg Tablets Vertigon 16 mg Tablets (betahistine dihydrochloride) Read all of this leaflet carefully before you start taking this medicine because

More information

Monthly Safety Meeting. 25 September 2014 Please sign roster

Monthly Safety Meeting. 25 September 2014 Please sign roster Monthly Safety Meeting 25 September 2014 Please sign roster Before we begin Please sign the safety meeting roster Used to log safety currency in eservices Safety currency necessary for participation in

More information

Medical Questionnaire

Medical Questionnaire MEDICIS Health Testing Center Avenue de Tervueren 236 115 Bruxelles Tel : 2/762.5.44 Medical Questionnaire Name :. Maiden name : First name :. Sex :. Address :...... Phone (private) : Office :. Date of

More information

Alka-Seltzer Plus Multi-Symptom Cold Day & Night Effervescent Tablets

Alka-Seltzer Plus Multi-Symptom Cold Day & Night Effervescent Tablets Do not take these products at the same time. Alka-Seltzer Plus Multi-Symptom Cold Day Effervescent Tablets Drug Facts Active ingredients (in each tablet) Purposes Aspirin 325 mg (NSAID)*...Pain reliever/fever

More information

NOTE: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe reaction. USE EPINEPHRINE.

NOTE: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe reaction. USE EPINEPHRINE. Name: Allergy to: Weight: D.O.B.: lbs. Asthma: [ ] Yes (higher risk for a severe reaction) [ ] No PICTURE NOTE: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe reaction.

More information

New Patient Questionnaire. Today s Date: Date of Birth: Name: Home Address: City: State: Zip: Home Phone: Work Phone: address: Referred by:

New Patient Questionnaire. Today s Date: Date of Birth: Name: Home Address: City: State: Zip: Home Phone: Work Phone:  address: Referred by: Pamela A. Pappas MD, MD(H) Classical Homeopathy for Mind, Body, and Soul 8114 E. Cactus Rd., Suite #240 Scottsdale, Arizona 85260 Phone: 480.656.9218 Fax: 602.626.3695 E-mail drpam@drpampappas.com New

More information