Provide Risk-Based Primary Emergency Care / First Aid in the Workplace

 PURPOSE OF THE UNIT STANDARD

 

This Unit Standard will be useful for employees to enable them to provide primary emergency care (first aid) in response to an occupational risk induced or any health emergency in their specific workplaces.

Qualifying learners are able to:

  • Demonstrate the principles of primary emergency care.
  • Assess and control a single injury emergency scene in the workplace.
  • Demonstrate primary emergency life support for adults, children and infants.
  • Explain and manage shock.
  • Carry out secondary assessment of the sick or injured person and provide appropriate primary emergency care at the scene.
  • Keep records of the incident/accident.

 

LEARNING ASSUMED TO BE IN PLACE AND RECOGNITION OF PRIOR LEARNING

 

  • Communication at NQF Level 1 or ABET Level 4.
  • Mathematical Literacy at NQF Level 1.

In order for the learner to achieve this unit standard the learner must already be competent in:

 

  • Unit Standard ID 14656: “Demonstrate an understanding of sexuality and sexually transmitted infections including HIV/AIDS”.

 

UNIT STANDARD RANGE

 

This unit standard covers the recognition and management of the following range of emergencies for adults, children and infants according to current and accepted emergency care protocols and principles:
Emergency scene management.

  • Rescue breathing, CPR and choking for adults, children and infants.
  • Shock.
  • Bleeding and wounds.
  • Neck and spine immobilization and transportation.
  • Fractures and dislocations.
  • Burns.
  • Thermal stress.
  • Poisoning.
  • Medical emergencies.

 

Specific Outcomes and Assessment Criteria:

 

SPECIFIC OUTCOME 1

 

Demonstrate the principles of primary emergency care in the workplace.

 

OUTCOME RANGE

 

All health emergencies for people of all the ages.

 


ASSESSMENT CRITERIA

 

ASSESSMENT CRITERION 1

 

The aims of primary emergency care are identified in the evidence.

 

ASSESSMENT CRITERION RANGE

 

  • Protection against further injury.
  • Preservation of life.
  • Promotion of recovery.
  • Prevention of injuries for people at any age.
  • Promotion of healthy lifestyles.

 

ASSESSMENT CRITERION 2

 

Personal protective devices and infectious disease prevention procedures (universal precautions), used during treatment of casualties, are identified and their purpose and application correctly described and demonstrated.

 

ASSESSMENT CRITERION RANGE

 

  • Personal protective equipment must include; surgical gloves, mouthpieces/respiration devices.
  • Universal precaution procedures must cover the safe management of body fluid spills.

 

ASSESSMENT CRITERION 3

 

The medico-legal implications of primary emergency care are explained in terms of existing relevant legislation.

 

ASSESSMENT CRITERION RANGE

 

  • Occupational health and safety legislation.
  • Common law principles.

 

SPECIFIC OUTCOME 2

 

Sustain a basic level of preparedness for health emergencies in the workplace.

 


ASSESSMENT CRITERIA

 

ASSESSMENT CRITERION 1

 

The content of the relevant primary emergency care/first aid kit is demonstrated in accordance with the current relevant legislation and associated regulations.

 

ASSESSMENT CRITERION 2

 

The maintenance and storage of the relevant risk based primary emergency care kit is described and demonstrated where relevant in accordance with accepted workplace procedures.

 

SPECIFIC OUTCOME 3

 

Assess and manage an emergency scene in the workplace.

 


ASSESSMENT CRITERIA

 

ASSESSMENT CRITERION 1

 

The principles of emergency scene management are explained and demonstrated in accordance with current accepted emergency care practices.

 

ASSESSMENT CRITERION RANGE

 

Time limitations, golden hour concept, emergency rules.

 

ASSESSMENT CRITERION 2

 

The primary emergency care process is explained and demonstrated in accordance with current accepted practice.

 

ASSESSMENT CRITERION RANGE

 

  • Primary assessment.
  • Secondary assessment.
  • Continual care.
  • Recording and reporting.

 

ASSESSMENT CRITERION 3

 

Assistance is called for according to workplace procedures.

 

ASSESSMENT CRITERION 4

 

The emergency scene is assessed for safety risks and the specific workplace hazards managed according to accepted safety procedures.

 

ASSESSMENT CRITERION 5

 

The initial scene assessment identifies emergency requirements and the scene is made safe according to accepted safety procedures.

 

ASSESSMENT CRITERION 6

 

Triage and primary assessment is explained and demonstrated.

 

ASSESSMENT CRITERION RANGE

 

Priority order must include: airways; breathing; circulation; internal and external injuries and/or medical conditions.

 

ASSESSMENT CRITERION 7

 

Available resources are utilised to the benefit of the sick or injured person(s).

 

ASSESSMENT CRITERION RANGE

 

First responders assigned tasks according to priority and sound primary emergency principles and suitable materials used.

 

ASSESSMENT CRITERION 8

 

Emergency services are activated according to workplace and area procedures.

 

ASSESSMENT CRITERION 9

 

Secondary assessment is conducted according and managed according to current protocol.

 

ASSESSMENT CRITERION 10

 

Continual care is explained and demonstrated according to current protocol.

 

SPECIFIC OUTCOME 4

 

Demonstrate primary emergency life support for adults, children and infants according to current international protocols.

 

OUTCOME NOTES

 

Appropriately sized manikins must be used for the purpose of this assessment.

 


ASSESSMENT CRITERIA

 

ASSESSMENT CRITERION 1

 

The choking person(s) are managed according to accepted protocols.

 

ASSESSMENT CRITERION RANGE

 

Foreign bodies, strangulation, suffocation, asphyxia.

 

ASSESSMENT CRITERION 2

 

Rescue breathing is explained and demonstrated according to accepted protocols.

 

ASSESSMENT CRITERION 3

 

Recovery position is appropriately utilized.

 

ASSESSMENT CRITERION 4

 

One rescuer Cardio-Pulmonary resuscitation (CPR) is explained and demonstrated with and without the use of barrier ventilation devices, according to accepted protocols.

 

ASSESSMENT CRITERION 5

 

Bleeding is controlled according to current protocols using direct pressure/bandages or suitable materials.

 

SPECIFIC OUTCOME 5

 

Explain and manage shock.

 

OUTCOME RANGE

 

General shock, Anaphylaxis.

 


ASSESSMENT CRITERIA

 

ASSESSMENT CRITERION 1

 

Shock is identified, explained and managed according to accepted protocols.

 

ASSESSMENT CRITERION 2

 

Anaphylactic shock is identified, explained and managed symptomatically according to accepted protocols.

 

SPECIFIC OUTCOME 6

 

Conduct secondary assessment of the sick and/or injured person and provide appropriate primary emergency care within the workplace.

 

OUTCOME RANGE

 

The learner must be able to identify and manage injuries and/or illnesses specific to his/her particular workplace.

 


ASSESSMENT CRITERIA

 

ASSESSMENT CRITERION 1

 

Immobilisation and transporting techniques for persons with neck and/or spinal injuries are demonstrated according to accepted emergency and workplace protocols.

 

ASSESSMENT CRITERION 2

 

Head injuries and levels of consciousness are recognised, monitored and managed according to accepted protocols.

 

ASSESSMENT CRITERION 3

 

Fractures, dislocations and sprains immobilized in the position of most comfort to the affected person.

 

ASSESSMENT CRITERION 4

 

Wounds are managed according to current accepted protocols.

 

ASSESSMENT CRITERION RANGE

 

Amputations, abrasions, lacerations, punctures, embedded objects, gunshot wounds, hand and eye wounds, human/animal/marine/insect/reptile bites and stings.

 

ASSESSMENT CRITERION 5

 

Burn wounds are managed according to current accepted practices.

 

ASSESSMENT CRITERION RANGE

 

Classification, causes, infection control.

 

ASSESSMENT CRITERION 6

 

Thermal stress.

 

ASSESSMENT CRITERION RANGE

 

Febrile patient; hyper/hypothermia.

 

ASSESSMENT CRITERION 7

 

Poisoned patients managed according to current accepted protocols.

 

ASSESSMENT CRITERION RANGE

 

Common and workplace accidental poisoning; overdose; animal/marine/insect/reptile bites and stings.

 

ASSESSMENT CRITERION 8

 

Illnesses common to the workplace are recognised and described according to current accepted practices.

 

ASSESSMENT CRITERION RANGE

 

Diabetes, epilepsy, asthma, stroke, heart attack.

 

SPECIFIC OUTCOME 7

 

Keep records of the incident/accident.

 


ASSESSMENT CRITERIA

 

ASSESSMENT CRITERION 1

 

The scenario and condition of the sick or injured person is communicated to the relevant receiving party during transferal and in accordance with current accepted workplace and emergency care procedures.

 

ASSESSMENT CRITERION 2

 

The incident/accident is reported in accordance with current and accepted workplace procedures and policies.

 

UNIT STANDARD ESSENTIAL EMBEDDED KNOWLEDGE

 

The scope of practice of a first responder.

  • Patient consent and recording.
  • Primary and secondary assessment.
  • Principles of primary emergency health care.
  • Universal precautions regarding safe management of blood and body fluids.
  • Specific management of sick or injured adults, children or infants in health emergencies.

 

UNIT STANDARD NOTES

 

This unit standard replaces unit standards:

 

  • 116507, “Explain the functional aspects of the human anatomy in the use of primary emergency care terminology”, Level 2, 1 credit.
  • 12483, “Perform basic first aid”, Level 2, 4 credits.
  • 9965, “Render basic first aid”, Level 2, 3 credits.
  • 113929, “Render basic first aid in an office workplace”, Level 2, 4 credits.

 

  • Special note:
    This unit standard can be taken as an alternative to the unit standard: “Provide basic primary emergency care as a citizen first responder”, as it builds on that unit standard within the workplace context.

Credit justification:

Total hours required by the learner to achieve the required outcomes:

> Activity:

> Classroom learning: 16 Hours
> Coaching, on-the-job/scenarios/roll plays: 28 Hours
> Self-directed learning: 6 Hours
> Total: 50 Hours

Credits achieved: 5