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CoVid 19

 

a.    Our 12 point action plan to protect you from infection.

 

  1. Each candidate will be asked to confirm that they are without symptoms of infection.
  2. Each candidate will be asked to confirm that they should not be self-isolating.
  3. The tutor will take a lateral flow test 24 hours before the course is due to start.
  4. Workstations will be spaced at least 1 metre apart.
  5. Windows and/or doors will be opened to manage good ventilation in the classroom.
  6. Good hand hygiene and respiratory hygiene will be promoted at the start and throughout the course. Poor behaviours can lead to that candidate being asked to leave the course. This is for everyone's safety and wellbeing.
  7. Each candidate will have their own sole use of a sanitising hand gel pump, and anti viral/bacterial wipes.
  8. For classes of 7 or less, each candidate will have sole use of a mannequin to practice Basic Life Support skills.
  9. For classes of 7 or less, each candidate will have sole use of a training defibrillator to practice using this device.
  10. For classes irrespective of size, each candidate will have sole use of a mini first aid kit and prosthetic limb to practice bandaging of wounds.
  11. All activities that form the course have been risk assessed and mitigations to risk put in place.
  12. Each candidate will be given a face covering and gloves prior to performing The Recovery Position or any time when 1m social distancing can not be maintained. 
Covid Preparation

Watch this video on how a classroom is prepared long before any candidate enters. Arriving 90 minutes early, I make sure everything is prepared for a covid secure class.

 

b.    First Aid certification advice from the HSE

 

  • First aid in non-healthcare settings

    This guidance will help employers ensure first aiders are confident that they can help someone injured or ill at work during the coronavirus (COVID-19) pandemic.

    Employers and their first aiders should read the guidance on giving cardiopulmonary resuscitation (CPR) from the Resuscitation Council UK.

    Emergency service professionals, such as NHS ambulance workers, will receive advice from their employer about this.

    HSE has guidance on First aid cover and qualifications.

    Check your first aid needs assessment

    As an employer, when reviewing your risk assessment to include working during the pandemic, consider refreshing your first aid at work needs assessment.

    Ask your first aiders if there are any factors that should be taken into account as part of your risk assessment. These factors could include vulnerable workers with first aid responsibilities.

    You should discuss the risk assessment with your first aiders so they are confident about providing the right assistance.

    This includes knowing what equipment they can use to minimise risk of infection transmission, as explained below.

     

    Guidance for first aiders

    Although the UK Government has now removed social distancing in most workplace situations, first aiders should still consider the precautions set out in this guidance to reduce the risk of COVID-19 infection.

     

    Try to assist at a safe distance from the casualty as much as you can. Minimise the time you share a breathing zone.

    Although treating the casualty properly should be your first concern, you can tell them to do things for you if they are capable.

    Remember the 3P model – preserve life, prevent worsening, promote recovery.

    Preserve life: CPR

    Call 999 immediately – tell the call handler if the patient has any COVID-19 symptoms.

    Ask for help. If a portable defibrillator is available, ask for it.

    Before starting CPR, use a cloth or towel to cover the patient's mouth and nose. This should minimise the risk of transmission while still permitting breathing to restart following successful resuscitation.

    If available, you should use:

    • a fluid-repellent surgical mask
    • disposable gloves
    • eye protection
    • apron or other suitable covering

    Only deliver CPR by chest compressions and use a defibrillator (if available) – don't do rescue breaths.

    For CPR in paediatric settings see guidance from the Resuscitation Council UK.

    Prevent worsening, promote recovery: all other injuries or illnesses

    If you suspect a serious illness or injury, call 999 immediately – tell the call handler if the patient has any COVID-19 symptoms.

    If you’re giving first aid to someone, you should use the recommended equipment listed above if it is available.

    You should minimise the time you share a breathing zone with the casualty and direct them to do things for you where possible.

    After delivering any first aid

    Make sure you discard disposable items safely and clean reusable ones thoroughly.

    Wash your hands thoroughly with soap and water or an alcohol-based hand sanitiser as soon as possible.

    First aid cover and qualifications during the pandemic

    If first aid cover for your business is reduced because of COVID-19 or you can't get the first aid training you need, there are some things you can do to comply with the law.

    Operate with reduced first aid cover

    If fewer people are coming into your workplace it may still be safe to operate with reduced first aid cover. You could also stop higher-risk activities.

    Share first aid cover with another business

    You could share first aiders with another business but make sure they have the knowledge, experience and availability to cover the first aid needs of your own business. 

    Shared first aiders must:

    • be aware of the type of injuries or illnesses that you identified in your first aid needs assessment and have the training and skills to address them
    • know enough about your work environment and its first aid facilities
    • be able to get to the workplace in good time if needed

    Whoever provides the temporary cover must make sure they do not adversely affect their own first aid cover.

    Temporary omission of rescue breaths from training during high transmission rates

    The Resuscitation Council UK (RCUK) has stated that they are supportive of training providers who may wish to omit practical teaching and assessment of rescue breaths in first aid training while COVID-19 transmission rates are high. 

    RCUK are leaders in the field of CPR. HSE support their position on this for most First Aid at Work (FAW) and Emergency First Aid at Work (EFAW) training courses.

    This is a precautionary measure. Providers who are satisfied that they can safely deliver practical teaching and assessment of rescue breaths may continue to do so.

    Rescue breaths should continue to be demonstrated practically and assessed in training courses for Paediatric First Aid training (PFA) or front-line emergency services.

    Practical demonstration should also continue if the first aider is - for example - a lifeguard who may be expected to treat someone who is drowning.

    If an FAW or EFAW training or requalification course does not include practical teaching of rescue breaths, employers should make sure that that the training includes:

    • a practical demonstration by the trainer themselves and/or a video demonstration of rescue breath techniques
    • full training in the theory of giving rescue breaths
    • assurance from the training provider that the student is competent to give rescue breaths

    HSE always strongly recommends that workplace first aiders undertake annual refresher training. If first aid training or requalification during the COVID-19 pandemic has not included practical training and assessment for giving rescue breaths, employers should make sure it’s included in the next refresher course.

    This guidance will be reviewed as transmission and infection rates improve.

    Annual refresher training

    If first aiders are unable to get annual face-to-face refresher training during the pandemic, we support the use of online refresher training to keep skills up to date.

    We still strongly recommend that the practical elements of FAW, EFAW and requalification courses are delivered face to face. This means that the competency of the student can be properly assessed.

    Interrupted first aid training

    If you couldn’t complete your first aid training because of  the pandemic, it can restart later as long as:

    • there is a full recap of the training delivered before the pandemic prior to moving onto undelivered modules
    • the training provider is content that you can show:
      • a full understanding of all aspects of the course content
      • the knowledge and competencies required at the end of the training

    We review and update this page regularly to reflect any changes in guidance.

    Page last reviewed: 28 February 2022

    Next review due: 23 March 2022


     


Resus Council UK https://www.resus.org.uk/media/statements/resuscitation-council-uk-statements-on-covid-19-coronavirus-cpr-and-resuscitation/covid-community/


 

c.    Resuscitation advice from the Resuscitation Council (UK)
 


This statement is for anyone who is performing CPR/defibrillation in an out-of-hospital setting.

 
Whenever CPR is carried out, particularly on an unknown victim, there is some risk of cross infection, associated particularly with giving rescue breaths. Normally, this risk is very small and is set against the inevitability that a person in cardiac arrest will die if no assistance is given. The first things to do are shout for help and dial 999.  


Watch what to do in an emergency.

 

 

Resuscitation Council UK Guidelines 2015 state “If you are untrained or unable to do rescue breaths, give chest compression-only CPR (i.e. continuous compressions at a rate of at least 100–120 min-1)”.
Because of the heightened awareness of the possibility that the victim may have COVID-19, Resuscitation Council UK offers this advice:

 

  • Recognise cardiac arrest by looking for the absence of signs of life and the absence of normal breathing. Do not listen or feel for breathing by placing your ear and cheek close to the patient’s mouth. If you are in any doubt about confirming cardiac arrest, the default position is to start chest compressions until help arrives.
  • Make sure an ambulance is on its way. If COVID 19 is suspected, tell them when you call 999.
  • If there is a perceived risk of infection, rescuers should place a cloth/towel over the victims mouth and nose and attempt compression only CPR and early defibrillation until the ambulance (or advanced care team) arrives. Put hands together in the middle of the chest and push hard and fast.
  • Early use of a defibrillator significantly increases the person’s chances of survival and does not increase risk of infection.
  • If the rescuer has access to personal protective equipment (PPE) (e.g. FFP3 face mask, disposable gloves, eye protection), these should be worn. 
  • After performing compression-only CPR, all rescuers should wash their hands thoroughly with soap and water; alcohol-based hand gel is a convenient alternative. They should also seek advice from the NHS 111 coronavirus advice service or medical adviser.

 

Paediatric advice

 

We are aware that paediatric cardiac arrest is unlikely to be caused by a cardiac problem and is more likely to be a respiratory one, making ventilations crucial to the child’s chances of survival. However, for those not trained in paediatric resuscitation, the most important thing is to act quickly to ensure the child gets the treatment they need in the critical situation.

 
For out-of-hospital cardiac arrest, the importance of calling an ambulance and taking immediate action cannot be stressed highly enough. If a child is not breathing normally and no actions are taken, their heart will stop and full cardiac arrest will occur. Therefore, if there is any doubt about what to do, this statement should be used.

 
It is likely that the child/infant having an out-of-hospital cardiac arrest will be known to you. We accept that doing rescue breaths will increase the risk of transmitting the COVID-19 virus, either to the rescuer or the child/infant. However, this risk is small compared to the risk of taking no action as this will result in certain cardiac arrest and the death of the child.

 

Further reading:

 

Feedback from Previous Attendees

 

  • Really enjoyable and informative course, delivered expertly. Support materials and teaching aids were great. Thanks
  • A great course, really enjoyed it. Many thanks.
  • A great course very safely delivered given the covid restrictions. Still able to think about incidents and be better prepared for what to do if they occur.
  • In depth training
  • Scenarios were very useful and informative, especially the reflective learning.
  • Another great day! Really enjoyed it. Many Thanks.
  • Well run and fun course despite the challenges of running in covid.
  • Strange times with Covid but course was well executed and great use of additional tools to support. 😊
  • Amazing course. I feel much more confident. Amazing trainer. I think this is the first training session I haven’t fallen asleep or even wanted to. Team Andrew 😊
  • Great course. Lots of work and commmitment from Decisive First Aid. Extra miles done for us to enjoy and to like the course. Very motivating.
  • The Instructor Andy was brilliant. He presented himself and course really well.
  • Very good course. Andrew was engaging and it was an interactive course, all done in a covid secure way.
  • Great course/Great Teacher – Would highly recommend.
  • Trainer delivered the course very well, kept us engaged.
  • Very well run – feel the course met my expectations and I feel confident to deal with issues.
  • Andrew explained things very clearly and was enjoyable to listen to. Just the right amount of information for a one day course.
  • Great course, good use of slides and practical exercises.
  • I particularly liked the friendly relaxed attitude.
  • It was interactive with real life examples.
  • I loved the practical method and I love learning more about helping people.
  • I learned new things I am confident will come in handy one day and hopefully be able to help someone should the situation present itself.
  • Really happy with the content we covered.
  • A very good day, enjoyable and informative.
  • Very organised event. Professional
  • Excellent course. Excellent tutor.
  • Very well delivered. Excellent equipment with a chance to try everything. Learning needs met. Thanks
  • Lovely First Aid course
  • Attended Emergency First Aid at Work course with Andrew in Stevenage this was an excellent course, very informative and all practical skills assessed.
  • As a person with dyslexia all possible assistance was given to me without any difficulty.
  • I liked the use of props to demonstrate.
  • Very much informative.
  • I particularly liked how the training linked to our own work environment. Very Interesting and easy to follow.
  • Andrew explained everything clearly and made the whole course interesting throughout.
  • I liked the scenarios.
  • I particularly liked the hands on training
  • Really good course.
  • Very informative. I feel I am prepared as I can be for if such a situation should arise. Fantastic Training.
  • Feel confident that if ever needed to put into practice/real incident, I would be happy to do so.
  • Good course, easy to follow.
  • The bespoke nature of the course and the overall delivery.
  • I particularly liked the experience of the trainer and relating to real life situations.
  • Great course, good use of slides and practical exercises.
  • I particularly liked the friendly relaxed attitude.
  • It was interactive with real life examples.
  • I loved the practical method and I love learning more about helping people.
  • I learned new things I am confident will come in handy one day and hopefully be able to help someone should the situation present itself.
  • Really happy with the content we covered.
  • A very good day, enjoyable and informative.

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