SISCAQU022 — Provide oxygen resuscitation and therapy in an aquatic environment

Elements & performance criteria

Performance evidence

• manage one unconscious, breathing casualty, including appropriate positioning to reduce the risk of airway compromise
• manage two unconscious non-breathing casualties, one adult and one child, on separate occasions, including: performing at least 2 minutes of uninterrupted single rescuer cardio pulmonary resuscitation (CPR) (5 cycles of both compressions and ventilations) on both an adult and child resuscitation manikin placed on the floor; performing at least 2 minutes of bag-valve-mask (with oxygen) ventilation and at least 2 minutes of compression during resuscitation procedures involving at least two rescuers on both an adult and child resuscitation manikin placed on the floor; responding appropriately using positioning and manual clearing techniques in the event of regurgitation or vomiting; demonstrating a rotation of operators with minimal interruptions to compressions; managing oxygen equipment appropriately; handing over to emergency services personnel
• manage one conscious casualty who requires supplemental oxygen, including: assessing level of consciousness, and vital signs of respiration and pulse; selecting and preparing appropriate oxygen equipment; checking area for ventilation and sources of ignition; administering oxygen safely at correct flow rate; managing an equipment malfunction
• participate in one incident debrief and complete an incident report
• complete each of the following tasks on at least one occasion to maintain oxygen equipment: dismantling; discarding disposal components; cleaning and decontamination; checking and diagnosing faults; storage.

Knowledge evidence

• organisational procedures for emergency response, incident debriefing and record keeping
• the nature of aquatic venues and how this may impact on the provision of oxygen resuscitation and therapy
• how to contact emergency services including organisational chain of command procedures
• guidelines and procedures: ARC guidelines for managing the unconscious breathing and non-breathing casualty and provision of CPR and oxygen therapy; potential incident hazards and risk minimisation processes when providing supplemental oxygen via positive pressure delivery system; infection control procedures, including use of standard precautions and resuscitation barrier devices; safe work practices to deal with oxygen cylinders, regulators and associated equipment; workplace or site procedures relevant to the provision of oxygen; requirements for currency of skill and knowledge
• legal considerations for administration of oxygen: the Rights of Medication; the responsibilities of the first aider
• considerations when providing resuscitation: upper airway and effect of positional change; appropriate duration and cessation of CPR; chain of survival, particularly for drownings; techniques for providing CPR to adults, children and infants: how to recognise that a casualty is unconscious and not breathing normally; rate, ratio and depth of compressions and ventilations; correct hand positioning for compressions; basic anatomy, physiology and the difference between adults, children and infants relating to CPR; assessment and interpretation of vital signs including normal clinical values for respirations and pulse; assessment of level of consciousness
• considerations when providing oxygen to a casualty in an aquatic environment: circumstances and conditions where oxygen is beneficial; circumstances and complications associated with providing oxygen; complications with the use of bag-valve-mask device and suitable strategies to minimise these; selection and operation of oxygen masks and other oxygen therapy devices
• methods of cleaning, replenishing and maintaining oxygen equipment: actions to rectify problems; procedures to ensure operational readiness as per manufacturer guidelines and organisational procedures; storage, cleaning, decontamination, and safe disposal of consumables; troubleshooting to identify minor and major faults.

Foundation skills

• Reading: interpret detailed familiar organisational procedures for emergency response and first aid.
• Writing: use fundamental sentence structure to record accurate factual information about emergency responses in template incident reports.
• Self-management: critically analyse all circumstances and implications to provide a prompt and considered emergency response.

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Questions about assessing SISCAQU022