Resuscitation program - The Education Hub

Supporting face to face education

In light of the current circumstances, Basic Life Support face to face training will continue as a clinically essential hospital requirement.

To support social distancing, skills & knowledge and team training workshops will be capped at 10 participants.

It is important to register your attendance to a skills & knowledge workshop. Drop-in’s will be asked to register to an upcoming session if workshops are at full capacity.

Team training will also be capped at 10 participants. Sessions with groups of 6 or less can be held within the department. Please email nursing.education@rch.org.au to book in a team training session.

The Royal Children’s Hospital resuscitation program trains staff in the skills needed to effectively provide immediate management for an acutely deteriorating infant (<1 year), young child (1-8 years), older children (9-14 years) or/and adults until help arrives.

It is expected that all RCH employees, including Medical, Nursing, Allied Health and Administrative staff across the organisation are trained and competent in applying these resuscitation skills in relation to their scope of practice.

Basic Life Support

Basic Life Support is a level of care which is provided to a person who is acutely deteriorating without the aid of medication, invasive skills or medical equipment, until they can be given full medical care.

The organisation follows the structured approach of the DRSABCD algorithm being:

Danger
Response
Send for help
Airway
Breathing
Circulation/compression
Attach Defibrillator (this will be included for medical and nursing staff in face to face sessions)

This guideline aligns with the Australian and New Zealand Resuscitation Council (ANZCOR), Guidelines (2016) and has been developed in consultation with the Recognising and Responding to Acute Deterioration Committee and the Education Hub.

Basic Life Support at the RCH comprises of an online module, an assessment, skills and knowledge face-to-face training and team training.

Online learning modules

All RCH staff will be automatically enrolled into Basic Life Support via Learning HERO.

All clinical staff will complete the same module but will undertake an assessment at the end of the course which is relevant to their scope of practice.

Basic Life Support and Bag Valve Mask, Fluids and Medications - Medical and Nursing staff
Basic Life Support and Bag Valve Mask - Allied health staff

Administration and management staff have available an online module targeted at their needs.

Basic Life Support - Administration and Management staff

Basic Life Support Skills and Knowledge Training

This is a one hour face-to-face session with fifteen minutes allocated on how to manage Anaphylaxis.

For underpinning knowledge and prior learning, it is highly recommended that you complete the Anaphylaxis and Adrenaline and Fluid Bolus in a Resuscitation eLearn modules.

In the session we aim to perfect airway, bag/mask and chest compression techniques, and assess each individual for competency.

Sign-up to a Skills and Knowledge Training

Basic Life Support Team Training (The 'First 3 Minutes')

We resuscitate as a team, we should train as a team

The ‘First 3 Minutes’ program provides inter-professional resuscitation training for health professionals. This program enables participants to refresh their knowledge of Australian Resuscitation Council Guidelines, practice their basic life support skills and train together as a team to respond effectively to an acutely deteriorating person.

Book into a ‘First 3 Minutes’ team scenario that enables your team to practice effective team functioning at the bedside.

Where possible the training is delivered in your clinical (real) environment, with your team, using your equipment.

Anaphylaxis

Online learning module

The aim of this education is to teach staff how to recognise and manage an acute onset of anaphylaxis until further help arrives.

The eLearn module is intended to be a “just in time” resource that staff can access or alternatively support a department education training session. It provides the underpinning knowledge on anaphylaxis prior to attending a face-to-face and short team training sessions. This module is designed to support our Anaphylaxis CPG.

Assessment

Assessments are designed according to your profession in the hospital. Via the course in Learning HERO you will have an opportunity to select the appropriate assessment.

Adrenaline and Fluid Bolus Administration in a Resuscitation

Online learning module

For medical and nursing staff, this education aims to assist you in the skills of drawing up and administering fluids and medications in an acutely deteriorating person.

The eLearn module is intended to be a “just in time” resource that staff can access or alternatively support a department training session. This module is designed to support our Adrenaline and fluid bolus administration in a resuscitation CPG.

Choking

This education aims to teach you how to manage a foreign body obstruction until further help arrives.

The eLearn module is intended to be a “just in time” resource that staff can access or alternatively support a department’ training session.

Face-to-face sessions are offered as part of a Basic Life Support Skills and Knowledge session, or team training scenario.

The ‘First 3 Minutes’ Train the Trainer

This half day workshop is an inter-professional course which provides participants with the skills and underpinning knowledge to support and facilitate the resuscitation program. This includes:

Understanding and competence in the knowledge and skills of the DRSABCD algorithm to facilitate and support the organisations Basic Life Support annual competency
Gain an understanding of the theory and skills of debriefing to be able facilitate a ‘First 3 Minutes’ scenario within their own department, focusing on team training and human factors.
Understand the Anaphylaxis algorithm to facilitate ongoing education
Understand the foreign airway obstruction/choking algorithm to facilitate ongoing education

Participants will be supported with ongoing mentorship and development in these skills by the resuscitation program lead and facilitators.

Recognising and Responding to the Deteriorating Patient

The workshop aims to identify and develop the skills to Recognise a deteriorating infant, child or adolescent and to be able to appropriately manage these situations. To consider appropriate inter-professional responses and interventions for the paediatric patient population.

Reference Guide

Australian Resuscitation Council (2016), Guideline 2 Managing an Emergency. https://resus.org.au/guidelines/

Advanced Paediatric Life Support (2019), Paediatric Basic Life Support algorithm. https://apls.org.au/page/algorithms

Australian Commission on Safety and Quality in Health Care, National Standard 8 Recognising and Responding to Acute Deterioration. https://www.nationalstandards.safetyandquality.gov.au/

Australian Resuscitation Council (2016), Guideline 3 Recognition and First Aid Management of the Unconscious Person. https://resus.org.au/guidelines/

Australian Resuscitation Council (2016), Guideline 4 Airway. https://resus.org.au/guidelines/

Australian Resuscitation Council (2016), Guideline 5 Breathing. https://resus.org.au/guidelines/

Australian Resuscitation Council (2016), Guideline 6 Compressions. https://resus.org.au/guidelines/

Australian Resuscitation Council (2016), Guideline 7 External Automated Defibrillation in Basic Life Support. https://resus.org.au/guidelines/

Australian Resuscitation Council (2016), Guideline 11.6 Equipment and Techniques in Adult Advanced Life Support. https://resus.org.au/guidelines/

Australian Resuscitation Council (2018), Guideline 12.1 Introduction to Paediatric Advanced Life Support. https://resus.org.au/guidelines/

Australian Resuscitation Council (2016), Guideline 12.2 Advanced Life Support for Infants and Children: Diagnosis and Initial Management. https://resus.org.au/guidelines/

Safer Care Victoria is the state’s lead agency for improving quality and safety in Victorian healthcare. https://www.bettersafercare.vic.gov.au/about-us/about-safer-care-victoria