First Aid Workbook July 2010

8/8/2019 First Aid Workbook July 2010

1/19

C4 HEALTH

Workforce Development for the Health Sector

FIRST AID WORKBOOK

Name:

Company:

Contact no:

Email address:


2/19

2

C4 Health Ltd July 2010

This workbook assesses First Aid competencies for the following NZQA Unit Standards:

6400 Manage First Aid in emergency situations

6401 Provide First Aid

6402 Provide resuscitation Level 2

To pass this course you must:

Complete this workbook. This can be done in class time.

Demonstrate competence in CPR for adults, children and infants.

Demonstrate competence in managing an airway obstruction for adults, children

and infants.

Demonstrate competence in the assessment and management of a range of

scenarios.


3/19

3


CONTENTS

Assessment-DRS

Crash scene assessment and management

Multiple injury assessment and management 7

Soft Tissue injury

Cardiac

Recovery Position

CPR - Adult

Choking-Adult

Choking Child

CPR Child

Choking Infant 14

CPR-Infant 14

Burns 15

Electrocution 16

Poisoning 17

Severe allergic reaction 18


4/19

4


ASSESSMENT (p4-6)

What are the steps in scene assessment and why are they important? (PC 6400/1.1;

6401/1.1; 6402/1.1)

D

R

S

DANGER

Whose safety do you need to look out for at the crash scene? (PC 6400/1.1; 6401/1.1;

6402/1.1)

List 5 hazards in this scene and how you might deal with them initially. (PC 6400/1.1;

6401/1.1; 6402/1.1)

1

2

3

4

5


5/19


6/19


7/19

7


Describe what signs and symptoms would make you suspect that the patient has a spinal

injury. (PC 6400/1.1; 6401/1.1) (p28-29)

Number the following injuries in order of importance or risk to the casualty. Who would

you treat first? (PC 6400/1.1; 6401/1.1)

A.A simple fracture of the right handB.A compound fracture of the right lower leg with protruding bonesC.Cuts to the faceD.Concussion with confusion (p32-33)E.A dislocated left ankle(p27)F.A large and deep cut to the lower leg that is bleeding heavilyG.A suspected spinal injury

In pairs demonstrate what you would do for each injury. (PC 6400/1.1; 6401/1.1)

Injury Tutor

Simple fracture R) hand

Compound fracture R) leg

Facial cuts

Concussion with confusion

Dislocated ankle

Deep cut with heavy bleeding

Suspected spinal injury


8/19

8


The patient with the deep laceration is bleeding profusely and you are concerned that

they may be developing shock. What are the signs and symptoms of shock? (PC 6400/1.1;

6401/1.1)

Which of these patients would it be safe to move off the bus? (PC 6400/1.1; 6401/1.1)

SOFT TISSUE INJURIES. (p28)

You are the First Aid person at your sons soccer game. One of the players twists his ankle

as he goes for the ball. He is carried off the field and is clearly in a lot of pain. What injury

would you suspect first? (PC6401/1.1)

Once you have ruled out the above what treatment will you start? (PC6401/1.1)

What advice will you give to the patient? (PC6401/1.1)


9/19

9


CARDIAC (p34-36)

You are shopping at the local shopping mall when you see an elderly gentleman rub his

chest and sit down on a nearby seat. He is with his wife and she appears to be worried

about him. You go over to them and ask if he is alright and his wife tells you he has angina

and often gets it when out walking.

What else would you need to know? (PC 6401/1.1; 6402/1.2)

What can you do to assist the patient? (PC 6401/1.1; 6402/1.2)

The patient has had two puffs of his spray but the pain is still there and appears to be

increasing. What do you suspect may be happening here? (PC 6401/1.1; 6402/ 1.2)

List four other signs and symptoms that would confirm your assessment? (PC 6401/1.1;6402/1.2)

1.

2.

3.

4.

How long should you let this go on for before calling for an ambulance? (PC 6401/1.1;

6402/1.2; 6402/1.3)


10/19

10


While waiting for the ambulance the gentleman collapses and appears to be unconscious.

What do you need to do first? (PC 6402/ 1.2; 6402/1.3)

Your assessment shows that the patient is breathing. What will you do now? (PC 6402/1.2; 6402/1.3) (p12)

In pairs demonstrate placing a patient in the Recovery Position (PC 6402/1.3)

Action

Tutor

Demonstrates placing patient in Recovery Position

Your patient has now become totally unresponsive with no signs of life. What will you

need start now? (PC 6402/ 1.2; 6402/1.3) (7-9)

Adult CPR practical demonstration. (PC 6402/ 1.2; 6402/1.3)

Action

Tutor

Airway Performs head lift and chin tilt

Performs jaw thrust

Checks mouth for foreign body

Breathing Looks to see chest rise

Listen Places ear next to patients mouth

Feel Cups hand over patients mouth

Circulation Can describe when to start

compressions

Places hands in the correct place on patients chest


11/19

11


Uses heel of hands to perform compressions

Compression depth is one third of chest

Compression rate is 100 per minute

Performs 30 compressions to 2 rescue breaths

Opens airway and closes off nose

Gives 2 effective breaths

Checks for response

Re-commences chest compressions

Describes when to stop CPR

CHOKING ADULT.

You are having dinner with family and friends at a local restaurant. Suddenly your

brother-in-law starts coughing and grabbing at this throat. What do you suspect may be

happening here? (PC 6402/ 1.2; 6402/1.3)

Management of choking adult. (PC 6402/ 1.2; 6402/1.3) (p12-13)

Action

Tutor

Asks patient are you choking?

Positions patient correctly

Delivers 5 correctly placed back blows

Demonstrates correct hand placement for Heimlich

Manoeuvre

Pressure applied correctly

Repeats steps 3 and 4

Demonstrates actions for unconscious patient


12/19

12


You are unable to clear the obstruction using the above technique and the patient has

collapsed. What will you start now? (PC 6402/ 1.2; 6402/1.3)

CHILD. (p13-14)

You are at a friends place and their children are playing in the back yard. Suddenly one of

the children comes running inside yelling that something is wrong with his sister. You go

out into the yard and find that she is unable to talk, has a funny wheeze and is clutching at

her throat. The children have been playing with marbles.

What do you suspect may be happening here? (PC 6402/ 1.2; 6402/1.3)

Management of choking child. (PC 6402/ 1.2; 6402/1.3)

Action

Tutor

Asks patient are you choking?

Positions patient correctly

Delivers 5 correctly placed back blows

Demonstrates correct hand placement for HeimlichManoeuvre

Pressure applied correctly

Repeats steps 3 and 4

Demonstrates actions for unconscious patient

You are unable to clear the obstruction using the above technique and the child stopsbreathing. Describe what you will do now? (PC 6402/ 1.2; 6402/1.3) (p9-11)

An ambulance has been called for how long will you continue CPR? (PC 6402/ 1.2;

6402/1.3)


13/19

13


Child CPR (PC 6402/ 1.2; 6402/1.3)

Action

Tutor

Airway Performs head lift and chin tilt

Performs jaw thrust

Checks mouth for foreign body

Breathing Looks to see chest rise

Listen Places ear next to patients mouth

Feel Cups hand over patients mouth

Starts with 5 effective breaths.

Circulation Can describe when to start

compressions

Places hands in the correct place on patients chest

Uses heel of hands to perform compressions


Compression rate is 100 per minute

Performs 30 compressions to 2 rescue breaths

Opens airway and closes off nose

Gives 2 effective breaths

Checks for response

Re-commences chest compressions

Describes when to stop CPR

INFANT.

Friends come to visit and bring their six month old. Your children are older and have the

baby on the floor with them. The baby starts choking and as you go over to pick her up

you notice some peanuts on the floor. Your initial assessment is that the baby is choking.


14/19

14


Choking infant. (PC 6402/ 1.2; 6402/1.3) (p13-14)

Action

Tutor

Holds baby in correct position

Performs 5 correctly placed back blows

Sandwiches infant to turn over

Performs 5 chest thrusts with two fingers

Checks airway for foreign body

Repeats process

Can describe when to discontinue

You have been unable to dislodge the obstruction and the baby has stopped breathing.

What will you do now? (PC 6402/ 1.2; 6402/1.3)

Infant CPR. (PC 6402/ 1.2; 6402/1.3) (p9-11)

Action

Tutor

Demonstrates correct airway opening technique

Demonstrates mouth/nose rescue breathing

Gives 5 rescue puffs

Uses two fingers for compressions

Demonstrates correct finger placement


Compression to puff ratio 30:2

Checks airway for foreign body

Recommences compressions / rescue breathing


15/19

15


BURNS (p21-23)

You are in the tea room at work and a colleague knocks a hot cup of coffee over and burns

their thigh.

What must you check for first? (PC 6400/1.1; 6401/1.1)

Name the three levels of burn severity and how you will assess this. (PC 6400/1.1;

6401/1.1)

1.

2.

3.

Name four other parts of your assessment that would also assist with deciding theseverity of the burn? (PC 6400/1.1; 6401/1.1)

1.

2.

3.

4.

You have assessed the burn as being first degree or a scald. What advice will you give yourcolleague? (PC 6400/1.1; 6401/1.1)


16/19


17/19

17


He is unresponsive and not breathing. What must you do now? (PC 6402/1.1; 6402/1.2;

6402/1.3)

What other injuries might he have? (PC 6400/1.1; 6401/1.1)

POISONING (p41-42)

You work for a company that manufactures chlorine based products for swimming pools.

A container has fallen off the shelf and broken open splashing chlorine liquid over one of

the workers. Your initial assessment of the situation identifies certain hazards.

Name two hazards you have identified. (PC 6401/ 1.1; 6402/1.1)

1.

2.

What is the most important assessment here? (PC 6401/ 1.1; 6402/1.1; 6402/1.2)

The worker complains that his skin is burning. How will you manage this? (PC 6400/1.1;

6401/1.1)

He starts complaining of stinging in his eyes and mouth and feeling like he cant breathe

properly. What must you do immediately? (PC 6400/1.1; 6401/1.1; 6402/ 1.2; 6402/1.3)

What can you do now? (PC 6400/1.1; 6401/1.1; 6402/ 1.2; 6402/1.3)


18/19

18


MEDICAL EMERGENCIES (p9-10)

You are visiting a honey farm with your family and friends. The owners take you down to

see the hives where the honey is made. Your aunt is stung and tells you that she may be

allergic to bees.

What signs and symptoms will tell you that she is having an allergic reaction? (PC6400/1.1; 6401/1.1; 6402/1.2; 6402/1.3)

What will you do immediately? (PC 6400/1.1; 6401/1.1; 6402/1.2; 6402/1.3)

What might she have that could assist in this situation? (PC 6400/1.1; 6401/1.1; 6402/1.2;

6402/1.3)

The sting is still in her arm. How will you remove it to prevent further poison entering her system?

(PC 6400/1.1; 6401/1.1)

Unfortunately she collapses before the ambulance arrives. What will you do now? (PC

6400/1.1; 6401/1.1; 6402/1.2; 6402/1.3)


19/19

19

You have now successfully completed the assessment phase!!!

Well done!!!

Documents

First Aid Workbook July 2010