Adult Advanced Life Support Level 1 Manual

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South Western Sydney Local Health District Centre for Education and Workforce Development. This work is copyright It may be reproduced in whole or in part for study training purposes subject to. the inclusion of an acknowledgement of the source It may not be reproduced for commercial usage. or sale Reproduction for purposes other than those indicated above requires written permission from. the NSW Ministry of Health,Published July 2019,South Western Sydney Local Health District SWSLHD. Centre for Education and Workforce Development CEWD. Ngara Education Centre,Liverpool Hospital Eastern Campus. Elizabeth Street Liverpool NSW 2170,Postal address Locked Bag 7279. Liverpool BC NSW 1871,Email SWSLHD CEWD health nsw gov au. Intranet http intranet sswahs nsw gov au CEWD swslhd. Internet http swslhd nsw gov au cewd,Phone 02 8738 5920.
Fax 02 8738 6858,Acknowledgements, Australian Resuscitation Council Guidelines www resus org au. V Palmer M Boyd Organ Tissue Donation CNC SWSLHD,Developers. J Chalmers Nurse Educator SWSCEWD,A Hooton Nurse Educator SWSCEWD. Reviewed by, J Ekholm Clinical Manager Cardiovascular and Medical Imaging SWSLHD. S Goodall CNE ICU HDU Campbelltown Hospital, A Herring RN Skills and Simulation Coordinator Ingham Clinical Skills and Simulation Centre.
E Longhurst CNE HDU Bowral Hospital,K Owen CNE CCU Campbelltown Hospital. D Sanchez CNC ICU Campbelltown Hospital, Dr B Taylor Conjoint Senior Lecturer UNSW Simulation Educator Ingham Clinical Skills and Simulation Centre Emergency. Staff Specialist Liverpool Hospital,K Westwood Nurse Educator SWSLHD CEWD HETI. L Wright A CNC MET Campbelltown Hospital,Version Control Table. Date Modified Version Number Reason for modification Requested by Approved by. August 2014 1 0 Document development A Hooton R Leon. J Chalmers, 13 1 2015 2 0 Policy brand and course A Hooton F Lendon.
code changes J Chalmers, 17 6 2015 2 1 Change to pre requisite A Hooton F Lendon. J Chalmers, 08 7 2016 3 0 Changes to the ANZCOR A Hooton F Lendon. guidelines J Chalmers, 31 07 19 4 0 Course not scheduled for A Hooton F Lendon. the past 18 months J Chalmers,Update references,Update MHL requirements. Adult ALS Manual Level 1 V4 SWSCEWD 2 of 53,TABLE OF CONTENTS.
TABLE OF CONTENTS 3,Introduction 4,Chapter 1 Recognising the deteriorating patient 6. Chapter 2 Algorithms 7,Chapter 3 Airway Management and Ventilation 14. Chapter 4 Shockable and non shockable rhythms 22,Chapter 5 Defibrillation 27. Chapter 6 Pharmacology 32,Chapter 7 Post Resuscitation 34. Chapter 8 Legal and ethical considerations 38,Chapter 9 Communication and Teamwork 40.
Chapter 10 Questions for completion prior to workshop attendance 41. Reference Bibliography 46,Appendix 1 50,Appendix 2 51. Adult ALS Manual Level 1 V4 SWSCEWD 3 of 53,Introduction. This manual forms part of the requirements for the Adult Advanced Life Support ALS Level 1 course. in SWSLHD ALS Level 1 is also known as Immediate Life Support. Basic Life Support BLS is the preservation of life by the initial establishment of and or. maintenance of airway breathing circulation and related emergency care including use of. an AED Advanced Life Support ALS is the provision of effective airway management. ventilation of the lungs and production of a circulation by means of techniques additional to. those of Basic Life Support These techniques may include but not be limited to manual. defibrillation advanced airway management vascular access drug therapy and defibrillation. ARC Glossary 2014,The SWSCEWD Adult ALS Level 1 course consists of. Completion of, o Advanced Life Support Theory Module A Adult MHL course code 67644403. o Advanced Life Support Theory Module B Adult MHL course code 67644650. o Advanced Life Support Theory Module C Quiz MHL course code 197482978. Reading this manual SWSLHD Adult ALS Manual and completing the questions at the end. of the manual, When the five activities above are completed attendance at a SWSLHD Face to Face one.
day Adult ALS workshop CSK12364, Practical assessment CSK12365 by an accredited Adult ALS assessor either at the one day. workshop or at a later date in your facility, The aim of this course is to enhance the knowledge and skills in ALS techniques for those responding. to cardiac arrests within critical care areas It is suitable for Registered Nurses RN s who work in. critical care areas and medical staff, Pre requisites for attendance at the Adult ALS workshop CSK12364. Completion of Advanced Life Support Theory Module A Adult MHL course code. 67644403 and Advanced Life Support Theory Module B Adult MHL course code. 67644650 and Advanced Life Support Theory Module C Quiz MHL course code. 197482978 within the last 6 months, Basic Life Support Accreditation within the last 12 months. For RN s currently working in a critical care area. Working knowledge of the defibrillator and arrest resuscitation trolley in their workplace. Reading this manual SWSLHD Adult ALS Manual and completing the questions at the end. of the manual, It is also expected that participants have completed Between the Flags Tier 2 DETECT OR.
Between the Flags Tier 2 DETECT workshop Mixed Face to Face. Nursing and Medical Half day, In order to simplify treatment regimes the Australian and New Zealand Committee on Resuscitation. ANZCOR has produced standardised treatment guidelines based on the recommendations of the. International Liaison Committee on Resuscitation ILCOR These can be found on the ANZCOR. website at www resus org au This course is based on these guidelines. At the end of this course the participant are able to. Discuss and demonstrate airway management with Bag Valve Resuscitator BV. Identify shockable and non shockable rhythms and demonstrate appropriate management. Demonstrate knowledge of first line pharmacological treatment in a cardiac arrest. Adult ALS Manual Level 1 V4 SWSCEWD 4 of 53, Participants are encouraged to seek opportunities to practice their ALS skills and reinforce the. knowledge and skills they have learnt through the ALS course process This should be taking place. before and after the workshop date, You will need to maintain your BLS and ALS accreditation annually Reaccreditation consists of. Practical accreditation in BLS with AED Basic Life Support Adult Practical Assessment. Completion of, o Advanced Life Support Theory Module A Adult MHL course code 67644403. o Advanced Life Support Theory Module B Adult MHL course code 67644650. o Advanced Life Support Theory Module C Quiz MHL course code 197482978. Practical accreditation by an accredited Adult ALS assessor. ALS accreditation and reaccreditation must be recorded in MHL which enables a standardised and. accessible means of recording and reporting on courses skills and competencies For further. information on accreditation for ALS contact your Clinical Nurse Educator CNE or the SWSCEWD. Nurse Educator NE below, Amanda Hooton amanda hooton sswahs nsw gov au 8738 6089.
Abbreviations used within this manual, AED Automated External Defibrillator ILCOR International Liaison Committee. on Resuscitation,AF Atrial Fibrillation ILS Immediate Life Support. ALS Advanced Life Support IO Intra Osseous official IO. inferior oblique, ANZCOR Australian and New Zealand Committee IV Intravenous. on Resuscitation, AP Antero Posterior LMA Laryngeal Mask Airway official. LMA Left Mento Anterior, ARC Australian Resuscitation Council LMS Learning Management System.
AV AtrioVentricular official AV MET Medical Emergency Team. audiovisual,BLS Basic Life Support MHL My Health Learning. BV Bag Valve resuscitator NFR Not For Resuscitation. BTF Between The Flags NSW New South Wales, CEC Clinical Excellence Commission OTDS Organ Tissue Donation Service. CERS Clinical Emergency Response System PEA Pulseless Electrical Activity. CPR Cardio Pulmonary Resuscitation PPM Permanent Pacemaker. CVAD Central Venous Access Device RCUK Resuscitation Council United. DBD Donation after Brain Death RMS Roads Maritime Services. DCD Donation of tissue organs after cardiac RN Registered Nurse. DETECT Detecting Deterioration Evaluation ROSC Return of Spontaneous. Treatment Escalation and Circulation,Communicating in Teams. DNR Do Not Resuscitate SaNOK Senior available Next Of Kin. DO Designated Officer official DO Day SVT Supra Ventricular Tachycardia. DSN Donation Specialist Nurse SWSLHD South Western Sydney Local. Health District, EMD Electro Mechanical Dissociation SWSCEWD South Western Sydney Centre. for Education and Workforce,Development,ETT Endotracheal tube TdP Torsades de Pointes.
FBAO Foreign Body Airway Obstruction VT Ventricular Tachycardia. ICD Implantable Cardioverter Defibrillator VF Ventricular Fibrillation. ICU Intensive Care Unit, Abbreviations with an are not listed in Approved List of Abbreviations Liverpool Hospital 2018. Adult ALS Manual Level 1 V4 SWSCEWD 5 of 53,Chapter 1 Recognising the deteriorating patient. Patients who require ALS often have poor outcomes Most in hospital cardiac arrests are. not sudden or unpredictable events In approximately 80 of cases clinical signs deteriorate. over the few hours before arrest ARC RCUK 2011 p 7. Early recognition appropriate escalation of care and effective treatment of the patient who. is clinically deteriorating may prevent cardiac arrest death or an unplanned Intensive Care. Unit ICU admission, Early recognition of the deteriorating patient is vital You should be familiar with the simple. assessment and management algorithm A to G assessment give oxygen position your. patient call for help CEC 2014, All public health organisations in New South Wales NSW are required to provide a Clinical. Emergency Response System CERS It includes the use of NSW Standard Observation. charts with standard calling criteria an early warning system and rapid response medical. emergency team for prompt review and treatment of patients who are clinically deteriorating. with referral to higher levels of care escalation when necessary The aim is to reduce. cardiac and respiratory arrests and hospital mortality Although ALS knowledge and skills as. taught in this course are vital it is always better to prevent an arrest where possible. As a result of Australian and International studies reports and case reviews the Between. the Flags BTF and Detecting Deterioration Evaluation Treatment Escalation and. Communicating in Teams DETECT programs were implemented in NSW Health in 2010. CEC 2014 All facilities have policies which outline clinical review and rapid review criteria. so that signs and symptoms of clinical deterioration are recognised and appropriately. The A to G assessment is a structured approach to physical assessment It is quick to use. and aims to assist in finding the cause for deterioration rather than just a diagnosis Using. the A to G should also help to improve communication of changes in a patient s condition. B Breathing,C Circulation,D Disability,E Exposure, All clinical staff should be familiar with assessing the patient and recording vital signs.
recognising the calling criteria and flagging those patients who need further help If a patient. is deteriorating then there should be an escalation and management plan appropriate for the. facility and the patient,Adult ALS Manual Level 1 V4 SWSCEWD 6 of 53. The chain of survival American Heart Association 2014 is a series of actions that link to. each other Increasing the strength of each link can improve the chances of survival and. recovery for victims of heart attack stroke and other emergencies These principles of early. access early Cardiopulmonary Resuscitation CPR early defibrillation and early advanced. care are the foundation of ALS, http www wikidoc org index php File Chain of survival large jpg. Early access Early recognition of the deteriorating patient immediate recognition of cardiac. arrest and activation of the emergency response system. Early CPR with an emphasis on chest compressions Chest compressions and. ventilations will ensure there is some blood circulated to the patient s brain heart and lungs. This helps to reduce further deterioration DO NOT DELAY CPR in attempts to defibrillate. and minimise interruptions to CPR, Early defibrillation Aim to deliver the first defibrillation attempt within three 3 minutes of. cardiac arrest onset If manual defibrillation is not available seek out an Automated External. Defibrillator AED, Early advanced care ALS by well trained staff includes good CPR appropriate and. effective defibrillation adequate ventilation administration of relevant IV medications and. early recognition of reversible causes Integrated post resuscitation care is vital after Return. of Spontaneous Circulation ROSC Interventions in the post resuscitation period can. significantly improve patient outcomes, For further information refer to your local policies on the deteriorating patient.
Chapter 2 Algorithms, On the following pages are the BLS and Adult ALS algorithms from the ANZCOR. http www resus org au The purpose of these algorithms is to provide a logical step by. step procedure for the assessments and actions required for the person who has collapsed. As an ALS provider you must know both algorithms thoroughly. Adult ALS Manual Level 1 V4 SWSCEWD 7 of 53,ANZCOR 2016a p 5. This manual forms part of the requirements for the Adult Advanced Life Support ALS Level 1 course in SWSLHD ALS Level 1 is also known as Immediate Life Support Basic Life Support BLS is the preservation of life by the initial establishment of and or maintenance of airway breathing circulation and related emergency care including

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