Overview - Stanford University



COURSE GOAL: Train instructors to present instruction and certify physical skills in accordance with Title 22, California Code of Regulations. Students will develop a POST-certified First Aid/CPR/AED course compliant with Title 22 regulations established April 1, 2015 and present the First Aid/CPR/AED course in the Basic Police Academy or during bi-annual re-certification training. STUDENT LEARNING ACTIVITIES AND METHODS OF EVALUATION: Skill Demonstration (graded using skill demonstration worksheet) on CPR (Adult, Child, Infant), Obstructed airway on a conscious and unconscious victim, Rescue Breathing (Adult, Child, Infant), Bleeding Control, Splints and Slings. Written exam and physical skills demonstrations will be evaluated and graded by POST instructor to POST standard. Written exam score of 80% or higher required to receive Certificate or Completion. I.IntroductionOverviewLogisticsExpectationsEmergencies and Chain of CommandRequirements AttendanceSkillsInstructor assessmentClassroom participationStudent IntroductionsNameAgency and AssignmentFirst Aid Training / Experiences / UsesInstructor HistoryClass ExpectationsLegal Requirements of First Aid InstructionTitle 22, Division 9, Chapter 1.5Section 100011Section 100013Section 100015Section 100018Section 100019Section 100020Section 100022Section 100023Section 100024Section 100025Section 100026Section 100027Section 100028Understanding optional skillsPOST Administrative Manual (PAM)Section 1051Section 1052Section 1053Section 1053Section 1055Section 1070Section 1082California Penal CodeSection 13518Section 13518.1Federal OSHA Requirements (29 CFR 1910)1910.1030 Bloodborne Pathogen19140.134 Respiratory ProtectionCalifornia OSHA Requirements (CCR Section 5193)RequirementsAnalysisTrainingEquipmentCalifornia OSHA Requirements (CCR Section 5199)Initial TrainingFit TestingStandards for First Aid TrainingAmerican Red CrossAmerican Heart AssociationDepartment of TransportationNational Safety CouncilUpdates and change documentsPOST First Aid Instructional ReferencesLearning Domain 34 - First AidTactical Medicine ProgramLearning Portal CourseOverview of POST materials Requirements for Academy Instructor CourseContinued professional development in First AidUnderstanding Emergency Medical Services in CaliforniaEMSA and program developmentLEMSA and program approvalLiabilityInstructor knowledge and material demonstrationStudent participation and skill demonstrationStandards in Training and Corrections (STC)POST vs. STCExpanded Course OutlineCourse Certification ProceduresPresenting a POST-certified First Aid CourseLD 34 Training and Testing Standards (TTS)What has to be taught What skills have to be demonstratedWhat tests have to be administeredUnderstanding the need for a safety planLD 34 WorkbookCompare between LD and Title 22Orient students to LD 34 TTS and POST Student WorkbookDeveloping a First Aid Course OutlineBasic Academy First AidUpdate TrainingMinimum Equipment and MaterialsWorkbooksMannequins (Type and Style of Devices)Breathing BarriersAED Trainers, Bag-Valve-Mask (Section 100017 CCR)Personal Protective Equipment (PPE)Bandaging Materials Demo First Aid KitTeaching aids (e.g.: epi -pen trainer, Naloxone IN, Tourniquets, etc.)Practice Pre-TestStudents Skills checklistWritten ExamAdditional First Aid Instructional References, approved by POSTAmerican Heart AssociationAmerican Safety & Health Institute (ASHI)3. Department of Transportation4. National Safety Council American Red Cross (Red Cross CPR removed from Title 22 regulations. CPR/AED solely under AHA guidelines)Pre-Test and Skill DemonstrationPre-TestVideo scenarios to identify the responsibilities of law enforcement at scene Series of questions that will identify the knowledge of basic first aid skills Skill Demonstration (Graded using skill demonstration worksheet)CPR (Adult, Child, Infant)Obstructed airway on a conscious and unconscious victimRescue Breathing (Adult, Child, Infant)Bleeding ControlSplints and SlingsAdult Learning ConceptsAdult vs. children forms of instructionFive assumptionsAdults are goal orientedAdults bring experience Professional development relevanceReal world applicationEgo involvementInput and feedbackTransfer of learningCognitive overloadLearning methodsLearning Styles Learning styles definitionLearning style preferenceSome prefer structure, other flexibilitySome prefer independence, other social or group learningSome prefer auditory, other visual, others kinestheticVisualAuditoryRead/WriteKinesthetic Assessing your personal styleTend to teach the way we like to learnVary choicesSocial and independent learning stylesIndependent learners Learning Three level system to classify learning in each domainCognitive learning domainSix levels of learning10-20-30-40-70-90 ruleRetain 10% of what we readRetain 20% of what we hearRetain 30% of what we seeRetain 40% of what we see and hearRetain70% of what we describe and talk aboutRetain 90% of what we can say and doPsychomotor (physical) skills sessionsPractical sessions to make training activeExplain objectives of the skill and benefitsFive levels of psychomotor skills Teaching psychomotor skillsImproving skills sessions tipsPurpose of lesson planLesson plan componentsUsing the lesson planUnderstanding Communicable DiseasesUnderstanding the Bloodborne Pathogen StandardOSHA Bloodborne StandardWho is coveredWhat are pathogens?How pathogens are spreadTraining requirementsExposure Control PlanRecordkeepingNeedle-stick Safety and Prevention Bloodborne PathogensMeans of transmissionBloodborneAirborneCommon Serious Bloodborne DiseasesHepatitis BHepatitis CHIVPreventive measuresOther infectious materialsDoes an exposure always cause an infection?OSHA requirements for immunization by the employerPreventing infection from bloodborne pathogens OSHA requirementsEngineering controlsWork practice controlsPersonal Protective Equipment (PPE)Universal precautionsResponse to exposure incidents Understanding Airborne PathogensDiseases of concernMeningitisInfluenzaPneumoniaTuberculosisProtective measuresRequired Learning Activities (Communicable Disease)The proper donning and doffing of disposable glovesFit-testing of the N95 respiratorHand washing exercisePresentation of the Basic First Aid Course Responsibility to act in good faith and provide emergency medical services Discuss the components of the EMS systemIdentify the primary responsibilities of peace officers as EMS first responders at a medical emergency Identify the links of the chain of transmission of infectious pathogens Recognizing first aid equipment and treating others while ensuring personal safety Peace officer’s liability protection when providing emergency medical services Exposure to CBRN; Chemical, Biological, Radiation and Nuclear (CBRN)Identify exposure to CBRNIndicators of a potential attackExposure Effects of Chemical MaterialsOf importanceProtectionExposure Effects of Biological MaterialsExposure Effects of Biological MaterialsExposure Effects of Biological MaterialsExposure Effects of Radiological / Nuclear MaterialsResponding to a CBRN incidentImportant information to relay to arriving teams and supervisorsConduct self-decontamination as soon as possibleVictim Assessment Actions during a primary survey for assessing both conscious and unconscious victimsCheck for Responsiveness Airway Breathing CirculationManaging C-Spine Concerns Appropriate actions during a secondary survey for conscious and unconscious victimsHead to toe assessment Patient historyVital SignsAssessment criteria for establishing priorities for multiple victims at a single scene Conditions under which victim should be moved from one location to anotherProcedures for moving a victim Basic Life Support (BLS) The Chain of Survival componentsCardiopulmonary Resuscitation (CPR) for adults, children, and infants Basic Automated External Defibrillator (AED) operation Circumstances under which a victim’s airway should be openedThe difference between a mild and severe airway obstruction Clearing an obstruction from the airway of a conscious and unconsciousRescue breathing techniquesThe recovery position Two primary bleeding control techniquesGuidelines for controlling bleeding from an open wound First aid treatment for traumatic injuriesSigns and symptoms of shock Treating shock and importance of maintaining normal body temperature Traumatic InjuriesIndicators of a possible head injury Appropriate first aid measures for facial/head injuries Dental EmergenciesHemostatic dressings, wound packing and chest sealsAppropriate first aid measures for treating open and closed head injuries Appropriate first aid measures for treatingSelf-care/buddy-care Medical EmergenciesRecognize indicators of, and first aid measures for, a victim experiencingAssisted NaloxoneDifferentiate between the indicators and first aid measures for treating Drowning and the appropriate first aid measuresPsychological Emergencies Mental health resources in declineEpidemic proportionsPsych facilities closingPsych inpatient beds in declineStatisticsAltered mental statusMental status examDepressionBipolarSchizophreniaEmergency Child Birth The signs of imminent birth Appropriate first aid measures emergency situations that may occur in childbirthIntegration with EMS to Include Criminal Mass Casualty Incident (MCI)MCI ExamplesVideo footage of criminal mass casualty incidentsTactical and rescue first aid principles in violent circumstances (e.g. active shooter)Movement to threat rather than casualty careIntegration with EMSTactical casualty carePrimary and Secondary BombsWhat they areWhy they happenFirst responder dangerPrioritiesDecontaminationHot zoneWarm zoneGreen zoneDecon or tactical; similar propertiesTriaging victims heading into decon (proceed with caution)Beware of hazardsPPEProtect yourselfAvoid contaminating evidencePoints to rememberDon’t move bodies and large objectsIf dead, move alongDocument, document, documentGlovesRequired TestsWritten testsFirst Aid and CPR Communicable Disease N95 Respirator Student to conduct a primary assessment 1. Check for responsiveness 2. Check pulse3. Check airway 4. Check for breathing Skills test to demonstrate techniques for controlling bleeding of a limb while using (PPE)Direct pressure Pressure bandages Tourniquet device Hemostatic dressings/wound packing Chest seals and dressings Skills test to demonstrate basic life support techniquesClearing an obstructed airway on conscious and unconscious victims Rescue breathing Cardiopulmonary resuscitation Treat a victim for shockSkills test: Bandaging different injuries & using PPE to minimize exposure to infectious diseases Using cleanest material available Expose the injury site Cover the entire injury site Bandage snugly but without impairing circulation Leave victim’s fingers and toes exposed Immobilize injury site as necessaryStudent Teach Back Develop lesson plan and expanded course outline for 5–10 min teach-back presentationDemonstrate instructional ability to recognize and correct errors in situationsClearing an airwayPerforming CPRPerform rescue breathingControl bleedingPerform splintingCourse Wrap UpCourse ReviewInstructor EvaluationsCertificate ................
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