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Fellowship Pathways Policy Framework

Cardiopulmonary Resuscitation and Advanced Life Support Courses

1.0     INTRODUCTION

This guidance document details RACGP’s requirements for cardiopulmonary resuscitation (CPR) courses and early management of trauma and advanced life support (ALS) courses.

2.0    DEFINITIONS

ALS                  early management of trauma and advanced life support

Candidate         means a medical practitioner who is enrolled in an RACGP Pathway to Fellowship.

CPR                 cardiopulmonary resuscitation

RACGP            Royal Australian College of General Practitioners

Registrar          means a medical practitioner who is enrolled in the Vocational Training Pathway 

3.0    REFERENCES

RACGP Vocational Training Standards Criterion 2.1.2.2

Requirements for Fellowship Policy (all Pathways) 

4.0    GUIDANCE

4.1       Cardiopulmonary resuscitation (CPR) requirements

Demonstration of current CPR requires evidence of successful completion of a CPR course that meets the Australian Resuscitation Council (ARC) guidelines.

The RACGP recognises that CPR skills are used infrequently and for this reason require refreshing on a regular basis. The RACGP recommends that updates should be completed at least annually in line with ARC Guidelines.

4.2       Course content

ALS courses must include education and training in each element outlined below:

    • Cardiopulmonary resuscitation:
      • assessment of DRABC(D)
      • mouth to mouth ventilation
      • mouth to mask ventilation
      • external cardiac compression.
    • Advanced life support:
      • management of airway using bag and mask
      • inserted airway (e.g. Guedel’s or nasopharyngeal)
      • knowledge of use of suction and MacGill’s forceps to clear airway
    • Early management of trauma:
      • identify potential neck injury in trauma
      • patient stabilisation of neck.
    • All course components require:
      • use of Australian Resuscitation Council (ARC) guidelines and protocols
      • assessment of competency using observation of clinical performance in simulated scenarios.

4.3 Course accreditation

Any ALS course that is proposed to be undertaken must include the requirements as listed in the guidelines for assessment of early management of trauma and advanced life support courses (Appendix 1) and early management of trauma and advanced life support course requirements checklist (Appendix 2). Any CPR course must meet the requirements in the cardiopulmonary resuscitation course requirements checklist (Appendix 3).

These appendices outline the basic skills for the competent management of common acute serious illness and trauma presentations. Candidates are encouraged to expand on these skills where possible.

These requirements may be met by completing more than one course. For example, a Candidate may undertake a course that addresses basic and advanced CPR only and may undertake another course to address the other components required.

For registrars undertaking an ALS course by the vocational training provider or an external party:

        The vocational training provider is responsible for obtaining information in writing from course organisers and assessing that the course meets the Guidelines for assessment of early management of trauma and advanced life support courses (Appendix 1). This information must be documented and retained by the vocational training provider for review as part of training provider accreditation. The vocational training provider completes and signs the declaration in the RACGP Early management of trauma and advanced life support course requirements checklist (Appendix 2) for each Registrar. This document forms part of the Registrar’s record and must be submitted to the RACGP at the completion of training.

Other Candidates can contact the RACGP for further guidance. 

Appendix 1

Guidelines for assessment of early management of trauma and advanced life support courses

Vocational training providers are required to ensure the following details are obtained in writing from the course organiser:

      1. Course details
      • Name of course
      • Name of organisation conducting course
      • Contact details for course coordinator
      1. Course structure
      • Duration of course
      • Format or framework of course
      • Teaching techniques – theoretical sessions, clinical simulations, etc.
      • Assessment techniques – theoretical and / or practical assessment
      • Criteria for certification – standards required for successful completion
      1. Course content
      • Pre-reading materials
      • Prerequisites
      • Details regarding specific skills covered
      1. Competency
      • Procedures for assessment of competency of the various course components
      • Observation of clinical performance in simulated scenarios
      1. Course completion processes
      • Evaluation procedures
      • Review processes
      • Re-certification processes and frequency

Evaluation procedures

For Registrars the vocational training provider ensures that the course meets the requirements in the checklist in Appendix 2 and documents this process.

The RACGP requests that the vocational training provider monitors registrar feedback undertaking the course to enable the vocational training provider to monitor the course over time.

Other Candidates can contact the RACGP for further guidance. 

Appendix 2

Early management of trauma and advanced life support course requirements checklist

Registrar name: ___________________________

Clinical component

Requirement

Details (course name)

Date

Cardiopulmonary Resuscitation (CPR)

Assessment of DRABC(D)

 

 

Mouth to mouth ventilation

 

 

Mouth to mask ventilation

 

 

External cardiac compression

 

 

Assessment of competency

 

 

CPR trainers meet the CPR trainer requirements detailed in Appendix 4.

 

 

Advanced life support (ALS)

Management of airway using bag and mask

 

 

Inserted airway (e.g. Guedel’s or nasopharyngeal)

 

 

Knowledge of use of suction and MacGill’s forceps to clear airway

 

 

Defibrillation

 

 

Use of ARC protocols

 

 

Assessment of competency using observation of clinical performance in simulated scenarios.

 

 

Early management of trauma

Identify potential neck injury in trauma patient

 

 

Stabilisation of neck

 

 

Assessment of competency using observation of clinical performance in simulated scenarios.

 

 

 

Declaration

I …………………………………………………… of …………………………………………………………….

(vocational training provider) confirm that this general practice registrar has successfully completed the above RACGP training requirements for the early management of trauma and advanced life support.

Signed ……………………..

 

Appendix 3

Cardiopulmonary resuscitation course requirements checklist

Registrar name: ___________________________

Clinical component

Requirement

Details (course name)

Date

 

Cardiopulmonary resuscitation (CPR)

Assessment of DRABC(D)

 

 

Mouth to mouth ventilation

 

 

Mouth to mask ventilation

 

 

External cardiac compression

 

 

Assessment of competency

 

 

CPR trainers meet the CPR trainer requirements detailed in Appendix 4.

 

 

 

Declaration

I …………………………………………………… of …………………………………………………………….

(vocational training provider) confirm that this general practice registrar has successfully completed the above RACGP training requirements for cardiopulmonary resuscitation support.

Signed ……………………..

 

Appendix 4

CPR trainer requirements

CPR trainers must have been trained by an ARC representative member, which includes training delivered by:

1. The following organisations:

      1. St John Ambulance Australia, College of Emergency Nursing Australasia, Australian Red Cross, Council of Ambulance Authorities, Surf Lifesaving Australia, Australian College of Nursing, Paramedics Australia, Royal Australasian College of Surgeons, Australian and New Zealand College of Anaesthetists, Australasian College of Emergency Medicine, Royal Life Saving Society Australia, Heart Foundation, Australian Defence Force, Australian College of Critical Care Nurses and Cardiac Society of Australia and New Zealand
      2. Instructors who deliver CPR training to GPs must hold a current and valid CPR trainer certificate that complies with the policies of the ARC and RTO standard HLTAID001.CPR courses delivered by instructors who do not hold a current valid trainers certificate will not be accepted

2. Organisations that are Registered Training Organisation (RTO) credentialed to deliver and provide CPR

3. Fellows of FACEM and ANZCA in rural Emergency Departments

4. HLTCPR211A is valid until 1 July 2014 and after this date CPR should be provided under HLTAID001 unless the RTO provides satisfactory documentation of approved extensions to deliver HLTCPR211A

QMS Number: GU-ED-PO-902 Rev: 1.01

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