Advanced Life Support Course

AUSTRALIAN RESUSCITATION COUNCIL

ADVANCED LIFE SUPPORT COURSE

Xxxx45th46th 2012

FACULTY PROGRAM

FACULTY

Course Director / Medical Lead

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CANDIDATES

BLUE GROUP / Mentors:
1
2
3
4
5
6
RED GROUP / Mentors:
7
8
9
10
11
12
GREEN GROUP / Mentors:
13
14
15
16
17
18

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Day 1

08 00 – 08 30 / COFFEE & REGISTRATION FOR CANDIDATES
Pre-course Faculty meeting
08 30 – 08 45 / Welcome & Introduction
ALS in Perspective / q
08 45 – 09 15 / Lecture: Causes & Prevention of Cardiac Arrest / z
09 15 – 09 45 / Lecture: Acute Coronary Syndromes / y
09 45 – 10 00 / CAS Demo – Instructor – Peter
Candidate – Mike
Airway/Compressions/Defib/Drugs &IV /Scribe / Faculty
10 00 – 10 45 / Lecture: ALS Universal Treatment Algorithm / x
10 45 – 11 00 / REFRESHMENT BREAK & MEET MENTORS
11 00 – 12 40 / Skill Stations & Workshops:
Airway Management, Rhythm Recognition, Initial Assessment & Resuscitation, Defibrillation / All Faculty
12 40 – 13 25 / LUNCH
13 25 – 15 05 / Skill Stations & Workshops (continued)
15 05 – 15 30 / Lecture: Post Resuscitation Care / w
15 30 – 15 45 / REFRESHMENT BREAK
15 45 – 17 15 / Cardiac Arrest Simulations (CASTeaches) / All Faculty
17 15 – 17 45 / Discussion: Ethical & Legal Aspects of Resus
Faculty Meeting / TBA
All Faculty
17 45 – 18 00 / Mentor meetings / All Faculty
18 00 / Optional Supervised Practice

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Day 1

WORKSHOPS

Airway Management
Room 1 / Initial Assess ABCDE

Room 2

/ Rhythm Recognition
Room 3
Formal IC Assessment required
11 00 – 11 50 / Green / Blue / Red
11 50 – 12 40 / Red / Green / Blue
Airway Management
Room 1 / Initial Assess ABCDE

Room 2

/ Rhythm Recognition
Room 3
13 25 – 1415 / Blue / Red / Green
CPR & Defibrillation
Room 1 / CPR & Defibrillation
Room 2 / CPR & Defibrillation
Room 3
14 15 - 15 05 / Green / Blue / Red

CASTEACHES

15 45 – 16 15 / 1.1/1.2 / Red / Green / Blue
16 15 - 16 45 / 2.1/2.2 / Green / Blue / Red
16 45 – 17 15 / 3.1/3.2 / Blue / Red / Green

Day 2

08 15 – 08 30 / COFFEE & MENTOR MEETINGS
08 30 – 10 00 / Peri-arrest Workshops:
Arterial Blood Gas Analysis, Tachycardias & Bradycardias / All Faculty
10 00 – 10 15 / REFRESHMENT BREAK
10 15 – 1110 / Peri-arrest Workshops: Cont / All Faculty
11 15 – 12 35 / Special Circumstances Workshops / All Faculty
12 35 – 13 15 / LUNCH / Faculty Meeting
13 15 – 14 45 / Cardiac Arrest Simulations (CASTeaches) / All Faculty
14 45 – 15 00 / Mentor Meeting/Supervised Practice / All Faculty
15 00 – 15 15 / Overview of Testing – inc. CASTest DEMO / Faculty
15 15 – 15 30 / REFRESHMENT BREAK
15 30 – 17 45 / CASTests (Practical Assessments)
MCQ / All Faculty
17 45 – 18 15 / Faculty Meeting
18 15 – 18 30 / RESULTS / COURSE CLOSURE 

The course finish time is dependent on completion of all candidates’ assessments

Day 2 WORKSHOPS

Bradycardia / Tachyarrhythmia / Blood Gasses
Room 1 / Room 2 / Room 3
08 30 – 09 15 / Red / Green / Blue
09 15 – 10 00 / Blue / Red / Green
Peter
Angela
Caroline / Mike
Michelle
Nolene / Tobi
Caitlin
Dinusha
10 15 – 11 10 / Green / Blue / Red
Special Circumstances
Room1 / Room 2 / Room 3 / Room 3
Immersion/ Pregnancy / Asthma/
Anaphylaxis / Asthma/
Anaphylaxis / Immersion/ Pregnancy
11 15 – 11 55 / Green / Blue / Red
11 55 – 12 35 / Red / Green / Blue

CASTEACHES

Room1 / Room 2 / Room 3
13 15 – 13 45 / 4.1/4.2 / Red / Green / Blue
13 45 – 14 15 / 4.3/5.1 / Green / Blue / Red
14 15 – 14 45 / 5.2/5.3 / Blue / Red / Green

Day 2

CASTESTS

CASTest
Room 1 / CASTest
Room 2 / CASTest
Room 3
15 30 – 16 30 / CANDIDATES 1 – 9
16 45 – 17 45 / CANDIDATES 10 – 18

MCQ

Invigilator
15 30 – 16 30 / TBA / CANDIDATES 1 – 9
16 45 – 17 45 / CANDIDATES 10 - 18

INSTRUCTOR DEVELOPMENT

INSTRUCTOR CANDIDATESMENTOR

CASTeach and CASTest Demos:

Introduce Scenario:Instructor:

Candidate:Compressions:

Airway:Defibrillation:

Drugs/IV:Scribe:

ICs– have been allocated another Instructor to act as mentor/facilitator/critiquer. However all Instructors will be paired with different faculty members for the skill stations, workshops and simulations for variety! IC’s have not been allocated a lecture on this course to allow the opportunity for observing lectures and preparation for skill stations they will be assessed on.

To maintain confidentiality please remember to keep your programs safe if you make comments about the candidates or complete the result sheet.

CASTeach Rotation for the groups:When running the CASTeach sessions the rotation below is to be followed. This is in order to ensure all candidates experience each team member role. Over the six scenarios each day the candidates will each be team leader.

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CANDIDATE RESULTS

Pre
MCQ /

Rhy Rec

/ Airway /

ABCDE

/

BLS Defib

/

CAS

1-3

/

ABGs

/

Bradys

/

Tachys

/

Spec Circs

/

CAS

4-5

/ CAS
Test
/ Post MCQ / Overall
P/R/F / IP / Comments

Score ‘0’ = UnacceptableScore ‘1’ = Borderline Score ‘2’ = Average Score ‘3’ = Excellent/IP

CANDIDATE RESULTS

Pre
MCQ /

Rhy Rec

/ Airway /

ABCDE

/

BLS Defib

/

CAS

1-3

/

ABGs

/

Bradys

/

Tachys

/

Spec Circs

/

CAS

4-5

/ CAS
Test
/ Post MCQ / Overall
P/R/F / IP / Comments

Score ‘0’ = UnacceptableScore ‘1’ = Borderline Score ‘2’ = Average Score ‘3’ = Excellent/IP

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Identifying ALS Instructor Potential

In order to be successfully put forward for ALS Instructor Potential (IP), the candidate must score a minimum total of 25, ILS IP must score a minimum of17. Any score of unacceptable excludes the candidate from being selected. Clinical skills should be noted during the performance of the candidate in the course. A copy of each completed form should be included with the Course Director’s report to the ALS Co-ordinators at the Australian Resuscitation Council. Please note the clinical and non-technical skills are continuously assessed throughout the course and not just within the specific skill station. Scores may be improved throughout the course with exposure and practice from the initial skill station. Please read the notes for further details, then circle the appropriate number for each characteristic in the table below. Any score of zero excludes the candidate from IP.

Not Achieved

/

Achieved

/

Excellent

Test Results

/

MCQ

/ 0 / 0 / 2 / 3
Score / < 75% / 75 - 83% / 84 - 91% / 92%+

Not Achieved

/

Borderline

/

Achieved

/

Excellent

CASTest / 0 / 1 / 2 / 3
Clinical Skills / Airway / 0 / 1 / 2 / 3
Initial Resuscitation / 0 / 1 / 2 / 3
Defibrillation / 0 / 1 / 2 / 3
Periarrest/Special Circs / 0 / 1 / 2 / 3
CASTeaching / 0 / 1 / 2 / 3
Team and Communication / Communication / 0 / 1 / 2 / 3

Interactive and Supportive

/ 0 / 1 / 2 / 3

Team Member

/ 0 / 1 / 2 / 3

Comments:

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Identifying ALS Instructor Potential

Explanation of Terms

Communication

Includes desire to learn to teach and ability to communicate. Should be appropriate and not overpowering. Convey information so that it is received and understood by all. Engaging with others and displaying ability of actively listening as well.

Interactive and Supportive

Includes being approachable and a good listener, with a positive/supportive attitude towards other participants. Able to promote understanding of core material used on the course.

Team Member

Shows awareness of the level of understanding of all candidates, especially weaker members and is able to provide a supportive role. Provides constructive support to other team members. Aids team members in decision making without taking over or dominating.

Suggestions of where to look for characteristics

(Evaluation throughout the course)

Communication Skills

Questions asked and answered during lectures, participation during discussions, skill stations, workshops and CASTeach.

Interactive and Supportive

Questions asked and answered by the candidate in relation to other participants. Questions asked and answered during lectures, participation during all discussions including skill stations, workshops and CASTeach. Support given to others at breaks, supervised practice and within sessions.

Team Member

Particularly during CASTeach, but also during skill stations, workshops and discussions.
Assessment of all clinical skills , core knowledge and other attributes (as below) that are demonstrated throughout the course contribute towards the assessment of suitability for potential Instructors:

Ratings:

Excellent – Correct decisions made promptly and with confidence. Able to appropriately expand on clinical management. An expert or instructor potential performance. Demonstrates support of other candidates by teaching, offering supportive/constructive comments and promotes and furthers understanding of core material from own knowledge. Shows an awareness of other candidates needs. Demonstrates teaching skills.

Achieved – Correct decisions made and performance demonstrated; some hesitation may be evident with decision-making or lacking confidence. Standard level of performance expected of an ALS provider. Supportive contributions/interactions with other candidates.

Borderline – Minor errors in decision making and performance, hesitant and lacking confidence in decisions, required prompting, did not perform skill but recognised error on subsequent questioning. Basic safe management demonstrated during course. However those skills and attributes often mediocre and/or inconsistently demonstrated for the level of performance expected of an ALS provider.

Not achieved– incorrect decision / treatment according to material taught and clinical knowledge, action may, or likely to cause harm; failed to demonstrate attributes required of an ALS provider. Not achieved should be used for unsatisfactory performance.