Competency Tool
Basic Life Support Competency Tool – December 2013 1
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Basic Life Support Competency Tool – December 2013 1
Basic Life Support Competency Tool
Key: I – Independent S – Supervised A – Assisted M – Marginal D – Dependent(Refer‘Bondy’ Rating Scalep.6)
Note:Shaded area indicates minimum criteria to meet clinical competency
ASSESSMENTCRITERIA / ELEMENTS / Participant Performance / Standard
Dangers?
ARC
Guideline 2 /
- Assesses for danger to self & patient
- States the use of Personal Protective Equipment (PPE) - such as gloves/protective eyewear
Responsive?
ARC Guideline 3 /
- Assesses conscious state using verbal & tactile stimuli – “touch & talk”
Send for Help
ARC Guideline 3 /
- States the appropriate method for summoning local help in their clinical area/department
- Describes how to initiate the appropriate emergency response system
Open Airway
ARC Guideline 4 /
- Inspects airway for foreign material e.g. vomit
- States/demonstrates clearing airway if required using appropriate method
- Once the airway is cleared, demonstrates backward head-tilt chin-lift manoeuvre
-Infant:
-Children: / Neutral
Managed as for adults
- States actions necessary if dentures are present
Normal Breathing?
ARC Guideline 5 /
- Demonstrates & states assessment of breathing by “look/listen/feel”
- Demonstrates & states actions required if the patient is not breathing or breathing abnormally
-Then rescue breathing / I / S / A / M / D
Start CPR
ARC Guideline 6
ARC Guideline 12.2
ARC Guideline 6 /
- Demonstrates hand placement on lower ½ of sternum/centre of chest for all age groups
- Demonstrates depth of compression 1/3 of chest for all age groups
- States BLS compression/ventilation ratio 30:2 for Adults
- States rate of compressions 100 per minute, pausing for ventilations
Specialty Areas / States newly born resuscitation ratios 3:1 / I / S / A / M / D
90 compression: 30 breaths in 1 minute / I / S / A / M / D
- States the paediatric resuscitation ratio of 15:2 for infants & children
- States and demonstrates the correct compression technique for:
-Children: One or two hand technique / I / S / A / M / D
- States that the rescuer performing compressions should be alternated every 2 minutes to prevent fatigue and deterioration of chest compression quality
ASSESSMENT CRITERIA / ELEMENTS / Participant Performance / Standard
Start CPR (cont)
ARC Guideline 6 /
- States complications of incorrect hand position
- Delivers 2 effective rescue breaths using a manual resuscitator with each breath delivered over a second
-Observes for rise & fall of the chest / I / S / A / M / D
Defibrillation
ARC Guideline 7 /
- States who the AED can be used on
- Describe skin preparation & pad application considerations:
-Removal of patches or electrodes if present
-Removal of hair if necessary
-Drying patients skin if sweaty
-Pads are applied away from implanted devices / I / S / A / M / D
- Applies multifunction pads in the correct position
-States no pockets of air trapped underneath the pads / I / S / A / M / D
- Connects patient to AED
- Turn AED on & follows the prompts
- Delivers shock safety
Checks & states
-No one is touching the patient or bed
-Oxygen is removed from the immediate vicinity / I / S / A / M / D
- Follows the prompts and immediately commences CPR after the shock has been delivered
- States continuous BLS until further assistance arrives
- Completes the check of the AED – (if applicable)
- Can identify the difference between the 2 defibrillator modes
Management of Foreign
Body Airway
Obstruction
(FBAO)
ARC Guideline 4 /
- Can identify the difference between a
-Severe airway obstruction / I / S / A / M / D /
- Demonstrates and discusses the management of a severe airway obstruction (alternating 5 back blows with 5 chest thrusts) in different age groups
Infant:
Children/Adults: / Back Blows – placed in a head downwards position Chest thrusts – placed in a head downward & supine
position across the knee
Can be treated in a sitting or standing position
Additional
Points /
- Identifies need for debriefing and available resources
- Identifies the required documentation
- Discusses positioning of heavily pregnant woman in BLS
Staff member being assessed:______
Assessor:______Signed (Assessor): ______
(Please print name)
Date of Assessment: ______
Standard Achieved: (please circle one)Competent (C)Not Yet Competent(NYC)
Comments (if required):
Basic Life Support Competency Tool – December 2013 1
Action Plan
Please document the agreed education plan and completion timelines for staff assessed as not yet competent:
Staff Member Name______
Staff Member Signature______
Staff Member Ward______
Educator Name______
Educator Signature______
Proposed Completion Date______
Basic Life Support Competency Tool – December 2013 1
‘Bondy’ Rating Scale
Scale label / Score / Standard of procedure / Quality of performance / Level of assistance requiredIndependent / 5 / Safe
Accurate
Achieved intended outcome
Behaviour is appropriate to context / Proficient
Confident
Expedient / No supporting cues required
Supervised / 4 / Safe
Accurate
Achieved intended outcome
Behaviour is appropriate to context / Proficient
Confident
Reasonably expedient / Requires occasional supportive cues
Assisted / 3 / Safe
Accurate
Achieved most objectives for intended outcome
Behaviour generally appropriate to context / Proficient throughout most of performance when assisted / Requires frequent verbal and occasional physical directives in addition to supportive cues
Marginal / 2 / Safe only with guidance
Not completely accurate
Incomplete achievement of intended outcome / Unskilled
Inefficient / Requires continuous verbal and frequent physical directive cues
Dependent / 1 / Unsafe
Unable to demonstrate behaviour
Lack of insight into behaviour appropriate to context / Unskilled
Unable to demonstrate behaviour/procedure / Requires continuous verbal and continuous physical directive cues
Bondy, 1983
References
Australian Resuscitation Council(2010) Australian Resuscitation Council, Guidelines Section 2-13. Retrieved April 12, 2013 from
Bondy, K.N. (1983) Criterion-Referenced Definitions for Rating Scales in Clinical Evaluation. Journal of Nursing Education, 22(9), 376-382
Bondy, K.N. (1984) Clinical Evaluation of student performance: the effects of criteria on accuracy and reliability. Research in Nursing and Health, 7(1), 25-33.
Basic Life Support Competency Tool – December 2013 1