BOOK: Operations II SECTION: CPR Manual (CPT) Pg. 1 of 11

OCFD CPR PROGRAM PROCEDURES MANUAL

TABLE OF CONTENTS

SHIFT CPR COORDINATOR PROGRAM

DISTRICT CPR COORDINATOR PROGRAM

TRAINING CENTER FACULTY

CPR INSTRUCTOR

PERSONNEL CPR TRAINING PROGRAM

HEALTHCARE PROVIDER DESCRIPTIONS:

AHA PERFORMANCE TESTS:

RETRAINING

INSTRUCTOR AND TRAINING CENTER FACULTY

INSTRUCTOR

TRAINING CENTER FACULTY

INSTRUCTOR COURSE DESCRIPTIONS

CITIZEN CPR TRAINING

CITIZEN CPR INVENTORY

BIG PUSH (CPR FOR FAMILY AND FRIENDS) TRAINING GUIDELINES

COURSE OBJECTIVES

KNOWLEDGE (COGNITIVE) OBJECTIVES

SKILLS (PSYCHOMOTOR) OBJECTIVES

CPR FOR FAMILY AND FRIENDS

MODULE 1 ADULT BASIC LIFE SUPPORT

MODULE 2-PEDIATRIC BASIC LIFE SUPPORT

CPR COURSE TAUGHT OFF DUTY

CPR TRAINING SUPPLIES

TESTS

COURSE COMPLETION CARDS

RECORD KEEPING

MANIKIN CLEANING, MAINTENANCE, AND INVENTORY

ORDERING SUPPLIES

MANIKIN SUPPLIES AND INVENTORY

SAMPLE COURSE ROSTER

CPR INSTRUCTOR EVALUATION FORM

NO FEE CPR TRAINING AGREEMENT

SHIFT CPR COORDINATOR PROGRAM

  1. Each shift will need a Coordinator and alternate Shift CPR Coordinator.
  2. The Shift CPR Coordinator should be an AHA Training Center Faculty, if possible.
  3. The Shift CPR Coordinator will be the District CPR Coordinator for their district.
  4. The following list of tasks performed by the Shift CPR Coordinator will assist with the management of CPR training on each shift:
  5. Perform all District CPR Coordinator tasks.
  6. Coordinate the scheduling of Training Center Faculty assigned on their shift for annual retraining at the TrainingCenter with District Officers.
  7. Coordinate district level CPR Instructor retraining with District Coordinators, Training Center Faculty, and District Officers.
  8. Confirm with District CPR Coordinators that all personnel have a current CPR card.
  9. Following District CPR training or anytime required, District CPR Coordinators will review the monthly CPR expiration report sent by the EMS Training Office. This report can be used to ensure that all new expiration dates have been entered correctly and/or that all personnel have been retrained.

DISTRICT CPR COORDINATOR PROGRAM

  1. Each district and shift will need a District CPR Coordinator and an alternate for each coordinator.
  2. The Coordinator should be a CPR Instructor or Training Center Faculty.
  3. The following tasks, performed by the District CPR Coordinator, will assist with the management of CPR training within each district:
  4. Coordination of the district CPR Healthcare Provider training with the District Officers.
  5. Coordinating with the District Officers and Shift CPR Coordinators for the scheduling of all CPR Instructors within their district for retraining.
  6. Confirming that all personnel within their district have a current CPR card.
  7. Ensuring that CPR Instructors within their district are teaching the required number of courses.
  8. A Shift Coordinator will assist with ordering required CPR supplies located in the EMS supplies order form.
  9. Maintain inventory of all CPR equipment and supplies for district.
  10. Coordinating with station officers to assist with citizen CPR training when instructors and/or staffing is needed
  11. Following District CPR training or anytime required, District CPR Coordinators will review the monthly CPR expiration report sent by the EMS Training Office. This report can be used to ensure that all new expiration dates have been entered correctly and/or that all personnel have been retrained.

TRAINING CENTER FACULTY

  1. The following list of tasks performed by the CPR Training Center Faculty will assist with the management of the OCFD CPR program:
  2. Follow all CPR instructor tasks and responsibilities.
  3. Assist the Shift CPR Coordinator by providing CPR Instructor retraining to all CPR instructors on their shift.
  4. Monitor CPR Healthcare Provider courses to ensure AHA standards and guidelines are followed.
  5. Advise District CPR Coordinator of Training Center Faculty card expiration date 90 days prior the expiration.
  6. Conduct all initial CPR instructor courses at the TrainingCenter as assigned by the Shift CPR Coordinator.
  7. The Training Center Faculty will be responsible for maintaining a current CPR instructor card.
  8. Provide OCFD CPR Instructors with up to date instructive and technical support and to latest scientific research and guidelines.Must attend one AHA update meeting per year or receive theinformation from Regional Faculty.

CPR INSTRUCTOR

  1. All Oklahoma City Fire Department CPR Instructors and Training Center Facultymust be current American Heart Association BLS instructors.
  2. The following list of tasks and responsibilities performed by the instructor willassist with OCFD CPR training:
  3. Instruct “Healthcare Provider courses” to suppression and other personnelas assigned by the District Coordinator.
  4. Assist with citizen CPR training program, as directed by the District CPRcoordinator.
  5. Instruct “CPR for Family and Friends” to citizens as needed.
  6. Forward orders to District Coordinator of all training aids and suppliesneeded to conduct CPR classes at least 30 days in advance.
  7. Forward completed course rosters and tests in large envelope to EMSAdministration. A copy of rosters and course completion cards will bereturned by interoffice mail. Cards will then be issued to students by theInstructor.
  8. Retain copies of all CPR rosters of courses taught for a minimum of twoyears.
  9. Maintain station CPR equipment inventory.
  10. Assure all personnel at your station have a current “Healthcare Provider”CPR card.
  11. Assure all training adheres to AHA standards and guidelines.
  12. Advise District CPR Coordinator of instructor card expiration date 90days prior to expiration.
  13. Accept responsibility for recertification requirements.

PERSONNEL CPR TRAINING PROGRAM

CPR training is available to all OCFD personnel. Suppression division personnel arerequired to maintain current “Healthcare Provider” CPR training status. All otherpersonnel are encouraged to receive and maintain CPR training.

Support personnel may schedule initial CPR training or retraining of employees at anytime. To schedule CPR training and verify Instructor and equipment availability, contactthe CPR Coordinator 30 days in advance of the selected training day.

Instructors will ensure that proper techniques are being performed as required by theAmerican Heart Association by personnel during training and retraining classes. TheInstructor is responsible for all paper work associated with training and retraining;ensuring it is completed properly with accurate information legible. A copy of the OCFDAHA roster is provided at the back of this document on page 18.

By conducting two classes per year in CPR in each of the six districts, individuals inthose districts will have an opportunity to either train or retrain in one of the two classes.All personnel may participate in the CPR training, however if your card does not expirewithin 6 months of the training you should participate in the training, but do not sign theroster.

HEALTHCARE PROVIDER DESCRIPTIONS:

Initial Course

Healthcare Provider CPR training will include one and two rescuer adult, child, infantand adult, child, and infant obstructed airway techniques. Mouth-to-mask ventilation,cricoid pressure, modified jaw thrust, BVM and demand valve, and AED techniques aremandatory for the Healthcare Provider level training. Students must attend andsuccessfully complete the full course with a written test score of 84% or above.

AHA PERFORMANCE TESTS:

One and Two rescuer adult and child CPR; infant one rescuerCPR; adult, child, and infant obstructed airway, pocket mask, demand valve and BVM.Instructor/manikin/student ratio is 1:1:6. Course length is a minimum of 6-8 hours with proficiency being the determinant of required time. Cards expire 2 years from date ofissue with recommended annual re-training.

RETRAINING

Repeat Healthcare Provider CPR Course or successfully completed Healthcare ProviderCPR Retraining. Recommended course length is 3 to 4 hours with proficiency being thedeterminant of required time. Instructor/manikin/student ratio is 1:1:6. Card expires twoyears from date of issue.Instructors must incorporate the use of AED, airway adjuncts (i.e., oral airways, demandvalve, bag-valve-mask (BVM) with 100% O2 and pocket mask). The instructor willassure these are disinfected properly after each use.

INSTRUCTOR AND TRAINING CENTER FACULTY

INSTRUCTOR

CPR Instructor initial training will be conducted at the OCFDTrainingCenter. Classdates will be scheduled on an as needed basis.BLS Instructors must teach a minimum of four courses per year. CPR Instructorretraining will be conducted at the station level by shift Training Center Faculty. AllCPR Instructors will be retrained as needed by the Training Center Faculty. The DistrictCPR Coordinators will coordinate with the Training Center Faculty in the developmentof schedules for the retraining of all CPR Instructors each year.

TRAINING CENTER FACULTY

Training Center Faculty initial training and retraining will be conducted at the OCFDTrainingCenter. All retraining courses will be scheduled in the OCFDTrainingCentertraining schedule. Initial training courses will be scheduled as needed.

BLS Instructors must teach or be present for a minimum of four courses in two years. Itis up to each instructor to achieve this requirement. The District CPR Coordinators willassist with the requirement by coordinating District CPR training with district CPRInstructors. TrainingCenter Faculty is responsible for providing quality/performanceimprovement, updates, monitoring, and teaching Instructor Courses.

INSTRUCTOR AND TRAINING CENTER FACULTY- continued

INSTRUCTOR COURSE DESCRIPTIONS

Instructor

Recommended length of class is 8 hours with proficiency being the determinant of time.Course agenda is located in BLS Instructors Manual. Instructors must have copy ofOCFD CPR Policies and Procedures Manual, and a current copy of the AHA BLSHealthCare Provider Instructor Manual at least 10 days before the class date. Attend andsuccessfully complete full course and written test (50 questions) with score of 84% orabove. Card expires two years from date of issue. Instructor/manikin/student ratio is1:1:5. Within one year of completing the course the Instructor candidate mustsuccessfully demonstrate his/her teaching skills while being monitored during a Provideror Provider renewal course.

Instructor-Retraining

Within two years of training, must teach or be present for a minimum of four courses.Copies of course rosters and current training card must be submitted at the time ofretraining. Written test score of 84% or above. If prerequisite requirements are NOTmet, the instructor wishing to be retrained must successfully complete a full Instructortraining course. Retraining should be completed on or before current training expires.Instructors cannot teach any CPR courses after their card expires.

TrainingCenter Faculty

Individual must have been trained as an Instructor for a minimum of 2 years with currentInstructor training. Must have taught a minimum of 4 courses during the past 24 months.Must have copy of OCFD CPR Policies and Procedures Manual and other materialsrequired at the Instructor level. Attend and successfully complete requirements forinstructor retraining. CPR Instructor wanting to become Training Center Faculty mustcontact the EMS Officer.

Training Center Faculty Retraining

Within the year of training the Training Center Faculty must teach a minimum of 4courses. The Training Center Faculty must attend or give an annual AHA update.

CITIZEN CPR TRAINING

The Oklahoma City Fire Department is actively involved in Citizen CPR Training. Thiswill promote a good relationship with the public and will enable them to help us in savinglives. For our pre-hospital defibrillation program to continue successfully, we need earlyBasic Life Support (BLS) to be initiated. Early CPR will help to increase an alreadysuccessful save rate.Big Push is the name of the Oklahoma City Fire Department citizen CPR program. The Big Push citizenCPR training will continue year round.

BEGINNING AUGUST 1, 2001, OKLAHOMA CITY FIRE DEPARTMENT WILLTEACH ONLY THE “CPR FOR FAMILY AND FRIENDS”, ADULT ORPEDIATRIC, TO THE PUBLIC.

Each citizen will be issued one “CPR for Family and Friends” manual. A courseparticipation card is located in the back of each manual and will be filled out by theInstructor at the end of the course.When calls come in from citizens and businesses requesting a CPR class, they will begiven the phone number of the station closest to them that has a CPR class being offeredin the right time frame. The station officer at that station will then receive the call fromthe person requesting the training. The officer will obtain the following information:

  1. Name and call back number of party requesting training.
  2. Name of business or organization, if applicable.
  3. Type of course and number of students.
  4. Location training will take place (at their location or at the fire station).
  5. Date training is desired (date should be at least 14 days in advance).

The officer will schedule CPR training only on the shift the officer is assigned. If the party requesting CPRtraining wants the training on a day that is on another shift, the officer will tell the calling party that theStation Officer will call them. The officer receiving the call will notify the officer on the shift of class datedesired.

CITIZEN CPR TRAINING - continued

Citizen CPR Classes will be taught on duty and scheduled a least 14 days in advance toallow time for request of materials and scheduling of staffing. Exceptions can be made ifequipment and staffing are available. When a CPR Instructor is teaching a CPR course,either at the station or at the student’s location, the Instructor will not be assigned to anapparatus until the course is completed. If the station does not have a CPR Instructorand/or staffing will not allow training on scheduled date, the officer will coordinate withthe District Officer and the District CPR Coordinator so arrangements can be madeconcerning CPR Instructors and/or staffing.

The station “Little Anne” manikins will be used for citizen CPR training. If moremanikins are needed to accommodate class size, the Shift CPR Coordinator and/or theDistrict CPR Coordinator may access additional manikins from other stations or the EMSTraining Office. All equipment will be returned to the district stations properly sanitizedand stored in the proper container.

CITIZEN CPR INVENTORY

Each station should have the following inventory for citizen CPR training:

  • 2 Little Anne manikins with carrying case
  • 10 disposable lungs and 10 face pieces for the Little Annemanikins
  • Citizen CPR training box with 2 CPR training Videos, 10 Familyand Friends student manuals, (Family and Friends CPR courseparticipation cards are located inside manuals). 5 course rosters,CPR/First Aid student handouts and a Family and Friends lessonplan.

BIG PUSH (CPR FOR FAMILY AND FRIENDS) TRAINING GUIDELINES

Preparation:

Prepare Room, check all equipment and supplies.

  • 2 training videos, (adult and pediatric).
  • Instructor lesson plan.
  • Little Anne manikins with a face piece for each student.
  • Student roster (have students print names).
  • Family and Friends course student training manuals, (one perstudent for them to keep).

COURSE OBJECTIVES

The AHA developed the CPR for Family and Friends Course curriculum toachieve one ultimate objective: to increase survival from sudden cardiac arrest byincreasing the number of rescuers prepared to call 911 and provide early CPR. Bystrengthening the early access and early CPR links in the Chain of Survival in everycommunity, the AHA should meet its mission: to reduce death and disability caused bycardiovascular diseases and stroke. In addition, the course is designed to prevent deathand disability and the need for CPR by teaching the warning signs of heart attack andstroke in adults, and teaching methods to reduce death caused by sudden infant deathsyndrome in infants and injuries in children.

COURSE OBJECTIVES- continued

KNOWLEDGE (COGNITIVE) OBJECTIVES

The major knowledge (cognitive) objectives of the CPR for Family and FriendsCourse are that at the end of the course, the participant will be able to:

  1. Describe the links in the AHA Chain of Survival, including theimportance of:
  2. Calling 911
  3. Performing CPR
  4. Increasing the probability of early defibrillation by calling 911
  5. Ensuring the arrival of early advanced care by calling 911
  6. Describe the steps of CPR and relief of FBAO:
  7. Describe when to start CPR
  8. Describe when to start rescue breathing
  9. Describe how to check for normal breathing or signs of circulation
  10. Describe the “A,B,C” sequence of CPR
  11. Describe the signs of severe or complete foreign body airwayobstruction
  12. Describe how to relieve FBAO in the responsive victim.
  1. Describe the signs of 4 major emergencies in adults:
  2. Heart attack
  3. Stroke
  4. Cardiac arrest
  5. Foreign-body airway obstruction (FBAO)
  6. Describe strategies to prevent sudden infant death syndrome in infants andinjuries in infants and children.

SKILLS (PSYCHOMOTOR) OBJECTIVES

The major skill (psychomotor) objectives of the course are that at the end of thecourse, the participant will be able to demonstrate the following skills using an adultand/or an infant and child manikin (determined by the course modules completed) and atelephone:

  1. Calling 911
  2. Rescue breathing using mouth-to-mouth ventilation
  3. One-rescuer CPR
  4. Relief of FBAO in the responsive victim

CPR FOR FAMILY AND FRIENDS

Course Agenda (participant/Instructor Ratio-6:1, Participant/Manikin Ratio-3:1)

MODULE 1 ADULT BASIC LIFE SUPPORT

(One hour and 44 minutes to 2 hours and 2 minutes. Total course time range for adult and pediatricmodules: 4 hours to 4 hours, 38 minutes).

Welcome and Introduction and video: CPR for Family and Friends, Adult segment. Videoparticipants should have book open to follow teaching points.

  1. The Chain of Survival
  2. Heart Attack and Cardiac Arrest: Recognition and Management
  3. Stroke: Recognition and Management
  4. Choking: Recognition and Management

Instructor-led discussion of sign of heart attack, cardiac arrest, stroke, and choking. Participants shoulddiscuss contents from book and video.Watch-then practice video instruction (3:1 student to manikin ratio)