TRAINING PLAN FOR 1st Response FULL course Updated November 2016

District/Division/ County/Region / Date / Time / 6 hours, not including breaks
Can members of The Senior Section, such as Young Leaders, attend? / Yes / Copy of information sent to participants seen? / Expected numbers
Venue details / Break allocated / Actual numbers
Title of training session / 1st Response full course
Facilities available
Additional needs of participants
Key person to liaise with / Phone number / EMAIL
Budget for session
Aim / The aim of 1st Response is to ensure that Girlguiding / Scouting members are kept as safe as possible while they are in our care.
Objectives / By the end of the training participants will have had the opportunity to be
●provided with simple first aid information which is relevant to their role.
●helped to build confidence and skills in coping with emergency and first aid situations.
●equipped with the knowledge needed to manage these emergencies.
Outcome / Participants will have the skills and knowledge to enable them to keep Girlguiding / Scouting members as safe as possible while they are in our care.
EQUIPMENT NEEDED
Training box / Yes No / Mobile phone / Yes No / Bin bags / Yes No
Flipchart / Yes No / Flipchart stand / Yes No / Refreshments / Yes No
Section resource box / Yes No / Music / Yes No / Risk assessment / Yes No
First aid kit / Yes No / Extension lead / Yes No / Poster displays / Yes No
Laptop and projector / Yes No / USB stick etc / Yes No / Leadership Qualification / Yes No
Resuscitation manikins / Yes No / 1st response participants handbook / Yes No / Condition picture cards / Yes No
Dressings and triangular bandages / Yes No / Medical cleansing wipes / manikin cleansers / Yes No / Choking vest – optional / Yes No
Resuscitation face shields / Yes No / / Yes No / Yes No

INFORMATION FOR TRAINERS

As you are aware, every 5 years the European Resuscitation Council (ERC), the Resuscitation Council (UK) and the International Liaison Committee on Resuscitation (ILCOR) review the latest research and evidence in resuscitation, and then release updated guidelines. In addition to this, for the first time in history, in 2016, the European Resuscitation Council (ERC) have also produced guidelines for first aid.

With these changes underpinning first aid practice, Girlguiding / Scouting has reviewed the 1st Response course content and amended it to ensure we are compliant.

The updated material is reproduced by kind permission of the St John Ambulance.

Key messages for Trainers

●As a trainer, you have the freedom to change the order of sessions as long as ALL of the content and topics within the syllabus are covered.

●You are encouraged to use the activities and exercises provided here if time allows as these have been put together and road tested by a team of 1st Response experts. If you create additional activities or methods of delivery, please send these to us to review before . This enables Girlguiding to maintain the consistency, quality and safety of the 1stResponse training across the organisation; ensuring we are adhering to necessary guidelines for the wellbeing of our members and enabling us to share good practice and helpful ideas for other trainers to use.

●Please ensure you follow current policy for manikin sanitation -

●Please do NOT use the Trainer notes as these are now out of date.

●Please ensure you refer to the correct pages in the 2016 participants’ course book and explain where practice has changed. Ensure you draw attention to the ‘Resuscitation Council Guidelines 2015 Guidance for Participants’ insert sheet which supports the course book.

●The areas of first aid practice that have changed are included in the Training plan. For all other signs, symptoms and treatments please refer to the participants’ course book.

●Some activities are available online (including scenarios, quizzes and condition cards) and found here. These may be used if you wish and have sufficient time.

SUMMARY OF PLAN

SESSION / TITLE / TIME
1 / Introduction and principles of first aid related to Girlguiding / Scouting / 1.5 hours
2 / Emergency life support / 2 hours
3 / Identifying and managing life threatening Injuries / 1.5 hours
4 / Other injuries and conditions / 1 hour

COURSE CONTENT

If participants inform you that they hold a current first aid or emergency aid qualification other than a 1st Response course, check this syllabus to ensure that all Girlguiding / Scouting requirements have been covered. If they have covered only part of the syllabus please advise them how to acquire the outstanding skills or knowledge.

Topic / Section in 1st Response Course
Principles of first aid related to Girlguiding / Scouting
●key policies and guidelines relating to 1st Response
●emergency file for Girlguiding members and purple card for Scouting members
●duty of care for other people’s children including giving medication
●managing and reporting an incident
●first aid equipment
●role of a first aider
●arrival at an incident / 1
Emergency life support
●primary survey using DR ABC
●choking
●recovery position
●basic life support (for both children and adults)
●external bleeding / 2
Life-threatening situations - identifying injuries and monitoring the condition
●Identify injury
●levels of consciousness
●signs, symptoms and initial treatment for all causes of unresponsiveness including:
oFainting
oImbalance of heat include heat exhaustion, heat stroke and hypothermia
oShock
oHeart attack/angina pectoris
oStroke – include how to use FAST
oHead Injury
oAsphyxia/hypoxia/drowning
oAsthma
oAnaphylaxis
oPoisoning
oSeizures including epilepsy
oDiabetic emergencies / 3
Signs, symptoms and initial treatment for each of the following BONE AND MUSCLE injuries:
•Broken bones i.e. fractures
•Strains and sprains / 4
Signs, symptoms and initial treatment for each of the following SKIN injuries:
•Burns – dry heat, radiation including sunburn, hot liquids, steam (scalds) and chemicals
•Minor cuts and grazes, bumps and bruises
•Splinters
•Stings /Ticks / Animal and snake bites
•Blisters / 4
Signs, symptoms and initial treatment for each of the following injuries to the HEAD
●Foreign bodies in the ears and nose
•Nosebleeds
●Eye injuries / 4
Signs, symptoms and initial treatment for each of the following ailments :
•Headache
•Earache
•Stomach ache
•Dehydration
•Tooth loss
•Meningitis / 4

DETAILED PLAN

Session 1 / Introduction and principles of first aid related to Girlguiding / Scouting
Session length / 1.5 hours
Aim / To introduce course participants to key policies and processes relating to 1st Response
Objectives / By the end of the session participants will have had the opportunity to
  1. Find key policies and guidelines relating to 1st Response on the Girlguiding website
  2. Explore the contents of the emergency file or purple card
  3. Discuss their role in relation to duty of care for other people’s children including giving medication
  4. Explain how to manage and report an incident
  5. List basic first aid equipment
  6. State the principles of first aid and the role of a first aider
  7. Explain what to do when you arrive at an incident

Course booklet reference / Course booklet page 6-10
Time / Total time / Activity / Training method / Resources / Objective Number
10 / 10 / Welcome and Introductions
●Domestic notices - health and safety, meal and drink breaks, toilets, emergency evacuation, 1st aid provision during the training, etc
●Outline the content of the course.
●Check all participants are present and introduce to each other.
●Explain the aims and objectives of the course.
●Explain that this is an attendance only course and not competency assessed
●Explain the aims and objectives of the session.
●Check for any allergies in relation to resources/equipment being used eg latex allergy, plasters, wipes / Talk / PPT slide
5 / 15 / Training needs assessment
Ascertain from participants which first aid scenarios they have dealt with, which ones they are confident in dealing with and for which ones they would like more information. / Brainstorm / Flipchart
5 / 20 / Policy
For Girlguiding:
Check that all participants are aware of the following and they know where to find more information:
●Risk management guidelines including Being Prepared resource
●Girlguiding / Scouting Safety and safeguarding policy
All Girlguiding areas and units should have an Emergency File which contains all the forms you need to manage an emergency situation effectively. It should be taken with you to all guiding activities, and contains:
●Notification of accident or incident form
●Accident/incident witness statement
●Risk assessment form
●Emergency action plan
●Emergency contact information
●Fire evacuation information
For Scouting:
The purple card provides support for safe Scouting and guidance in the procedures for dealing with an emergency. Please refer to and here. / Discussion / Website / 1 + 2
5 / 25 / Duty of care for other people’s children
●Some of our young members have additional needs and may need your support. For example, they may need medication or extra support to ensure that they can enjoy the same great guiding/scouting experience as their peers. To help identify these needs, we have created two different types of plans for you to download and fill out with the member's parent or carer present.
●A Health Care Plan is designed for those with specific health needs - for example, they may need to take medication regularly, or have a condition like diabetes or epilepsy.
●A Personal Care Plan is designed to support those who need help with activities such as eating, dressing, washing and mobility.
●Both of these plans have been created to facilitate discussions between you and the young member's parent or carer about how best to support them.
●You only need to use a Personal Care Plan if a member’s additional needs limit their ability to join in normal section activities.
● Health Care Plans only needs to be used if a member has a medical condition which makes an emergency likely, is under the age of 16, and does not have a pre-existing health care plan - for example, created by their school. NB for Scouting it’s for members under the age of 18.
●Members who are over the age of 16 are responsible for their own health care and shouldn't be asked to complete these forms. If a member has a pre-existing health care plan, there is no need to complete a Girlguiding / Scouting plan as well. / Talk / Website / 3
10 / 35 / Giving medication - refer to appendix 2 in participant resource
For Girlguiding:
●Any leader is expected to act in the same way as any sensible adult would, taking responsible care for the safety and health of those in their charge. They must not prescribe prescription drugs, but can hand them out in accordance with a doctor's prescription.
●The leader should be informed by the parents or carers of any individual of any specific medical condition, medication, treatment or allergies which may need attention during the period of an activity. This information should be obtained when the individual joins.
●Although a wide range of medication can be purchased without prescription over the counter at pharmacies these should not be administered without parental consent.
●Parents should be asked to provide sufficient dosage in a safely packed and clearly marked container. This marking should state the name of the young member under 16, the name of the medication, any storage requirements and the frequency, dose and method of administration.
●Where the person is self-medicating (asthmatic inhalers etc.) and is seen as responsible enough by the designated First Aider and parent/guardian to hold their own medication, an additional emergency supply of sufficient quantity to last the duration of the event, should, if at all possible, be held by the designated First Aider.
●The designated First Aider must check the medication before administration for name of drug, dosage and expiry date and keep a written record of all medication details including date, time, who gave it. / Talk / PPT slide
App 2 / 3
8 / 43 / What to do in the case of an accident or incident
  1. When to call 111 versus 999/112
999 or 112 should be called if there is a medical emergency or additional services are required eg police, fire, mountain rescue etc.
NHS 111 is the free number to call when you have an urgent healthcare need. It directs you to the right local service, first time. It is available across the whole of England making it easier for you to access urgent healthcare services when you need medical help fast.
It is available 24 hours a day, 365 days a year. Calls are free from landlines and mobile phones
When should you call it?
You need medical help fast, but it’s not a 999 emergency
You don’t know who to call for medical help or you don’t have a GP to call
You think you need to go to A&E or another NHS urgent care service but are not sure which one is most appropriate
You require health advice or reassurance about what to do next
  1. Call for help using mobile phone if possible
  2. Explain the role of the emergency medical dispatcher (the person you speak to when you dial 999) in supporting a first aider in an emergency situation. It's important that the first aider stays with a casualty when calling for help and (if able) puts the phone on speaker, to facilitate continual communication with the emergency medical dispatcher. Ensure all participants know how to enable the speaker function on their phone.
If there has been an accident or incident these are the first things you need to remember to do:
●Stay calm. The most important thing is that you don't panic and you think clearly.
●Make sure, as far as you can, that the young people you are taking care of, and the other volunteers with you, are safe.
●Call the emergency services if appropriate.
For Girlguiding:
In case of a serious emergency in addition to the above you must then do the following.
●If outside your guiding area, tell your home contact what has happened.
●Call your Commissioner to tell them exactly what happened and together decide what to do next.
●Call Girlguiding insurance service on 0845 260 1053 or out-of-office hours 07508 032997.
●Call Girlguiding’s emergency PR line on 020 7592 1733 or the out-of-office hours PR line on 07990 553 940.
●Do not admit liability.
●Get witnesses' names and addresses.
For Scouting:
In the event of an accident:
●Alert the appropriate emergency services, if required.
●Alert your District Commissioner or their designate:
●Alert the emergency contact of those individuals involved.
●If you are abroad, alert any agencies that you are required to by the insurers.
In the event of a serious accident, incident or loss of life:
• Contact the Duty Media Officer on 020 8433 7100
Scout Information Centre: 0845 300 1818
Scottish Headquarters:
Office hours 01383 419 073 After office hours 020 8433 7100
Northern Ireland Headquarters:
Office hours 02890 492 829 After office hours 07973 301 195
Air and deep water accidents:
For accidents during air activities or during water activities in coastal or deep
sea waters:
• Notify the appropriate government agency. / Talk / PPT slide - use correct slide or both if Guiding and Scouting members present / 4
2 / 45 / Accident books and data protection
A record should be kept of all accidents that occur. This way you can spot common accidents and safety issues within your meeting place as well as keeping notes of any incident, should you need to refer back to them. The Data Protection Act does not prohibit the use of accident books, but simply requires you to ensure that the personal and medical details of your members are not accessible to others. In practice the best solution is to have an accident book with detachable pages. This ensures that all accidents are recorded as usual but that after the incident the record is removed from the book and stored securely by the leader. In this way records are still available to the leader should they need to refer to them, but cannot be viewed by others.
Records should be kept for seven years from the date of accident. / Talk / PPT slide / 4
10 / 55 / First aid equipment
●Ask participants to list what should be in a first aid kit and the quantities expected against their unit numbers and likelihood of injury. Link to risk assessment – what are the risks with your section and the activities being undertaken. What first aid equipment might you need? Link this to risk assessment.
●Show examples of contents and discuss why each is used. Refer to appendix 2 in participant resource / Discussion/ Small group activity / App 2 / 5
5 / 60 / Principles of first aid
●Preserve life
●Prevent deterioration
●Promote recovery
The role of a first aider
First aid is the help given to someone who is injured or ill, to keep them safe until they can get more advanced medical treatment by seeing a doctor, health professional or go to hospital. The role of a first aider is to give someone this help, while making sure that they and anyone else involved are safe and that they don’t make the situation worse. / Talk / PPT slide / 6