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Clinical Work Instruction Manual - Introduction

Heath and Safety

1.1 - Health and Safety/Universal Precautions

1.2 - Application of sterile gloves

Primary Care

Patient Examination

2.1.1 - Basic life support – Primary survey flow chart

2.1.2 - Physical examination (Secondary survey)

2.1.3 - Palpate and record a radial pulse

2.1.4 - Palpate and record a carotid pulse

2.1.5 - Palpate and record a brachial pulse

2.1.6 - Measure and record a systolic blood pressure by palpation

2.1.7 - Measure and record a blood pressure by auscultation

2.1.8 - Chest auscultation *

2.1.9 - Respiratory status assessment

2.1.10 - Conscious state assessment (Glasgow Coma Score)

2.1.11 - Perfusion status assessment

2.1.12 - Performing a random Blood Glucose analysis - Reagant Strip

2.1.13 - Performing a random Blood Glucose analysis - Advantage Glucometer

2.1.14 - Quality Control Check - Advantage Glucometer

2.1.15 - Performing a random Blood Glucose analysis - Precision Glucometer

2.1.16 - Calibrating the Precision Blood Glucose Monitoring System

Airway Management

2.2.1 - Manual airway clearance

2.2.2 - Triple airway manoeuvre including jaw thrust

2.2.3 - Oropharyngeal airway

2.2.4 - Nasopharyngeal airway

2.2.5 - Mechanical suction - Y suction catheter

2.2.6 - Mechanical suction - Yankauer rigid sucker

2.2.7 - Stable side position - lateral

2.2.8 - Adult choking algorithm flow chart - conscious & unconscious patient

2.2.9 - Paediatric choking algorithm flow-chart - conscious & unconscious patient

2.2.10 - Airway clearance - back blows

2.2.11 - Airway clearance - abdominal thrusts - Adult

2.2.12 - Airway clearance – lateral chest thrusts - Paediatric

2.2.13 - Inspection of upper airway using laryngoscope

2.2.14 - Removal of impacted foreign body using Magill's forceps

2.2.15 - Insertion of a Laryngeal Mask Airway

2.2.16 - Insertion of an endotracheal tube

2.2.17 - Performing an 'oesophageal detector' test - Adult

2.2.18 - Performing an 'oesophageal detector' test - Paediatric

2.2.19 - Performing an endotracheal detector (squash) test

2.2.20 - Hand Operated Portable Suction (Res-Q-Vac)

2.2.21 - Cricothyroidotomy - Minitracheostomy

2.2.22 - Tracheal Tube Introducer – (Single Use Bougie)

2.2.23 - Application of "Thomas" LMA/ETT holding device *

Resuscitation

2.3.1 - Rescue Breathing *

2.3.2 - Cardio-pulmonary resuscitation - adult/single rescuer *

2.3.3 - Cardio-pulmonary resuscitation - adult/two rescuers *

2.3.4 - Cardio-pulmonary resuscitation - Infant (0-1 Years) and Child (1-14 Years) single rescuer *

2.3.6 - Cardio-pulmonary resuscitation - Infant (0-1 Years) and Child (1-14 Years) two rescuers *

2.3.7 - Cardio-pulmonary resuscitation - Newborn (first minutes to hours following birth) single and two rescuers *

2.3.9 - Basic life support flow chart - defibrillation

2.3.10 - Daily check - Zoll PD 1600

2.3.11 - Cardiac monitoring - Zoll PD 1600

2.3.12 - Direct current counter shock - Zoll PD 1600 - Manual mode *

2.3.13 - Direct current counter shock - Zoll PD 1600 - Shock advisory mode

2.3.14 - Synchronised cardioversion (Zoll PD 1600)

Oxygen Therapy and Ventilation

2.4.1 - Application of rigid face mask

2.4.2 - IPPV with closed circuit resuscitator

2.4.3 - IPPV with bag valve mask (BVM) resuscitator - Adult

2.4.4 - IPPV with bag valve mask (BVM) resuscitator - Paediatric

2.4.5 - Applying assisted IPPV with positive end-expiratory pressure (PPEP)

2.4.6 - Oxygen by disposable face mask

2.4.7 - Oxygen by nasal cannula

2.4.8 - Performing gentle lateral chest pressure in severe asthma

2.4.9 - Insertion of a naso-gastric tube

2.4.10 - Assemble and check oxy-resuscitator

2.4.11 - End tidal CO2 monitoring

2.4.12 - Capnography and Pulse Oximetry using the Novametrix Tidal Wave SP

2.4.13 - Daily check of Novametrix Capnograph Tidal Wave SP

Advanced Life Support

3.1.1 - Diagnostic confirmation of a tension pneumothorax

3.1.2 - Decompression of a tension pneumothorax

3.1.6 - Needle decompression of a tension pneumothorax

Drug Administration Techniques

3.2.1 - Administration of Methoxyflurane via analgiser inhaler

3.2.2 - Administration of Glyceryl Trinitrate - Buccal / Sublingual route

3.2.3 - Administration of nebulised salbutamol - via aerosol mask

3.2.4 - Administration of nebulised salbutamol - via 'T' piece - adult

3.2.5 - Drug administration by intramuscular injection

3.2.6 - Placement of an intravenous cannula

3.2.7 - Assemble intravenous infusion line

3.2.8 - Connect and secure an infusion line to a cannula

3.2.9 - Change an intravenous soft pack

3.2.10 - Draw up a drug for administration - glass ampoule

3.2.11 - Draw up a drug for administration - plastic ampoule

3.2.12 - Administration of a pharmacological agent via the rectal route

3.2.13 - Insertion of an intraosseous needle

Secondary Care

Bandages and Knots

4.1.1 - Tie a reef knot

4.1.2 - Tie a clove hitch

4.1.3 - Application of an arm sling

4.1.4 - Application of a high arm sling (St John sling)

4.1.5 - Application of a collar and cuff sling

4.1.6 - Triangular bandage (figure-of-eight) around feet and ankles

4.1.7 - Prepare and apply a ring pad

4.1.8 - Application of a roller bandage (simple spiral)

4.1.9 - Application of a combined pad and bandage to a limb

4.1.10 - Control external bleeding to a limb

Splinting

4.2.1 - Application of an air splint

4.2.2 - Application of a cervical collar

4.2.3 - Anatomical splinting (lower limbs)

4.2.4 - Application of a Donway Splint

4.2.5 - Application of "HeadBed II" Cervical Immobilization Device *

Other

Lifting and Loading

5.1.1 - Safe lifting of a patient (correct lifting technique)

5.1.2 - Fore and aft lift

5.1.3 - Load an ambulance with a Ferno-Washington stretcher trolley

5.1.1E - Load an ambulance with a Ferno-Washington 50E stretcher trolley *

5.1.4 - Unload a Ferno-Washington stretcher trolley from an Ambulance

5.1.4E - Unload a Ferno-Washington 50E stretcher trolley from an Ambulance *

5.1.5E - Application of a Ferno-Washington 50E stretcher Patient Harness *

5.1.6 - Application of a Ferno-Washington Patient Harness

5.1.7 - Performing a ‘log-roll’ of a patient (from supine position)

5.1.8 - Application of spine board - patient supported in “log roll” side position

5.1.9 - Application of the scoop stretcher - side application - (patient supine)

5.1.10 - Application of the scoop stretcher - scissor application - (patient supine)

5.1.11 - Application of spine board/scoop stretcher patient securing straps

5.1.12 - Load a patient to stretcher using the scoop or spine board

5.1.13 - Application of the Kendrick Extraction Device (K.E.D)

5.1.14 - Secure a patient to a Paraguard stretcher

5.1.15 - Application and use of restraint straps - supine position

5.1.16 - Ferno Folding Wheelchair *

5.1.17 - Folding Wheelchair *

5.1.18 - Removing the Ferno-Washington 50E stretcher top from the Undercarriage *

5.1.19 - Attaching the Ferno-Washington 50E stretcher top to the Undercarriage *

5.1.20 - Raising and Lowering the Ferno-Washington 50E stretcher with two operators *

5.1.21 - Raising and Lowering the Ferno-Washington 50E stretcher with one operator *

Vehicle and Equipment

5.2.1 - Equipment check

5.2.2 - Driver's check

5.2.3 - Prepare stretcher for use

Send Feedback	Clinical Work Instructions	Editor - John Till
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