INSTRUCTOR RESOURCE FOR RESUSCITATION PROGRAMS IN CANADA – 2007

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					                 INSTRUCTOR RESOURCE FOR RESUSCITATION PROGRAMS IN CANADA – 2007 REVISIONS SUMMARY

Page Section                                  Details
1    Introduction to Resuscitation Programs   2nd paragraph: new content – addition of HSFC mission:
                                              The Heart and Stroke Foundation of Canada (HSFC), a volunteer based health
                                              charity, leads in eliminating heart disease and stroke and reducing their impact
                                              through the advancement of research and its application, the promotion of healthy
                                              living, and advocacy. HSFC meaningfully advances its mission through its active
                                              involvement in Resuscitation Programs.

4      1.1 – History of Resuscitation         Following last bullet on the page: a bullet was added that states:

                                              In 2006, oversight for the NRP program in Canada was transferred from HSFC to
                                              the Canadian Paediatric Society.

6      1.2 – Resuscitation in Canada          The last paragraph in this section was deleted and rewritten

                                              Deleted:
                                              Through a Memorandum of Understanding with the national training agencies (the
                                              Canadian Red Cross, the Canadian Ski Patrol, the Lifesaving Society of Canada and St.
                                              John Ambulance) there is a commitment to ensure that all BLS courses are taught in
                                              Canada comply with the current guidelines as set by HSFC.

                                              Replaced with:
                                              The national, charitable resuscitation training agencies in Canada include the Heart and
                                              Stroke Foundation of Canada (HSFC), the Canadian Red Cross, St. John Ambulance, the
                                              Lifesaving Society and the Canadian Ski Patrol.

                                              Upon North American release of the 2005 Guidelines for CPR and ECC by HSFC, the
                                              national training agencies collaborated to identify the core course content for the Basic
                                              Life Support (BLS) resuscitation programs they offer in Canada.

                                              While the training agencies agree to include core content in BLS courses, they do not
                                              collaborate in the process of course design, development or delivery. There is variation in
                                              the training methods used and course structure and design approaches between each of
                                              the agencies.
Page Section                               Details
7    1.3 Structure of the HSFC –           Added sentence at the end of this section:
     Resuscitation Research                “The first HSFC Requests for Applications for Resuscitation research were
                                           launched in September 2006.”

9     1.3.4 Provincial Role                1st paragraph edits:
                                           Old:
                                           There is reciprocity for all Resuscitation Program instructors, instructor trainers and
                                           medical directors between the provincial HSFs and at the BLS level with the nationally
                                           recognized training organizations. The policies and procedures found in this manual for
                                           the basis for reciprocity across Canada and with ILCOR member countries.

                                           New:
                                           There is reciprocity for all Resuscitation Program instructors, instructor trainers and
                                           medical directors between the provincial HSFs. and at the BLS level with the nationally
                                           recognized training organizations. The policies and procedures found in this manual for
                                           the basis for reciprocity across Canada and with ILCOR member countries. between
                                           HSFC and AHA.

17    2.1.5 “Requisite” and “Life Skill”   New section:
                                           There are many reasons for taking a Resuscitation Program; it may be because of a
                                           professional and/or educational requirement, or because the person just “wants to know
                                           how” to better respond to an emergency. The Resuscitation Program instructor and the
                                           participant should determine together which course best meets the participant’s needs.

                                           “Requisite” refers to programs taken because the course is a requirement or prerequisite
                                           for education and/or workplace. ACLS and PALS are requisite courses intended for
                                           Health Care Providers (as defined below) because the knowledge and skills of these
                                           programs are requirements for their education, for ongoing professional
                                           certification/registration, and for workplace requirements. BLS courses designated as
                                           requisite are intended for health care providers; however, if a participant requires the
                                           knowledge and competency in the skills as part of their role as a First Responder, they
                                           can attend and be evaluated at a requisite level course Resuscitation Program.

                                           “Life Skills” refers to programs taken because of interest, personal need (e.g.,
                                           family/friends have heart conditions), etc. These courses are not intended for Health Care
                                           Providers, and do not fulfill the BLS prerequisite for attendance at an ACLS or PALS
                                           program. However, a BLS program such as CPR in Schools may be considered a
                                           requisite program in those school jurisdictions where the requirement for CPR training is
                                           part of the requirements of a Junior or Senior high school education program.
Page Section                                     Details
20   2.3.3 – Role of Medical Director            Added bullets:
                                                 • Identify a physician instructor or experienced instructor to deliver the Acute Coronary
                                                    Syndrome/Stroke portions of the ACLS course in their absence on site

                                                 Added paragraph:
                                                 Consequent to the review of the need for the ACLS Medical Director to be on-site for all
                                                 parts of the ACLS course,, HSFC recommends that ALCS Medical Directors must be at
                                                 minimum, immediately available by telephone throughout the duration of any ACLS
                                                 course. Contact your provincial HSF regarding course taught credits for Medical Directors
                                                 available solely by phone contact

21     2.3.6 Use of Instructors not registered   Deleted:
       with HSF                                  AHA Affiliated Training Agencies and International Organizations: An instructor originally
                                                 trained by AHA, by one of the Affiliated Training Agencies (the Canadian Red Cross, the
                                                 Canadian Ski Patrol, the Lifesaving Society and St. John Ambulance), or by another
                                                 International organization cannot teach a HSF Resuscitation Program unless they have
                                                 completed the Transfer of Instructor Status process or have obtained approval from the
                                                 provincial HSF.

                                                 Replaced with:
                                                 AHA and HSFC-Recognized International Organizations:
                                                 An instructor originally trained by AHA or by another international organization recognized
                                                 by HSFC cannot teach a HSF Resuscitation Program unless they have completed the
                                                 Transfer of Status Process or have obtained approval from the provincial HSF.

                                                 Affiliated Training Agencies:
                                                 An instructor originally trained by one of the nationally recognized Affiliated Training
                                                 Agencies (Canadian Red Cross, Canadian Ski Patrol System, Life Saving Society, and St.
                                                 John Ambulance) may teach HSF Resuscitation courses once they have completed the
                                                 appropriate HSFC Instructor training program.
Page Section                             Details
22   ACLS Instruction – ACLS Medical     3rd sentence now reads:
     Director                            “HSFC recommends that ACLS Medical Directors be present during and actively
                                         participate in provider and Instructor level courses in order to maintain their status as a
                                         Medical Director.”

23    2.4.4 – Grace Period for Renewal   New text:
                                         Note: For additional information on this topic, refer to Section 2.4.5 Waiver of Minimum
                                         Teaching Requirements

                                         BLS Health Care Provider (HCP):

                                         1) For students who present an expired BLS HCP card:

                                         A grace period of up to 3 months may be approved by the provincial HSF if illness,
                                         pregnancy, injury, or a call to active military duty has caused a delay in training renewal.
                                         The instructor or instructor trainer responsible for the quality assurance of the course is
                                         responsible for allowing the student to proceed in the registration or renewal course.

                                         2) For students who do not possess a BLS HCP card:

                                         Following discussion with the instructor who will conduct the training, the student may
                                         attend the renewal with the understanding that if they do not successfully complete both
                                         the written and psychomotor skill evaluation components of the program, they are
                                         required to attend a full BLS HCP program. Considerations for the decision include
                                         frequency of use of CPR skills, knowledge and skills required in the workplace, related
                                         volunteer activities, whether or not the last course completed was before or after a
                                         Guideline change, other training previously taken, etc.

                                         3) For students who present an expired Heartsaver card or do not possess a Heartsaver
                                            card:

                                         Heartsaver programs do not have a renewal program. All students are required to attend
                                         the full training program.
Page Section                              Details
23   2.4.4 – Grace Period for Renewal     Continued….

                                          ACLS/PALS Provider:

                                          1) For students who present an expired ACLS/PALS card:

                                          A grace period of up to 3 months may be approved by the provincial HSF if illness,
                                          pregnancy, injury, or a call to active military duty has caused a delay in training renewal.
                                          Requests for extensions of instructor status are considered on an individual basis.

                                          2) Students who do not possess an ACLS/PALS card are required to attend a full ALS
                                          (ACLS or PALS) program.

                                          Instructor, Instructor Trainer and Medical Director:

                                          Instructors, instructor trainers and medical directors have a grace period of up to 3
                                          months to attend a Renewal Course. A grace period may be approved by the provincial
                                          HSF if illness, pregnancy, injury, or a call to active military duty has caused a delay in
                                          training renewal. Requests for extensions of instructor status are considered on an
                                          individual basis.

34    2.11.2 Transfer of Status Process   Content of section “With AHA and International Organizations:” changed to read:

                                          With AHA and International Organizations:
                                          The process for transfer from AHA and international organizations that adhere to the
                                          International Guidelines is similar to that described for inter-provincial HSFC Instructors
                                          (above). Contact your provincial HSF for the details on transfer of status process.


43    3.3.2 Post-Exposure Protocol        Content of section changed to read:

                                          The HSFC recommends the following in order to minimize the risk of acquiring an
                                          infection after CPR is performed (especially mouth-to-mouth ventilation) or when there is
                                          prolonged exposure to infected blood:
                                          • If the person being resuscitated is exposed from an infected rescuer, they should
                                               have access to a port-exposure protocol.
                                          • If the rescuer is exposed from an infected patient, they should have access to a post-
                                               exposure protocol.
                                          If the rescuer feels they have been exposed, they should attend the same hospital as the
                                                    source patient (if possible).
     46    Sodium Hypochlorite (bleach)             Second to last bullet:
                                                    Changed 1-2 glasses of milk or water to ½ a glass of milk or water

                                                    Now reads: “..dilute the bleach by drinking ½ a glass of milk or water.”

   Significant Changes within the Appendices
Page      Section         Previous 2006                                                       Revised 2007
53        Provider -      • Canadian Forces QL6A Advanced Journeyman 1(medA)                   • Canadian Forces designations 5A, 5B, QL6A
          Eligibility        and QL6A Advanced Journeyman 2 (Physician Assistant)                  Advanced Journeyman 1 (MedA) and QL6B
                          • First Responders, Canadian Forces designations of QL3, 4,              Advanced Journeyman 2 (Physician Assistant)
                              5A and 5B and others may audit the course at the                • First Responders, Canadian Forces designations of
                              discretion of the Medical Director                                   QL3 and QL4, and others may audit the course at the
                                                                                                   discretion of the Medical Director
53        Instructor –       Canadian Forces QL6A Advanced Journeyman 1 (MedA) and            Canadian Forces designations 5A, 5B, QL6A Advanced
          Eligibility        QL6A Advanced Journeyman 2 (Physical Assistant)                  Journeyman 1 (MedA) and QL6B Advanced Journeyman
                                                                                              2 (Physical Assistant)
53        Provider-          1st bullet :                                                     Current HSFC BLS for HCP (C) within 12 months prior to
          Prerequisites      Current HSFC BLS-C in 12 months prior to attendance              the Instructor Course

57        Heartsaver (A) -   Registration Course: Approximately 4 hours                       Registration Course: Approximately 3 hours
          Time
          requirements
          Heartsaver (A) -   Demonstrate competency in 1-resucer Adult CPR and choking        Demonstrate competency in 1-resucer Adult CPR and
          Course                                                                              choking
          Completion
57        Heartsaver         -AED (mandatory)                                                 - Adult/Child AED (mandatory)
          AED (C) –
          Skills taught
57        Heartsaver         Registration Course: approximately 5 hours                       Registration Course: approximately 4 hours
          AED (C) –
          Time
          requirements
57        Health Care        - AED (mandatory)                                                - Adult/Child AED (mandatory)
          Provider (C) –
          Skills taught
57        Health Care        Demonstrate competency in:                                       Demonstrate competency in:
          Provider (C) –     • Adult/child/infant CPR, 10 and 2-rescuer (adult 30:2) and        • 1-Resucere Adult/Child/CPR
          course               child/infant 15:2 ratios)                                        • 2-Rescuer Adult/Child CPR and AED
          completion       • Adult/child Infant choking                                     • 1 and 2 Rescuer Infant CPR
          requirements     • Barrier device/pocket mask usage                               • Barrier device/pocket mask usage
                           • AED                                                            • AED
72        Appendix J       New Appendix                                                   See attached document


Page      Section          Previous 2006                                                  Revised 2007
58        Modified         BLS E course completion card issued when BLS A, B, D or F      Bullet removed:
          Course (E) –     cannot be completed due to limitations                         BLS E course completion card issued when BLS A, B, D
          Skills Taught                                                                   or F cannot be completed due to limitations
          Modified         Registration Course: approximately 5 hours                     Registration Course: Up to 5 hours
          Course (E) –
          Time
          requirements
58        CPR Anytime      Title –                                                        CPR Anytime for Family & Friends (F)
                           CPR for Family & Friends
          CPR Anytime-     1-rescuer Adult/Child AED (optional)                           Deleted:
          Skills Taught    1-rescuer Infant CPR and chocking (optional)                   1-rescuer Adult/Child AED (optional)
                                                                                          1-rescuer Infant CPR and chocking (optional)
58        CPR Anytime –    CPR for Family & Friends                                       CPR Anytime for Family & Friends Kit
          Manual Used
58        CPR Anytime –    Approximately 2.5 hours                                        Approximately 22 minutes
          Time
          Requirements
58        CPR Anytime –    Demonstrate competency in the skills taught in the course.     No course completion requirements. CPR Anytime
          Course           Written evaluation is optional.                                for Family & Friends is primarily intended for self-
          Completion                                                                      directed learning of the most basic skill of CPR.

     Minor terminology/content changes –
     Previous 2006                             Revised 2007
     BLS-C                                     BLS for HCP (C)
     &                                         And
     Re-registration                           Renewal
     Instructors                               Resuscitation Program Instructors
     Vinyl                                     Nitral
     WHMIS and Mannequin Decontamination       Mannequin and Non-Disposable Barrier
     of Training Equipment                     Device Decontamination Procedures
     Ratios:                                   instructor to participant ratio = 1:6 is
     instructor to participant ratio = 1:3     recommended up to a maximum of 1:12
HeartSaver           Heartsaver
Instructor-trainer   Instructor Trainer
Guidelines 2000      Guidelines 2005

				
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