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Cascade Resuscitation Training Guideline

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									                  Cascade Resuscitation Training Guideline




Reference Number                               N/A

Version                                        2

Name of responsible (ratifying) committee      District Resuscitation Committee

Date ratified                                  16.04.2010

Document Manager (job title)                   Sally Smith, Resuscitation Officer

Date issued                                    26.04.2010

Review date                                    April 2012

Electronic location                            Corporate Clinical Guidelines
                                               Cardiopulmonary Resuscitation Policy
Related Procedural Documents                   Generic Competency Framework for Registered and
                                               Unregistered Practitioners
                                               Cascade training; basic life support; resuscitation;
Key Words (to aid with searching)              MOT’s; anaphylaxis; trainer; cardiopulmonary; CPR;
                                               Competency




Cascade Resuscitation Training Guideline. Version 2. 26.04.2010     (review date April 2012)
06/05/2011                                                                      Page 1 of 8
CONTENTS

     QUICK REFERENCE GUIDE....................................................................................................... 3
1.   INTRODUCTION.......................................................................................................................... 4
2.   PURPOSE ................................................................................................................................... 4
3.   SCOPE ........................................................................................................................................ 4
4.   DEFINITIONS .............................................................................................................................. 5
5.   DUTIES AND RESPONSIBILITIES .............................................................................................. 5
6.   PROCESS ................................................................................................................................... 7
7.   TRAINING REQUIREMENTS ...................................................................................................... 7
8.   REFERENCES AND ASSOCIATED DOCUMENTATION ............................................................ 8
9.   MONITORING COMPLIANCE WITH, AND THE EFFECTIVENESS OF, PROCEDURAL
     DOCUMENTS .............................................................................................................................. 8




Cascade Resuscitation Training Guideline. Version 2. 26.04.2010                                   (review date April 2012)
06/05/2011                                                                                                    Page 2 of 8
QUICK REFERENCE GUIDE

This Guideline must be followed in full to ensure effective Cascade Resuscitation Training is carried
out by appropriately trained Cascade Trainers.

For quick reference the guide below is a summary of actions required. This does not negate the need
for staff to be aware of and follow the detail of the guideline.

   1. The Cascade Resuscitation Training Guideline was formulated to ensure that quality and
      standards are protected by ensuring that resuscitation training is carried out in a consistent
      manner.

   2. The Resuscitation Dept will keep a record of all training carried out by cascade trainers.

   3. Cascade resuscitation training will provide another means of staff achieving their essential
      skills requirements.

   4. The type of training carried out and the clinical areas covered depends on the speciality and
      experience of the cascade trainer

   5. Prospective cascade trainers will be required to observe training carried out by a
      Resuscitation Officer and in turn the Resuscitation Officer will observe the Cascade Trainer
      undertaking their own training session.

   6. Each Cascade Trainer will be allocated a link Resuscitation Officer. The Resuscitation Officer
      will provide advice, support and feedback and inform the cascade trainer of any changes to
      local or national guidelines/policies.

   7. Cascade trainers should provide the resuscitation dept with details of all training sessions and
      attendance records.




Cascade Resuscitation Training Guideline. Version 2. 26.04.2010     (review date April 2012)
06/05/2011                                                                      Page 3 of 8
 1. INTRODUCTION
       The Resuscitation Council document, Standards for Clinical Practice and Training (2004,
       updated 2008) states that all clinical staff should receive annual resuscitation training
       appropriate for their level of responsibility. At a local level, the Cardiopulmonary Resuscitation
       Policy also states that all clinical staff should have annual resuscitation training. The
       Resuscitation Department may delegate this responsibility to other appropriately trained
       personnel. The Cascade Training Guidelines were formulated to ensure that quality and
       standards are protected by ensuring that training is carried out in a consistent manner and in
       accordance with current national and Trust resuscitation guidelines/policies



 2. PURPOSE
       The purpose of this guideline is:

       To ensure that cascade resuscitation training is carried out by appropriately trained personnel
       To protect and maintain the quality and standards of resuscitation training
       To ensure the content and method of training is consistent and in accordance with current
        national and Trust guidelines/policies
       To enable the Resuscitation Department to keep an accurate record of training delivered
       To enhance access to training for clinical staff


 3. SCOPE
       The following types of training can be carried out as cascade training

       Adult Basic Life Support
       Paediatric Basic Life Support (Infant and Child)
       Newborn Life Support
       Anaphylaxis
       Basic Life Support MOT’s

       The following clinical areas can carry out cascade training (as appropriate for their patient
       group)

       Department of Critical care
       Cardiac Care Unit
       Emergency Department
       Paediatric Department
       Newborn Unit
       Maternity Department
       Other clinical areas as agreed on an individual basis with the Resuscitation Department


       ‘In the event of an infection outbreak, flu pandemic or major incident, the Trust recognises
       that it may not be possible to adhere to all aspects of this document. In such circumstances,
       staff should take advice from their manager and all possible action must be taken to
       maintain ongoing patient and staff safety’




Cascade Resuscitation Training Guideline. Version 2. 26.04.2010      (review date April 2012)
06/05/2011                                                                       Page 4 of 8
 4. DEFINITIONS
      For the purposes of resuscitation, the following definitions apply:

     Adult:            From puberty onwards
     Paediatric        Includes infant and child
     Infant            0-1 years of age
     Child             1 year to puberty
     Neonate           For the purpose of this guideline a neonate is any infant cared for within the
                       Maternity Unit or Neonatal Intensive Care Unit regardless of age. For other
                       areas within the organisation the neonate is a baby below 29 days of age.

      BLS              Basic Life Support
      ALS              Advanced Life Support
      EPLS             European Paediatric Life Support
      APLS             Advanced Paediatric Life Support
      NLS              Newborn Life Support

 5. DUTIES AND RESPONSIBILITIES

      Chief Executive

      The Chief Executive has ultimate responsibility for Corporate Governance; including ensuring
      processes are in place to support good procedural document management.

      Trust Board

      The Trust Board members have overall responsibility for ensuring that, through good
      procedural document management, the organisation complies with all legal, statutory and good
      practice requirements.

      Governance and Quality Committee for PHT

      The Governance and Quality Committee members are responsible for ensuring that
      appropriate action is taken to ensure all procedural documents are in date for PHT. To fulfil this
      responsibility the Committee will receive annual reports from the District Resuscitation
      Committee.

      District Resuscitation Committee

      The District Resuscitation Committee members are responsible for ensuring that:

      This procedural document is in place and for providing assurance to the Governance and
      Quality Committee through the provision of an annual report, including any necessary
      recommendations to address identified deficits. The Committee members will also supply
      advice to the author of this procedural document, as required;

      Appropriate approval is given, and the appropriate author identified, for the development of any
      new, or the revision of this policy;

      An appropriate author is assigned responsibility for development of this policy and they follow
      the Policy for the Development and Management of Procedural Documents;
      Procedural documents referred to them are assessed against the standards set out in the
      Policy for the Development and Management of Procedural Documents and document authors
      are advised accordingly;
      Procedural documents referred to them comply with any relevant National Health Service
      Litigation (NHSLA or CNST) standard(s);

Cascade Resuscitation Training Guideline. Version 2. 26.04.2010      (review date April 2012)
06/05/2011                                                                       Page 5 of 8
      Consultation with appropriate stakeholders has occurred and a consensus view reached;

      The procedural document is technically accurate and in line with evidence based best practice;

      An accurate record is kept of discussion and approval of the procedural documented is
      recorded in the minutes of the meeting. These minutes must be available upon request;

      Processes to enable an audit of compliance with the procedural document are detailed in the
      document;

      Ratified Trust procedural documents are forwarded to the Trust Policy Officer (TPO), together
      with required accompanying documentation as per Policy for the Development and
      Management of Procedural Documents.

      The Resuscitation Department Staff
      The Resuscitation Officers are responsible for ensuring that:

      Resuscitation Training delivered adheres to the current Resuscitation Council (UK) guidelines
      and incorporates current PHT EWS processes for the identification of at risk patients, including
      the systems for summoning help, and DNACPR decision making;

      Cascade trainers are provided with appropriate training and support to undertake the role and
      that cascade trainers have their sessions reviewed 6-12 monthly.

      They sign off the relevant Competency Statements to the appropriate level for Cascade
      Trainers.

      Cascade Trainers are aware of Infection control practices with regard to cleaning and
      maintenance of manikins.


      The Resuscitation Administration staff are responsible for ensuring that:

      The attendance records returned by the Cascade Training staff are entered onto OLM.

      PHT Cascade Training Staff
      All Cascade Trainers are responsible for ensuring that they:

      Cooperate and comply with the implementation of this guideline;

      Inform the Resuscitation Department of training dates and return attendance record to the
      Resuscitation Department.

      Raise any queries about implementation of this guideline with their link Resuscitation Officers.
      These queries should then be discussed at the appropriate forum and then documented in the
      relevant minutes. This will either be with the Resuscitation Manager, Resuscitation Link
      Network meeting, the District Resuscitation Committee or at the Quality and Governance
      Committee;

      Cascade Trainers deemed to be competent to at least level 3 in the skill they are teaching,
      should then sign the relevant Competency Statements to the appropriate level for their
      candidates. See Generic Competency Framework for Registered and Unregistered
      Practitioners.



      .
Cascade Resuscitation Training Guideline. Version 2. 26.04.2010       (review date April 2012)
06/05/2011                                                                        Page 6 of 8
    6. PROCESS

      Staff interested in becoming a cascade trainer should contact the resuscitation department. A
      Resuscitation Officer will then ensure that they possess the relevant experience/skills. Each
      cascade trainer will have a link Resuscitation Officer allocated to them.
.
      Prospective trainers must observe a minimum of two BLS or anaphylaxis sessions as
      appropriate (1 session for current ALS/EPLS/APLS Instructors) by different Resuscitation
      Officers.

      The cascade trainer will then be observed providing a relevant training session. The
      Resuscitation Officer will provide advice, support and feedback. Every six-twelve months, a
      Resuscitation Officer will observe and peer review the cascade trainer providing a training
      session.

      The Resuscitation Officer will inform the cascade trainer of any changes to national or local
      guidelines/polices which effect the training

      If a candidate does not achieve the learning objectives stated in the relevant lesson plan, the
      Resuscitation Departments Record Form for this purpose should be completed and actioned.
      (Form available on intranet or from Resuscitation Dept)

      All relevant documentation is available on the intranet or from the resuscitation department

    7. TRAINING REQUIREMENTS

      Cascade trainers must hold a relevant teaching qualification e.g. E.N.B 998/C&G 730

      Cascade trainers must be deemed competent in relevant type of training by the Resuscitation
      Officer (RO) on an annual basis

      Trainers must observe a minimum of two BLS sessions (1 session for current ALS/EPLS/APLS
      Instructors) by different RO’s.

      Trainers must read and demonstrate an understanding of the appropriate lesson plan (available
      from Resuscitation Dept or Intranet) and current relevant Trust policies and adhere to these in
      their training sessions.

      Trainers must demonstrate an understanding of infection control precautions, and maintenance
      of manikins

      Every six-twelve months, a Resuscitation Officer will observe and peer review the cascade
      trainer providing a BLS session.




Cascade Resuscitation Training Guideline. Version 2. 26.04.2010     (review date April 2012)
06/05/2011                                                                      Page 7 of 8
 8. REFERENCES AND ASSOCIATED DOCUMENTATION

       1. Resuscitation Council (UK) (2004. Updated June 2008) CPR Standards for Clinical Practice
          and Training. http://www.resus.org.uk/pages/standard.htm

       2. Cardiopulmonary Resuscitation Policy

       3. Generic Competency Framework for Registered and Unregistered Practioners.

   9    ASSOCIATED DOCUMENTATION / REFERENCES (including related policies and procedures).

       Adult basic Life Support Lesson Plan

       Paediatric Basic Life Support Lesson Plan

       Newborn Life Support Plan

       Peer Observation of Teaching Session Feedback Pro Forma

       Record Form for Candidates Who Do Not Achieve Learning Objectives

       Flow Chart for Candidates who Do Not Achieve Learning Objectives

       Training Registration Form

       Cascade Adult Basic Life Support Certificate of Attendance

       Cascade Paediatric Basic Life Support Certificate of Attendance

       Newborn Life Support Certificate

       An Organisation-Wide Policy for the Development and Management of Procedural Documents:
       NHSLA, May 2007. www.nhsla.com/Publications/


 9. MONITORING COMPLIANCE WITH, AND THE EFFECTIVENESS OF,
    PROCEDURAL DOCUMENTS

       Compliance and effectiveness will be monitored by;

       Every six-twelve months a Resuscitation Officer will observe and peer review the cascade
       trainer providing a training session

       Ensuring the cascade trainer adheres to the lesson plan through use of peer reviews.

       Candidate led course evaluations to be carried out on 10% of training sessions provided by the
       cascade Trainer.




Cascade Resuscitation Training Guideline. Version 2. 26.04.2010     (review date April 2012)
06/05/2011                                                                      Page 8 of 8

								
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