ECT CPG Transition Course

OBJECTIVES

On completion of this module, the learner will be able to

- Apply appropriate strategies of airway support with the use Non-invasive ventilation techniques 

- Demonstrate effective techniques using appropriate technology and evidence for best practice of airway maintenance at ECT scope of practice according to CPG July 2018

LEARNING UNITS (LU)

LU1: SpO₂ review

LU2: ETCO₂ Use

LU3: Use of peak flow measurement

LU4: Supraglottic review

LU5: Surgical Cricothyroidotomy

LU6: Use of Non-Invasive ventilation, Oxygen Driven without Mechanical Ventilator

LU7: Mechanical Infant resuscitator

LEARNING UNIT 1

In this Learning Unit we will be revising some theory pertaining to blood saturation measurement theory. Read through the material.

LEARNING UNIT 2

In this Learning Unit we will be looking at the use of Capnography. You as an ECT practitioner will be able to assess your patients’ Capnography using Nasal Cannula devices. Although the HPCSA excluded the use of capnography/capnometry via extra-glottic devices on your scope of practice, the same principles apply. Read through the material and watch the video.

LEARNING UNIT 3

In this Learning Unit we will be looking at Peak Flow Measurement. Read through the material and watch the video.

LEARNING UNIT 4

You as an ECT practitioner is the lowest qualified member of the team that can secure an advanced airway on a live patient. ECA practitioners may only secure an advanced airway in the event of cardiac arrest victims. Read through the material and watch the videos.

LEARNING UNIT 5

In this Learning Unit we will be looking at the Surgical Cricothyroidotomy, which is a newly added skill to your scope of practice. This is also the skill that will need to be signed off at one of our Sign-Off Sites. Read through the material and watch the video.

LEARNING UNIT 6

In this Learning Unit we will be looking at the application of Non-Invasive Ventilation using Oxygen Driven devices. This is also the skill that will need to be signed off at one of our Sign-Off Sites. Read through the material and watch the video.

LEARNING UNIT 7

In this Learning Unit we will be looking at the use of a Mechanical Infant Resuscitator. Read through the material and watch the video.

MODULE SUMMARY

Now that we went through the 7 learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.

MODULE EXAMINATION

Requires 80% to pass

Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 2 – Circulatory Management. Good Luck!

LEARNING UNIT 1

Circulation is vital for all human beings thus as an emergency care provider it is important to be knowledgeable of all forms of restoration of circulation to one’s patients. In this Learning Unit we have included revision statements pertaining to perfusion. Topical haemostatic agents have evolved into various classes over the years, the HPCSA have released in the latest guidelines that this is one of the new skills that you as an ECT should be competent with in practice. This learning unit will guide you using topical haemostatic agents. Read through the material and watch the video.

LEARNING UNIT 2

In this Learning Unit we will be looking at the use of the tourniquet to stop bleeding. As an ECT you need to familiarize yourself with the identification of a life-threatening bleed which may need to be controlled with the use of this device. There are various types of tourniquets which you will learn about in this Learning Unit. Read through the material and watch the videos.

LEARNING UNIT 3

There is a lot of controversy around the performance of the precordial thump, however its use is outlined in the new CPG and in this learning unit we cover the indications and performance of the skill. Read through the material in this Learning Unit and watch the video.

LEARNING UNIT 4

In this learning unit we will be looking at the use of the non-pneumatic anti-shock garment (NASG). In the Obstetrics Module, the use of the NASG will be addressed more thoroughly. Read through the material in this learning unit and watch the video.

LEARNING UNIT 5

In this Learning Unit we will be looking at the use of Infusion Devices. This is also the skill that will need to be signed off at one of our Sign-Off Sites. Please note that you will receive frequently used infusion calculations in Module 4 – Pharmacology in your downloadable Drug book and a document which explains drug calculations, but you will have to decide which concentrations works best for you.  Read through the material and watch the video.

MODULE SUMMARY

Now that we went through the 5 Learning Units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.

MODULE EXAMINATION

Requires 80% to pass

Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 3 – Obstetric Management. Good Luck!

LEARNING UNIT 1

This will be the most strenuous learning unit of this module. Pay close attention to all the video details and read thoroughly through all the content. This will form the foundation of your obstetric management knowledge. Read through the material in this Learning Unit and watch the videos.

LEARNING UNIT 2

Learning Unit 1 covered the whole delivery process in various scenarios. There are situations where the delivery of a new-born will require resuscitative interventions to save the new-born’s life. In this Learning Unit we will focus on Neonatal Resuscitation. Read through the material in this Learning Unit.

LEARNING UNIT 3

Umbilical Vein Cannulation (UVC) is not a skill that is commonly performed in the pre-hospital environment. To maintain proficiency with this skill, we recommend that you as a practitioner should work additional shifts in neonatal units in hospitals and to stay current with the latest practices. Read through the following content and watch the video.

LEARNING UNIT 4

Incubators are commonly used in the obstetric transfer scenarios; in this Learning Unit we will go over the emergent use of rewarming strategies in the obstetrics environment and also cover the use of incubators.

MODULE SUMMARY

Now that we went through the 4 learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.

MODULE EXAMINATION

Requires 80% to pass

Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 4 – Pharmacology. Good Luck!

LEARNING UNIT 1

In this Learning Units we will focus on the application of the newly added pharmaceutical agents to the ECT scope of practice and we will also review pain management and analgesia use principles. Read through the material in this Learning Unit.

MODULE SUMMARY

Now that we went through the learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.

MODULE EXAMINATION

Requires 80% to pass

Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 5 – Skeletal Trauma Management. Good Luck!

LEARNING UNIT 1

In this Learning Unit we will be discussing the concept of Spinal Motion Restriction. A concept which is not as well understood and adopted in the South African context. We will be looking at the different methods of Spinal Motion Restriction and when it needs to be applied. Read through the material in this Learning Unit and watch the videos.

LEARNING UNIT 2

Learning Unit 2 will cover the C-Spine Clearance guidelines which is a not a new skill to you as an ECT practitioner. However, we will be looking at C-Spine clearance tools that you may not be familiar with. You will identify candidates for C-Spine Clearance and those who require Spinal Motion Restriction. Read through the content and what the video.

LEARNING UNIT 3

Learning Unit 3 will cover the use of commercial pelvic binding devices. As an ECT practitioner, you will play an important role in the identification of pelvic injuries, and the management and stabilization of a pelvic injury as part of a team. Read through the material in this Learning Unit and watch the video.

LEARNING UNIT 4

Different methods and equipment are being utilized for spinal motion restriction, however when using a hard backboard or scoop stretcher, you need to document specific aspects of this utilization. In this Learning Unit we will be looking at this briefly. Read through the material in this Learning Unit.

MODULE SUMMARY

Now that we went through the learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.

LEARNING UNIT 1

In this Learning Unit we will just revise the core definitions of ethics and professional practice. Read through the material in this Learning Unit and watch the video.

LEARNING UNIT 2

In this Learning Unit we will revise ‘Booklet 1’ and its content from the HPCSA. Read through the material in this Learning Unit.

LEARNING UNIT 3

In this Learning Unit we will revise the aspects of consent and various types consent. Read through the material in this Learning Unit.

LEARNING UNIT 4

In this Learning Unit we will look at the Ethical Reasoning process and see how we can apply it to any ethical dilemmas or scenarios we might encounter in practice. Read through the material in this Learning Unit.

LEARNING UNIT 5

In this Learning Unit we will look at various legislation that are applicable to the EMS. Read through the material in this Learning Unit.

MODULE CONCLUSION

Now that we went through the learning units of this module, go through the PowerPoint Summary and ensure that you are ready for your ethics examination where you must apply your knowledge of Ethical Reasoning. Good luck!

1. ETHICAL DILEMMA

You are a qualified Emergency Care Technician, working in a rural area. You are employed by the Department of Health. You and your newly qualified BAA partner are dispatched to a motor vehicle accident on a road 15 min out of town...