Community Services & Health

Community Services & Health Industry Skills Council First Aid Guide Release 1.0 (Updated November 2013)

Contents Overview... 1 Background to Companion Volumes... 1 Endorsed and Non-Endorsed Components... 1 Feedback and Contributions... 3 Overview of Changes... 4 Why has CS&HISC changed the competencies?... 4 New Competencies... 5 Superseded Competencies... 5 The following units were superseded by the new units on 1 July 2013.... 5 Transition... 6 Specific advice for ASQA Providers... 7 Assessment... 8 Reasonable Adjustment... 9 Frequently Asked Questions... 10 CPR and First Aid... 10 Assessor Requirements... 11 Mapping, Transition and Teach Out... 13 Mapping Resources... 14 Summary Mapping Guide... 14 Mapping Resource: Two-Way Mapping between HLT07 And HLT First Aid... 15 Mapping Resource: HLTAID003 Provide First Aid and HLTAID004 Provide Emergency First Aid Response in an education and care setting... 41

Overview Background to Companion Volumes In 2010, the National Quality Council accepted recommendations in the VET Training Products for the 21 st Century report. Two of those recommendations were specifically to do with the design of training packages: 1. Simplify and streamline the content of Training Packages by separating the performance standards in units of competence from guidance and supporting information for RTOs and 2. Restructure and streamline training package content by: Simplifying the endorsed components Expanding the non-endorsed components Eliminating unnecessary information and consolidating repetitive material. In November 2012, the National Skills Standards Council (NSSC) published new Standards for Training Packages which set out new requirements in full. You can view a copy of the new Standards for Training Packages on the NSSC website www.nssc.natese.gov.au/training_packages/standards_and_policies Endorsed and Non-Endorsed Components There are four endorsed components of Training Packages, all of which can be found on the national register training.gov.au In addition, the non-endorsed components have been expanded to include Companion Volumes, including the following: The Companion Volume Implementation Guide is a mandatory requirement and is available at www.cshisc.com.au. It contains overview information about the entire Training Package, including a list of all units, skills sets and qualifications in the training package. It also contains key implementation information for use by RTOs. Optional guides and resources to assist implementation in specific industry sectors. For the new HLT First Aid units, this includes a First Aid Companion Volume containing advice regarding the intent and implementation of these new units Community Services and Health Industry Skills Council Page 1 of 45

Endorsed components of Training Packages: HLT Availble on training.gov.au Quality Assured components of Training Packages: HLT Companion Volumes Available on CS&HISC website www.cshisc.com.au/develop/tra ining-packages Units of competency HLT Implementation Guide Assessment requirements Aboriginal and Torres Strait Islander Health Worker - Learning Strategies Guide Qualifications Aboriginal and Torres Strait Islander Health Worker - Assessment Strategies Guide Credit arrangements Aboriginal and Torres Strait Islander Health Worker - Knowledge Guide Foundation Skills Guide First Aid Guide Community Services and Health Industry Skills Council Page 2 of 45

Feedback and Contributions In time, these Companion Volumes will provide an opportunity to showcase best practice from RTOs and provide a forum for sharing information and resources. If you have any resources, case studies or feedback to contribute to the Companion Volumes, please provide your feedback via the Community Services and Health Industry Skills Council (CS&HISC) Continuous Improvement Feedback Register. Community Services and Health Industry Skills Council Page 3 of 45

Overview of Changes The new HLTAID First Aid competency standards were developed to provide a set of robust, industry supported standards for people employed as first aiders and those with a duty of care to provide first aid to others. This includes workers with duty of care for vulnerable clients, child care educators, teachers, emergency services personnel, workers in hazardous environments and nominated workplace first aiders. In these instances, the statement of attainment provides evidence to the employer and the community that the worker has the skills and knowledge to be able to provide a first aid response and sustain life in the event of an emergency. Why has CS&HISC changed the competencies? CS&HISC was required to update the units in line with the new Standards for Training Packages. The new standards focus on strengthening assessment requirements and require specific information relating to the volume and frequency of evidence required for the assessment decision. In addition, feedback submissions from peak associations, employers and training providers indicated a need to improve the quality and consistency of first aid training, particularly for workers who have responsibility and duty of care for clients and coworkers. Assessment of these units must: meet the requirements of the training package be conducted in accordance with the principles of assessment and rules of evidence meet workplace and regulatory requirements be systematically validated. RTOs must determine and develop the learning and assessment strategies appropriate to their course. RTOs must also ensure that assessment meets the requirements of NVR/AQTF standards. Compliance issues should be discussed directly with the relevant VET Regulator (ASQA/VRQA/WATAC). CS&HISC has produced a range of video resources to assist RTOs use the new Units and Assessment Requirements. They are available on our YouTube channel here: www.youtube.com/user/cshisc Community Services and Health Industry Skills Council Page 4 of 45

New Competencies The new HLTAID suite of first aid competencies were released on training.gov.au on 1 July 2013. The new units are listed below. Unit Code HLTAID001 HLTAID002 HLTAID003 HLTAID004 HLTAID005 HLTAID006 HLTAID007 HLTAID008 Provide cardiopulmonary resuscitation Provide basic emergency life support Provide first aid Unit Title Provide an emergency first aid response in an education and care setting Provide first aid in remote situations Provide advanced first aid Provide advanced resuscitation Manage first aid services and resources HLTSS00027 Occupational First Aid Skill Set Superseded Competencies The following units were superseded by the new units on 1 July 2013. Unit Code Unit Title HLTCPR211 Perform CPR A HLTFA211A Provide basic emergency life support HLTFA311A Apply first aid HLTFA302C Provide first aid in remote situation HLTFA412A Apply advanced first aid HLTFA404C Apply advanced resuscitation techniques HLTFA403C Manage first aid in the workplace Further information and mapping resources are available on page 14 of this guide. Community Services and Health Industry Skills Council Page 5 of 45

Transition The new first aid units are used in the new Children s & Youth Services (CHC Community Services Training Package) and the new Aboriginal and Torres Strait Islander Health Worker (HLT Health Training Package) qualifications. As the rest of the qualifications in the CHC08 Community Services and HLT07 Health Training Package are reviewed, they will be progressively updated to contain the new first aid units. This is also the case for providers delivering vocational qualifications from other industry sectors. RTOs issuing qualifications for vocational courses must ensure they meet the packaging rules of the qualification they are delivering. In addition, they must ensure the first aid unit being delivered and assessed is the one listed in the qualification, whether in the core or electives. CS&HISC recommends consulting with your First Aid training provider for advice on any mapping or documentation you will need to ensure compliance to the standards. If a student has completed a first aid course through a third party provider and the statement of attainment they have received does not match the unit required to meet the packaging rules of the qualification they are undertaking, the RTO issuing the vocational qualification must: 1. undertake a mapping exercise to confirm elements, performance criteria, required skills and required knowledge have been addressed and identify any gaps 2. conduct gap training as necessary 3. issue the required statement of attainment Note: CS&HISC has developed a number of mapping tools to assist RTOs in this process. These are provided in this Guide on page 14. Normal transition and teach out periods apply. If you have questions regarding transition and teach out arrangements, you must contact your relevant VET Regulator (ASQA, WATAC or VRQA). Community Services and Health Industry Skills Council Page 6 of 45

Specific advice for ASQA Providers The following advice was provided by ASQA in email to all RTOs with first aid on scope on as of 27 November 2013. ASQA providers with one or more of the above units explicitly listed on their scope of registration must apply to ASQA by 1 July 2014 to add the replacement unit/s to their scope if they intend to deliver the replacement units. Providers are reminded that they must comply with the General direction transition and teach-out. ASQA has also produced a Fact Sheet: Registering for revised training packages to assist RTOs with the process (Note: Both documents can be accessed from the ASQA website www.asqa.gov.au/media-andpublications). It is the responsibility of each provider to monitor training packages relevant to its scope of registration and to identify when a qualification on scope has been revised and a new version published. The national register, training.gov.au, has the capacity to notify users of changes to a training package through a subscription service. You can register to receive notifications by clicking on Notify me of changes in the top right hand corner of the screen displaying information about the training package you are interested in. If you have further queries please contact the ASQA Info line (Ph. 1300 701 801) or email enquiries@asqa.gov.au. CS&HISC recommends that all RTOs within ASQA's jurisdiction who are delivering competencies or qualifications from the Community Services or Health Training Packages familiarise themselves with their obligations and requirements under the National Vocational Education and Training Regulator Act (2011), Standards for NVR Registered Training Organisations (2012) and the VET Quality Framework Available: www.asqa.gov.au/for-training-organisations/for-training-organisations.html Community Services and Health Industry Skills Council Page 7 of 45

Assessment Although the content of the new first aid competencies may have been updated, assessment practice has not changed. Assessment of these units must be in line with the Rules of Evidence and Principles of Assessment. Rules of Evidence Validity Sufficiency Authenticity The Rules of Evidence still require that evidence is: Valid: the evidence being assessed clearly relates to the requirements of the unit of competence Sufficient: the evidence meets all of the requirements of the unit, is gathered over a period of time, meets all of the dimensions of competency and is relevant to different work contexts Current: the evidence is current Authentic: the evidence is the candidate s own work. Currency In addition, assessors must ensure that all assessment activity undertaken is: Principles of Assessment Validity Reliability Flexibility Fairness Valid: the methods of assessment relate to the elements, performance criteria and assessment requirements of the unit Reliable: the assessment outcomes would consistently provide similar outcomes for candidates at different times and in different places Flexible: the assessor ensures that the candidate understands the assessment process and can negotiate the timing of the assessment, the context of the assessment Fair: candidates are not disadvantaged and are given opportunities to ensure that they can perform to the standards outlined in the workplace and the units of competency being assessed (see also reasonable adjustments below). Community Services and Health Industry Skills Council Page 8 of 45

Reasonable Adjustment Reasonable adjustment refers to measures or actions taken to provide a student with the same educational opportunities as everyone else. To be reasonable, adjustments must be appropriate for that person, must not create undue hardship for an RTO and must be allowable within rules defined by the training package. While adjustments can be made to assessment procedures, the integrity of the unit of competency and/or qualification must be upheld. Students still need to achieve the standards that employers and training providers expect. A student with a disability can have training and assessment that is fair depending on the RTO s attitude, preparation and application of adjustments. This may include: allowing additional time or the use of a computer in a written test to complete responses for a candidate who is physically impaired, and that impairment contributes to the time to compete the test asking a candidate to record responses on a video or audio tape where they have difficult writing using an Auslan interpreter during assessment tasks varying an assessment task to produce the same outcomes, but via different methods. It is important to note that the HLTAID competency standards do require a level of physical ability to meet the evidence requirements for assessment. These standards relate to the level of performance required to provide resuscitation and respond to an emergency situation where there may be risk to life. Due to the potential risk to health and safety where a nominated first aider, or worker with duty of care, does not have the ability to perform resuscitation and/or first aid to the performance standard it is not appropriate to issue a statement of attainment to students who are physically unable to meet the assessment requirements. In cases where a student has attended a resuscitation or first aid course but is unable to meet the full requirements of the competency, an RTO may wish to provide that student with a certificate of attendance, or similar, as an indication of their participation in the course. Community Services and Health Industry Skills Council Page 9 of 45

Frequently Asked Questions CPR and First Aid The Australian Resuscitation Council (ARC) Guidelines recommend rotating rescuers every two minutes. Why does the competency require candidates to demonstrate CPR for four minutes (or eight minutes)? The ARC guidelines encourage rescuers to change every two minutes - if possible. The four minutes uninterrupted" and "eight minutes uninterrupted" enables a trainer to assess that the candidate has appropriate strength and stamina to provide effective CPR in an emergency. It relates to the volume and frequency of evidence required by assessors to make the assessment decision i.e. sufficiency. "Four minutes uninterrupted" should not be interpreted as a new ARC guideline. As vocational competencies, the first aid competencies provide assurance to employers that employees with duty of care to provide first aid in the workplace have the appropriate skills and knowledge to carry out this duty, particularly in instances where the worker might not be able to be relieved within two minutes. What is meant by uninterrupted CPR? The intent of four minutes uninterrupted" and "eight minutes uninterrupted" is for each candidate to demonstrate a sustained duration of compressions and rescue breathing. In addition, the candidate needs to demonstrate the specific items listed below the dot point such as checking for response, correct hand placement and handover to another rescuer. The intent of this requirement is that the candidate is assessed performing the normal preresuscitation checks, performing CPR, and then handing over to another rescuer. How your RTO decides to structure your assessment tasks to collect this evidence and how much evidence is deemed sufficient is dependent on your learning and assessment strategy, provided it meets the competency standard and the Rules of Evidence. CS&HISC is unable to validate individual assessment scenarios or assessment strategies. We recommend consulting with industry to ensure your learning and assessment strategies meet the needs of your student cohort. Community Services and Health Industry Skills Council Page 10 of 45

What is meant by basic wound care? The term basic refers to the level of care/response provided by the first aider, not the level of the wound. These wounds may be minor or major. What does the statement skills must be demonstrated working individually mean? Each individual must provide evidence of their own skills and knowledge to meet the requirements of the unit. In other words, a student cannot be deemed competent if they have simply observed another student perform a task, or participated as the casualty in a roleplay scenario. What does the requirement responded to simulated emergency scenarios contextualised to the candidate s workplace/community setting mean? In addition to providing evidence of the ability to perform first aid procedures listed in the performance evidence, a candidate needs to be assessed responding to a [simulated] emergency situation, in order to provide evidence of their ability to recognise an emergency situation, assess the casualty and select and apply the appropriate response. How your RTO decides to structure your assessment tasks to collect this evidence and whether the decision is made to cluster this assessment with other activities is dependent on your learning and assessment strategy, provided it meets the competency standard and the Rules of Evidence. CS&HISC is unable to validate individual assessment scenarios or assessment strategies. Consider consulting with the candidate s employer to develop simulations and role-plays that reflect the type of emergency situations common to their workplace. Assessor Requirements What is required to train and assess the HLTAID suite of units? Why are there additional requirements? All assessors of the HLTAID suite of units are required satisfy the NVR/AQTF mandatory competency requirements for assessors. Community Services and Health Industry Skills Council Page 11 of 45

In addition, all assessors of the HLTAID suite of units (except HLTAID008 Manage first aid services and resources) are required to meet additional requirements of either: a current advanced first aid certificate OR at least three years experience as a health professional, nurse, OR emergency services provider. The intent of this requirement is to ensure that trainers and assessors of these units have the adequate skills, knowledge and/or experience responding to life threatening and emergency situations. What is meant by current advanced first aid certificate? How do I know that my first aid certificate is current? The Safe Work Australia First Aid Model Code of Practice requires employers to ensure that their nominated first aiders s attend training on a regular basis to remain current. The Code of Practice recommends that refresher training in CPR should be undertaken annually and first aid qualifications should be renewed every three years to maintain currency. The unit HLTFA412A Apply advanced first aid would be considered current until the expiration of the transition and teach out period. What is an emergency services provider? An emergency services provider refers to those organisations that maintain public safety and health by responding and assisting in emergency situations. It would include the police, ambulance, fire, rescue and state emergency services although other organisations might also be covered. In the context of the HLTAID suite of units, appropriate experience working as an emergency services provider would include those who have had a responsibility to monitor and respond to life threatening and emergency situations as part of their role, either in a paid or volunteer capacity. Community Services and Health Industry Skills Council Page 12 of 45

What is a health professional? Health professionals are those whose primary employment role is to diagnose and treat physical and mental illnesses and conditions or recommend, administer, dispense and develop medications and treatment to promote or restore good health. In the context of the HLTAID suite of units, appropriate experience as a health professional would include those have been required to identify and respond to health issues as part of their every day job e.g. a general practitioner, a primary medical care provider, a field medic or a health worker. Mapping, Transition and Teach Out If a worker has achieved HLTAID004 in a qualification and moves to another sector and trains in another qualification, can this be credited against HLTAID003? While HLTAID003 and HLTAID004 are two separate units, there are areas of similarity. An RTO would need to conduct a mapping of the two units to identify any areas of gap, and address the gap through a formal training or RPL process. In addition, the RTO would need to ensure that any industry specific requirements regarding refresher training and currency are met. Generally speaking, if a worker has met the competency requirements for HLTAID004 they should meet the competency requirements for HLTAID003. However, an RTO will still need to formally document this process in order to meet compliance requirements under NVR/AQTF. Please see our mapping guides on page 14 for more information. What is the transition and teach out for these units? RTOs under the jurisdiction of ASQA who have the first aid units explicitly listed on scope must comply with the General direction transition and teach-out in its entirety to ensure all requirements are met. ASQA has also produced a Fact Sheet: Registering for revised training packages to assist RTOs with the process. You can access these documents on the ASQA website: http://www.asqa.gov.au RTOs under the jurisdiction of the Victorian Registration and Qualifications Authority (VRQA) or West Australian Training Accreditation Council (WATAC) need to contact their regulator directly. Community Services and Health Industry Skills Council Page 13 of 45

Mapping Resources Summary Mapping Guide HLT07 Health Training Package Release 5.0 HLT Health Training Package Release 1.2 HLTCPR211A Perform CPR HLTAID001 Provide cardiopulmonary resuscitation HLTFA211A Provide basic emergency life support HLTAID002 Provide basic emergency life support E/N N N Notes New unit based on HLTCPR211A. Significant changes to elements and performance criteria. Revised evidence requirements, including volume and frequency of assessment New unit based on HLTFA211A. Significant changes to elements and performance criteria, changes to scope of unit. Changes to evidence requirements relative to revised scope of unit. HLTFA311A Apply first aid HLTAID003 Provide first aid N New unit based on HLTFA311A. Significant changes to elements and performance criteria, changes to scope of unit. New evidence requirements for assessment. New Unit HLTAID004 Provide an emergency first aid response in an education and care setting HLTFA302C HLTFA412A HLTFA404C HLTFA403C Provide first aid in remote situations Apply advanced first aid Apply advanced resuscitation techniques Manage first aid in the workplace HLTAID005 HLTAID006 HLTAID007 HLTAID008 Provide first aid in remote situations Provide advanced first aid Provide advanced resuscitation Manage first aid services and facilities N N N N N New unit developed to address requirements for first aid, asthma and anaphylaxis training in line with the Education and Care Services Law (2011). Addition of assessment requirements around infant and child first aid, asthma and anaphylaxis New unit based on HLTFA302C. Significant changes to elements and performance criteria, changes to scope of unit. New evidence requirements for assessment, including use of contextualised remote scenarios. New unit based on HLTFA412A. Significant changes to elements and performance criteria, changes to scope of unit. Removal of embedded content from HLTFA412A Apply First Aid. New evidence requirements for assessment. New unit based on HLTFA404C. Significant changes to elements and performance criteria, changes to scope of unit. Removal of embedded content from HLTFA404C. Removal of analgesic gases. New evidence requirements for assessment. New unit based on HLTFA403C. Significant changes to elements and performance criteria, changes to scope of unit. Removal of all embedded material from HLTFA404C and HLTFA412A. New evidence requirements for assessment. Community Services and Health Industry Skills Council Page 14 of 45

Mapping Resource: Two-Way Mapping between HLT07 And HLT First Aid HLTAID001 PROVIDE CARDIOPULMONARY RESUSCITATION AND HLTCPR211A PERFORM CPR For candidates who have achieved competency in HLTCPR211A For candidates who have achieved competency in HLTAID001 Perform CPR and are seeking recognition in HLTAID001 Provide Provide cardiopulmonary resuscitation and are seeking cardiopulmonary resuscitation, the following additional recognition in HLTCPR211A Perform CPR, the following requirements apply additional requirements apply Skills Demonstration No additional requirements. There must be evidence that the candidate has: performed at least four minutes of uninterrupted CPR on both and adult and an infant resuscitation manikin placed on the floor: o checking for response and normal breathing o recognising abnormal breathing o opening and clearing the airway o using correct hand location, compression depth rate in line with the ARC recommended ratio of compressions and ventilations o acting in the event of regurgitation or vomiting o following single rescuer procedure, including the demonstration of a rotation of operators with minimal interruptions to compressions followed the prompts of an Automated External Defibrillator (AED) Community Services and Health Industry Skills Council Page 15 of 45

HLTAID001 PROVIDE CARDIOPULMONARY RESUSCITATION AND HLTCPR211A PERFORM CPR For candidates who have achieved competency in HLTCPR211A For candidates who have achieved competency in HLTAID001 Perform CPR and are seeking recognition in HLTAID001 Provide Provide cardiopulmonary resuscitation and are seeking cardiopulmonary resuscitation, the following additional recognition in HLTCPR211A Perform CPR, the following requirements apply additional requirements apply responded to at least one simulated emergency scenario contextualized to the candidate s workplace / community setting Knowledge anatomy & physiology relating to: o absence of normal breathing o physiology relating to response / consciousness o anatomy of external chest o upper airway anatomy and effect of positional change Assessment Conditions Assessment must involve the use of adult and infant manikins in line with ARC rules Automated External Defibrillator (AED) Community Services and Health Industry Skills Council Page 16 of 45

HLTAID001 PROVIDE CARDIOPULMONARY RESUSCITATION AND HLTCPR211A PERFORM CPR For candidates who have achieved competency in HLTCPR211A For candidates who have achieved competency in HLTAID001 Perform CPR and are seeking recognition in HLTAID001 Provide Provide cardiopulmonary resuscitation and are seeking cardiopulmonary resuscitation, the following additional recognition in HLTCPR211A Perform CPR, the following requirements apply additional requirements apply Assessors of the additional requirements must hold a current advanced first aid certificate or at least three years experience as a health professional, nurse or emergency services provider Community Services and Health Industry Skills Council Page 17 of 45

HLTAID002 PROVIDE BASIC EMERGENCY LIFE SUPPORT AND HLTFA211A PROVIDE BASIC EMERGENCY LIFE SUPPORT For candidates who have achieved competency in HLTFA211A Provide basic emergency life support and are seeking recognition in HLTAID002 Provide basic emergency life support, the following additional requirements apply For candidates who have achieved competency in HLTAID002 Provide basic emergency life support and are seeking recognition in HLTFA211A Provide basic emergency life support, the following additional requirements apply Skills Demonstration There must be evidence that the candidate has: performed at least four minutes of uninterrupted CPR on both and adult and an infant resuscitation manikin placed on the floor: Skills Demonstration There must be evidence that the candidate has: evaluated performance by seeking feedback from clinical expert recognised psychological impacts on rescuers, and participated in o checking for response and normal breathing debriefing and evaluation o recognising abnormal breathing o opening and clearing the airway Knowledge o using correct hand location, compression depth rate in line with the ARC recommended ratio of compressions and ventilations No additional knowledge requirements Assessment Conditions o acting in the event of regurgitation or vomiting No additional assessment conditions o following single rescuer procedure, including the demonstration of a rotation of operators with minimal interruptions to compressions followed the prompts of an Automated External Defibrillator (AED) applied first aid for the following: Community Services and Health Industry Skills Council Page 18 of 45

HLTAID002 PROVIDE BASIC EMERGENCY LIFE SUPPORT AND HLTFA211A PROVIDE BASIC EMERGENCY LIFE SUPPORT For candidates who have achieved competency in HLTFA211A For candidates who have achieved competency in HLTAID002 Provide basic emergency life support and are seeking Provide basic emergency life support and are seeking recognition in HLTAID002 Provide basic emergency life support, recognition in HLTFA211A Provide basic emergency life support, the following additional requirements apply the following additional requirements apply o allergic reactions o anaphylaxis o asthma o cardiac arrest o choking and airway obstruction o shock responded to at least one simulated emergency scenario contextualized to the candidate s workplace / community setting Knowledge The candidate must demonstrate knowledge of: appropriate duration and cessation of CPR first aid procedures for: o cardiac arrest o severe anaphylactic reactions anatomy & physiology relating to: Community Services and Health Industry Skills Council Page 19 of 45

HLTAID002 PROVIDE BASIC EMERGENCY LIFE SUPPORT AND HLTFA211A PROVIDE BASIC EMERGENCY LIFE SUPPORT For candidates who have achieved competency in HLTFA211A For candidates who have achieved competency in HLTAID002 Provide basic emergency life support and are seeking Provide basic emergency life support and are seeking recognition in HLTAID002 Provide basic emergency life support, recognition in HLTFA211A Provide basic emergency life support, the following additional requirements apply the following additional requirements apply o anatomy of external chest o anatomy and physiology considerations in provision of first aid for specified conditions Assessment Conditions Assessment must involve the use of adult and infant manikins in line with ARC guidelines Automated External Defibrillator (AED) emergency rescue blanket roller bandages triangular bandages placebo bronchodilator and spacer device adrenaline auto-injector training device Assessors of the additional requirements must hold a current advanced first aid certificate or at least three years experience as a Community Services and Health Industry Skills Council Page 20 of 45

HLTAID002 PROVIDE BASIC EMERGENCY LIFE SUPPORT AND HLTFA211A PROVIDE BASIC EMERGENCY LIFE SUPPORT For candidates who have achieved competency in HLTFA211A For candidates who have achieved competency in HLTAID002 Provide basic emergency life support and are seeking Provide basic emergency life support and are seeking recognition in HLTAID002 Provide basic emergency life support, recognition in HLTFA211A Provide basic emergency life support, the following additional requirements apply the following additional requirements apply health professional, nurse or emergency services provider Community Services and Health Industry Skills Council Page 21 of 45

HLTAID003 PROVIDE FIRST AID AND HLTFA311A APPLY FIRST AID For candidates who have achieved competency in HLTFA311A Apply first aid and are seeking recognition in HLTAID003 Provide first aid, the following additional requirements apply For candidates who have achieved competency in HLTAID003 Provide first aid and are seeking recognition in HLTFA311A Apply first aid, the following additional requirements apply Skills Demonstration There must be evidence that the candidate has: performed at least four minutes of uninterrupted CPR on both and adult and an infant resuscitation manikin placed on the floor: Skills Demonstration There must be evidence that the candidate has: provided assistance with self-medication as per subject s own medication regime and/or administer medication in line with o checking for response and normal breathing State/Territory legislation and regulations, organisation policies o recognising abnormal breathing and any available medical/pharmaceutical instructions o opening and clearing the airway sought feedback from clinical expert as part of evaluation o using correct hand location, compression depth rate in line with the ARC recommended ratio of compressions and ventilations Knowledge The candidate must demonstrate knowledge of: o acting in the event of regurgitation or vomiting First aid management of: o following single rescuer procedure, including the o altered consciousness demonstration of a rotation of operators with minimal o stroke interruptions to compressions applied first aid for the following: Assessment Conditions o Basic wound care No additional assessment conditions Community Services and Health Industry Skills Council Page 22 of 45

HLTAID003 PROVIDE FIRST AID AND HLTFA311A APPLY FIRST AID For candidates who have achieved competency in HLTFA311A For candidates who have achieved competency in HLTAID003 Apply first aid and are seeking recognition in HLTAID003 Provide Provide first aid and are seeking recognition in HLTFA311A first aid, the following additional requirements apply Apply first aid, the following additional requirements apply o Burns o Choking and airway obstruction o Convulsions o Envenomation (use pressure immobilization) o Poisoning o shock Knowledge The candidate must demonstrate knowledge of: Basic anatomy and physiology in relation to: o Absence of normal breathing o Anatomy of the external chest o Physiology relating to response/consciousness o Upper airway anatomy and effect of positional change o Anatomy and physiology considerations in provision of first aid for specified conditions Community Services and Health Industry Skills Council Page 23 of 45

HLTAID003 PROVIDE FIRST AID AND HLTFA311A APPLY FIRST AID For candidates who have achieved competency in HLTFA311A For candidates who have achieved competency in HLTAID003 Apply first aid and are seeking recognition in HLTAID003 Provide Provide first aid and are seeking recognition in HLTFA311A first aid, the following additional requirements apply Apply first aid, the following additional requirements apply Assessment Conditions Assessment must involve the use of adult and infant manikins in line with ARC guidelines emergency rescue blanket and workplace first aid kit Assessors of the additional requirements must hold a current advanced first aid certificate or at least three years experience as a health professional, nurse or emergency services provider Community Services and Health Industry Skills Council Page 24 of 45

HLTAID005 PROVIDE FIRST AID IN REMOTE SITUATIONS AND HLTFA302C PROVIDE FIRST AID IN REMOTE SITUATIONS For candidates who have achieved competency in HLTFA302C Provide first aid in remote situations and are seeking recognition in HLT AID005 Provide first aid in remote situations the following additional requirements apply For candidates who have achieved competency in HLTAID005 Provide first aid in remote situations and are seeking recognition in HLTFA302C Provide first aid in remote situations the following additional requirements apply Skills Demonstration There must be evidence that the candidate has: Skills Demonstration performed at least four minutes of uninterrupted CPR on both an adult and an infant resuscitation manikin placed on the floor, demonstrating the following techniques on each: There must be evidence that the candidate has: documented condition of casualty over time to assist in ongoing management o checking for response and normal breathing listened to, clarified and applied medical instructions o recognising abnormal breathing administered medication under direct supervision from authorised o opening and clearing the airway health worker o using correct hand location, compression depth rate in line with the ARC recommended ratio of compressions and ventilations prepared a written incident report or provided information to enable preparation of an incident report used available resources effectively to manage pain o acting in the event of regurgitation or vomiting o following single rescuer procedure, including the demonstration of a rotation of operators with minimal interruptions to compressions Knowledge No additional knowledge requirements activated and followed the prompts of an Automated External Assessment Conditions Community Services and Health Industry Skills Council Page 25 of 45

HLTAID005 PROVIDE FIRST AID IN REMOTE SITUATIONS AND HLTFA302C PROVIDE FIRST AID IN REMOTE SITUATIONS For candidates who have achieved competency in HLTFA302C For candidates who have achieved competency in HLTAID005 Provide first aid in remote situations and are seeking recognition Provide first aid in remote situations and are seeking recognition in HLT AID005 Provide first aid in remote situations the following in HLTFA302C Provide first aid in remote situations the following additional requirements apply additional requirements apply Defibrillator (AED) No additional assessment conditions applied first aid procedures for the following: o allergic reactions, including severe reactions o anaphylaxis o asthma o basic wound care o severe bleeding and haemorrhage o burns o cardiac arrest o choking and airway obstruction o convulsions o environmental impacts o envenomation (using pressure immobilisation) o fractures, sprains and strains (using arm slings, roller bandages or other appropriate immobilisation techniques) o poisoning Community Services and Health Industry Skills Council Page 26 of 45

HLTAID005 PROVIDE FIRST AID IN REMOTE SITUATIONS AND HLTFA302C PROVIDE FIRST AID IN REMOTE SITUATIONS For candidates who have achieved competency in HLTFA302C For candidates who have achieved competency in HLTAID005 Provide first aid in remote situations and are seeking recognition Provide first aid in remote situations and are seeking recognition in HLT AID005 Provide first aid in remote situations the following in HLTFA302C Provide first aid in remote situations the following additional requirements apply additional requirements apply o respiratory distress o shock responded to at least three simulated emergency scenarios contextualized to the candidate s remote and/or isolated situation Knowledge The candidate must demonstrate knowledge of: how and when to access emergency services priorities of management in first aid when dealing with life-threatening conditions specific considerations contextualized to alpine, desert, marine, rural/remote settings and tropical environments basic anatomy and physiology in relation to: o Absence of normal breathing o Anatomy of the external chest o Physiology relating to response/consciousness Community Services and Health Industry Skills Council Page 27 of 45

HLTAID005 PROVIDE FIRST AID IN REMOTE SITUATIONS AND HLTFA302C PROVIDE FIRST AID IN REMOTE SITUATIONS For candidates who have achieved competency in HLTFA302C For candidates who have achieved competency in HLTAID005 Provide first aid in remote situations and are seeking recognition Provide first aid in remote situations and are seeking recognition in HLT AID005 Provide first aid in remote situations the following in HLTFA302C Provide first aid in remote situations the following additional requirements apply additional requirements apply o Upper airway anatomy and effect of positional change o Anatomy and physiology considerations in provision of first aid for specified conditions, including specific considerations for remote settings Assessment Conditions Assessment must involve the use of: first aid equipment including o roller bandages o triangular bandages cloth o trauma dressings o placebo bronchodilator and spacer device o adrenalin auto-injector training device o an AED training device o inflatable splints o clinical thermometer o evacuation stretcher Community Services and Health Industry Skills Council Page 28 of 45

HLTAID005 PROVIDE FIRST AID IN REMOTE SITUATIONS AND HLTFA302C PROVIDE FIRST AID IN REMOTE SITUATIONS For candidates who have achieved competency in HLTFA302C For candidates who have achieved competency in HLTAID005 Provide first aid in remote situations and are seeking recognition Provide first aid in remote situations and are seeking recognition in HLT AID005 Provide first aid in remote situations the following in HLTFA302C Provide first aid in remote situations the following additional requirements apply additional requirements apply o emergency rescue blanket o workplace first aid kit. Assessors of the additional requirements must hold a current advanced first aid certificate or at least three years experience as a health professional, nurse or emergency services provider Community Services and Health Industry Skills Council Page 29 of 45

HLTAID006 PROVIDE ADVANCED FIRST AID AND HLTFA412A APPLY ADVANCED FIRST AID For candidates who have achieved competency in HLTFA412A For candidates who have achieved competency in HLTAID006 Apply advanced first aid and are seeking recognition in Provide advanced first aid and are seeking recognition in HLTAID006 Provide advanced first aid the following additional HLTFA412A Apply advanced first aid the following additional requirements apply requirements apply Note that the information below relates to those candidates who Skills Demonstration have met the requirements of HLTFA412A, and therefore its There must be evidence that the candidate has: prerequisite unit HLTFA311A. safely handled and stored pressurised gases Skills Demonstration There must be evidence that the candidate has: performed eight minutes of uninterrupted CPR on both an adult and an infant resuscitation manikin placed on the floor, demonstrating the following techniques on each: o checking for response and normal breathing o recognising abnormal breathing o opening and clearing the airway o using correct hand location, compression depth rate in line with the ARC recommended ratio of compressions and ventilations o acting in the event of regurgitation or vomiting Knowledge The candidate must demonstrate knowledge of: complications and associated methods of management for: o pain relief safety procedures for storage and handling procedures for pressurised gases first aid management procedures for use of analgesic gases how to gain access to and interpret material safety data sheets (MSDS) Assessment Conditions No additional assessment conditions Community Services and Health Industry Skills Council Page 30 of 45

HLTAID006 PROVIDE ADVANCED FIRST AID AND HLTFA412A APPLY ADVANCED FIRST AID For candidates who have achieved competency in HLTFA412A For candidates who have achieved competency in HLTAID006 Apply advanced first aid and are seeking recognition in Provide advanced first aid and are seeking recognition in HLTAID006 Provide advanced first aid the following additional HLTFA412A Apply advanced first aid the following additional requirements apply requirements apply o following single rescuer procedure, including the demonstration of a rotation of operators with minimal interruptions to compressions o following two rescuer procedure, as both the ventilator and the compressor activated and followed the prompts of an AED applied first aid procedures for the following: o Basic wound care o Burns o Choking and airway obstruction o Convulsions o Envenomation (use pressure immobilization) o Poisoning o shock o thermal injuries Community Services and Health Industry Skills Council Page 31 of 45

HLTAID006 PROVIDE ADVANCED FIRST AID AND HLTFA412A APPLY ADVANCED FIRST AID For candidates who have achieved competency in HLTFA412A For candidates who have achieved competency in HLTAID006 Apply advanced first aid and are seeking recognition in Provide advanced first aid and are seeking recognition in HLTAID006 Provide advanced first aid the following additional HLTFA412A Apply advanced first aid the following additional requirements apply requirements apply completed written incident report demonstrated correct usage of cervical collars, spinal boards, back boards and stretchers responded to at least three simulated emergency scenarios contextualized to the candidate s workplace / community setting Knowledge The candidate must demonstrate knowledge of: considerations when providing first aid, including: o procedures when providing first aid to children o procedures for dealing with casualties who are aged or infirm principles and procedures for first aid management, including complications for: o emergency childbirth Community Services and Health Industry Skills Council Page 32 of 45

HLTAID006 PROVIDE ADVANCED FIRST AID AND HLTFA412A APPLY ADVANCED FIRST AID For candidates who have achieved competency in HLTFA412A For candidates who have achieved competency in HLTAID006 Apply advanced first aid and are seeking recognition in Provide advanced first aid and are seeking recognition in HLTAID006 Provide advanced first aid the following additional HLTFA412A Apply advanced first aid the following additional requirements apply requirements apply Assessment Conditions Assessment must involve the use of: first aid equipment including o roller bandages o triangular bandages cloth o trauma dressings o placebo bronchodilator and spacer device o adrenalin auto-injector training device o back boards and stretchers o an AED training device o inflatable splints o thermometer o emergency rescue blanket o eye patch o workplace first aid kit o incident report form. Community Services and Health Industry Skills Council Page 33 of 45

HLTAID006 PROVIDE ADVANCED FIRST AID AND HLTFA412A APPLY ADVANCED FIRST AID For candidates who have achieved competency in HLTFA412A For candidates who have achieved competency in HLTAID006 Apply advanced first aid and are seeking recognition in Provide advanced first aid and are seeking recognition in HLTAID006 Provide advanced first aid the following additional HLTFA412A Apply advanced first aid the following additional requirements apply requirements apply Assessors of the additional requirements must hold a current advanced first aid certificate or at least three years experience as a health professional, nurse or emergency services provider Community Services and Health Industry Skills Council Page 34 of 45

HLTAID007 PROVIDE ADVANCED RESUSCITATION AND HLTFA404C APPLY ADVANCED RESUSCITATION TECHNIQUES For candidates who have achieved competency in HLTFA404C Apply advanced resuscitation techniques and are seeking recognition in HLTAID007 Provide advanced resuscitation the following additional requirements apply For candidates who have achieved competency in HLTAID007 Provide advanced resuscitation and are seeking recognition in HLTFA404C Apply advanced resuscitation techniques the following additional requirements apply Skills Demonstration There must be evidence that the candidate has: performed eight minutes of uninterrupted CPR on both an adult and Skills Demonstration No additional requirement an infant resuscitation manikin placed on the floor, demonstrating the following techniques on each: Knowledge o checking for response and normal breathing The candidate must demonstrate knowledge of: o recognising abnormal breathing First aid management procedures for: o opening and clearing the airway o Collapse / unconsciousness o using correct hand location, compression depth rate in line with the ARC recommended ratio of compressions and ventilations o acting in the event of regurgitation or vomiting o following single rescuer procedure, including the demonstration of a rotation of operators with minimal interruptions to compressions o following two rescuer procedure, as both the ventilator and o Foreign body airway obstruction o Respiratory distress o Shock o Sudden cardiac arrest Incident management procedures: o Awareness of confined spaces and dangerous places o Coordinate activities of other first aiders if applicable Community Services and Health Industry Skills Council Page 35 of 45

HLTAID007 PROVIDE ADVANCED RESUSCITATION AND HLTFA404C APPLY ADVANCED RESUSCITATION TECHNIQUES For candidates who have achieved competency in HLTFA404C For candidates who have achieved competency in HLTAID007 Apply advanced resuscitation techniques and are seeking Provide advanced resuscitation and are seeking recognition in recognition in HLTAID007 Provide advanced resuscitation the HLTFA404C Apply advanced resuscitation techniques the following additional requirements apply following additional requirements apply the compressor Assessment Conditions conducted a secondary survey, including checking pulse of at least No additional assessment conditions one person and recording pulse rate responded to at least three simulated emergency scenarios contextualized to the candidate s workplace / community setting Knowledge The candidate must demonstrate knowledge of: guidelines of national peak clinical bodies Airway obstruction due to body position Appropriate duration and cessation of CPR Basic anatomy, physiology and toxicology as it relates to the provision of advanced resuscitation, including: o Physiology relating to response / consciousness o Upper airway anatomy and effect of positional change Community Services and Health Industry Skills Council Page 36 of 45

HLTAID007 PROVIDE ADVANCED RESUSCITATION AND HLTFA404C APPLY ADVANCED RESUSCITATION TECHNIQUES For candidates who have achieved competency in HLTFA404C For candidates who have achieved competency in HLTAID007 Apply advanced resuscitation techniques and are seeking Provide advanced resuscitation and are seeking recognition in recognition in HLTAID007 Provide advanced resuscitation the HLTFA404C Apply advanced resuscitation techniques the following additional requirements apply following additional requirements apply Assessment Conditions Assessment must involve the use of: an airway model suitable for simulated insertion of an oropharyngeal airway first aid equipment including: - AED training device - bag valve mask resuscitation device - oropharyngeal airway adjunct - suction device - oxygen resuscitation system with oxygen cylinder - selection of oxygen masks such as nasal cannula, demand valve, non-rebreather and pocket mask with oxygen port. Assessors of the additional requirements must hold a current advanced first aid certificate or at least three years experience as a health professional, nurse or emergency services provider Community Services and Health Industry Skills Council Page 37 of 45

HLTAID007 PROVIDE ADVANCED RESUSCITATION AND HLTFA404C APPLY ADVANCED RESUSCITATION TECHNIQUES For candidates who have achieved competency in HLTFA404C For candidates who have achieved competency in HLTAID007 Apply advanced resuscitation techniques and are seeking Provide advanced resuscitation and are seeking recognition in recognition in HLTAID007 Provide advanced resuscitation the HLTFA404C Apply advanced resuscitation techniques the following additional requirements apply following additional requirements apply Community Services and Health Industry Skills Council Page 38 of 45

HLTAID008 MANAGE FIRST AID SERVICES AND FACILITIES AND HLTFA403C MANAGE FIRST AID IN THE WORKPLACE For candidates who have achieved competency in HLTFA403C For candidates who have achieved competency in HLTAID008 Manage first aid in the workplace and are seeking recognition in Manage first aid services and facilities and are seeking HLTAID008 Manage first aid services and facilities the following recognition in HLTFA403C Manage first aid in the workplace the additional requirements apply following additional requirements apply Skills Demonstration Skills Demonstration There must be evidence that the candidate has: There must be evidence that the candidate has: used a first aid checklist to service a workplace first aid kit for supplies Communicated effectively and shown leadership in an incident replacement and equipment maintenance Managed a first aid response in the workplace Made prompt and appropriate decisions relating to managing and Knowledge incident in the workplace The candidate must demonstrate knowledge of: Conducted an initial casualty assessment and prioritization Capabilities of emergency management services Established and maintained links with first aid bodies and professional organisations Assessment Conditions Assessment must involve the use of: Knowledge First aid kit and contents checklist The candidate must demonstrate knowledge of: relevant state/territory Work Health and Safety First Aid Code of ARC guidelines relating to provision of first aid Practice Stress management techniques Own skills limitations First aiders skills and limitations Community Services and Health Industry Skills Council Page 39 of 45

HLTAID008 MANAGE FIRST AID SERVICES AND FACILITIES AND HLTFA403C MANAGE FIRST AID IN THE WORKPLACE For candidates who have achieved competency in HLTFA403C For candidates who have achieved competency in HLTAID008 Manage first aid in the workplace and are seeking recognition in Manage first aid services and facilities and are seeking HLTAID008 Manage first aid services and facilities the following recognition in HLTFA403C Manage first aid in the workplace the additional requirements apply following additional requirements apply How to gain access to and interpret material safety data sheets (MSDS) First aid equipment and resources to manage injuries and illnesses addressed in HLTFA311A and HLTFA412A Assessment Conditions No additional assessment conditions Community Services and Health Industry Skills Council Page 40 of 45

Mapping Resource: HLTAID003 Provide First Aid and HLTAID004 Provide Emergency First Aid Response in an education and care setting For candidates who have achieved competency in HLTAID003 Provide first aid and are seeking recognition in HLTAID004 Provide emergency first aid response in and education and care setting, the following additional requirements apply For candidates who have achieved competency in HLTAID004 Provide emergency first aid response in an education and care setting and are seeking recognition in HLTAID003 Provide first aid, the following additional requirements apply Skills Demonstration No additional requirements There must be evidence that the candidate has: Reported details of incidents involving babies and children to parents and/or caregivers Follow workplace procedures to report serious incidents to the regulatory authority Recognised possible psychological impacts of incidents on self, other rescuers and children Talked with children about their emotions and responses to events performed at least four minutes of uninterrupted CPR on a child resuscitation manikin placed on the floor, demonstrating the following techniques: o checking for response and normal breathing o recognising abnormal breathing o opening and clearing the airway o using correct hand location, compression depth rate in line with the ARC recommended ratio of compressions and ventilations o acting in the event of regurgitation or vomiting Applied first aid procedures for the following: o febrile convulsions o epilepsy and seizures Community Services and Health Industry Skills Council Page 41 of 45

For candidates who have achieved competency in HLTAID003 Provide first aid and are seeking recognition in HLTAID004 Provide emergency first aid response in and education and care setting, the following additional requirements apply For candidates who have achieved competency in HLTAID004 Provide emergency first aid response in an education and care setting and are seeking recognition in HLTAID003 Provide first aid, the following additional requirements apply o head injuries Responded to at least three simulated first aid scenarios contextualised to the candidate s workplace/community setting, and involving infants and children of varying ages. Knowledge The candidate must demonstrate knowledge of: o o o first aid requirements for services under the Education and Care Services National Law appropriate use of an AED, including placement of pads for adults and children aged older than 8 years specific considerations when using an AED on children aged between 1 and 8 years, including identification of AED with paediatric capability, paediatric voltage and use of paediatric pads basic anatomy and physiology relating to: o specific anatomy of infant respiratory systems, including trachea, and implications for provision of CPR o basic anatomical differences between adults and children, and the implications for provision of first aid o normal clinical values for children o symptoms and triggers of anaphylaxis o symptoms and triggers of asthma Community Services and Health Industry Skills Council Page 42 of 45

For candidates who have achieved competency in HLTAID003 Provide first aid and are seeking recognition in HLTAID004 Provide emergency first aid response in and education and care setting, the following additional requirements apply For candidates who have achieved competency in HLTAID004 Provide emergency first aid response in an education and care setting and are seeking recognition in HLTAID003 Provide first aid, the following additional requirements apply Assessment Conditions Assessment must involve the use of child manikins in line with ARC guidelines at least two different types of placebo bronchodilators and a spacer device at least two different types of adrenalin auto-injector training device (e.g. EpiPen and AnaPen) an incident, injury, trauma and illness record, or other appropriate workplace incident report form Community Services and Health Industry Skills Council Page 43 of 45