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CORONAVIRUS (COVID-19) Training Policy

CORONAVIRUS (COVID-19) Training Policy 

Providing Safe, Socially Distanced First Aid Training

In preparation for the UK Government reducing the Pandemic Threat from Level 4 to Level 3, we have developed a policy to ensure that our clients are protected during classroom based training. 

Class induction process:

On arrival, screen all Learners and exclude anyone exhibiting COVID-19 symptoms which are a new continuous cough and/or a temperature >37.8 C and/or a loss of taste/smell. Optional temperature checks may be done albeit safely and non-invasively.

Classroom set up:

Learners must be seated 1-2 metres apart as per latest scientific data. This is highly likely to determine the maximum class size, so the venue must be assessed and the maximum class size ascertained prior to organising the course.

We will check that no Learner is in a situation where they should be self-isolating (e.g. a family member has had symptoms or the Learner should be shielding as they are in an at risk group). Exclude from the course as necessary.

ON ARRIVAL, give each Learner an alcohol wipe/gel/sanitiser and ask them to thoroughly sanitise hands. Instruct them that if they need to cough/sneeze this should be done into a tissue that is disposed of immediately. Failing that they should cough into a bent elbow (better than a bare hand) and NEVER cough/ sneeze without covering their mouth/nose.

If someone coughs on their hand or uses a tissue they should use alcohol wipes/sanitizer immediately. Ongoing checks will be done to ensure that everyone adheres to this throughout the course. 

We will explain clearly that no one should touch their mouth, nose or eyes unless they have just washed their hands or sanitised.

We will explain what you have available for sanitising hands (e.g. sanitising gel or alcohol wipes) and where they can wash their hands. Supervise this during the course.

Learners should maintain 1-2 metres physical distancing throughout the entire course. This is a live document and will be updated whenever new evidence or guidance comes to light in this fast moving situation.

If manikins are shared, keep one manikin to the same small group of Learners all the way through the course to prevent the possibility of course-wide infection spread.

Use as many manikins as possible to reduce sharing. Physical distancing of 1-2m should be maintained during CPR practise and the Learner should therefore act as a solo rescuer.

At the end of every theory session, Learners will be asked to sanitise or wash their hands. Before and after each practical session, Learners are to sanitise or wash their hands.

Prior to CPR practise, explain to Learners the protection that is in place to prevent infection during CPR practise. Added reassurance can be given by replacing the manikin lungs in front of Learners prior to practise.

Give Learners information and assurance on the following manikin IPC measures and follow them carefully:

a. Frequently replaced lungs / airways / valves

b. One-way valves which stop air coming back out of the manikin mouth and direct expired air out of the back of the head via a filter.

c. Alcohol/sanitising wipes to be used between Learners, with an emphasis on scrubbing

d. Anti-surfactant wipes (e.g. Trionic wipes) used after each session (removes any bio-film as well as germ killing)

e. Explain that these steps alone are sufficient to prevent infection and that is all that is normally used on most first aid courses.

The Health and Safety Executive and Consultant Microbiologists at NHS England have approved these measures as being sufficient, however, in the current climate; you are also issuing each Learner with a personal CPR face shield to provide double failsafe protection.

f. Learners must use the face-shield facing the same way up each time. Check for the writing being the correct way up for example.

g. Nip the manikin nose as usual through the face shield. Note – you should still use alcohol/sanitising wipes on the manikin between Learners even with a face shield.

h. Alternative methods of infection control, such as individually issued manikins or manikin faces may be used. Follow the manufacturer’s guidance on disinfecting between classes.

i. IMPORTANT - ADDITIONAL MEASURES ARE REQUIRED FOR MANIKINS WITHOUT ONE-WAY-VALVES. e.g. for a Laerdal Baby Anne Manikin issue each learner with their own manikin face and lung. Dispose of the used lungs after the class and disinfect the faces following manufacturer’s instructions.

Between Learners, use alcohol/sanitising wipes on the manikin face and also wipe the forehead and chest where hands were placed (to prevent hand to surface/surface to hand contamination). More than one wipe may be required. Allow the sanitiser/alcohol to dry naturally before the next person uses the manikin.

HSE and DfE still require rescue breaths to be trained and assessed. Carefully follow the manikin hygiene procedures detailed above. Trainers should ensure that Learners are fully aware of the RCUK guidance on performing real life CPR during the COVID-19 pandemic and the protective measures that should be taken.

Unconscious Casualty Learners can be assessed performing the primary survey on a manikin.

A Learner should articulate how they would place a casualty into the recovery position and demonstrate this by placing themselves into that position.

A professional discussion can follow to ensure the trainer is confident that the Learner’s knowledge and skills meet the assessment requirements.

The Learner should sanitise hands before and after touching any shared equipment. Choking Casualty Learners should sanitise hands before and after demonstration.

The Learner should demonstrate back blows and the correct hand positioning for abdominal thrusts on a manikin. Wipe down any shared equipment between Learners.

Wounds and Bleeding

A professional discussion can follow to ensure the trainer is confident that the Learner’s knowledge and skills meet the assessment requirements. We recommend against the shared wearing of choking vests.

The Learner can demonstrate applying a bandage to themselves – on a leg wound if necessary, followed by placing themselves in the appropriate position to treat shock. Alternatively, a head wound on a manikin can be simulated. A professional discussion can follow to ensure the trainer is confident that the Learner’s knowledge and skills meet the assessment requirements.

The Learner should sanitise hands before and after touching any shared equipment and new bandages should be provided for each Learner.

Slings

The Learner can demonstrate how their own arm would sit into a support and elevated sling by placing the triangular bandage on their own arm. In replacement of tying the sling behind their neck, it is acceptable for them to hold the ends of the sling tight so they can show where the sling would sit and state ‘I would tie it in this position’. Clean slings should be provided for each Learner.

C-Spine / MILS

The Learner can demonstrate how they would support a head using Manual In-Line Stabilisation (MILS) on a CPR manikin. The Learner should articulate how they would place a casualty into the spinal recovery position and demonstrate this by placing themselves into that position. A professional discussion can follow to ensure the trainer is confident that the Learner’s knowledge and skills meet the assessment requirements. The Learner should sanitise hands before and after touching any shared equipment.

Secondary Survey

The secondary survey should be performed on a conscious casualty. The casualty and the ‘first aider’ should maintain 1-2m physical distancing and the first aider should perform the head to toe assessment verbally, speaking with the casualty to ascertain if there are any identifiable injuries.

Management of Anaphylaxis (where applicable)

The Learner can demonstrate how to administer a ‘trainer’ Adrenaline Auto Injector (AAI) on their own thigh before placing themselves into the correct casualty positioning for anaphylactic shock. A professional discussion can follow to ensure the trainer is confident that the Learner’s knowledge and skills meet the assessment requirements. The Learner should sanitise hands before and after touching any shared equipment. Use alcohol/sanitising wipes on the trainer AAI. Allow the sanitiser/alcohol to dry naturally before the next person uses the AAI.

Assessment adjustments to allow for 1-2m physical distancing