Q\HLTOUT008 MANAGE A SENCE . And HLTOUT010

Q1. In your own words describe the five (5) steps of the scene management cycle? Q1 answer  HLTOUT008 - MANAGE A SCENE THE SCENE MANAGEMENT CYCLE Assess Assess the scene for any hazards and assess the patient’s condition. Confirm Confirm your findings with other officers, team members, dispatch or other agencies. Plan Formulate a plan to mitigate (manage) the hazards and outline a treatment  pathway for the team members/patients/bystanders. Manage Manage the resources on scene to deliver the plan and mitigate the risk. Evaluate Evaluate the hazards and the patient’s condition. If needed, you can start review and revisit the cycle to support a safe environment. USING PERSONAL PROTECTIVE EQUIPMENT (PPE) Personal protective equipment (PPE) is intended to keep you safe from harm as much as possible. It is a risk  control measure that minimises but does not remove the risk of harm from potential hazards. PPE should be  selected and used to reduce injury and harm mainly to yourself but sometimes to others. Take, for example, hand decontamination agents such as alcohol-based rubs (ABRs). They rid your hands of  bacteria when soap and water are not available and address infection control responsibilities, which keeps both  you and your patient safe. Typical PPE that may be used at an incident scene includes: • Non‐sterile gloves • Sterile gloves • Hand decontamination agents such as alcohol hand gel • Eye protection • High visibility clothing • Ear defenders • Safety boots • Hard hats • Stab/Ballistic proof vests • Dosimeters Your organisation will have protocols and procedures on the use of PPE. You must ensure the right PPE is used  at the right time and that it is correctly fitted. Using PPE will help minimise the risk of infection. ACTIVITY 4. Choose three (3) pieces of PPE and explain how they act as a control against  the spread of infection. [login to view URL] the two (2) sided document you must complete when a patient with ABD needs to be sedated. NOTE: You must list both sides of this document? Q3 Define each of the three (3) safety zones in relation to patient de-escalation. Zone 1 Zone 2 Zone 3? Q3 Answer HLTOUT008 - MANAGE A SCENE SCENE SAFETY  Pit Crew Method The Pit Crew Method, also known as high-performance CPR, is a technique that ensures efficient and speedy  response when on scene and dealing with a patient. It is all based on pre-assigning roles based on arrival  and patient priorities. Before arriving at the scene, each person should know their role and when they need  to perform their required duties. The team of responders will surround the patient with unobstructed access  (i.e. the patient is 360 degree-accessible), while the team leader observes, clearly communicates and directs  but does not actively treat the patient. Equipment is placed in locations where it is easily accessible yet not  impeding access to patients or egress. Safety zones Zone 1 Zone 2 Zone 3 Regarding patient de-escalation,  Zone 1 is the distant safety  zone, where you cannot  be injured from physical  aggressions close by, such as  kicking or striking.  Regarding patient de-escalation,  Zone 2 is the close safety zone,  where an agitated or aggressive  patient cannot effectively deliver a  major blow to you with their knees,  elbows or head but may still come  close or in contact. Regarding patient de-escalation,  Zone 3 is the danger zone, where a  patient can strike you forcibly and  make contact. De-escalation Steps De-escalation refers to communication behaviour intended to minimise escalations of conflicts and where  aggression is a contributing factor.  When faced with an aggressive or combative patient or bystander, first responders need to be confident in the  skills and strategies to de-escalate situations and manage aggressive patients and bystanders through applying  ‘effective communication behaviour’, supported by an emotionally intelligent response. Step 1. Look  Before approaching a volatile person, stop and observe their behaviour. Step 2. Listen  Listen to what they are saying to obtain information that may assist in dealing with the scene. Step 3. Act  Based on the above observations, formulate a plan of action. Q\ HLTOUT010 HLTOUT010 Communicate in complex situations to support health care |. Theory Task  Please read each question carefully to ensure your response addresses all required components.  1. Respond to the below questions regarding communication and codes. a. You've been called to a Section 4, D5, B3. Referring to the radio codes chart, what type of patient and scene are you responding to? b. You are called to a 34 year old male patient who is complaining of chest pain following cocaine use. What codes would you use to communicate this? c. When you arrived on scene, your patient was initially choking with abnormal breathing. You delivered back blows and chest thrusts to the patient and they are no longer choking, they can talk, are alert and breathing, but on questioning are complaining of a severe headache that has been bothering them for the past 3hrs or so. After a thorough primary and secondary assessment, you call dispatch to alert them of your case details and departure from scene at 0415. Using the correct radio codes, what would your dispatch information be? Remember to include all the information on your patient.  d. You are called to a worksite explosion. On arrival, you discover there are 3 patients involved. Your first patient is a 34yr old diabetic woman who is actively convulsing. Your second patient is a 26yr old male who has sustained partial thickness burns approx. 25% TBSA. Your third patient is an unknown age unconscious male who is breathing. Using radio codes, how would you communicate this to dispatch/base? You will need to  include the correct section and code numbers for the scene as a whole, inclusive of each  patient.  - Q1a - review the section and codes again. - Q1b - review the section and codes again.  - Q1c - review the section and codes again - what was the patient initially as well then after being treated?.  Regarding Q1d - not valid and sufficient. - Review-Include the section and codes regarding what you were called to - called to a worksite explosion with multiple casualties. Break up the patients individually as shown below.    - Pt # 1 - what section and codes? - review the section again - patient was actively convulsing.   - Pt # 2 - what section and codes? - review the section again. - you were called to worksite explosion.   - Pt # 3 - what section and codes? - review the section again - you were called to a worksite explosion. Regarding Q1d – Pt stands for patient - medical terminology – need to review the codes for patient 1- patient 2 and patient 3 – review the codes at the end of the SLG Use the above format for your answers.