Administering oxygen therapy - Life Saving Victoria

SLSA Advanced Resuscitation Certificate 

Workbook 

Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia | 1

Acknowledgements 

Produced by the SLSA National Education Resource 

Development Panel 

Peter Agnew – National Lifesaving Manager – SLSA 

Tim Ryder – National Education Co-ordinator - SLSA 

Craig Roberts – Operations Manager (Lifesaving and Education) – SLSNSW 

Bridget Judd – Education Officer - SLSNSW 

Glenn Ross – Training Consultant – SLSWA 

Rob O’Brien – Support Officer – Lifesaving Training – LSV 

Andrew Chubb – Education Advisor – SLSNSW 

Ben Whibley – Education & Training Officer – SLS Hunter Branch 

Adam Profke – Training and Education Development Officer – SLSQ 

Sharon Stewart – Darwin SLSC Chief Instructor – SLSNT 

Alex Mirowski – Education and Training Co-ordinator – SLST 

Nikki Chubb – Education Panel SLSNSW 

Aaron Tuckfield – Education Development Officer SLSSA 

Copyright Notice 

© Surf Life Saving Australia 

All rights reserved. 

This product has been developed for use within Surf Life Saving Australia. Copies may not 

be printed and/or reproduced by photocopying, scanning or any other methods for use, 

hire or resale within Australia or by any other organisation unless authorised by the 

National Education Co-ordinator. 

2 | Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia

Surf Life Saving Australia 

ADVANCED RESUSCITATION 

CERTIFICATE 

PUAEME003B 

Administer Oxygen in an Emergency Situation 

Candidate Details: 

Name: D.O.B. / / 

Club/Service: 

Assessor: 

Date of Assessment: / / 


Contents 

Introduction 

Qualification Awarded …………………………………………………………….. 5 

Prerequisites ………………………………………………………………………… 5 

Recognition of Prior Learning ……………………………………………………… 6 

Self Help Activity Questions 

Why Use Oxygen?........... …………………………………………………………… 7 

The Components of Oxygen Resuscitation Equipment ..……………………….. 7 

Administering Oxygen Therapy ...................................………………………….. 8 

Setting up Oxygen Resuscitation Equipment ……………………………………. 9 

Equipment Maintenance ……………………………………………………………. 10 

Administering Suction (Optional) ……………..……………………………………. 10 

Automatic Oxygen-Powered Resuscitator (Optional) …………………………… 11 

Oropharyngeal Airways ……………………………………………………………. 12 

Personal Safety ……………………………………………………………………… 14 

Observation Checklist……………………………………………………………….. 15 


Section 1 – Introduction 

Welcome to the workbook for the SLSA Advanced Resuscitation Certificate. This 

workbook will provide you the learner with all the necessary information and activities in 

achieving competence in this course. 

What this guide contains 

The Advanced Resuscitation Certificate workbook has two sections: 

Section 1 - Introduction 

Section 2 - Self Help Activity Questions 

This section consists of a series of short answer questions. They are designed to 

reflect the knowledge required to demonstrate competence. These questions can be 

used as a home study resource or as discussion points during training sessions. 

Qualification Awarded 

A candidate who has demonstrated competence in PUAEME003B Administer Oxygen in 

an Emergency Situation will receive a Surf Life Saving Australia Advanced Resuscitation 

Certificate. 

Public Safety Statement of Attainment 

A candidate who has demonstrated competence in the SLSA Advanced Resuscitation 

Certificate is entitled to receive a statement of attainment for the unit of competency 

PUAEME003B Administer Oxygen in an Emergency Situation which is a competency 

recognised nationally under the Vocational Education and Training System. Appropriately 

qualified and endorsed assessors from a Registered Training Organisation (RTO) must 

assess this unit of competency. 

Prerequisites for the SLSA Advanced Resuscitation 

Certificate 

A candidate must: 

• Be a minimum of 15 years old on the date of assessment, and 

• Hold the unit of competency PUAEME001A Provide Emergency Care, OR 

• Hold a current SLSA Bronze Medallion/Certificate II in Public Safety (Aquatic Rescue), 

OR 

• Hold a current SLSA Senior First Aid Certificate (CPR component must have been 

updated within last 12 months) 

Assessment pathways 

The two major assessment pathways listed in the Assessment Guidelines for the Public 

Safety Training Package are: 

 

 

Recognition of Current Competence (RCC) – competency gained through prior 

learning, work experience or life experience. 

Assessing competence in an actual or simulated workplace environment. 

Assessment tools have been designed so that candidates can use either of these 

pathways to demonstrate competence. This means that assessors can draw on a 

combination of assessment methods to assess the candidate, depending on their current 

skills and knowledge. 


Recognition of Current Competence (RCC) and 

Recognition of Prior Learning (RPL) 

RCC and RPL acknowledge skills and knowledge obtained through: 

• Formal training (conducted by industry or educational institutions) 

• Work experience (informal training) 

• Life experience 

The main focus is on the learning outcomes of these experiences, not on how, when or 

where the learning occurred. 

All course participants must be advised of the opportunity to apply for RPL. SLSA has a 

number of RCC and RPL procedures that you can view on the SLSA website 

www.slsa.com.au. Should you wish to find out more about RCC and RPL within surf 

lifesaving refer to the RPL policy or speak to your training officer. 

Other Resources 

This is one of five publications that support the training and assessment for the SLSA 

Advanced Resuscitation Certificate. The other four publications are: 

Surf Life Saving First Aid and Emergency Care Manual 

This manual is a resource for candidates, trainers and assessors that contain 

information on skills and knowledge relating to first aid, spinal management, oxygen 

equipment use and use of analgesic gases. 

Surf Life Saving Training Manual 32 nd Edition 

This manual is a resource for candidates, trainers and assessors that contain 

information on skills and knowledge relating to resuscitation. 

Trainer and Assessor Guide 

This guide is available to trainers and assessors and contains tools to deliver and 

assess this course. 

Assessment Portfolio This document will assist Candidates, Trainers and Assessors 

with the evidence needed to successfully record all documentation for assessment. 


Part 2 – Self Help Activity Questions 

Why use oxygen? 

1. List five conditions that may benefit from oxygen: 

a. _______________________________ 

b. _______________________________ 

c. _______________________________ 

d. _______________________________ 

e. _______________________________ 

2. Which of the following statements about safety precautions when using oxygen is 

NOT true? 

a. Never use oxygen near an open flame (including cigarettes) 

b. Never use grease or oil with oxygen equipment 

c. When delivering a shock via defibrillator, make sure an oxygen mask is used 

d. None of the above 

The components of oxygen resuscitation equipment 

3. Name the parts below indicated with arrows 

_______________ 

____________ 

______________ 

____________ 

______________ 

______________ 

____________ 

____________ 

_______________ 

_______________ 


4. Give a brief explanation of a routine check of the following equipment 

Oxygen cylinder __________________________________________ 

Sealing washer ___________________________________________ 

Tubing __________________________________________________ 

Masks __________________________________________________ 

Case holding equipment ____________________________________ 

Administering oxygen therapy 

5. Match the Illness or injury and positions below for administering oxygen therapy to 

the following patients: (Draw connecting lines) 

Chest pains 

Supine, mouth to mask with oxygen 

Conscious spinal 

Not used 

Unconscious patient 

Supine with legs raised 

Conscious suffering from shock 

Supine 

Unconscious non breathing 

Lateral position 

Hyperventilation 

Sitting up 

6. The concentration of oxygen in the patient’s lungs will be almost ……………% 

when the therapy setting of 8 litres per minute is utilised during mouth-to-mask 

resuscitation, and increase to greater than … … … … % if using 14/15 litres per 

minute and obtaining a good … … … 


7. Briefly describe four airbag checks? 

a. __________________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

b. __________________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

c. __________________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

d. __________________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

Setting up oxygen resuscitation equipment 

8. During airbag oxygen resuscitation, how many hands should be used to squeeze 

the airbag for an adult? 

______________________________________________________________ 

9. How do you know when you have squeezed enough oxygen into the patient? 

______________________________________________________________ 

______________________________________________________________ 

10. If the oxygen bottle becomes depleted during resuscitation, you should continue 

using the airbag with the reservoir bag attached. 

TRUE/FALSE 

11. Complete the following information about oxygen therapy: 

A full ‘C’ cylinder (……………….L) will have the following approximate operational 

times: 

• ……………… minutes, with continuous use of oxygen therapy at 8 L per 

minute 

• 30 minutes, with continuous use of airbag (and oxygen) at …………… L per 

minute 


Equipment maintenance 

12. Briefly describe 3 protocols that should be followed after use by the airbag oxygen 

resuscitator. 

a. ________________________________________________________ 

________________________________________________________ 

b. ________________________________________________________ 

________________________________________________________ 

c. ________________________________________________________ 

________________________________________________________ 

13. Which of the following is NOT the correct procedure for storage of oxygen 

equipment: 

a. Do not store equipment in an enclosed space or cover it 

b. Spare oxygen equipment cylinders should be stored near oxygen equipment 

c. Oxygen equipment should be left with pressure in the system ready for an 

emergency situation to save time 

d. Cylinders that are half full or less can be used for training 

Administering Suction (Optional) 

14. Number the following procedures in the correct order for checking suction 

equipment: 

___ Turn suction lever fully on 

___ Remove catheter and fit to large tubing 

___ Test for suction against a soft part of one hand 

___ Turn suction lever fully on 

___ Remove large suction tubing from the case and hold near open end 

___ Test for suction again 

___ Turn lever off 

___ Return to case in original position 

___ Turn lever off 


15. Briefly describe three (3) procedures for administering suction? 

a. ___________________________________________________________ 

___________________________________________________________ 

b. ___________________________________________________________ 

___________________________________________________________ 

c. ___________________________________________________________ 

___________________________________________________________ 

16. Suction can be used on conscious patients ONLY if they are in the lateral position? 

TRUE/FALSE 

Automatic Oxygen-powered Resuscitator (Optional) 

17. What two (2) things should you check on an automatic oxygen-powered 

resuscitator during a routine check? 

a. __________________________________________________________ 

b. __________________________________________________________ 

18. Briefly outline the procedure for administering automatic oxygen-powered 

resuscitation: 

a. __________________________________________________________ 

b. __________________________________________________________ 

c. __________________________________________________________ 

d. __________________________________________________________ 

e. __________________________________________________________ 

f. __________________________________________________________ 

g. __________________________________________________________ 

h. __________________________________________________________ 

i. __________________________________________________________ 

j. __________________________________________________________ 

Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia |11

19. Which of the following can occur when using an oxygen-powered resuscitator? 

a. An increased risk of over-inflation of the lungs 

b. An increased risk of damage to the middle ear due to changes in barometric 

pressure 

c. An increased risk of distension of the stomach 

d. All of the above 

Oropharyngeal airways 

20. When shouldn’t you use an OP airway? 

a. When the patient is conscious or semi-conscious 

b. When an airway of the correct size is not available 

c. When there is a large amount of vomit 

d. All of the above 

21. Complete the following sentence: 

Oropharyngeal (OP) airways are curved plastic devices that 

_________________________________________________________ in the 

_____________________________ patient by depressing the ____________ 

and the _________________________ apart. 

22. Should an OP airway be used on children under 8 years of age? 

_______________________________________________________________ 

23. Where should an OP airway be stored? 

_______________________________________________________________ 

24. What should an OP airway be checked for? 

_______________________________________________________________ 

25. What should be written on an OP airway used for training? 

_______________________________________________________________ 

26. What should be used after training with an OP airway to prevent crossinfection? 

For how long? 

_______________________________________________________________ 


27. After use on a patient, how should an OP airway be disposed? 

_______________________________________________________________ 

28. To obtain the correct size OP airway what are the two measurement points? 

Place the flange _________________________________________________ 

The curve of the airway is then _____________________________________ 

29. The correct size airway is _________________________________________ 

30. An OP airway must be only inserted into _____________________________ 

or __________________________________________ patients. 

31. The OP airway should be inserted into an unconscious breathing patient in which 

position? 

_______________________________________________________________ 

32. The OP airway can be inserted into an unconscious non-breathing patient in which 

positions? 

_______________________________________________________________ 

33. What may be used to lubricate the OP airway before insertion? 

_______________________________________________________________ 

34. Which way should the tip of the OP airway be pointing as inserted into the patient’s 

mouth? 

_______________________________________________________________ 

35. After inserting the OP airway approximately 1/3 of its length into the casualty’s 

mouth, how much should you rotate it during the rest of the insertion? 

_______________________________________________________________ 

36. Should Rescue Breathing continue during the insertion of an OP airway? 

_______________________________________________________________ 

37. Should ECC continue during the insertion of an OP airway? 

_______________________________________________________________ 

Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia |13

38. Should the OP airway be rotated upon removal? 

_______________________________________________________________ 

39. Name three situations when an OP airway should not be used 

a. __________________________________________________________ 

b. __________________________________________________________ 

c. __________________________________________________________ 

40. In line with SLSA policy, what sizes of OP airways are to be kept available for 

usage? 

_____________________________________________________________ 

Personal Safety 

41. What personal protection measures are recommended by SLSA? 

_______________________________________________________________ 

_______________________________________________________________ 

_______________________________________________________________ 

_______________________________________________________________ 


ARC Observation Checklist 

DRABCD – 1 Person 

Patient Assessment Card 

Timing of 30 Compressions and 2 breaths per cycle 

with a compression depth of 1/3 depth of chest 

Effectively administer breaths between compressions 

(ensuring no/minimal head tilt) 

Assess the area for Danger (Self, Patient, Bystanders) Approximately 2.5 cycles per minute 

Continually monitor patient for breathing and signs of 

Assess for response (conscious or unconscious) Effectively administer breaths between compressions life 

a)Conscious 

maintaining head tilt and jaw lift 

Manage vomiting or regurgitation 

Make patient comfortable 


Perform secondary assessment 

life 

“Signs of Life” Return 

b)Unconscious 


“Cease Resuscitation” 

Call for assistance 

Important aspects 

Roll the patient on their side (placing arms across body Defibrillation 

Patient rolled into recovery position (unless suspected 

and out to side with leg bent – unless suspected spinal) “Assumed that the patient is over 8 years old or spinal) 

Maintain jaw support and patient care 

over 40kg in weight” 

Maintain head tilt and open airway effectively 

Assess Airway 

If a defibrillation unit and a trained operator arrives Patient Care is maintained at all times 

Assess Breathing (look, listen and feel) or signs of life Initial lifesaver continues CPR until the patient is 

prepared and unit is ready. 

b-1)Breathing Present 

Initial lifesaver obeys all instructions of defibrillation DRABCD – 2 Person Patient Assessment & 

Monitor airway, breathing and signs of life 


b-2)Breathing Absent 

operator and works effectively as a team continuing 

CPR 

Resuscitation 

Patient Assessment Card 

Roll patient onto their back 


Both lifesavers assess the area for Danger (Self, 

Maintain jaw lift and provide head tilt (as per adult and “Cease Resuscitation” 

Patient, Bystanders) 

child. Neutral head position if an infant patient) Important aspects Both lifesavers assess for response (conscious or 

Deliver 2 breaths in 4 seconds - observe rise and fall of Patient rolled into recovery position (unless suspected unconscious) 

chest between breaths 

spinal) 

a)Conscious 

Check for signs of life – commence CPR if the patient Maintain head tilt and open airway effectively 

Make patient comfortable 

displays no signs of life 

“Signs of Life” Present and Breathing Returns 

Patient Care is maintained at all times 

Perform secondary assessment and manage injuries 

according to SLSA Training Manual 2 

Edition – Unit 4 

& 5 chapters. 

Roll patient back into recovery position 

b)Unconscious 


Infant (CPR) Assessment Card 

nd 

Call for assistance/2 lifesaver coordinates a oxy-viva 


“Patient has been administered 2 rescue breaths and/or defibrillator to arrive. 

Adult/Child (CPR) Assessment Card 

and assessed to display no signs of life.” 

“Signs of Life” Absent 

Airway operator supports the head maintaining head tilt 

and jaw lift at all times. 

“Patient has been administered 2 rescue breaths Commence CPR 

ECC operator manages the roll. 



Place 2 fingers in centre of chest as per SLSA Training 

nd 

Manual 2 Edition 

Airway operator and ECC operator roll the patient on 

their side effectively as a team (placing arms across 

Commence CPR 

Timing of 30 Compressions and 2 breaths per cycle body and out to side with leg bent – unless suspected 

Place 2 hands (option of 1 hand for a child) in centre of with a compression depth of 1/3 depth of chest. spinal) 

chest as per SLSA Training Manual 2 nd Edition 

Approximately 2.5 cycles per minute 

Maintain jaw lift and patient care 


ECC operator assesses Airway for foreign material and 

clears away any foreign material if present 

The airway operator assesses Breathing (Look, Listen, 

Feel) 

ECC operator assesses Breathing by observing 

movement of chest and upper abdomen 

b-1)Breathing Present 



b-2)Breathing Absent 

Airway Operator and ECC operator roll patient onto 

their back 

Airway operator maintains jaw support and provides 

head tilt (as per adult and child. Neutral head position 

if an infant patient) 

Airway operator delivers 2 breaths in 4 seconds - 

observe rise and fall of chest between breaths 

ECC operator simultaneously checks for signs of life – 

commence CPR if the patient displays no signs of life. 

Compression depth of 1/3 depth of chest demonstrated 

Airway operator delivers 2 inflations after every 30 

compressions 

Airway operator maintains head tilt and jaw lift 

Approximately 2.5 cycles per minute 

Airway operator and ECC operator rotate position at 

least every 2 minutes – minimal interruption of 

compressions occurs. 


life 






spinal) 



“Signs of Life” Present & Breathing Returns 

Airway operator and ECC operator roll patient back 

onto their side appropriately 

Infant (CPR) Assessment Card 

“Patient has been administered 2 rescue breaths 

Open airway maintained 





Commence CPR 

ECC operator places 2 fingers in centre of chest as per 

Adult/Child (CPR) Assessment Card SLSA Training Manual 2 nd Edition 

“Patient has been administered 2 rescue breaths ECC operator delivers 30 Compressions at a rate of 


approximately 100 compressions per minute pausing 

“Signs of Life” Absent after 30 th compression for airway operator to deliver 2 

Commence CPR 

breaths 

ECC operator places 2 hands (option of 1 hand for a Compression depth of 1/3 depth of chest demonstrated 

child) in centre of chest as per SLSA Training Manual Airway operator delivers 2 inflations after every 30 

nd 

2 Edition 

compressions (ensuring no/minimal head tilt) 

ECC operator delivers 30 Compressions at a rate of Approximately 2.5 cycles per minute 

approximately 100 compressions per minute pausing Airway operator and ECC operator rotate position at 

th 

after 30 compression for airway operator to deliver 2 least every 2 minutes – minimal interruption of 

breaths 

compressions occurs. 


life 






spinal) 



(CPR) With Airbag Assessment Card 

“CPR” is in progress and have arrived with an Oxyviva, 

assist in performing CPR with airbag” 

(2) Notify of arrival of mask and airbag equipment 

(2) Notify of mask available for use & introduces mask 

maintaining seal 

(2) Introduce therapy tubing 

(2) Complete pre-operation checks (as per SLSA 

training Syllabus) 

(2) Notify of introduction of airbag 

Mark cylinder with contents, time, date, initials 

Scenarios Assessment Card 

“You have been called out to the following scene 

and need to assess the situation, rescue assess 

and treat the patient for any injuries or illnesses” 

Appropriateness of decision making was in coordinance 

with SLSA syllabus 

Type of decision making was relevant to incident 

Sufficiently compress Airbag to inflate patient’s lungs 

Maintain timing for RESCUE BREATHING/CPR as per 

SLSA Syllabus 

Perform CPR with airbag for 5 mins 

Manage vomiting and regurgitation 



Maintain head tilt 


Maintain open airway effectively 

Maintain effective seal 

Recommence RESCUE BREATHING/CPR (mouth to 

mask) if 

Airbag was faulty 

Maintain patient care at all times 

OP Airways Assessment Card 

Complete Basic Airway Management 

Posture the patient appropriately 

Head tilt/ jaw support – jaw thrust 

Visually inspect the airway for any fluids and/or foreign 

material 

Ensure the airway is clear from any fluids and/or 

foreign material 

Select appropriate size airway. Measure size by 

placing in line with the patients lips to the angle of the 

jaw 

Extend patients head and open patients’ mouth 

Insert the airway. With the top airway pointing towards 

the roof of the mouth, advance the airway between the 

teeth to approx 1/3 of its length, then rotate the airway 

180 degrees over the patients tongue. 

With top of airway now pointing down the pharynx, 

gently advance until flange is Pressing against the lips. 

Ensure the patients lower lip is not pinched between 

the teeth and airway. 

If the patient shows any signs of rejecting the airway, 

remove it immediately 

Documentation Assessment Card 

Record all information accurate and legible 

Only record facts 

Documentation is completed in INK only 

All mistakes are ruled out with a line 

Liquid paper not used 

Signed by the trainee 

SLSA Patrol Log/Incident Report Attached 

‘Crack’ cylinder (outlet must be turned away from sand 

persons) 

Assess sealing washer 

Insert bottle into yoke (ensuring inlet and outlet holes 

are lined up) 

Assess the contents of the oxygen cylinder (must be 

51% full) 

Assess pressure and flow of oxygen 

Assess therapy nasks (cleanliness and serviceability) 

Assess resus masks (cleanliness and serviceability) 

Ensure Oropharyngeal airways are present and clean 

Check airbag for leaks and direction of air 

Check the function of membrane (O 2 exiting reservoir 

bag and entering air bag) 

Check for accessories (chalk/pen, gloves & 2 sealing 

washers) 

Drain oxygen system and check needle fall to zero 

The patient identification was appropriate 

The patient management was appropriate 

Sequence of actions was effective 

Signs and systems were treated correctly 

Communication of the patrol met with standards 

Decisions made appropriate to the circumstance 

Actions taken by the patrol were effective 

Actions taken by the patrol were efficient 

Communication was effective between the patrol group 

Communication was effective to other 

The appropriate equipment was used 

Oxyviva Check Assessment Card 

Remove plastic wrapping 


Surf Life Saving Australia 

Level 1, 1 Notts Avenue 

Locked Bag 2 Bondi Beach NSW 2026

Administering oxygen therapy - Life Saving Victoria

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