Administering oxygen therapy - Life Saving Victoria

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
Continually monitor patient for breathing and signs of
Perform secondary assessment
life
“Signs of Life” Return
b)Unconscious
Manage vomiting or regurgitation
“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
Perform secondary assessment
b-2)Breathing Absent
operator and works effectively as a team continuing
CPR
Resuscitation
Patient Assessment Card
Roll patient onto their back
“Signs of Life” Return
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
Monitor airway, breathing and signs of life
Infant (CPR) Assessment Card
nd
Call for assistance/2 lifesaver coordinates a oxy-viva
Perform secondary assessment
“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.
and assessed to display no signs of life.”
“Signs of Life” Absent
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
Advanced Resuscitation Certificate/PUAEME003B Administer Oxygen in an Emergency Situation Surf Life Saving Australia | 15