Transcript OEC 5 th Edition Roll Out PowerPoint Presentation

OEC 5e Roll Out
Date
Location
OEC 5e Roll Out
• Expectation – to have fun and get excited
about the introduction of a whole new text
book and instructional materials
OEC 5e Roll Out
• OBJECTIVES – Attendees will be able to
describe the process for qualifying instructors
and other instructor trainees in the OEC 5e
program
• Attendees will successfully demonstrate and
participate in new skills that are part of the
OEC 5th edition
OEC 5e Roll Out
• RESPONSIBILITIES – OEC Supervisor –
responsible for overall roll out of 5e program
in the Eastern Division
• Asst. Supervisors and Regional OEC
Administrators will coordinate and manage
roll out of 5e program at the Region level
• Instructor Trainers will be responsible for
quality assurance at the instructor level
OEC 5e Roll Out
• Requirements – every IT and instructor must
attend a qualification class proctored by a
Division representative that at a minimum
reviews the instructor resources and
successfully demonstrates the newest OEC
skills prior to teaching a class. The class must
be registered with NSP. Instructors for this
class must be qualified prior to teaching.
OEC 5e Roll Out
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Paperwork to be completed
Registration
Release forms
Attendance rosters
Skill sheet and sign off sheet submitted
Evaluation forms
Certificate of Completion
Send copy of record to ROA and Asst. Sup.
OEC 5e Roll Out
• ROA – will maintain qualification sign off sheet
• Annual renewal of instructor and IT will be
conducted jointly by ROA and Asst. Supervisor
• Only qualified people will be approved for
renewal. All new instructors will follow
normal approval process, same for IT’s
• IT’s must be highly involved with new courses
checking instructor status and appropriate
content for classes
OEC 5e Roll Out
• Some other items
– All OEC classes must be registered 14 days prior to
the start of the class. Any classes not registered
will be reviewed and if necessary will repeat
material to current standard of training
– All OEC classes scheduled to start prior to June 30
must get approval from the Division Supervisor
prior to starting the class
OEC 5e Roll Out
• Some other items
– Cycle A refresher materials
– Encouraged to have everyone including Instructors
and IT’s complete the 32 question Orientation
Exercise
– Instructor materials for refresher are on the
Instructor website and have been mailed to
instructors
OEC 5e Roll Out
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5e OEC New Skill Guide Lessons
Chapter 7 Patient Skill Assessment
Chapter 13 Auscultation of Breath Sounds
Chapter 13 Metered Dose Inhaler – Albuterol
*** need to check with state protocol
• Chapter 14 Administration with an auto
injector
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OEC 5e Roll Out
• 5e OEC New Skill Guide Lessons
• Chapter 18 Controlling Bleeding
– Hemostatic bandage
– Tourniquet application (MAT tourniquet for
demo)
• Chapter 20 posterior Sternoclavicular
dislocation reduction
• Chapter 20 figure 8 application for clavicle
OEC 5e Roll Out
• 5e OEC New Skill Guide Lessons
• Chapter 21 Short board immobilization (revisit
not used widely)
• Chapter 24 Pelvic stabilization using pelvic
sling
• Chapter 33 Patient restraint
• Chapter 34 review new guide for assisting with
childbirth
OEC 5e Roll Out
• 5e OEC New Skill Guide Lessons
• Chapter 35 Nerve agent administration (self
administration) duo dote is the product.
• Additional topics to review:
Blanket Roll for shoulder
Child birth
Two pole splinting of hip fracture
Stabilizing impaled objects
OEC 5e
• Evidence based text
• Case Study: Stop, Think, Understand self
quizzes
• Chapter Review exercise
• myNSPkit.com is live
• Also available at NSP Instructor Resources
• WEBEX available from Brady/Pearson
OEC 5e
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Instructor Resources
myNSPKit.com (for password see ROA)
WEBEX available from Brady Pearson
New power points with hot links embedded
1200 question test bank for quiz generation
New scenario test bank for classes and SOEC
OEC 5e
• Full table of contents and outline
• New Discussion Points for instructors
• Chapter 36 special note
Special note: Some skills that will be trained
may not be applicable to your state or
mountain protocols and policies. Please
confirm with your Medical Advisor and State
Regulatory agencies when needed.
OEC 5e Standard of …
• The National Ski Patrol’s Outdoor Emergency
Care curriculum is the “Standard of Training”
• This book does not “define the standard of
care”
• The “Standard of Care” an OEC technician
might be required to perform includes
material from this book and might include
local protocol’s, state EMS restrictions, laws
and procedures; and other circumstances
within the region you work.
OEC 5e New Skills
• ASSESSMENT
– Primary
• A, B, C, D
– Secondary
• Head to Toe Survey
– Vital Signs
• LOR, Pulse, Respirations, BP and Temp
OEC 5e New Skills
• Auscultation of Breath Sounds
– Normal vs. Abnormal
– Warm the stethoscope
– Anterior Upper and Lower
– Posterior Upper and Lower
OEC 5e New Skills
• Metered Dose Inhaler – Assistance
– If local protocol allows (also EMS)
– Correct person, expiration, dose
Use spacer if available or required
Inhaler in mouth lips around opening
Breathe in slowly
Press top of inhaler as breathe is being taken
Hold breathe for 10 seconds
Second dose if needed
OEC 5e New Skills
– Administration of Auto Injector
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Obtain permission to assist
Correct Medicine, patient, route and dose
Medical qualification
Keep digits away from ends of injector
Assist patient with firmly striking outer thigh
Hear the click and hold for 10 seconds
Massage injection site
Records the event
Reassess the patient vital signs and lung sounds
Second auto injector if needed
OEC 5e New Skills
– Controlling Bleeding
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Standard Precautions
Sterile Dressing and direct pressure
Applies additional dressing and pressure bandage
If bleeding continues apply hemostatic bandage
(authorized)
• If continues apply tourniquet and mark forehead
• Bandage wound and immobilize as necessary
• Continue to treat for shock
OEC 5e New Skills
– Posterior Sternoclavicular (S/C) Dislocation
– Life threatening
– Ties wide cravat around upper chest
– Forms a wide blanket roll
• Places patient in supine position
• With blanket roll under shoulder
– Rescuer #1 on affected arm at wrist
– Rescuer #2 counter traction
– CMS, treat for shock
OEC 5e New Skills
Figure 16a. Clavicular fracture in a 35-year-old patient after a high-speed motor vehicle
accident.
Restrepo C S et al. Radiographics 2009;29:839-859
©2009 by Radiological Society of North America
Figure 16b. Clavicular fracture in a 35-year-old patient after a high-speed motor vehicle
accident.
Restrepo C S et al. Radiographics 2009;29:839-859
©2009 by Radiological Society of North America
OEC 5e New Skills
– Short board immobilization
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Manually stabilizes the head/c-spine
CMS in each extremity
Cervical collar
Place device behind patient lining up head
Secures torso and legs
Fills void and secures head (two cravats)
Moves patient to long board
Lowers the patient and secures to long board
CMS
OEC 5e New Skills
– Patient Restraint
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Best Done by Law enforcement
Does the patient have the ability to refuse medical care
Must know local protocol and specific state laws
If we must restrain an individual
Must work as a team
Minimum of 5 people
Sixth person if mechanical restraints are needed
• Talk amongst team before proceeding
OEC 5e New Skills
– Patient Restraint
• Restraint method must be approved by local protocol
and local medical advisor
• One method includes securing one arm above the head
• The other arm is alongside the body secured to the
board
• Legs firmly secured to the board
• Further straps may need to be put along chest and hips
• Be prepared to tip the board for vomiting
OEC 5e New Skills
– Child Birth
– New Skill Guide
– 11 of 18 points are CPI’s
– Pre-Delivery
– Delivery
– Post Delivery
OEC 5e New Skills
– Nerve Agent – Self Administration
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It is a changed World that we live in
Standard Precautions
Minimize further exposure
Atropine and pralidoxime chloride (2-PAM Cl)
Use step by step directions from injector
Excessive salvation or mental status change
– 2 atropine and 1 2-PAM Cl injectors
• If severe signs or symptoms are present
– 3 atropine and 3 2-PAM Cl injectors
• Maintain airway, BVM, suction, vitals and transport
OEC 5e Summary
• OBJECTIVES – Attendees will be able to
describe the process for qualifying instructors
and other instructor trainees in the OEC 5e
program
• Attendees will successfully demonstrate and
participate in new skills that are part of the
OEC 5th edition
OEC 5e Summary
• Expectation – to have fun and get excited
about the introduction of a whole new text
book and instructional materials