COURSE INDUCTION

• Please speak with delegates on arrival and exclude anyone who is exhibiting COVID-19 symptoms which are a new continuous cough and/or a temperature >37.8°C and/or a loss of taste/smell. Please use the screening checklist which will be provided to you with the course paperwork.
• Check that no delegate is in a situation where they should be self-isolating (e.g. a family member has had symptoms, or the delegate should be shielding as they are in an at-risk group). Exclude from the course, as necessary. Please inform RP Training immediately of anyone who you have had to turn away, or of any delegates who have self-excluded from the training due to illness so RP Training can advise the course booker.
• On arrival at the course, where alcohol wipes or hand gel is available, ask each delegate to thoroughly sanitise their hands. Should gel not be available please ask delegates to confirm they are regularly hand washing based on NHS guidelines which are available here: https://www.nhs.uk/live-well/healthy-body/best-way-to-wash-your-hands/. We have requested that each venue/site provides hand sanitising areas on entrance to the training room. Where this isn’t possible, we have requested a table by the door, and will provide you with hand sanitiser.
• Instruct delegates 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 and NEVER cough/sneeze without covering their mouth/nose. If someone coughs on their hands or uses a tissue during the course, they should use alcohol wipes/sanitiser immediately.
• Explain clearly that no one should touch their mouth, nose or eyes unless they have just washed or sanitised their hands. Explain what is available for hand sanitising and where they can wash their hands. You will be provided with sufficient hand sanitiser from RP Training.
• Delegates must be seated/positioned at least 2 metres apart. Delegates have been asked to bring their own pen and notepad to the course.

THROUGHOUT THE COURSE

• Each delegate will be issued with a manikin for individual use during practical sessions/assessments. They will also receive a face shield and alcohol wipes to be used regularly.
• Prior to CPR practise, explain to delegates the protection that is in place to prevent infection during CPR practise.
• At the end of every theory session/section and after each break ask delegates to sanitise or wash their hands.
• Before and after each practical session, ask delegates to sanitise or wash their hands.

• Trainers should also regularly wash and sanitise hands and follow the guidance provided above.
• You must ensure that 2 metres of physical distancing is maintained between all delegates and yourself the trainer.

PERSONAL PROTECTIVE EQUIPMENT (PPE)

FACE MASKS

• Delegates should be trained in the correct use of 3-ply civilian face masks and BOTH people must wear them during any close contact <2m during practise/assessment.
• If civilian 3-ply masks become unavailable due to supply chain demands, you must adjust assessments to maintain 2 meters physical distancing as detailed below. RP Training will provide you with some face masks should you require these.

GLOVES

• As gloves are exceedingly difficult to source at the present time, an acceptable alternative is to sanitise hands immediately before and after any practical session/assessment.
• The delegate should verbalise that they would wear protective gloves for the procedure before commencing.

TRACK AND TRACE

• Should you experience any symptoms of COVID-19 you are strongly advised to use NHS 111 or the coronavirus online service https://111.nhs.uk/covid-19.
• If your symptoms occur within 48 hours of delivering the course, please let RP Training know so we can inform all the delegates there is a chance they have been in contact with someone with COVID- 19
• If you or another person on the course who has symptoms then has a positive test result for COVID- 19, the NHS test and trace service will ask the individual to share information about their close recent contacts. In this instance if RP Training are contacted and informed of this, we will contact you in order to gain your consent to pass forwards your contact information so the NHS can implement the track and trace system. Please see current information on how the track and trace system works here: https://www.nhs.uk/conditions/coronavirus-covid-19/testing-and-tracing/nhs-test- and-trace-if-youve-been-in-contact-with-a-person-who-has-coronavirus/.

ASSESSMENTS

CPR/AED

• Physical distancing must be maintained during CPR practise so delegates should act as a solo rescuer.
• You must carefully follow the manikin hygiene procedures detailed in this document.
• The skill of providing rescue breaths must still be included in CPR training and assessment, however adaptations to protocols that ensure the safe performance of first aid during the current COVID-19 outbreak should also be taught.

UNCONSCIOUS CASUALTY

• To minimise close contact, delegates must be assessed performing the primary survey part of the assessment on a manikin.
• To minimise repeated close contact, during initial practise delegates should practise placing themselves into the recovery position.

• For the recovery position assessment, delegates should verbalise 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.

CHOKING CASUALTY

• Delegates should demonstrate back blows and the correct hand positioning for abdominal thrusts on a manikin.
• A professional discussion can follow to ensure the trainer is confident that the delegate’s knowledge and skills meet the assessment requirements.

WOUNDS AND BLEEDING

• Delegates should sanitise hands before and after touching any shared equipment and new bandages should be provided for each delegate.
• Delegates should 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 delegate’s knowledge and skills meet the assessment requirements.

SLINGS

• Delegates should sanitise hands before and after touching any shared equipment and clean slings should be provided for each delegate.
• Delegates should 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’.

C SPINE/MILS

• To minimise close contact, delegates must practise and be assessed performing Manual In-Line Stabilisation (MILS) on a CPR manikin.
• To minimise repeated close contact, during initial practise delegates should practise placing themselves into the spinal recovery position.
• For the spinal recovery position assessment, delegates should verbalise how they would place a casualty into the spinal recovery position and demonstrate that by placing themselves into that position.
• A professional discussion can follow to ensure the trainer is confident that the delegate’s knowledge and skills meet the assessment requirements.

SECONDARY SURVEY

• The secondary survey must be performed on a ‘conscious casualty’. The casualty and the ‘first aider’ can maintain 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.
• During the COVID-19 outbreak, it is acceptable for the casualty to feel their own head/neck for bumps/tenderness/injury, enabling the survey to remain contact free and physically distanced.

MANAGEMENT OF ANAPHYLAXIS (where applicable)

• Delegates 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.