DS Basic Life Support Neonates and Paediatric Level 3

Incorporating the course overview of Level 2 followed by:

Recap of Relevant Legislation

• Health and Safety at Work Act 1974 with links to the legislation
• Care Quality Commission Regulations
• Resuscitation Council (UK) Guidelines
• National Institute for health and Care Excellence (NICE) Guidelines
• Children Act 1989 and 2004
• Medicines and Healthcare Products Regulatory Agency (MHRA) Guidelines
• General Medical Council
• British Medication Association
• Royal College of Nursing
• Obstetric Anesthetists Association Guidelines

Introduction to the Levels of Basic Life Support

• Explanation of the different levels of BLS and who should undertake each level
• What is Basic Life Support in Neonates and Paediatrics
• Classification of Children

Specific Patient Care

• Overview of BLS
• Newborn
• Advances in neonate treatment (BBC Sounds Podcast)
• Newborn and Neonate ABCDE Assessments
• Infants
• Child

Recognising Cardiorespiratory Arrest in Neonatal and Paediatric Patients

• Neonates
• Children

Importance of Temperature Control

• Thermoregulation
• Maintenance of Body Temperature
• Prevention of Hypothermia
• Promotion of Growth and Development
• Infection Prevention
• Promotion of Feeding and Nutrition Absorption
• Prevention of Complications
• Monitoring and Intervention
• Resuscitation and Support of Transition of Babies at Birth Guidelines
• European Resuscitation Council – Newborn Guidelines

Summoning Immediate Emergency Help

• Assess the situation
• Activate local emergency services
• Provide relevant information
• Follow Call Handler’s instructions
• Prepare for EMS Arrival
• Document the incident
• Take Immediate Action – CPR, Chest Compressions, ABCDE Assessment etc

Understanding Roles and Responsibilities

• First Responder
• Carotid Artery
• Brachial Artery
• Understanding National Guidelines and local Resuscitation Policies and Procedures
• UK Ambulance Services Clinical Practice Guidelines
• Hospital Trusts and Healthcare Facilities
• Maternity Units and Neonatal Intensive Care Units (NICUs)
• Paediatric Wards and Emergency Departments
• Community Healthcare Providers
• Aaron’s Book Neonate Resuscitation Council UK Book

Recognising and Responding

• Initially finding a child who has collapsed

How to Initiate CPR Using Chest Compressions

• What are Compressions?
• Neonate Positioning
• Performing Chest Compressions on a Neonate
• Child Positioning
• Performing Chest Compressions on a Child
• Ventilation Technique- Neonate and Child
• Using the ACVPU Scale
• Quick Guide to Neonate/Child CPR

Prevention

• Keeping hazards out of harms way
• Respiratory Infections
• Asthma, Spotting the Signs of Asthma in your child
• Congenital Heart Defects
• Sepsis, James’ Story, Sepsi Symptoms, Sepsis Savvy Game, Martha’s Rule
• Trauma
• Anaphylaxis, Understanding Allergies
• Choking (Foreign Body Aspiration), Infants, Chest Thrusts,

Understanding the Importance of Your Own Personal Capabilities

• Duty of Care
• Accurate Recording of Information
• Accurate Reporting
• Confidentiality and Data Protection
• Continuous Training and Education

Do Not Attempt Cardiopulmonary Resuscitation Order (DNACPR)

• An individual’s Rights
• ReSPECT Process
• Understanding the Importance of DNR Decisions

Managing an Emergency Situation and Appropriate Responses

• Establish Clear Leadership
• Assess the Situation Quickly
• Delegate Roles and Responsibilities
• Common Roles
• Role Rotation
• Communicate Effectively
• Perform BLS Interventions
• Prepare for Advanced Help
• Handover
• Review and Reflect Post-Emergency, Debriefing
• Maintain Continuous Professional Development

Initial Post-Resuscitation Care

• Ensure Adequate Airway Management
• Support Breathing and Ventilation
• Monitor Circulation
• Monitor Cardiac Rhythm
• Assess Neurological Status
• Provide Thermal Management
• Continuous Monitoring and Reassessment
• Recognising a Seriously Ill Neonate or Paediatric Patient