SISOFLD004
Provide first aid in remote locations


Application

This unit describes the performance outcomes, skills and knowledge required to provide first aid to casualties in a remote or isolated area over an extended period of time until medical assistance is provided or evacuation occurs. It requires the ability to manage the incident and to direct others to provide or assist with first aid.

This unit applies to any type of organisation that delivers outdoor recreation activities including commercial, not-for-profit and government organisations.

It applies to senior leaders, guides or instructors, and others who work independently in the field using discretion and judgement to manage operational logistics for emergencies when they arise.

Specific regulatory requirements relating to this unit of competency, including requirements for refresher training, should be obtained from the local state or territory work health and safety regulatory authority.


Elements and Performance Criteria

ELEMENTS

PERFORMANCECRITERIA

Elements describe the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Prepare equipment for first aid response in remote or isolated areas.

1.1. Evaluate information about remote or isolated destinations and identify potential injuries and illnesses requiring extended management.

1.2. Select first aid equipment and resources to deal with a range of potential incidents, according to organisational emergency response and first aid procedures.

1.3. Select communication equipment to allow for emergency response at remote or isolated destination.

1.4. Complete pre-departure safety and serviceability checks on equipment.

2. Assess the situation.

2.1. Identify hazards promptly, assess risks and manage to avoid injury to self and others.

2.2. Assess condition of casualty or casualties to determine extent of first aid response.

2.3. Determine need for emergency services or medical assistance and relay initial and concise information to base and authorities, as required.

2.4. Triage when multiple casualties are involved, engage others to assist, and provide instructions.

3. Manage casualty or casualties.

3.1. Direct other first aiders and participants to provide or assist with first aid, and manage use of resources.

3.2. Provide first aid using available equipment and resources, and improvise use of other resources as required.

3.3. Monitor and respond to casualty's condition in accordance with effective first aid principles.

3.4. Explain, to casualty, nature of injury or illness, first aid management and provide reassurance.

3.5. Assess and ensure casualty comfort through questioning and monitoring, and use of shelter and available resources.

3.6. Communicate calmly with casualty using a style to match level of consciousness.

3.7. Monitor and document casualty's condition over time to assist on-going management.

3.8. Assess need to evacuate casualty, ability to transport to medical assistance or need for external assistance.

4. Liaise with external services to manage casualty or casualties.

4.1. Establish communication with emergency services and medical assistance.

4.2. Relay accurate factual information about casualty’s injury or illness and condition, including any casualty is able to provide.

4.3. Communicate essential details of first aid provided, and follow instructions to adjust or use additional first aid.

4.4. Administer medication according to medical instructions.

4.5. Monitor and report ongoing casualty condition and seek ongoing medical input, as required.

5. Coordinate evacuation and first aid activities until assistance arrives.

5.1. Determine need, in consultation with external services, to evacuate casualty.

5.2. Provide accurate information about location of incident, number of casualties, their condition and their position to enable deployment of appropriate resources.

5.3. Engage others present to assist with ongoing first aid and management of incident circumstances.

5.4. Continue to respond to and monitor the condition of casualty and provide ongoing reassurance until assistance arrives.

5.5. On approach, assist emergency services to locate the site of the incident.

5.6. Follow instructions and provide assistance to emergency services personnel during evacuation.

6. Debrief, document and evaluate the incident.

6.1. Participate in incident management de-brief and identify future response improvements.

6.2. Evaluate compliance with organisational emergency response policies and procedures, their suitability and any need to amend.

6.3. Evaluate need for self and others to access support services to assist with post-incident stress.

6.4. Complete required incident reports according to organisational procedures.

Foundation Skills

Foundation skills essential to performance in this unit, but not explicit in the performance criteria are listed here, along with a brief context statement.

SKILLS

DESCRIPTION

Reading skills to:

interpret detailed familiar organisational policies and procedures for emergency response and first aid.

Writing skills to:

record detailed and accurate factual information about illness and injury, first aid and emergency response using correct terminology.

Self-management skills to:

critically analyse all circumstances and implications to coordinate a considered response to illness and injury in remote locations.


Sectors

Outdoor Recreation


Competency Field

Field Operations