Ed: Going over and editing tasks.

Candidate: Edward Minev



Related Goal: Edward M: Improve employees training by identifying weaknesses and improving staff confidence.


Changed these things from my original lesson plans:

  • Decided to open up the inservice discussion to discussion, so the guards could ask questions as we went.
  • For in-water ventilations, it isn’t possible to check pulse. You listen for breathing by putting your head over the victim’s mouth and listening, while seeing if the head rises or falls. Give 2 initial breaths and start rescue breathing until the victim can be extricated. After extrication, reassess and you would start over rescue breathing cycle.
  • Added symptoms of hyper/hypoglycemia.
  • Rewrote the question about hyperglycemia, changed it to the person walked into a pole.

Inservice Station Plan:

Ask the guards what they think they should do for each situation, and then go over it. Talk about the stuff listed and let people ask questions.

  • Hypothermia
    • Primary assessment, call 911.
    • Move victim to a warm place while avoiding sudden movements.
    • Remove any wet clothing.
    • Warm victim with blankets, especially the head. Don’t do it too quickly, avoid putting them in warm water.
    • Give them warm–not hot–drinks.
    • Wrap hot packs.
    • Watch for changes in LOC (level of consciousness).
  • Hypoxia
    • Rapid or irregular breathing
    • Bluish skin
    • Shortness of breath.
  • Over-dose
    • Recovery postion.
    • Call 911.
    • If we had narcan, it would be used.
  • Shock
    • Signs and symptoms:
      • Restlessness or irritability
      • Altered LOC
      • Pale, cool, or moist skin
      • Nausea or vomiting
      • Rapid breathing and pulse
      • Excessive thirst
    • Call 911.
    • Lie them on their back.
    • Comfort and reassure them.
    • Supervise the patient.
    • Do Not Give Food Or Water.
  • Fainting
    • Is when a person suddenly loses consciousness and then reawakens.
    • Position the person on their back and lessen any tight clothing. Make sure they’re breathing normally.
    • If they vomit, put them in recovery position.
    • If victim can’t stand up without signs or symptoms, call EMS for further evaluation.
  • Seizures
    • Seizures in the water:
      • Call 911.
      • Hold the person’s head above water until seizure ends.
      • Get them out of the water as soon as possible once the seizure ends.
      • Put them on their back and perform a primary assessment.
      • Provide CPR or ventilations if needed.
      • Once breathing, place them on their side in recovery position until victim is fully awake and alert.
    • Seizures on land:
      • Protect the person from other nearby objects.
      • Protect the person’s head and shoulders with a thin cushion under it to keep the airway open.
      • Make sure bystanders provide distance.
      • Generally call 911 unless they recover after a few minutes.
  • Broken Bones
    • Call Ems if victim can’t move the injured area.
    • Support the injury.
    • Check for circulation.
    • Immobilize the injury, only if it doesn’t cause further pain.
  • Internal Bleeding
    • Sweaty, pale skin.
    • Horrible stomach pain
    • Generally after a collision.
    • Might not be able to speak.
      • Call 911 and watch for signs of shock.
  • In-Water Ventilations
    • Do a primary assessment. If they have no pulse, Check for breathing by positioning your ear above the victim’s head and listen for breathing while watching to see if the head rises or falls.
    • If it isn’t rising/falling, give 2 initial breaths, start rescue breathing, and continue to wait for backboard.
    • If they have a pulse but not breathing, give 2 initial breaths and begin rescue breathing while waiting.
    • Pause rescue breathing to extricate the victim and do a primary assessment. If they have no pulse do cpr, if they do start rescue breathing from the start of the cycle. resume on the cycle you were on.
    • In water ventilations in the deep end.
    • Use the seal as a snorkel, it has to be ridiculously tight.
  • Hypoglycemia
    • Confusion
    • Tiredness
    • Dizziness
    • Sweating
  • Hyperglycemia
    • Blurred vision
    • Extreme thirst
    • Frequent urination
    • Fatigue



Action items:

Write a reflection on how I believe the inservice went–what went well, what could be improved upon next time.



Responses