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Paediatric Advanced Life Support CourseParticipant Information Enrolment in the Paediatric ALS Recertification Course is dependent upon recognition ofprior learning (RPL) and participants must meet one of the three (3) Recognition Optionscriteria (see Recognition Options below) to permit attendance in the Paediatric ALSRecertification Course. If the participant does not meet one of the three RecognitionOptions criteria stated, the participant will need to enrol in the full Paediatric AdvancedLife Support Course.Recognition OptionsParticipants seeking any of the recognition options stated below should advise the PALSCoordinator at the time of enrolment to obtain the relevant enrolment form and package.Recognition of Prior Learning is required for enrolment in the Paediatric ALS RecertificationCourse.Recognition of Current Competence (RCC)HealthCare Training Service will provide RCC where a participant has previously successfullycompleted all requirements of the full Paediatric Advanced Life Support Course or PaediatricALS Recertification Course within the preceding twelve (12) months and is required to bereassessed to ensure that competence is being maintained. RCC does not include anyadditional training of paediatric advanced life support competency. If RCC can bedemonstrated by the participant, the participant is entitled to enrol in the Paediatric ALSRecertification Course.Recognition of Qualifications issued by other accredited PALS ProvidersHealthCare Training Service recognises Paediatric Advanced Life Support Certification andstatements of attainment issued by any other accredited Paediatric Advanced Life Support(PALS) Course provider. A participant who holds certification of Paediatric ALS competencycompleted by the participant within the preceding twelve (12) months will be entitled to enrolin the Paediatric ALS Recertification Course.Recognition of Prior Learning (RPL)Recognition of prior learning is available to all HealthCare Training Service participants. RPLis a process that recognises the individual’s non-formal and informal learning to determine theextent to which that individual has achieved the required learning outcomes or competencyoutcomes. RPL does not include additional training of advanced life support competency.RPL involves the assessment of previously unrecognised skills and knowledge an individualhas achieved outside of an accredited Paediatric Advanced Life Support Course. To achieveRPL the individual will need to demonstrate advanced knowledge and clinical competence inadvanced life support practices. This may be achieved through the successful completion of anun-accredited paediatric advanced life support course and/or demonstrated extensiveexperience in a paediatric critical care, paediatric emergency or paediatric trauma unit.A participant who demonstrates prior learning and competence in advanced life support will beentitled to enrol in the Paediatric ALS Recertification Course. Participants wishing to applyfor RPL should contact the Paediatric ALS Course Coordinator to discuss their suitability forRPL.HealthCare Training Service 2017Paed ALS/ParticInfo/V7/D0312/R0417Page 4

Paediatric Advanced Life Support CourseParticipant InformationLearning OutcomesOn successful completion of the Paediatric Advanced Life Support Course participants will beable to:1. Outline priorities in patient assessment and management.2. Demonstrate paediatric basic life support knowledge and apply paediatric basic lifesupport skills.3. Employ basic and advanced airway management techniques to secure and maintain apatent airway for an infant and a child.4. Demonstrate effective ventilation using a bag-valve-mask device.5. Recognise and institute appropriate management for life threatening arrhythmias.6. Identify, discuss and implement appropriate use of emergency drug therapy.7. Discuss the Paediatric ALS algorithm and demonstrate management of cardiac arrestaccording to the Paediatric ALS algorithm.8. Demonstrate effective resuscitation team dynamics during cardiac arrest scenarios.9. Perform decision making skills in a cardiac arrest situation.10. Identify occupational health and safety concerns.11. Discuss ethical and legal implications in a cardiac arrest situation.12. Explain post-resuscitation care of an infant/child following cardiac arrest.HealthCare Training Service 2017Paed ALS/ParticInfo/V7/D0312/R0417Page 5

Paediatric Advanced Life Support CourseParticipant InformationPaediatric Advanced Life Support CourseStructureThe course is conducted over one (1) day or seven (7) hours, consisting of two (2) essentialcomponents:1. Theoretical componentThe theoretical component is presented over four (4) hours of direct face-to-face contactinvolving lecture presentation, group work, group discussion and demonstration.The theoretical information presented is supported by associated reading material.There is one (1) theoretical examination with an allocated completion time of twentyfive (25) minutes.The lecture program will provide a baseline framework upon which knowledge andskills will be developed. Participants will be encouraged to critically examine theirindividual resuscitation knowledge and skills, as well as reflect upon contextual issueswithin the function of this complex role.In addition to the examination paper, the participants’ knowledge will also be assessedthrough undertaking the competency assessments. This will demonstrate their abilityto understand, analyse and apply the theoretical information presented in the course.2. Practical componentThe practical component is presented over two & three-quarter (2 ¾) hours and consists ofthe participants practising their Paediatric Advanced Life Support skills with support andconstructive feedback being provided by an experienced facilitator. This will assist thelearner to apply theory to practice in a safe and efficient manner.Participants will then demonstrate their competency of clinical skills through successfulachievement of the following competency assessments: Basic Life Support Advanced Airway Management Cardiac Arrest Management (Clinical Scenarios)The broad program objectives, content outline, lecture program, examination, competencyassessment criteria and associated reading material will set the direction for learning outcomes.HealthCare Training Service 2017Paed ALS/ParticInfo/V7/D0312/R0417Page 6

Paediatric Advanced Life Support CourseParticipant InformationLecture ProgramUnit1. Priorities inEmergency Careand Basic LifeSupportObjectivesDiscuss early recognition of thedeteriorating paediatric patient andprevention of cardiac arrest.Time(mins)90Discuss The National Safety and QualityHealth Service Standard 9: ClinicalDeterioration in Acute Health Care.Practicalcompetency assessedduring themanagement ofclinical scenariopractise sessionsKnowledgeassessment as partof theoreticalexamination.Identify the common causes ofcardiopulmonary arrest.Discuss the priorities in emergency care.Review Basic Life Support following theDRSABCD acronym.Demonstrate BLS skills.2. Basic & AdvancedInstruction and demonstration of airwayAirway Management management techniques including:Assessment60 Head Tilt, Chin Lift (as required for age) Jaw Support Airway clearance sessment as partof theoreticalexamination.Explain and demonstrate the use of thefollowing airway management adjuncts: Oropharyngeal Airway Nasopharyngeal Airway Bag-valve mask apparatusDiscuss the intubation procedure.Describe the endotracheal tube andcorrect positioning of same.Outline complications associated withintubation.Demonstrate the role of the assistantduring intubation.Discuss laryngeal mask airways (LMAs).Demonstration the insertion of LMAs.Describe the correct positioning of LMAs.Discuss the advantages anddisadvantages of LMAs.3. RhythmRecognitionIdentify normal sinus rhythm.Identify compromising & life threateningarrhythmias.HealthCare Training Service 2017Paed ALS/ParticInfo/V7/D0312/R041730Knowledgeassessment as partof theoreticalexamination.Also assessed as partof clinical scenariocompetencyassessment.Page 7

Paediatric Advanced Life Support CourseUnitObjectivesParticipant InformationTime(mins)Assessment4. DefibrillationExplain the physiological response todefibrillation.Identify the need for emergencydefibrillation.Describe the safe application ofdefibrillation.30Knowledgeassessment as partof theoreticalexaminationAlso assessed as partof megacodemanagementcompetencyassessment.5. ALS DrugsOutline the indications, action, dose,route of administration and adverseeffects of the primary resuscitationdrugs, including:30Knowledgeassessment as partof theoreticalexamination. 6. PALS Algorithms7. Post ResuscitationCare7.1 Immediate postarrest management7.2 Ethical & LegalIssuesAdrenalineAmiodarone / LignocaineCalcium ChlorideMagnesiumPotassiumSodium BicarbonateAlso assessed as partof megacodemanagementcompetencyassessment.Outline the ARC guidelines forappropriate management of lifethreatening situations.Identify and competently follow theappropriate algorithm for a simulatedresuscitation event.Demonstrate effective and cohesivemanagement of a paediatric advancedresuscitation situation in a simulatedenvironment.150Outline the further assessment andmanagement of the individualimmediately post-resuscitation.Discuss the phases of the postresuscitation syndrome.15Discuss ethical & legal issues associatedwith resuscitation including: Criteria for terminatingresuscitation efforts Presence of family duringresuscitation attemptsKnowledgeassessment as partof theoreticalexamination.Also assessed as partof cardiac arrest(clinical ssessment as partof theoreticalexamination.Also assessed as partof megacodemanagementcompetencyassessment.Discuss care of the patient’s family.Discuss the purpose and implementationof critical incident debriefing.HealthCare Training Service 2017Paed ALS/ParticInfo/V7/D0312/R0417Page 8

Paediatric Advanced Life Support CourseParticipant InformationPaediatric ALS Recertification CourseStructureThe Paediatric Advanced Life Support Recertification course is conducted over four and a half(4 ½) hours, consisting of two (2) essential components:A. Theoretical componentThe theoretical component consists of pre-reading material and completion ofPaediatric ALS review questions, with an allocated timeframe of completion of five (5)hours, as well as an additional two & a half (2 ½) hours of direct face-to-face contactreviewing current guidelines, activity sheets and PALS algorithm. This session willinclude lecture presentation, group discussion, demonstration and written work.The theoretical information presented is supported by associated reading material.There is one (1) theoretical examination with an allocated completion time of twentyfive (25) minutes.The course material will provide the supporting framework upon which knowledge andskills will be updated, refreshed and consolidated. Participants will be encouraged tocritically examine their individual resuscitation knowledge and skills, as well as reflectupon contextual issues within the function of this complex role.In addition to the examination paper, the participants’ knowledge will also be assessedthrough undertaking the competency assessments. This will demonstrate their abilityto understand, analyse and apply the theoretical information presented in the course.B. Practical componentThe practical component is presented over two (2) hours and consists of the participantspractising their Paediatric Advanced Life Support skills with support and constructivefeedback being provided by an experienced facilitator. This will assist the learner to applytheory to practice in a safe and efficient manner.Participants will then be required demonstrate their competency of clinical skills throughsuccessful achievement of the following competency assessments:(1) Basic Life Support (1a: Infant & 1b: Child)(2) Advanced Airway Management(3) Cardiac Arrest Management (Clinical Scenarios)The broad program objectives, content outline, lecture program, examination, competencyassessment criteria and associated reading material will set the direction for learning outcomes.HealthCare Training Service 2017Paed ALS/ParticInfo/V7/D0312/R0417Page 9

Paediatric Advanced Life Support CourseParticipant InformationLecture ProgramUnit1. Review of currentguidelines andevidence basedpractice inresuscitation.ObjectivesReview Basic Life Support followingthe DRSABCD acronym.Time(mins)60Discuss current guidelines andcurrent research findings in relationto resuscitation.Discuss latest emergency drugtrends, forms, presentation andpackaging.Instruction and demonstration ofairway management techniquesincluding:Practical competencyassessed during themanagement of clinicalscenario practisesessionsKnowledge assessmentas part of theoreticalexamination.Discuss trends in defibrillation andcurrent defibrillation protocols.2. Basic & AdvancedAirway ManagementAssessment20Practical competencyassessment.Knowledge assessmentas part of theoreticalexamination. Head Tilt, Chin Lift (as required for age) Jaw Support Airway clearance procedureExplain and demonstrate the use ofthe following airway managementadjuncts: Oropharyngeal Airway Nasopharyngeal Airway Bag-valve mask apparatusDiscuss the intubation procedure.Describe the endotracheal tube andcorrect positioning of same.Outline complications associated withintubation.Demonstrate the role of the assistantduring intubation.Discuss laryngeal mask airways(LMAs).Demonstration the insertion ofLMAs.Describe the correct positioning ofLMAs.Discuss the advantages anddisadvantages of LMAs.Unit3. RhythmObjectivesIdentify normal sinus rhythm.HealthCare Training Service 2017Paed 5Knowledge assessment asPage 10

Paediatric Advanced Life Support CourseRecognitionParticipant Informationpart of theoryexamination.Identify compromising & lifethreatening arrhythmias.Also assessed as part ofclinical scenarioscompetency assessment.4. Defibrillation5. PALS Algorithms(Cardiac ArrestManagement)Explain the physiological response todefibrillation.Identify the need for emergencydefibrillation.Describe the safe application ofdefibrillation.20Outline the ARC guidelines forappropriate management of lifethreatening situations.Identify and competently follow theappropriate algorithm for a simulatedresuscitation event.120Demonstrate effective and cohesivemanagement of a paediatric advancedresuscitation situation in a simulatedenvironment.Discuss care of the patient’s significantothers.Discuss the purpose andimplementation of critical incidentdebriefing.HealthCare Training Service 2017Paed ALS/ParticInfo/V7/D0312/R0417Knowledge assessment aspart of theoreticalexaminationAlso assessed as part ofmegacode managementcompetency assessment.Knowledge assessment aspart of theoreticalexamination.Also assessed as part ofcardiac arrest (clinicalscenario) managementcompetency assessment.Page 11

Paediatric Advanced Life Support CourseParticipant InformationTeaching & Learning StrategiesLecture presentationGroup discussionCase ScenariosReflective PracticeDemonstrationSimulationRole playA combination of the various training strategies will be utilised to accommodate the differinglearning styles of our participants, the visual learner, the auditory learner, and the kinaestheticlearner, will be catered for. Training pace may also be altered when possible to accommodatevarying pace of learning for our adult participants. Both reflective practice and experientiallearning will be utilised to enhance learning outcomes.AssessmentThere are four (4) components to the assessments. Learners are required to pass both thetheoretical and clinical components of the course in order to achieve a pass for the overallcourse.AssessmentPass Mark1. ExaminationOne (1) written examination will beundertaken during the course. Thisassessment will include both rhythm stripanalysis and multiple-choice questions.80%LearningOutcomeAssessed1, 2, 3, 5, 6, 7,10, 122. Basic Life Support CompetencyPass Achieved1, 2, 3, 43. Basic & Advanced Airway ManagementCompetencyPass Achieved3, 44. Cardiac Arrest (Clinical Scenario)Management CompetencyPass Achieved1, 2, 3, 5, 6, 7,8, 9, 10, 11, 12ExaminationThere will be one (1) written examination to assess the learners understanding of thetheoretical information and concepts presented. The examination will take place at the end ofthe course.The examination paper will involve rhythm strip analysis and multiple-choice questions.The examination is of twenty-five (25) minutes duration.Participants are required to achieve a minimum of 80% for the theoretical examination. Shoulda participant be unsuccessful in achieving the minimum grade of 80%, s/he will be offered anopportunity to undertake a supplementary examination within two (2) weeks of the completionof the course.HealthCare Training Service 2017Paed ALS/ParticInfo/V7/D0312/R0417Page 12

Paediatric Advanced Life Support CourseParticipant InformationCompetency AssessmentThe practical competency assessments will be undertaken during the course. This will includeoral questioning of the participant and observation of the participant’s ability in each of thefour competency areas: Basic Life Support for an infant and a child, Basic & Advanced AirwayManagement and Cardiac Arrest (Clinical Scenario) Management.The participants will be assessed against the competency performance criteria, and rated aseither achieving or not achieving a competent level of practice. The competency assessmentcriteria for the practical assessments will be distributed to the participants with the coursenotes at least three (3) weeks prior to the commencement of the program. During the coursethe participants will have an experienced clinical facilitator supporting them and providingconstructive feedback regarding performance.Participants are required to achieve 100% pass for each of the competency assessments.Participants who do not successfully achieve competence for any of the practical assessmentswill be provided with feedback and consultation with the PALS course coordinator.The participant will be provided with a second opportunity to successfully achieve competencyduring the running of the course. If competency is not achieved on the second attempt, theparticipant will be advised to undertake the entire Paediatric Advanced Life Support Courseagain at a later date.Exit CriteriaParticipants are required to successfully pass all assessment criteria for the course includingtheoretical and practical competency assessments to be awarded a HealthCare Training ServiceCertificate of Attainment in Paediatric Advanced Life Support.Should a participant be unsuccessful in passing all assessment items for the course (eithertheoretical or practical), the participant will be awarded a HealthCare Training ServicePaediatric Advanced Life Support Certificate of Attendance only outlining course content andduration.If a participant is unsuccessful in completing the course an opportunity will be made forreassessment – please see “Appeals Process”.A participant who undertakes and successfully completes the Paediatric Basic Life SupportCompetency assessments but fails to successfully complete the Paediatric Advanced LifeSupport Com

reassessed to ensure that competence is being maintained. RCC does not include any additional training of paediatric advanced life support competency. If RCC can be demonstrated by the participant, the participant is entitled to enrol in the Paediatric ALS Recertification Course. Recognition of Qualifications issued by other accredited PALS .