Advanced Certificate in Medical Rescue

Associated Assessment Criteria for Exit Level Outcome 1

• Show the ability to effectively work in a team during rescue scenarios.
• Demonstrate the ability to responsibly and ethically lead team members during rescue scenarios and plan and oversee competent and effective technical rescues while maintaining standards of safety.
• Comprehensively describe a typical command and control structure in a rescue context.
• Communication with patients, colleagues and other services is effective, clear, direct, and accurate, with appropriate use of modality including electronic media.
• Terminology is consistent with profession usage.
• Undertake interactions to promote human dignity and with due sensitivity to ethnic, cultural, linguistic, and religious and gender diversity.
• Describe and/or demonstrate safe and effective use of emergency service vehicles and emergency response driving.
• Correctly conduct operational routines within and rescue environment.
• Professionally construct incident reports.
• Professionally conduct incident debriefing sessions.

Associated Assessment Criteria for Exit Level Outcome 2

• Correctly apply ethical principles of beneficence, autonomy, and justice, truth-telling, promise-keeping, and confidentiality are in all contexts.
• Ensure that all clinical interactions and related practices are in line with the provisions and rules of the codes of ethics of the Health Professions Council of South Africa's (HPCSA) and professional associations.
• Provide accurate and comprehensive explanations of the legal framework within which an emergency service provider and/or practitioner operates.
• Comprehensively discuss the importance of mental health and wellness on the part of the emergency care provider, highlighting their role and importance, with particular reference to the impact on job effectiveness.
• Identify, demonstrate and describe suitable methods for achieving and maintaining operational fitness are in terms of lifestyle, diet and exercise techniques, highlighting the impact on self and job effectiveness.
• Identify, demonstrate and apply methods for maintaining personal safety to appropriate risk assessment, scene assessment, decision making and option taking.
• Demonstrate acceptable level of physical fitness and swimming proficiency.

Associated Assessment Criteria for Exit Level Outcome 3

• Critically analyse incidents and or scenarios are, effective plans of action are synthesised and operationalised within the contexts of available resources and the environment in order to safely and effectively access, treat and remove patients in the high angle rescue environment.
• Correctly describe and or demonstrate injuries and the management thereof which are unique to the high angle rescue environment within the students currently registered scope of practice.
• Correctly describe the high angle technician and team member's roles and responsibilities.
• Demonstrate an ability to function effectively as a team leader, medic, rigger, and safety officer.
• Describe in full the safety in the high angle environment and the effects of rescuer fatigue on the efficiency of an operation.
• Accurately discuss characteristics, function, application, strength, and safety of knots used in high angle rescue.
• Demonstrate the correct method of tying the prescribed knots in a safe and efficient manner.
• Comprehensively discuss types, functions, construction, inspection, preparation, usage, storage and maintenance of high angle rescue equipment.
• Fully explain the concept of working strength and breaking strength.
• Use items of high angle rescue equipment in a safe and efficient manner.
• Accurately construct labelled diagrams of simple anchor points.
• Rig simple anchor points and safely operate within the specified time limits.
• Correctly discuss and describe anchor points with regard to their suitability and desirability for high angle rescue operations.
• Select and utilise suitable anchor points during high angle rescue operations.
• Correctly construct labelled diagrams which clearly show the workings of belay systems.
• Discuss the general principle underpinning the use of belay systems in high angel rescue.
• Construct and utilise belay systems in safe and efficient fashion.
• Accurately discuss the general principles underpinning the use of abseiling systems in high angel rescue.
• Construct and utilise abseiling systems in safe and efficient fashion.
• Correct construct labelled diagrams which clearly show the workings of ascending systems.
• Accurately discuss the general principle underpinning the use of ascending systems in high angel rescue.
• Construct and utilise ascending systems in safe and efficient fashion.
• Comprehensively discuss the principles of patient packaging.
• Correctly secure and package patients during high angle rescue operation.
• Select appropriate items of specialised high angle rescue gear for use during practical scenarios and adequately justify the selection.
• Rig and safely operate simple and multiple load sharing anchor points within the specified time limits.
• Adequately discuss the principles of patient packaging.
• Accurately describe and discuss the role, function, and need for stretcher jockeys/patient attendants.
• Secure and package patients correctly during high angle rescue operation.
• Comprehensively describe and discuss stretchers with reference to their constructing, characteristics and suitability in different high angle rescue environments.
• Provide appropriate emergency medical patient care at all times for patients during the high angle rescue operation.
• Correctly construct, analyse and/or interpret diagrams of mechanical advantage systems.
• Properly discuss the advantages and disadvantages of mechanical advantage systems.
• Correctly construct and operate integral and compound mechanical advantage systems in a safe and efficient manner.
• Correctly construct labelled diagrams which clearly show the workings of simple and compound high wires.
• Correctly identify and discuss the forces acting on high wires.
• Correctly describe the general principles underpinning the use of high lines in high angle rescue.
• Construct and utilise carriageways including simple and compound high-lines in safe and efficient fashion.
• Accurately describe items of natural gear in relation to their function and correct operation.
• Correctly demonstrated an ability to safely lead climb a route and place anchors/protection.
• Correctly demonstrate an ability to safely and efficiently belay a lead climber.
• Correctly describe general techniques of rock climbing.
• Clearly demonstrate an ability to function effectively as a team leader, medic, rigger, and safety officer.

Associated Assessment Criteria for Exit Level Outcome 4

• Critically analyse incidents and or scenarios, synthesise and operationalise effective plans of action in order to safely and effectively access, treat and remove patients in the motor vehicle and industrial rescue environments.
• Correctly describe and or demonstrate injuries and the management thereof which are unique to the vehicle and machinery entrapment rescue environment within the students currently registered scope of practice.
• Correctly identify support services and an explanation is given on how to timeously activate these services.
• Discuss the functions of the protective gear that must be worn when undertaking light motor vehicle rescue activities.
• Correctly draw and label the anatomy of the typical light and heavy motor vehicle, trains, and tankers and aircraft.
• Comprehensively discuss the principles of scene safety.
• Demonstrate safely and effectively the maintenance, selection, and operation of stabilisation equipment, hand tools, pneumatic tools, electric tools and hydraulic tools.
• Achieve scene stabilisation when conducting motor vehicle rescue practical scenarios.
• Display appropriate patient management by the students when performing motor vehicle rescue practical scenarios.
• Correctly discuss the principles of dealing with machinery entrapment.
• Correctly describe, discuss and demonstrate patient access, disentanglement, packaging, and removal in the motor vehicle rescue and industrial rescue setting.
• Discuss the special considerations and precautions a rescuer needs to keep in mind when dealing with an incident involving a heavy vehicle.
• Describe the procedure for tilting a cab forward on a horse and trailer.
• Explain why cutting through the hydraulic hoses on any specialised vehicle may lead to instability and even make the situation worse.
• Discuss the general principles that may be applied when dealing with vehicles and or persons who have become lodged underneath or between other large motor vehicles.
• List the additional types of specialised equipment one may need to summon to an incident involving a specialised vehicle.
• Explain techniques and methods for bringing a train to a stop for the purposes of conducting rescue operations on the tracks.
• Discuss the principles of dealing with an aircraft that has been involved in an accident.
• List and describe the dangers that a downed aircraft may pose for the rescuer and or the public.
• Discuss some methods of stabilising a railway coach that has been derailed.
• Mention some of the limitations that conventional rescue equipment may have in terms of accessing and or removing patients from specialised vehicles after an entrapment.
• Discuss the generic principles one should keep in mind when dealing with a bus accident involving multiple entrapments.
• Explain why stabilisation of a specialised vehicle may require additional resources.
• List the applicable support services that may be summoned for an incident involving a specialised vehicle.

Associated Assessment Criteria for Exit Level Outcome 5

• Critically analyse incidents and or scenarios, synthesise and operationalise effective plans of action in order to safely and effectively access, treat and remove patients from a structural fire and or low visibility environment.
• Correctly describe and or demonstrate injuries and the management thereof which are unique to the fire rescue environment are within the students currently registered scope of practice.
• Select appropriate primary fire responder and professional firefighting equipment for use during practical scenarios.
• Utilise items of fire search and rescue equipment in a safe and efficient manner.
• Correctly discuss elements of combustion.
• Properly explain the way a fire behaves indoors and outdoors.
• Properly classify combustible materials.
• Comprehensively describe the dangers associated with fire search and rescue.
• Describe and discuss methods of the extinguishing of fires.
• Identify, don, use and maintain personal protective equipment in the correct manner.
• Utilise the self-contained breathing apparatus in a safe and efficient manner.
• Properly manage breathing apparatus team.
• Correctly explain forcible entry techniques and the laws governing forced entry.
• Demonstrate appropriate search techniques and patterns.
• Demonstrate and discuss emergency ventilation procedures.
• Demonstrate patient evacuation methods.

Associated Assessment Criteria for Exit Level Outcome 6

• Identify and categorise hazardous materials