Q\HLTOUT008 MANAGE A SENCE . And HLTOUT010
Budget: $10 – $30 AUD
Q1. In your own words describe the five (5) steps of the scene management cycle?
Q1 answer
HLTOUT008 - MANAGE A SCENE
THE SCENE MANAGEMENT CYCLE
Assess Assess the scene for any hazards and assess the patient’s condition.
Confirm Confirm your findings with other officers, team members, dispatch or other agencies.
Plan Formulate a plan to mitigate (manage) the hazards and outline a treatment
pathway for the team members/patients/bystanders.
Manage Manage the resources on scene to deliver the plan and mitigate the risk.
Evaluate Evaluate the hazards and the patient’s condition.
If needed, you can start review and revisit the cycle to support a safe environment.
USING PERSONAL PROTECTIVE EQUIPMENT (PPE)
Personal protective equipment (PPE) is intended to keep you safe from harm as much as possible. It is a risk
control measure that minimises but does not remove the risk of harm from potential hazards. PPE should be
selected and used to reduce injury and harm mainly to yourself but sometimes to others.
Take, for example, hand decontamination agents such as alcohol-based rubs (ABRs). They rid your hands of
bacteria when soap and water are not available and address infection control responsibilities, which keeps both
you and your patient safe.
Typical PPE that may be used at an incident scene includes:
• Non‐sterile gloves
• Sterile gloves
• Hand decontamination agents such as alcohol hand gel
• Eye protection
• High visibility clothing
• Ear defenders
• Safety boots
• Hard hats
• Stab/Ballistic proof vests
• Dosimeters
Your organisation will have protocols and procedures on the use of PPE. You must ensure the right PPE is used
at the right time and that it is correctly fitted. Using PPE will help minimise the risk of infection.
ACTIVITY 4.
Choose three (3) pieces of PPE and explain how they act as a control against
the spread of infection.
Q2.List the two (2) sided document you must complete when a patient with ABD needs to be
sedated. NOTE: You must list both sides of this document?
Q3 Define each of the three (3) safety zones in relation to patient de-escalation.
Zone 1 Zone 2 Zone 3?
Q3 Answer
HLTOUT008 - MANAGE A SCENE
SCENE SAFETY
Pit Crew Method
The Pit Crew Method, also known as high-performance CPR, is a technique that ensures efficient and speedy
response when on scene and dealing with a patient. It is all based on pre-assigning roles based on arrival
and patient priorities. Before arriving at the scene, each person should know their role and when they need
to perform their required duties. The team of responders will surround the patient with unobstructed access
(i.e. the patient is 360 degree-accessible), while the team leader observes, clearly communicates and directs
but does not actively treat the patient. Equipment is placed in locations where it is easily accessible yet not
impeding access to patients or egress.
Safety zones
Zone 1 Zone 2 Zone 3
Regarding patient de-escalation,
Zone 1 is the distant safety
zone, where you cannot
be injured from physical
aggressions close by, such as
kicking or striking.
Regarding patient de-escalation,
Zone 2 is the close safety zone,
where an agitated or aggressive
patient cannot effectively deliver a
major blow to you with their knees,
elbows or head but may still come
close or in contact.
Regarding patient de-escalation,
Zone 3 is the danger zone, where a
patient can strike you forcibly and
make contact.
De-escalation Steps
De-escalation refers to communication behaviour intended to minimise escalations of conflicts and where
aggression is a contributing factor.
When faced with an aggressive or combative patient or bystander, first responders need to be confident in the
skills and strategies to de-escalate situations and manage aggressive patients and bystanders through applying
‘effective communication behaviour’, supported by an emotionally intelligent response.
Step 1. Look
Before approaching a volatile person, stop and observe their behaviour.
Step 2. Listen
Listen to what they are saying to obtain information that may assist in dealing with the scene.
Step 3. Act
Based on the above observations, formulate a plan of action.
Q\ HLTOUT010
HLTOUT010 Communicate in complex situations to support health care |.
Theory Task
Please read each question carefully to ensure your response addresses all required components.
1. Respond to the below questions regarding communication and codes.
a. You've been called to a Section 4, D5, B3. Referring to the radio codes chart, what type of
patient and scene are you responding to?
b. You are called to a 34 year old male patient who is complaining of chest pain following
cocaine use. What codes would you use to communicate this?
c. When you arrived on scene, your patient was initially choking with abnormal breathing.
You delivered back blows and chest thrusts to the patient and they are no longer choking,
they can talk, are alert and breathing, but on questioning are complaining of a severe
headache that has been bothering them for the past 3hrs or so. After a thorough primary
and secondary assessment, you call dispatch to alert them of your case details and
departure from scene at 0415.
Using the correct radio codes, what would your dispatch information be?
Remember to include all the information on your patient.
d. You are called to a worksite explosion. On arrival, you discover there are 3 patients
involved. Your first patient is a 34yr old diabetic woman who is actively convulsing. Your
second patient is a 26yr old male who has sustained partial thickness burns approx. 25%
TBSA. Your third patient is an unknown age unconscious male who is breathing.
Using radio codes, how would you communicate this to dispatch/base? You will need to
include the correct section and code numbers for the scene as a whole, inclusive of each
patient.
- Q1a - review the section and codes again.
- Q1b - review the section and codes again.
- Q1c - review the section and codes again - what was the patient initially as well then after being treated?.
Regarding Q1d - not valid and sufficient.
- Review-Include the section and codes regarding what you were called to - called to a worksite explosion with multiple casualties.
Break up the patients individually as shown below.
- Pt # 1 - what section and codes? - review the section again - patient was actively convulsing.
- Pt # 2 - what section and codes? - review the section again. - you were called to worksite explosion.
- Pt # 3 - what section and codes? - review the section again - you were called to a worksite explosion.
Regarding Q1d – Pt stands for patient - medical terminology – need to review the codes for patient 1- patient 2 and patient 3 – review the codes at the end of the SLG
Use the above format for your answers.
Q1 answer
HLTOUT008 - MANAGE A SCENE
THE SCENE MANAGEMENT CYCLE
Assess Assess the scene for any hazards and assess the patient’s condition.
Confirm Confirm your findings with other officers, team members, dispatch or other agencies.
Plan Formulate a plan to mitigate (manage) the hazards and outline a treatment
pathway for the team members/patients/bystanders.
Manage Manage the resources on scene to deliver the plan and mitigate the risk.
Evaluate Evaluate the hazards and the patient’s condition.
If needed, you can start review and revisit the cycle to support a safe environment.
USING PERSONAL PROTECTIVE EQUIPMENT (PPE)
Personal protective equipment (PPE) is intended to keep you safe from harm as much as possible. It is a risk
control measure that minimises but does not remove the risk of harm from potential hazards. PPE should be
selected and used to reduce injury and harm mainly to yourself but sometimes to others.
Take, for example, hand decontamination agents such as alcohol-based rubs (ABRs). They rid your hands of
bacteria when soap and water are not available and address infection control responsibilities, which keeps both
you and your patient safe.
Typical PPE that may be used at an incident scene includes:
• Non‐sterile gloves
• Sterile gloves
• Hand decontamination agents such as alcohol hand gel
• Eye protection
• High visibility clothing
• Ear defenders
• Safety boots
• Hard hats
• Stab/Ballistic proof vests
• Dosimeters
Your organisation will have protocols and procedures on the use of PPE. You must ensure the right PPE is used
at the right time and that it is correctly fitted. Using PPE will help minimise the risk of infection.
ACTIVITY 4.
Choose three (3) pieces of PPE and explain how they act as a control against
the spread of infection.
Q2.List the two (2) sided document you must complete when a patient with ABD needs to be
sedated. NOTE: You must list both sides of this document?
Q3 Define each of the three (3) safety zones in relation to patient de-escalation.
Zone 1 Zone 2 Zone 3?
Q3 Answer
HLTOUT008 - MANAGE A SCENE
SCENE SAFETY
Pit Crew Method
The Pit Crew Method, also known as high-performance CPR, is a technique that ensures efficient and speedy
response when on scene and dealing with a patient. It is all based on pre-assigning roles based on arrival
and patient priorities. Before arriving at the scene, each person should know their role and when they need
to perform their required duties. The team of responders will surround the patient with unobstructed access
(i.e. the patient is 360 degree-accessible), while the team leader observes, clearly communicates and directs
but does not actively treat the patient. Equipment is placed in locations where it is easily accessible yet not
impeding access to patients or egress.
Safety zones
Zone 1 Zone 2 Zone 3
Regarding patient de-escalation,
Zone 1 is the distant safety
zone, where you cannot
be injured from physical
aggressions close by, such as
kicking or striking.
Regarding patient de-escalation,
Zone 2 is the close safety zone,
where an agitated or aggressive
patient cannot effectively deliver a
major blow to you with their knees,
elbows or head but may still come
close or in contact.
Regarding patient de-escalation,
Zone 3 is the danger zone, where a
patient can strike you forcibly and
make contact.
De-escalation Steps
De-escalation refers to communication behaviour intended to minimise escalations of conflicts and where
aggression is a contributing factor.
When faced with an aggressive or combative patient or bystander, first responders need to be confident in the
skills and strategies to de-escalate situations and manage aggressive patients and bystanders through applying
‘effective communication behaviour’, supported by an emotionally intelligent response.
Step 1. Look
Before approaching a volatile person, stop and observe their behaviour.
Step 2. Listen
Listen to what they are saying to obtain information that may assist in dealing with the scene.
Step 3. Act
Based on the above observations, formulate a plan of action.
Q\ HLTOUT010
HLTOUT010 Communicate in complex situations to support health care |.
Theory Task
Please read each question carefully to ensure your response addresses all required components.
1. Respond to the below questions regarding communication and codes.
a. You've been called to a Section 4, D5, B3. Referring to the radio codes chart, what type of
patient and scene are you responding to?
b. You are called to a 34 year old male patient who is complaining of chest pain following
cocaine use. What codes would you use to communicate this?
c. When you arrived on scene, your patient was initially choking with abnormal breathing.
You delivered back blows and chest thrusts to the patient and they are no longer choking,
they can talk, are alert and breathing, but on questioning are complaining of a severe
headache that has been bothering them for the past 3hrs or so. After a thorough primary
and secondary assessment, you call dispatch to alert them of your case details and
departure from scene at 0415.
Using the correct radio codes, what would your dispatch information be?
Remember to include all the information on your patient.
d. You are called to a worksite explosion. On arrival, you discover there are 3 patients
involved. Your first patient is a 34yr old diabetic woman who is actively convulsing. Your
second patient is a 26yr old male who has sustained partial thickness burns approx. 25%
TBSA. Your third patient is an unknown age unconscious male who is breathing.
Using radio codes, how would you communicate this to dispatch/base? You will need to
include the correct section and code numbers for the scene as a whole, inclusive of each
patient.
- Q1a - review the section and codes again.
- Q1b - review the section and codes again.
- Q1c - review the section and codes again - what was the patient initially as well then after being treated?.
Regarding Q1d - not valid and sufficient.
- Review-Include the section and codes regarding what you were called to - called to a worksite explosion with multiple casualties.
Break up the patients individually as shown below.
- Pt # 1 - what section and codes? - review the section again - patient was actively convulsing.
- Pt # 2 - what section and codes? - review the section again. - you were called to worksite explosion.
- Pt # 3 - what section and codes? - review the section again - you were called to a worksite explosion.
Regarding Q1d – Pt stands for patient - medical terminology – need to review the codes for patient 1- patient 2 and patient 3 – review the codes at the end of the SLG
Use the above format for your answers.