BAA CPG Transition Course

In August 2018 the Professional Board for Emergency Care (PBEC) released a communication to all emergency care providers that the previously communicated draft Clinical Practice Guidelines (CPGs) and related capabilities and medications have been adopted (with certain amendments) by the Professional Board for Emergency Care (PBEC) for use and implementation by all registered emergency care providers. Additionally, they informed all providers that it was the responsibility of all registered persons to:

a. familiarize themselves and;

b. undergo learning/training activities related to the contents of the document. In addition to familiarization, it is important that as far as possible, and where relevant, the related clinical practice guideline is used during all clinical encounters.

Where not applicable, all reasonable, locally contextual standards of care apply to clinical encounters. The new deadline given for the adoption of the revised list of capabilities and medications by registered persons is currently to be determined.

The course will be presented in an online fashion.  Student will have access to video performance of the applicable skills, PowerPoint presentations and PDF literature.  There are 6 modules in this course, each ending with a module examination.  The enrolled students will have to sign off two skills to successfully transition into the new BAA Qualification.  This can be done at one of the PHEC Skill Sign-Off Sites nationwide.

MODULE 1 – OXYGEN AND VENTILATION

1
MODULE 1 – OXYGEN AND VENTILATION
15 min

MODULE INTRODUCTION

Oxygenation is the process of oxygen diffusing passively from the alveolus to the pulmonary capillary where it binds to hemoglobin in red blood cells or dissolves into the plasma. Whereas ventilation is the exchange of air between the lungs and the atmosphere so that oxygen can be exchanges for carbon dioxide in the alveoli.

Oxygenation and ventilation is vital for all human beings thus as an emergency care provider it is important to be knowledgeable of all forms of oxygenation and ventilation to assist ones patients.

2
Revision of basic Airway Assessment and Management.
15 min

LEARNING UNIT 1

In this Learning Unit we will be revising our respiratory assessment methods and look at some clinical parameters pertaining to the respiratory status. You as a BAA play a very important role in the identification of a respiratory distressed patient. We will also review basic airway management. Read through the material and watch the video.

3
Revision of Oxygenation and Ventilation.
15 min

LEARNING UNIT 2

In this Learning Unit we will be looking at the difference between oxygenation and ventilation. It is important to understand the devices which you encounter in the field of emergency care. Read through the material.

4
Risks associated to BVM ventilation through advanced airway devices across all age groups.
15 min

LEARNING UNIT 3

Before we go through to the advanced airways, let’s just look at the BVM Device again and the associated risks. We always start with the basics and work our way upwards. Read through the material in this Learning Unit.

5
Introduction to common pre-hospital advanced airway devices.
60min

LEARNING UNIT 4

Here we are, advanced airways. In this Learning Unit we will be looking at common advanced airways used and also at some things that might go wrong. Read through the material in this Learning Unit and watch the videos.

6
The use of BVM with an advanced airway device during cardiopulmonary resuscitation.
15 min

LEARNING UNIT 5

Now that we know how to provide breaths through and advanced airway, let’s look at the resuscitation environment. In the event of a resuscitation, advanced airways are commonly used. Read through this Learning Unit and understand the key changes of providing breaths during a resuscitation with an advanced airway in place.

7
Asthma and COPD management nebulization with β2 Stimulants (inhaled)
15 min

LEARNING UNIT 6

Another skill which you are familiar with is Nebulization. We will be revising nebulization together with asthma. You as a BAA provider have two bronchodilators added to your scope of practice, this will be discussed under Module 5.

8
MODULE SUMMARY: OXYGEN AND VENTILATION
30min

MODULE SUMMARY

Now that we went through the 6 learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.

9
Module 1 Examination
11 questions

MODULE EXAMINATION

Requires 80% to pass

Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 2 – Circulatory Management. Good Luck!

MODULE 2 – CIRCULATORY MANAGEMENT

1
MODULE 2 – CIRCULATORY MANAGEMENT

So now that we have airway and breathing sorted, let’s have a look at the circulatory system. Welcome to Module 2 and congratulations on passing Module 1. Trauma management forms a big part in this module and we recommend that you do some other bleeding control and trauma management courses available for pre-hospital providers. Bleeding control is a basic skill, but in some situations it may be a very difficult task.

2
Control external haemorrhage with topical haemostatic agents
1 hour

LEARNING UNIT 1

Topical haemostatic agents have evolved into various classes over the years, the HPCSA have released in the latest guidelines that this is one of the new skills that you as a BAA should be competent with in practice. This learning unit will guide you through the use of topical haemostatic agents. Read through the material and watch the video.

3
Control external haemorrhage with the safe use of a tourniquet
2 hours

LEARNING UNIT 2

In this Learning Unit we will be looking at the use of the tourniquet to stop bleeding. As a BAA you need to familiarize yourself with the identification of a life-threatening bleed which may need to be controlled with the use of this device. There are various types of tourniquets which you will learn about in this Learning Unit. Read through the material and watch the videos.

4
Understand the use of NIBP and the application thereof
1 hour

LEARNING UNIT 3

Now that we have learned the bleeding control methods new to your scope of practice, we will be reviewing the measurement of blood pressures. Although automated non-invasive blood pressure measurement are commonly performed, review the follow video and content.

5
Know how to perform oral rehydration therapy with the use of the CPG suggested agents
1 hour

LEARNING UNIT 4

The new CPG has placed focus on oral rehydration therapy for dehydrated patient, especially your paediatric patients. Let’s look at the management of these patients through the use of oral rehydration solutions. Read through the material in this Learning Unit and watch the video.

6
Precordial thump; indications and execution
1 hour

LEARNING UNIT 5

There is a lot of controversy around the performance of the precordial thump, however its use are outlined in the new CPG and in this learning unit we cover the indications and performance of the skill. Read through the material in this Learning Unit and watch the video.

7
Module 2 Summary
30min

MODULE SUMMARY

Now that we went through the 5 learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.

8
Module 2 Examination
21 questions

MODULE EXAMINATION

Requires 80% to pass

Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 3 – Obstetric Management. Good Luck!

MODULE 3 – OBSTETRIC MANAGEMENT

1
MODULE 3 – OBSTETRIC MANAGEMENT
60min
2
Recognition and management of obstetric emergencies during labour and delivery
5 Hours

LEARNING UNIT 1

This will be the most strenuous learning unit of this module. Pay close attention to all the video details and read thoroughly through all the content. This will form the foundation of your obstetric management knowledge. Read through the material in this Learning Unit and watch the videos.

3
Resuscitation of the neonate/newborn
2 hours

LEARNING UNIT 2

Learning Unit 1 covered the whole delivery process in various scenarios. There are situations where the delivery of a new-born will require resuscitative interventions to save the new-born’s life. In this Learning Unit we will focus on Neonatal Resuscitation. Read through the material in this Learning Unit.

4
Safe use of an incubator for temperature control in neonatal patients patients
2 hours

LEARNING UNIT 3

Incubators are commonly used in the obstetric transfer scenarios, in this Learning Unit we will go over the emergent use of rewarming strategies in the obstetrics environment and also cover the use of incubators.

5
Module 3 Summary
30 min

MODULE SUMMARY

Now that we went through the 3 learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.

6
Module 3 Examination
21 questions

MODULE EXAMINATION

Requires 80% to pass

Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 4 – Skeletal Trauma Management. Good Luck!

MODULE 4 – SKELETAL TRAUMA MANAGEMENT

1
MODULE 4 – SKELETAL TRAUMA MANAGEMENT
2
Spinal Motion Restriction practices
2 hours

LEARNING UNIT 1

In this Learning Unit we will be discussing the concept of Spinal Motion Restriction. A concept which is not as well understood and adopted in the South African context. We will be looking at the different methods of Spinal Motion Restriction and when it needs to be applied. Read through the material in this Learning Unit and watch the videos.

3
Pelvic splinting techniques and equipment
2 hours

LEARNING UNIT 2

Learning Unit 2 will cover the use of commercial pelvic binding devices. As a BAA provider you will play an important role in the identification of pelvic injuries, and the management and stabilization of a pelvic injury as part of a team. Read through the material in this Learning Unit and watch the video.

4
Monitoring and documentation of blunt trauma patients
1 hour

LEARNING UNIT 3

Different methods and equipment are being utilized for spinal motion restriction, however when using a hard backboard or scoop stretcher, you need to document specific aspects of this utilization. In this Learning Unit we will be looking at this briefly. Read through the material in this Learning Unit.

5
Module 4 Summary
1 hour

MODULE SUMMARY

Now that we went through the 3 learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.

6
Module 4 Examination
22 questions

MODULE EXAMINATION

Requires 80% to pass

Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 5 – Pharmacology. Good Luck!

MODULE 5 – PHARMACOLOGY

1
MODULE 5 – PHARMACOLOGY
15 min

Welcome to Module 5, congratulations on passing Module 4. In this module we will focus on the new suggested BAA Pharmacology as per the new CPG.

2
Pharmacology
5 Hours

LEARNING UNITS 1 & 2

In this Learning Units we will focus on the application of the newly added pharmaceutical agents to the BAA scope of practice.   Read through the material in this Learning Unit and watch the videos.

3
Module 5 Summary
1 hour

MODULE SUMMARY

Now that we went through the learning units of this module, here is a summary of what we have covered. Go through the content and make sure you are ready to challenge the module examination.

4
Module 5 Examination
15 questions

MODULE EXAMINATION

Requires 80% to pass

Please do the following examination to the best of your knowledge. You need 80% to pass the Module Examination. After completing this examination, you will proceed to Module 5 – Pharmacology. Good Luck!

MODULE 6 – ETHICS

1
MODULE 6 – ETHICS
30 min

Welcome to Module 6, congratulations on passing Module 5. This is the last module of this course before you face the final examination. 

2
Ethical principles in Prehospital Emergency Care
1 hour

LEARNING UNIT 1

In this Learning Unit we will just revise the core definitions of ethics and professional practice. Read through the material in this Learning Unit and watch the external video by scanning the barcode.

3
Ethical principles and the Law
1 hour

LEARNING UNIT 2

In this Learning Unit we will revise the most famous ‘Booklet 1’ and its content from the HPCSA. Read through the material in this Learning Unit.

4
Consent
1 hour

LEARNING UNIT 3

In this Learning Unit we will revise the aspects of consent and various types consent. Read through the material in this Learning Unit.

5
Ethical reasoning
1 hour

LEARNING UNIT 4

In this Learning Unit we will look at the Ethical Reasoning process and see how we can apply it to any ethical dilemmas or scenarios we might encounter in practice. Read through the material in this Learning Unit.

6
Legislation applicable to Emergency Medical Care
1 hour

LEARNING UNIT 5

In this Learning Unit we will look at various legislation that are applicable to the EMS. Read through the material in this Learning Unit.

7
Module Conclussion

MODULE CONCLUSION

Now that we went through the learning units of this module, go through the PowerPoint Summary and ensure that you are ready for your final examination of the BAA CPG Transition Course. Included in your final examination is an ethical scenario where you have to apply your knowledge of Ethical Reasoning. You need 80% to pass the final examination. Good luck!

8
Module 6 Examination

BAA FINAL COURSE EXAM

1
BAA FINAL COURSE EXAM
57 questions

Welcome to the BAA CPG Transition Course Final Examination. You need 80% to pass the examination and the course. The questions will be based on the modules that we have done before. After successfully passing this examination, you have to set a practical skill sign-off session at one of our PHEC Skill Sign-off Sites. Good luck.

You and your ALS is busy doing an inter-hospital transfer of a mechanically ventilated patient. Suddenly the alarm of the ventilator bells stating “Pressure high”. You ask your ALS what to do now, he asks you about DOPES. You rectify the error and you are very pleased with your knowledge on the pneumonic DOPES.

IMPORTANT INFO NEEDED BEFORE YOU FINISH YOUR ONLINE COURSE

1
Please fill in the following form:
Yes, provided that you have successfully completed an accredited CPG Continuing Professional Development (CPD) activity.
Registered persons are encouraged to undergo CPG CPD activities related to these medications. However, until approval by the South African Health Products Regulatory Authority (SAHPRA) approval, these may not be used in clinical practice yet. Registered persons will be notified when approval has been obtained. The finally approved SAHPRA list may appear different to the current list.
It is possible that at the time of the offering of your specific qualification, this teaching/training of that skill/medication may not have formed part of that curriculum/course (subsequently added to the scope of practice without additional training). Therefore, to ensure patient safety, these skills/medications require CPG CPD related activities. In addition, the context of the skill and medication that previously was on the scope of practice may have changed.
Permission and consultation with the transferring healthcare provider must be sought. Where additional interventions (commencement) or alterations of in-situ medications and equipment/devices (which are not in the scope of practice) are likely, this transfer should be undertaken by a registered Emergency Care Provider with a relevant skill set. Where no considerable alterations/amendments to the medications or equipment/devices are necessary, this transfer may be undertaken (this is strictly applicable to an interfacility transfer context). Registered persons undertaking these transfers must be prepared to act in the case of acute deterioration.
Yes, this is the first guide of its kind in the South African emergency care context, and updates and amendments will follow. And PHEC is committed to offer the transitioning platform to all registered practitioners.
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Duration: This course will take you 15 hours to complete online.
Lectures: 36