ECT CPG Transition Course

Welcome to the Emergency Care Technician (ECT) CPG Transition Course!  The HPCSA released the new Clinical Practice Guidelines in 2018 and you have taken the first step in aligning yourself with the new guidelines.  Please work through all the modules thoroughly before challenging the module examination.  You need 80% for each module examination to proceed to the next module.  Each module has learning units.  For any enquiries on the content, please e-mail education@phec.co.za

As an ECT practitioner you gained new skills and controversially also lost a few skills.  PHEC saw it fit to refresh some skills which may relate to the change in scope of practice, please note that you will not be assessed on the revision content.  The skills you gained will be illustrated in video format, you may watch the videos repeatedly.  The content are downloadable and still remain property of Pre-Hospital Emergency Care, please use the content for personal use only.

Enjoy the course and good luck!

MODULE 1 – OXYGEN AND VENTILATION - ECT

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MODULE 1 – OXYGEN AND VENTILATION ECT

OBJECTIVES

On completion of this module, the learner will be able to

- Apply appropriate strategies of airway support with the use Non-invasive ventilation techniques 

- Demonstrate effective techniques using appropriate technology and evidence for best practice of airway maintenance at ECT scope of practice according to CPG July 2018

LEARNING UNITS (LU)

LU1: SpO2 review

LU2: ETCO2 Use

LU3: Use of peak flow measurement

LU4: Supraglottic review

LU5: Surgical Cricothyroidotomy

LU6: Use of Non-Invasive ventilation, Oxygen Driven without Mechanical Ventilator

LU7: Mechanical Infant resuscitator

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SpO2 review

LEARNING UNIT 1

In this Learning Unit we will be revising some theory pertaining to blood saturation measurement theory. Read through the material.

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ETCO2 Use

LEARNING UNIT 2

In this Learning Unit we will be looking at the use of Capnography. You as an ECT practitioner will be able to assess your patients’ Capnography using Nasal Cannula devices. Although the HPCSA excluded the use of capnography/capnometry via extra-glottic devices on your scope of practice, the same principles apply. Read through the material and watch the video.

4
Use of peak flow measurement

LEARNING UNIT 3

In this Learning Unit we will be looking at Peak Flow Measurement. Read through the material and watch the video.

5
Supraglottic review

LEARNING UNIT 4

You as an ECT practitioner is the lowest qualified member of the team that can secure an advanced airway on a live patient. ECA practitioners may only secure an advanced airway in the event of cardiac arrest victims. Read through the material and watch the videos.

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Surgical Cricothyroidotomy

LEARNING UNIT 5

In this Learning Unit we will be looking at the Surgical Cricothyroidotomy, which is a newly added skill to your scope of practice. This is also the skill that will need to be signed off at one of our Sign-Off Sites. Read through the material and watch the video.

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Use of Non-Invasive ventilation, Oxygen Driven without Mechanical Ventilator

LEARNING UNIT 6

In this Learning Unit we will be looking at the application of Non-Invasive Ventilation using Oxygen Driven devices. This is also the skill that will need to be signed off at one of our Sign-Off Sites. Read through the material and watch the video.

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Mechanical Infant resuscitator

LEARNING UNIT 7

In this Learning Unit we will be looking at the use of a Mechanical Infant Resuscitator. Read through the material and watch the video.

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MODULE SUMMARY – OXYGEN AND VENTILATION

MODULE SUMMARY

Now that we went through the 7 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.

10
ECT Module 1 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 2 – Circulatory Management. Good Luck!

MODULE 2 – CIRCULATORY MANAGEMENT- ECT

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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. We will also be looking at intravenous infusion with the use of volumetric infusion pumps and syringe drivers. Pay close attention to the content and feel free to share your thoughts at education@phec.co.za. You need 80% for the module examination to proceed to the next module. 

The skills you gained will be illustrated in video format, you may watch the videos repeatedly. The content are downloadable and still remain property of Pre-Hospital Emergency Care, please use the content for personal use only.

Enjoy the second module course and good luck!

2
Control external haemorrhage with haemostatic agents

LEARNING UNIT 1

Circulation is vital for all human beings thus as an emergency care provider it is important to be knowledgeable of all forms of restoration of circulation to one’s patients. In this Learning Unit we have included revision statements pertaining to perfusion. 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 an ECT should be competent with in practice. This learning unit will guide you using topical haemostatic agents. Read through the material and watch the video.

3
Control external haemorrhage with the safe use of a tourniquet

LEARNING UNIT 2

In this Learning Unit we will be looking at the use of the tourniquet to stop bleeding. As an ECT 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
Precordial Thump and its place during resuscitation

LEARNING UNIT 3

There is a lot of controversy around the performance of the precordial thump, however its use is 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.

5
Use of the Non-Pneumatic Anti-Shock Garment (NASG)

LEARNING UNIT 4

In this learning unit we will be looking at the use of the non-pneumatic anti-shock garment (NASG). In the Obstetrics Module, the use of the NASG will be addressed more thoroughly. Read through the material in this learning unit and watch the video.

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Infusion pump and syringe driver

LEARNING UNIT 5

In this Learning Unit we will be looking at the use of Infusion Devices. This is also the skill that will need to be signed off at one of our Sign-Off Sites. Please note that you will receive frequently used infusion calculations in Module 4 – Pharmacology in your downloadable Drug book and a document which explains drug calculations, but you will have to decide which concentrations works best for you.  Read through the material and watch the video.

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MODULE SUMMARY – CIRCULATORY MANAGEMENT

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
ECT Module 2 examination
19 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 - ECT

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MODULE 3 – OBSTETRIC MANAGEMENT

Welcome to Module 3, where we bring the tiny humans into civilization. You may not always realize this, but as a medical practitioner, you play a very important role in this ‘natural process’. Early identification of obstetrical complications may save the life that hasn’t even started to live yet.  Congratulations on passing Module 2. Pay close attention to the content and feel free to share your thoughts at education@phec.co.za. You need 80% for the module examination to proceed to the next module. 

The skills you gained will be illustrated in video format, you may watch the videos repeatedly. The content are downloadable and still remain property of Pre-Hospital Emergency Care, please use the content for personal use only.

Enjoy the second module course and good luck!

2
Recognition and Management Obstetric of Emergencies

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.

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Neonatal resuscitation

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
Umbilical vein catheterisation

LEARNING UNIT 3

Umbilical Vein Cannulation (UVC) is not a skill that is commonly performed in the pre-hospital environment. To maintain proficiency with this skill, we recommend that you as a practitioner should work additional shifts in neonatal units in hospitals and to stay current with the latest practices. Read through the following content and watch the video.

5
Safe use of an Incubator and thermal control

LEARNING UNIT 4

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.

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MODULE SUMMARY – OBSTETRIC MANAGEMENT

MODULE SUMMARY

Now that we went through the 4 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.

7
ECT Module 3 examination
38 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 – Pharmacology. Good Luck!

MODULE 4 – PHARMACOLOGY - ECT

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MODULE 4 – PHARMACOLOGY

Welcome to Module 4, congratulations on passing Module 3. In this module we will focus on the new suggested ECT Pharmacology as per the new CPG. Pay close attention to the content and feel free to share your thoughts at education@phec.co.za. You need 80% for the module examination to proceed to the next module. 

The skills you gained will be illustrated in video format, you may watch the videos repeatedly. The content are downloadable and still remain property of Pre-Hospital Emergency Care, please use the content for personal use only.

Enjoy the module and good luck!

2
Routes of administration, and Therapeutic Drug Monitoring

LEARNING UNIT 1

In this Learning Units we will focus on the application of the newly added pharmaceutical agents to the ECT scope of practice and we will also review pain management and analgesia use principles. Read through the material in this Learning Unit.

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MODULE SUMMARY – PHARMACOLOGY

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
ECT Module 4 examination
30 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 – Skeletal Trauma Management. Good Luck!

MODULE 5 – SKELETAL TRAUMA MANAGEMENT - ECT

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MODULE 5 – SKELETAL TRAUMA MANAGEMENT

Welcome to Module 5, congratulations on passing Module 4. In this module we will focus on Skeletal Trauma Management as per the recommendations in the new CPG. Pay close attention to the content and feel free to share your thoughts at education@phec.co.za. You need 80% for the module examination to proceed to the next module. 

The skills you gained will be illustrated in video format, you may watch the videos repeatedly. The content are downloadable and still remain property of Pre-Hospital Emergency Care, please use the content for personal use only.

Enjoy the module and good luck!

2
Spinal Motion Restriction practices

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
Clinical C-Spine Clearance tools

LEARNING UNIT 2

Learning Unit 2 will cover the C-Spine Clearance guidelines which is a not a new skill to you as an ECT practitioner. However, we will be looking at C-Spine clearance tools that you may not be familiar with. You will identify candidates for C-Spine Clearance and those who require Spinal Motion Restriction. Read through the content and what the video.

4
Pelvic splinting techniques and equipment

LEARNING UNIT 3

Learning Unit 3 will cover the use of commercial pelvic binding devices. As an ECT practitioner, 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.

5
Monitoring and Documentation

LEARNING UNIT 4

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.

6
MODULE SUMMARY – SKELETAL TRAUMA MANAGEMENT

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.

7
ECT Module 5 examination
15 questions

MODULE 6 – ETHICS - ECT

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MODULE 6 – ETHICS

Welcome to Module 6, congratulations on passing Module 5. This is the last module of this course before you face the final examination. In this module we will focus on recent ethical related matters within the EMS and apply Ethical Reasoning. Pay close attention to the content and feel free to share your thoughts at education@phec.co.za. There is no examination for this module, the module outcomes will be covered in the final examination.

The content are downloadable and still remain property of Pre-Hospital Emergency Care, please use the content for personal use only.

Enjoy the last module of the course!

2
Ethical principles in Prehospital Emergency Care

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 video.

3
Ethical principles and the Law

LEARNING UNIT 2

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

4
Consent

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

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

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.

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MODULE SUMMARY – ETHICS

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 ethics examination where you must apply your knowledge of Ethical Reasoning. Good luck!

8
ECT Module 6 examination
  1. ETHICAL DILEMMA

You are a qualified Emergency Care Technician, working in a rural area. You are employed by the Department of Health. You and your newly qualified BAA partner are dispatched to a motor vehicle accident on a road 15 min out of town...

FINAL ECT EXAM

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FINAL ECT COURSE EXAM
65 questions

IMPORTANT INFO NEEDED BEFORE YOU FINISH YOUR ONLINE COURSE

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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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Enrolled: 1 student
Duration: This course will take you 30 hours to complete online.
Lectures: 40