Advanced Life Support
The ALS provider course is designed for healthcare professionals who would be expected to apply the skills taught as part of their clinical duties, or to teach them on a regular basis. In NHS Forth Valley, appropriate participants on ALS provider courses could include:
- Nurses working in areas like the ED, Cardiology, ICU, HDU, or those are expected to function as part of the 2222 team, such as ANPs
All applicants must hold a current clinical appointment and professional healthcare qualification. Medical students, nurses and other healthcare providers not covered in the groups mentioned above should apply to complete the Immediate Life Support (ILS) course.
Prior competence in CPR is an essential prerequisite to attending the ALS course.
The ALS course teaches the knowledge and skills required to:
- Recognise and treat the deteriorating patient using a structured ABCDE approach
- Treat cardiac and/or respiratory arrest, including starting CPR, manual defibrillation, life threatening arrhythmias, and post resuscitation care
- Care for the deteriorating patient or patient in cardiac and/or respiratory arrest in special circumstances such as anaphylaxis and pregnancy
- Lead a team, work as a team member, and use structured communication skills including giving an effective handover.
- ALS in perspective
- Causes and prevention of cardiac arrest
- Acute coronary syndromes
- ALS algorithm
- Post resuscitation care
Demonstration / Discussion:
There is one cardiac arrest simulation demonstration
There is one discussion on decisions relating to resuscitation
- Monitoring, rhythm recognition and 12-lead ECG
- Tachycardia, cardioversion and drugs
- Bradycardia, pacing and drugs
- Special circumstances
- Arterial blood gas analysis
- Airway management
- Initial assessment and resuscitation
- Cardiac arrest management simulations
Continuous assessment is used throughout the ALS course based on the clinical simulations, and the various stations and workshops, as these allow candidates to demonstrate the core competencies that have been taught on the course.
Candidates also take part in a final assessment that takes the form of a managed cardiac arrest simulation. They also sit a multiple choice questionnaire paper. Successful candidates receive a Resuscitation Council (UK) ALS Provider certificate, which is valid for 4 years.