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This page contains a copy of the Clinical Field Protocols for Volunteer Ambulance Officers (updated August 2014) and related Clinical Work Instruction Sheets. The approved version of the Clinical Field Protocols is available on the DHHS Intranet at http://intra.dhhs.tas.gov.au. If there is any discrepancy between the version on vGate and the current approved version on the DHHS Intranet the latter shall be taken as correct. Please report any discrepancies to info@vgate.net.au so an updated version can be provided here.

The new version of the Clinical Field Protocols for Volunteer Ambulance Officers contains skills and medications which require individual training and accreditation before they can be used by VAOs. If you have not be trained and accredited to use a new skill or to adminster a new medication, you are not authorised to do so.

A copy of the previous Clinical Protocols for Volunteer Ambulance Officershe is provided for information only.

The Clinical Field Protocols for Volunteer Ambulance Officers are be interpreted as positive instructions; if a protocol, procedure or action is not specified, it is prohibited. Volunteer Ambulance Officers are authorised only to practice in accordance with the Clinical Field Protocols for skills and medications in which they have successfully completed the required training and assessment and have a current accreditation from Clinical Services.

VAO Clinical Protocols Clinical Field Protocols 2014 VAO Clinical Field Protocols App for mobile devices (draft version) Clinical Protocols (Previous Version)

VAO Clinical Clinical Instruction Sheets
Patient Examination Health and Safety Physical Examination of a Patient (Secondary Survey) Palpate and Record a Radial Pulse Palpate and Record a Carotid Pulse Palpate a Brachial Pulse Measure and Record Systolic Blood Pressure by Palpation Measure and Record Arterial Blood Pressure by Auscultation Chest Auscultation Respiratory Status Assessment Conscious Status Assessment Perfusion Status Assessment Random Blood Glucose (RBG) Analysis - Glucose Colour Test Reagent Strip Performing a Random Blood Glucose Analysis – Precision Glucometer Calibrating the Precision Blood Glucose Monitoring System Perform a Sensory – Motor Spinal Examination Airway Management Clearning the Upper Airway of Obstruction Triple Airway Manoeuvre (Including Jaw Thrust) Insertion of Oropharyngeal (OP) Airway Insertion of a Nasopharyngeal Airway Mechanical Suction ‘Y’ Suction Catheter Mechanical Suction Yankauer Rigid Sucker Stable Side Position (Lateral Position) Choking Patient Airway Clearance – Back Blows Airway Clearance – Abdominal Thrusts (Adults Only) Airway Clearance – Lateral Chest Thrusts (Infant of Child)	Resuscitation Expired Air Resuscitation (EAR) CPR Adult Single Rescuer CPR Adult Two Rescuers CPR Child/1-14 years Performing a precordial thump Oxygen Therapy and Ventilation Application of a rigid face mask IPPV with closed circuit resuscitator IPPV with bag mask valve (BVM) resuscitator - Adult IPPV with bag mask valve (BVM) resuscitator - Paediatric Applying assisted IPPV with positive end expiratory pressure (PEEP) Oxygen by disposable face mask Oxygen by nasal cannula Performing gentle lateral pressure in severe asthma Assemble and check oxy-resuscitator Drug Administration Methoxyflurane via analgiser inhaler Nebulised salbutamol - via aerosol mask Drawing up - glass ampoule Drawing up - plastic ampoule EpiPen administration	Bandages, Knots and Dressings Tie a reef knot Tie a clove hitch Application of an arm sling Application of a high arm sling (St John sling) Application of a collar and cuff sling Triangular bandage (figure of eight) around feet and ankles Application of a roller bandage (simple spiral) Applications of a combined pad and bandage to a limb Control external bleeding on a limb Preserver severed parts Splinting Application of an air splint Application of a cervical collar Anatomical splinting (lower limbs) Application of a cardboard splint Application of a Donway splint Application of an Oregon Spine Splint II (OSSII) Helmet removal


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