- Course duration: 4 week residential course
- Course category: Command, Resilience
- Course category: null
- Start/finish time: Start time: 08:00hrs
Finish time on Fridays: 13:00hrs
There are evening sessions built into the programme.
- Course notes: Places on this course are only available to new HART recruits. To be eligible for this course you must be recruited to a HART unit and have secured your HART Training Manager's authorisation to attend. To reserve places on this course your HART Training Manager should contact directly the NARU Training Manager.
The Incident Response Unit (IRU) course provides the core competencies for new members of NHS Ambulance Service Hazardous Area Response Teams (HART).
Hazardous Area Response Teams (HART) are comprised of specially recruited and trained personnel who provide the ambulance response to particularly hazardous or challenging incidents, and in some cases where there is a mass casualty incident.
These incidents may involve Chemical, Biological, Radiological or Nuclear (CBRN) or other hazardous materials, Teams can also attend incidents such as train crashes, large scale vehicle accidents, building collapses, significant fires or working in water.
HART teams work alongside the police and fire & rescue services within what is known as the ‘inner cordon’ (or ‘hot zone’) of a major incident. The job of the HART teams is to triage and treat casualties and to help save lives in very difficult circumstances. They are also there to look after other emergency personnel who may become injured whilst attending these difficult and challenging incidents.
The IRU course is designed to provide staff with the required knowledge, understanding and practical skills in order to perform HART duties within an inner cordon.
Course Programme contents
- Command consideration and delivery
- Theory and practical application of HART specific equipment
- CBRN Clinical aspects and countermeasures
- Detection, Identification and Monitoring equipment
- Risk Assessment and management
- Log writing
- Forensic awareness
- Multiagency awareness
- IED awareness
- Numerous practical scenarios and assessments in all levels of HART IRU PPE
- Intentional Chemical Exposure
- Trench awareness
- Ballistic awareness
Intended Learning Outcomes
On completion of this course students will be able to:
- Demonstrate an understanding of the background to HART
- Demonstrate an understanding of the threat from terrorism in the UK
- Define the social and health protection impacts of a HART event
- Define the organisations that would influence HART deployment
- Demonstrate an understanding of the roles and interactions with partner agencies
- Demonstrate operational competency whilst wearing HART PPE
- Demonstrate competence in the deployment and use of HART vehicles and equipment
- Demonstrate competence in JRCALC procedures relevant to HART deployments
- Understand the theory of call types
- Demonstrate understanding of operational procedures
- Demonstrate an understanding of command and control protocols
- Demonstrate an understanding of incident log keeping
- Confirm knowledge and understanding of HART procedures via table top confirmation exercising and scenarios.
The course maps to the following HART National CPD Modules:
- IRU/1 Command and Control
- IRU/2 Emergency Procedures
- IRU/3 Scene Safety and Risk Assessment
- IRU/4 Casualty Collection Point
- IRU/5 Roles & Responsibilties
- IRU/6 CR1
- IRU/7 EDBA
- IRU/8 GTCPS
- IRU/9 PRPS
- IRU/10a-i PPE
- IRU/11a-e DIM
- IRU/12 Mass Oxygen System
- IRU/13 Immobilisation and Extrication Devices
- IRU/14 CBRN Body Bags
- IRU/15 CBRN and Mass Casualty Cubes
- IRU/16 Casualty Handling
- IRU/17 CBRNe Patient
- IRU/18 Triage
- IRU/19 EZ-IO
This course is aligned to the following NHS Commissioning Board Core Standards for EPRR and National Service capability matrix. This will assist Ambulance Trusts in meeting the standards.
|9.1||Refer to the National Ambulance Service Command and Control Guidance 2015 and any other relevant ambulance specific guidance relating to major incidents|
|9.11||Have a Hazardous Area Response Team (HART) in line with the current national service specification, including a vehicles and equipment replacement programme|
|9.38||Explain the arrangements for managing triage, treatment and transport for casualties|
The IRU course is only available to new HART recruits.
Places on this course are only available to new HART recruits. To be eligible for this course you must be recruited to a HART unit and have secured your HART Training Manager’s authorisation to attend. To reserve places on this course your HART Training Manager should contact directly the NARU Training Manager.
You will be a current EDBA wearer before attending the initial course (and refresher if necessary). The new format IRU is now four weeks in duration to encompass an initial CR1 and PRPS course; CR1 and PRPS is therefore this is no longer required before attendance
Candidates will be expected to undergo practical assessments of their competency whilst wearing PPE. It is essential that candidates have a level of fitness to manage the physical demands involved in the course. The minimum fitness requirements are those demonstrated in the physical competency assessments (PCA) conducted during the selection process.
Comments from previous attendees
- “I have enjoyed every minute of the course, the instructors have been fantastic throughout. The different experts who presented were very thorough and explained everything perfectly. All round a brilliant course.”
- “A very high level of instruction from both HART trainers and external speakers, who provide useful and constructive feedback. A very well thought out and productive itinerary, plenty of hands on training. Realistic final exercise, many worthwhile learning points, excellent facilities.”
- “Lots of info to take on board with CR1 and PRPS however good input from Instructors including practical scenarios”
- “A very intense week, a lot of wear, physically demanding, enjoyable”
- “The course was brilliant and thoroughly enjoyed it. The level of effort for the final exercise was brilliant and made the exercise so much more realistic and felt we all thoroughly got stuck in and forgot it was an exercise”
- “Nobody will walk away from this course with any doubt or disappointment of their capabilities.”
- “I think all the NARU Faculty worked really hard to ensure the four weeks were jam packed with practical and classroom based learning – Training staff have been fantastic!”
Methods of Delivery
The course content is delivered using a variety of theoretical and practical delivery styles. Subject matter experts (SMEs) are utilised to deliver sessions appropriate to their area of expertise and are supported by the faculty training team.
The dress code for the course is normal Trust uniform. This must consist of a collared shirt or polo shirt as per the Mess rules below.
Please be advised that the dress for all guests in the mess is respectable and non-revealing and the following items are not to be worn in the public rooms (Dining Room/Bar/TV Rooms) of the mess at any time:
- T-shirts without collar
- Sweatshirts/shirts without collar
- Rugby/football tops
- Ripped, torn or faded denim jeans
- Skirts/dresses shorter than mid-thigh
- Shorts, shell/track suits and clothing worn for sports and physical training
- Trainers, flip-flops, sandals or slippers
- Bomber/ski jackets and body warmers including fleece jackets (cloakrooms are provided for outdoor coats)
This course is held at:
The NARU Education Suite
Defence CBRN Centre
Wiltshire SP4 0ES
Accommodation is provided as part of the course at Winterbourne Gunner. You can check in from 1200hrs on the day before. No food is available until breakfast on day one of your course.
Please note some rooms do not have on-suite facilities. Winterbourne Gunner is a military site, we have no control over the accommodation. Rooms are allocated on the day of arrival.
Please bring your own towel and toiletries.
Breakfast, lunch and dinner is provided during the course, starting with breakfast on day one and finishing with lunch on the final day.
There is a café, cash bar, gym and cashpoint on site. Wi-Fi is available in the accommodation block, however, there is a charge, please speak with the Mess Manager for details.
Please complete the JESIP E-Learning module which is a mandatory pre course requirement. Bring a copy of your certificate as proof of completion on the first day of the course.
The following pre-learning material has been selected to help you prepare for your IRU training course. Most of the work should be revision, however, some of the material is designed to help you gain an understanding of CBRN and this will assist you with the classroom work.
You should be familiar with your Trust’s major incident plan, particularly the sections concerning and control as well as liaison with other organisations, and also the following documents;
- Trust Operational Guidelines including triage and toxidromes
- The Ambulance Service guidelines on dealing with radiological incidents and emergencies
- HART SOP’s
- An awareness of Public Health England and their role and responsibilities in an event of an incident
- Rail Incidents (Trust Policy)
It is also a requirement of the course for you to have read the following documents:
- Course Overview
- Candidates Charter
- CCA short guide
- HART IRU Initial Training – Aims and Objectives
- AACE Command and Control Guidance 2012
- Map reading introduction
- Full CR1 training ensemble – including Portacounted respirator, prescription optical eye pieces (if required), helmet and hydration system
- Flash hood
- Base layer and thick over-socks for wearing with PRPS
- HART-specification protective boots
- Second pair of trust issue footwear for classroom/dining
- Trust issued (or equivalent) JRCALC pocket book
- Padlock for locker
- Notebook and pen
- Week 4 of the course, you will be watching an explosive demonstration in the middle of a field, please bring wellington boots or suitable foot wear in addition to the above requirement.