- Course duration: 4 week residential course
- Course category: Command, Resilience, TCC1
- Course category: null
- Start/finish time: Start time: 08:30hrs
Finish time on Fridays: 13:00hrs
- Course notes: Places on this course are only available to delegates who have successfully completed Module 1 - EDBA. To be eligible for this course you must have secured your HART Training Managers authorisation to attend. To reserve places on this course please contact your HART Training Manager.
The Incident Response Unit (IRU) Module 2&3 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 large scale transport incidents, counter terrorism response, building collapses, significant fires or working in water.
HART 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 HART 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 MOD 2&3 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 PPE and equipment
- CBRN Clinical aspects and countermeasures
- Detection, Identification and Monitoring equipment
- Risk Assessment and management
- Log writing
- Forensic awareness
- Multiagency awareness
- IED awareness
- Practical scenarios and assessments in all levels of HART IRU PPE
- Intentional Chemical Exposure
- Ballistic awareness
- Manual handling and lifting techniques
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
- 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 equipment
- Demonstrate competence in JRCALC procedures relevant to HART deployments
- 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 confirmation exercises and scenarios.
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.
|Refer to the National Ambulance Service Command and Control Guidance 2019 and any other relevant ambulance specific guidance relating to major incidents
|Have a Hazardous Area Response Team (HART) in line with the current national service specification, including a vehicles and equipment replacement programme
|Explain the arrangements for managing triage, treatment and transport for casualties
Places on this course are only available to delegates who have successfully completed Module 1 – EDBA.
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. DELEGATES MUST BE IN DATE FOR THEIR PCA PRIOR TO ATTENDANCE ON THIS COURSE DUE TO PRACTICAL ELEMENTS.
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.
If you have any special educational needs which may impact your learning, please ensure you discuss this with your HART Training Manager who inform NARU Education.
Due to wearing respiratory protective equipment on the practical elements of the course, all delegates are required to be clean shaven.
As per NARU Education Course attendance policy the following must be adhered to:
- Jewellery – is not allowed under any circumstances by candidates undertaking training.
- Rings, including wedding rings must either be removed or covered with tape.
- All body piercings must be removed. Flesh tunnels must be blanked or covered with tape.
- In order to promote a professional image, candidates must ensure that they keep their hair clean and tidy. Long hair must be tied up.
- Hair extensions that are secured by metal clips must also be removed.
- Makeup – As per the manufacturers guidance and RPE regulations, the wearing of makeup is not permitted due to the risk it poses to not only your face fit seal but the face mask material itself.
The dress code for the course is normal Trust uniform. This must consist of a clean collared shirt or polo shirt and trousers and clean boots.
Please be advised that the dress for all guests in the mess is respectable and non-revealing. Delegates are reminded that they are representing their Trust (and the Ambulance Service) whilst on a military establishment and must act accordingly. 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, hoodie 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
Photo identification is required for access to DCBRNC. Please ensure you arrive with enough time to complete the security process, this may take an additional 15 minutes or up to 1 hour during busy periods. May we suggest that you visit the site the day before (anytime as it is open 24hrs) to get your photo security pass and allow quicker entry on the morning of your course.
Unless otherwise stated 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 en-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. For additional comfort may we suggest that you bring your own pillow(s). (However, pillows are provided)
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 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 MOD 2&3 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;
- The Ambulance Service guidelines on dealing with radiological incidents and emergencies
- 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:
- NARU CANDIDATE CHARTER A3 V2NH
- CCA short guide
- You must also read the following documents:[ PDF ] Initial Operational Response (IOR) to Incidents Suspected to Involve Hazardous Substances or CBRN Materials – JESIP, Jan 2023
- Full NXGEN ensemble including hydration vest and portacounted FM53
- FFP3 (correct size fit tested) x3
- Trust issued incident ground helmet (that you were portacounted with)
- Sports Kit
- Trust issued eye protection
- Base layers & plastic boxes that were issued during the Module 1 course
- Thick over-socks for wearing with PRPS if required
- HART-specification protective boots as per EDS 00240
- Second pair of trust issue footwear for classroom/dining
- Access to JRCALC
- Notebook and pen