The IRU Assurance Course is intended to provide assurance of HART and operational command interoperability to mass casualty incidents requiring a multi-team response or when providing mutual aid.
The course refreshes key IRU skills, by the provision of central updates. It also provides opportunity for practical’s and exercise.
As a result of feedback and, to ensure high standards of delivery the centre has again updated the course. The aim is to run two full days and two half days over the delegates training week. There will be minor variations to cater for both seven and five week rotations.
The overarching aim is to provide a development opportunity for HART operatives and Team Leaders across all Trusts to attend clinical revision and assurance exercises.
The module will focus on revising CBRN triage and treatment procedures, toxidrome recognition and updates on Command and Control Guidance. The theory and practical sessions will provide an excellent opportunity to learn from the lessons identified following clinical evaluation of large regional and national exercises.
There will be a series of short exercises and practical sessions focusing on CBRN and HAZMAT. There will also be an introduction to working around height and unstable structures. The teams are drawn from a mix of Trusts, therefore providing an excellent opportunity to share and learn from differing operational experiences and best practice.
In addition a final exercise will be conducted that facilitates a multiple team response, providing an opportunity to practice procedures for a larger incident involving mutual aid arrangements.
The innovative theory and practical sessions will provide teams, HART managers and Trusts with assurance of interoperability between teams. They will also provide an opportunity to identify common themes, best practice and lessons that can be included in further local or national training events.
The maximum number of candidates is 18 per course, comprised of six person teams or individuals /smaller groups from all 15 HART units. It may be possible to extend the opportunity to devolved administrations, thus enhancing the candidate experience. Trust managers and trainers will be more than welcome to attend as observers or to assist in session delivery.
Course Programme contents
- Clinical revision and update
- National guidance document reviews
- Log writing
- Update on UK terrorism threats
- Discuss operational learning, experience and best practice from incidents attended across Trusts
- A variety of practical’s utilising HART PPE and procedures in a number of challenging scenarios, focused on patient triage, treatment and extrication.
- Multi-team final exercise revising command and control arrangements, triage and treatment of multiple casualties in a complex environment
Intended Learning Outcomes
On completion of the course delegates will able to demonstrate
- Effective triage and treatment and major incident procedures
- Recognition of patients displaying signs and symptoms of CBRN poisoning, toxidromes and the recognition of CBRN agents and toxins
- Treatment of patients exposed to CBRN substances with severe traumatic injuries
- Describe the indications and contra indications for use of CBRN countermeasures
- Practical application of HART SOP’s focusing on triage, treatment and extrication to a CCP
- Practical application of casualty collection point (CCP) including treatment of patients at the CCP
- Knowledge of JESIP principles and the Command and Control Guidance (2015) in practical multi-team exercises
- Knowledge of revised CBRN response guidance (2014)
The course maps to the following HART National CPD Modules (Under Review and subject to change):
- IRU/1/3-9, 11 Command and Control
- IRU/2/1 Emergency Procedures
- IRU/3 Scene Safety and Risk Assessment
- IRU/4 Casualty Collection Point
- IRU/6 CR1
- IRU/7 EDBA
- IRU/8 GTCPS
- IRU/9 PRPS
- IRU/11a-e DIM
- IRU/12 Mass Oxygen System
- IRU/13 Immobilisation and Extrication Devices
- IRU/15 CBRN and Mass Casualty Cubes
- IRU/16 Casualty Handling
- IRU/17 CBRNe Patient
- IRU/18 Triage
- IRU/19 EZ-IO
- T10 Safe Working at Height
(Not all candidates will cover all competencies due to various roles in the practical exercises.)
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|
|9.9||Have 24-hour radiation protection supervisor arrangements in line with local and national mutual aid arrangements|
|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 course is targeted at HART staff in order to refresh and update their practice and afford the opportunity of participating in a number of immersive practical exercises. You must be a current HART operative or HART team leader and have secured your manager’s authorisation to attend.
We recommend you attend an IRU Assurance course every two years after completing the IRU Initial course.
This course is only open to existing HART staff that have maintained competencies in all HART Specific PPE (i.e. CR1/PRPS/BA etc.). Students must be physically fit and able to complete all aspects of the HART remit.
Comments from previous attendees
- “This course is vital in ensuring an effective mutual aid response to major incidents nationally.”
- “A great opportunity for HART staff from around the country to meet and share ideas and experiences.”
- “Excellent course, really good to work with colleagues from other HART units.”
Methods of Delivery
Mixture of discussions, presentations and immersive exercises revising practical application of HART SOPs focusing on patient triage, treatment and extrication.
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. 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, hoddie and body warmers including fleece jackets (cloakrooms are provided for outdoor coats)
Due to wearing respiratory protective equipment on the practical elements of the course, all delegates are required to be clean shaven.
This course is held at:
The NARU Education Centre
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.
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 and gym on site. Wi-Fi is available in the accommodation block, however, there is a charge, please speak with the Mess Manager for details.
This course will include a continual assessment process and has been aligned to the national HART SOPs, which are available to view on the PROCLUS website.
All candidates should be familiar with the AACE Command and Control Guidance 2015, particularly the IIMARC briefing tool which will be used throughout the course.
- Full Incident Ground Kit (including eye, foot, hand and head protection) and personal IS torch
- BA flash hood
- BA Sets and Cylinders
- Full CR1 training ensemble – including helmet and hydration system
- PRPS training suit
- Gas Tight Suit
- Live AIT kit (in case of Mutual Aid)
- SWAH equipment (including recovery pack)
- HART-specification protective boots
- Second pair of trust issue footwear for classroom/dining
- Padlock for locker
- Packed lunch for first day
- Notebook and pen
- Water bottle (to refill from our water fountain, we no longer supply bottled water)