1. DEBRIEF checklist for managing a
FIRST AID INCIDENT - Date: / /2014 YES
or
NO?NAME:
Circle “Y” for Yesor “N” for No
Did you assess for DANGER and MINIMISE CROSS INFECTION to all
concerned?
Y N
Did you introduce yourself appropriately to the casualty/s as a TRAINED
FIRST AIDER?
Y N
Did you attempt gaining the casualty/s’ CONSENT? Y N
Did you attempt to gather any CASUALTY/S’ EVENT and/or PERSONAL
HISTORY?
Y N
Did you assume a LEADERSHIPROLE? Y N
Were the casualty/s’ CONDITIONS PRIORITISED? Y N
Were any TASKS effectively delegated to others and CARRIED OUT as
appropriately as possible?
Y N
Did you COMMUNICATE EFFECTIVELY with others? Y N
Were EMERGENCY SERVICES ALERTED (and an A.E.D. called for if
appropriate) in a TIMELY MANNER?
Y N
Was 000 kept continuously advised of the CASUALTY and INCIDENT/S’
ONGOING PROGRESS?
Y N
Did you record and DOCUMENT, TIMELINING any relevant incident
information?
Y N
Was there an effective HANDOVER to PARAMEDICS? Y N
Was/were the casualty/s REASSURED throughout? Y N
Were ALL available RESOURCES used effectively? Y N
Was/were the casualty/s’ CONDITIONS MANAGED effectively? Y N
Was/were the casualty/s CONTINUOSLY MONITORED & REASSURED? Y N
Was an INDIVIDUALWELLBEING assessment held for all team members
as part of this DEBRIEF?
Y N
Copyright 2014–A. Libregts and P.Gilbert
DEBRIEF checklist for managing a
FIRST AID INCIDENT - Date: / /2014 YES
or
NO?NAME:
Circle “Y” for Yesor “N” for No
Did you assess for DANGER and MINIMISE CROSS INFECTION to all
concerned?
Y N
Did you introduce yourself appropriately to the casualty/s as a TRAINED
FIRST AIDER?
Y N
Did you attempt gaining the casualty/s’ CONSENT? Y N
Did you attempt to gather any CASUALTY/S’ EVENT and/or PERSONAL
HISTORY?
Y N
Did you assume a LEADERSHIPROLE? Y N
Were the casualty/s’ CONDITIONS PRIORITISED? Y N
Were any TASKS effectively delegated to others and CARRIED OUT as
appropriately as possible?
Y N
Did you COMMUNICATE EFFECTIVELY with others? Y N
Were EMERGENCY SERVICES ALERTED (and an A.E.D. called for if
appropriate) in a TIMELY MANNER?
Y N
Was 000 kept continuously advised of the CASUALTY and INCIDENT/S’
ONGOING PROGRESS?
Y N
Did you record and DOCUMENT, TIMELINING any relevant incident
information?
Y N
Was there an effective HANDOVER to PARAMEDICS? Y N
Was/were the casualty/s REASSURED throughout? Y N
Were ALL available RESOURCES used effectively? Y N
Was/were the casualty/s’ CONDITIONS MANAGED effectively? Y N
Was/were the casualty/s CONTINUOSLY MONITORED & REASSURED? Y N
Was an INDIVIDUALWELLBEING assessment held for all team members
as part of this DEBRIEF?
Y N
Copyright 2014–A. Libregts and P.Gilbert