Unit of competency details

HLTFA404A - Apply advanced resuscitation techniques (Release 1)


Usage recommendation:
Is superseded by and equivalent to HLTFA404B - Apply advanced resuscitation techniques 24/Mar/2011

ReleaseRelease date
1 1 (this release) 18/Jul/2008


SchemeCodeClassification value
ASCED Module/Unit of Competency Field of Education Identifier 069907 First Aid  

Classification history

SchemeCodeClassification valueStart dateEnd date
ASCED Module/Unit of Competency Field of Education Identifier 069907 First Aid  03/Dec/2007 
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Modification History

Unit Descriptor

This unit deals with the provision of advanced first aid resuscitation techniques, life support, and management of casualty(s), until the arrival of medical or other assistance, and provision of support to other providers

Application of the Unit

Training Package users should ensure implementation is consistent with any specific workplace and/or relevant legislative requirements in relation to first aid, including State/Territory requirements for currency

Application of these skills and knowledge should be contextualised as required to address specific industry, enterprise or workplace requirements and to address specific risks and hazards and associated injuries

Licensing/Regulatory Information


This unit should be assessed after achievement of one of the following related competency units:

HLTFA301B Apply first aid

HLTCPR201A Perform CPR or 

HLTFA201A Provide emergency life support

In general it is recommended that people using advanced resuscitation techniques have completed HLTFA301B Apply first aid 

However, it is recognised that some employers require staff to be able to apply advanced resuscitation techniques without requiring this first aid competency

Employability Skills Information

The required outcomes described in this unit of competency contain applicable facets of Employability Skills

The Employability Skills Summary of the qualification in which this unit of competency is packaged will assist in identifying Employability Skill requirements

Elements and Performance Criteria Pre-Content

Elements define the essential outcomes of a unit of competency.

The Performance Criteria specify the level of performance required to demonstrate achievement of the Element. Terms in italics are elaborated in the Range Statement.

Elements and Performance Criteria

Elements and Performance Criteria 


Performance Criteria 


Prepare resuscitation equipment ready for use


Undertake pre-use check of resuscitation equipment in accordance with organisation procedures, manufacturer's instructions, industry standards and regulatory requirements


Diagnose minor equipment faults and rectify within the scope of organisation procedures and manufacturer's instructions


Identify and deal with major faults and defects in accordance with organisation procedures


Apply bag and mask resuscitation technique


Assemble the bag valve mask resuscitation device


Use the bag valve mask device in the delivery of CPR


Select and use an oropharyngeal airway to maintain a casualty's airway


Rectify issues preventing adequate treatment as they arise


Attach and operate an AED


Prepare the casualty in accordance with manufacturer's requirements and ARC Guidelines.


Attach the AED  and operate in accordance with organisation procedures, manufacturer's guidelines, ARC guidelines and state legislation  


Coordinate the operation of the AED  with the resuscitation team to minimise interruption to CPR efforts


Administer oxygen


Apply the medical and safety precautions associated with storing, handling and administering oxygen


Select and operate oxygen masks and cannulae in delivery of oxygen therapy


Provide oxygen to a bag valve mask device


Provide supplemental oxygen to a breathing casualty


Operate suction equipment


Apply medical and safety precautions associated with the provision of manual and oxygen powered suction devices


Select and operate suction catheters and devices


Provide suction during the application of advanced resuscitation techniques


Restore and maintain equipment ready for future use


Clean, discard, disinfect, replenish and recharge equipment  in accordance with organisation procedures and manufacturer's instructions


Diagnose and rectify minor faults within the scope of organisation procedures and manufacturer's instructions


Identify and deal with major faults and defects in accordance with organisation procedures

Required Skills and Knowledge

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge :

Working knowledge of:

Legal responsibilities and duty of care, including confidentiality

Basic anatomy (skeleton, muscles, joints, bones), physiology and toxicology as it relates to the provision of advanced first aid resuscitation, including: . relevant organs of the cardio pulmonary system and their operation . basic electrical activity associated with normal and abnormal heart rhythm

ARC Guidelines and/or State/Territory regulations, legislation and policies relating to provision of first aid

Procedures for dealing with major and minor accidents in the workplace

Infection control principles and procedures, including using standard precautions

How to gain access to and interpret material safety data sheets (MSDSs)

Company/organisation standard operating procedures (SOPs)

Priorities of management in first aid

Occupational health and safety requirements in the provision of first aid.

Capabilities of emergency management services

First Aiders' skills and limitations

Safe storage and handling procedures for pressurised gases, oxygen and battery operated equipment

Chain of survival, including:

purpose of bystander CPR

aim and function of Advanced Resuscitation techniques in the Chain of Survival

Benefits of providing oxygen to a casualty and of providing suction during the application of advanced resuscitation techniques

First aid management procedures in accordance with ARC Guidelines, State/Territory regulations, legislation and policies and organisation requirements for equipment and conditions identified in the Range Statement and including:

use of bag valve mask device, AED, oxygen therapy equipment, manual and oxygen powered suction, and oropharyngeal airways

sudden cardiac arrest

collapse, unconsciousness


airway management including foreign body airway obstruction


Incident management procedures:

manual handling, hazardous substances, dangerous goods or chemicals

safe access to the casualty

awareness of confined spaces and dangerous places

removal of casualty to safe area, if appropriate

coordinate activities of other first aiders, if applicable

continued  ...

Essential knowledge  (contd ):

Complications and associated methods of management for conditions identified in the Range Statement

State and territory regulations, or organisation policy requirements relating to currency of skill and knowledge

Social issues, especially in particular workplace or community context(s) in which first aid is to be applied, including:

importance of debriefing

need to be culturally aware, sensitive and respectful


own skills and limitations

awareness of stress management techniques and available support

Essential skills :

Ability to:

Manage specific injuries/illnesses and conditions as identified in the Range Statement for this competency unit

Conduct an initial casualty assessment

Plan an appropriate first aid response in line with established first aid principles, policies and procedures, ARC Guidelines and/or State/Territory regulations, legislation and policies and industry requirements and respond appropriately to contingencies in line with own skills

Apply appropriate resuscitation techniques, including use of:

oxygen in resuscitation and oxygen therapy

bag valve mask resuscitation device


mechanical and oxygen powered suction devices

oropharyngeal airways


assembly of the bag valve mask resuscitation device

effective use of the bag valve mask device on a manikin

selection and use of an oropharyngeal airway

correct selection and operation of oxygen masks and cannulae

provision of oxygen to a bag valve mask device

provision of supplemental oxygen to a breathing patient

correct selection and operation of suction catheters and devices

safe manual handling

adequate infection control procedures

consideration of the welfare of the casualty

safe storage and handling procedures for pressurised gases and battery operated equipment

continued  ...

Essential skills  (contd ):

Ability to:

Incorporate the use of all equipment into effective treatment of illness/injuries specified in the Range Statement

Demonstrate the application of first aid principles

Comply with OHS legislation

Administer oxygen in line with state/territory regulations, legislation and policies and any available medical/pharmaceutical instructions

Prepare a written incident report or provide information to enable preparation of an incident report

Interpret and use listed documents

Communicate effectively and assertively and show leadership in an incident

Make prompt and appropriate decisions relating to managing an incident in the workplace

Use literacy and numeracy skills as required to read, interpret and apply instructions, guidelines and protocols

Call an ambulance and/or medical assistance according to relevant circumstances and report casualty's condition

Evidence Guide

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects of assessment :

Assessment must include demonstrated evidence of specified Essential Knowledge and Essential Skills identified in this competency unit

Competence should be demonstrated working individually and, where appropriate, as part of a first aid team

Consistency of performance should be demonstrated over the required range of situations relevant to the workplace or community setting

Currency of first aid knowledge and skills is to be demonstrated in line with State/Territory regulations, legislation and policies, ARC and industry guidelines

Method of assessment may include :

Skills in performing advanced resuscitation procedures are to be assessed through demonstration, with questioning to confirm essential knowledge

Skills are to be assessed through simulations, using anatomical models, manikins or in a high fidelity simulation centre

For assessment purposes, demonstration of skills in CPR procedures require using a model of the human body (resuscitation manikin) in line with ARC Guidelines

Access and equity considerations :

All participants undertaking this unit should be aware of access and equity issues in relation to their own area of work or involvement

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities

Range Statement


The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Contextualisation to address specific requirements may include :

Focus on first aid management of specific types of injury

First aid provision under specific constraints or circumstances (eg. in confined spaces, in maritime work environment or in work environment involving identified risks/hazards)

First aid management must take into account :

Workplace policies and procedures

Industry/site specific regulations, codes etc.

OHS requirements

State and territory workplace health and safety requirements

A hazard is :

A source or situation with the potential for harm in terms of human injury or ill-health, damage to property, the environment, or a combination of these

An AED is :

Automatic External Defibrillator

Semi-automatic External Defibrillator

Hazards may include :

Physical hazards

Biological hazards

Chemical hazards

Hazards associated with manual handling

Risks may include :

Risks from worksite equipment, machinery and substances

Risks from first aid equipment (oxygen cylinders, AED)

Environmental risks

Exposure to blood and other body substances

Risk of further injury to the casualty

Risks associated with the proximity of other workers and bystanders

Risks from vehicles

Fallen power lines, step and touch potential

Casualty's condition is managed for :

Sudden cardiac arrest


Foreign body airway obstruction

No signs of life

Respiratory distress



First aid management skills must include in accordance with ARC Guidelines , state /territory regulations , legislation and policies and industry requirements :


Infection control


Oxygen administration

First aid management must account for :

Location and nature of the workplace

Environmental conditions e.g. electricity (high or low voltage), biological risks, weather, motor vehicle accidents

Location of emergency services personnel

Number of casualties and potential casualties

Use and availability of first aid equipment, resources and pharmaceuticals

Types of dangers/risks to the casualty and any others in the vicinity of the situation

Confined spaces, subject to industry need

Resources and equipment are used appropriate to the risk to be met and may include :

Oxygen therapy equipment (e.g. masks, cannulae and tubing) and cylinders

Bag valve mask resuscitation device


First aid kit

Resuscitation mask or barrier device

Mechanical and oxygen powered suction device

Oropharyngeal airway




Cleaning wipes or towels

Information to be documented may include :



Description of condition of patient

First aid management

Administration of medication including:



person administering


Number of electrical shocks attempted

Vital signs

Established first aid principles include :

Checking the site for danger to self, the casualty and others and minimising the danger

Checking and maintaining the casualty's airway, breathing and circulation

Unit Sector(s)