FPOS Enhanced / Advanced?

A

AdamGent

Longterm Registered User
Does anyone have any information on the elusive FPOS Enhanced course?

I don't know if this is old news to you guys or not but I have not found much on 'FPOS Advanced' (as commonly referred to in previous discussions) and this is probably because Edexcel/IHCD and RCS have approved the next level in FPOS training as "FPOS Enhanced".

One of the developers was West Midlands Ambulance service and AFAIK it is only being rolled out selectively to Fire crews and some CFRs.

I do not know if/when it will be commercially available. I assume there will be enhanced entrance criteria.

If anyone has and more information I would be interested to know.
 
Yes mate, I have been in discussions with IHCD and at present the Enhanced is only being rolled out for public sector whom have a clinical requirement for it and have clinical top cover. At this stage, not a commercial venture.
 
No wonder it was hard to find any information on it, I've always searched for 'Advanced'

After a google of 'Enhanced' I found this pdf;

http://www.wmas.nhs.uk/pdf/Paper 09...rvice Delivery and Performance Management.pdf


Looks like it will be the intermediate plus additional airway ( LMA or Igels? ) ECG interpretation and some drugs adrenaline, salbutamol and aspirin.


I did imagine any enhanced course would include taking blood sugar levels and being able to treat appropriately i.e hypostop or even glucogen. But then thats IM whereas the others listed would probably be the epi-pen/auto injector, nebs, and pill form so that would be an extra skill set that might not be safe to teach with skill retention and levels of understanding in the short courses.


Any one heard more?
 
Oceans said:
No wonder it was hard to find any information on it, I've always searched for 'Advanced'

After a google of 'Enhanced' I found this pdf;

[url]http://www.wmas.nhs.uk/pdf/Paper%2009%20Item%2010.2%20Report%20of%20Director%20of%20Service%20Delivery%20and%20Performance%20Management.pdf[/URL]


Looks like it will be the intermediate plus additional airway ( LMA or Igels? ) ECG interpretation and some drugs adrenaline, salbutamol and aspirin.


I did imagine any enhanced course would include taking blood sugar levels and being able to treat appropriately i.e hypostop or even glucogen. But then thats IM whereas the others listed would probably be the epi-pen/auto injector, nebs, and pill form so that would be an extra skill set that might not be safe to teach with skill retention and levels of understanding in the short courses.


Any one heard more?
Click to expand...

Oceans just thought i would point out that Glucagon is licenced for administration via the Sub Cutaneous, Intra-Muscular and Intra venous routes, so this drug is far easier to administer in theory.
regards
Phecta
 
I never knew you could deliver the drug Sub-Cutaneously, does it come in an auto-injector form like the epi/ani-pen. Or does the dose change between adult patients?

I'm wondering what reason there would be for not including it in the enhanced course as I would imagine it would come in more useful in the rural setting than adrenalin just in terms of hypos being more common than anaphylaxis. Although from that pdf it lists the drugs as 'such as' which means there could be more thats not mentioned.


Paul
 
That's essentially it mate, enhanced skills for the first responder including some tech drugs. Again, it is intended to support NHS CFR programmes at this stage and is not commercially available.
 
Will be good to see the course material, even if it is just out of interest. I am a CFR but not rural so its not likely that we would train to this level, just a 'nice to know'. I know a few techys that were first responders before and say some of the stuff should be included so its good that they are making the progress.


Paul
 
Looks like drugs are coming more and more into the fore.

As a member of the BRC (with the BRC/IHCD enhanced first aid for ambulance crews) we have been getting training in some tech drugs. Nebs/epipen/GTN and such like.
Our course, unlike the fpos-I is geared towards ambulance work, with lessons on a&p medical conditions, trauma, using the kit on the ambulance, strechers, collars, boards, peak flow, fracture kits, traction splints, med gasses, aed etc. There is also huge element of manual handling. I'm not saying I'm an IHCD tech, by any means, but it's good to see that recognised tickets with IHCD/edexcel now are gearing up for the real world.
 
Right, here's one for you guys out there.

Today, I was told that exmed were saying that MIRA is FPOS advanced. This is particularly important because one of the big player in the pit is requiring that all their operators on one of their sites is MIRA on the back of this claim.

It irritates me that MIRA has been stipulated in favour of any number of other TPs that all offer much the same training - namely FPOSi which is sexed up and given a war fighting gucci name.

Before I start throwing fooks at people, I thought I'd get an opinion from other.

Any ideas guys?

Personally, I think they're talking shite, but I'm more than willing to be put right.

Keep safe,

Starlight Out
 
I believe that the FPOS enhanced also has a 60 hour supervised clinical attachment requirement to pass the course ?.

Russ
 
How can one TP claim to have FPOS Advanced/enhanced?? courses......... Edexel should come out and say wether this is correct.. if so..fair play to them, but.... until then..
 
Where did you get that from Russ. Is that a local or universal thing? I have to say that this advanced/enhanced FPOS thingy is new to me, and just sounds like someone trying to increase their profits.

Can't help thinking that this particular TP is talking shite. Trouble is people will buy into it without realising, so I'm attempting to clarify the situation before I go toe to toe with the salesman.
 
Hello
We first heard of the 'enhanced and advanced' FPOS last year and so were keen to know more. We spoke to IHCD, Edexcel, RCS, Ed and BASICs. What we were told is that some NHS trusts who have community reponders were adding certain modules to the FPOS-I course to enhance their individual trust and patients needs ie, those responders working far from normal nhs support. There has been some discussion about an 'advanced' course to follow on from the basic and then the intermediate but this is still some time away due to the differing wants and needs of NHS trusts. So in a nutshell from all those involved their is no certified enhanced or advanced course as of yet. This may be a gucci title for a TP who is giving their students more than just the FPOS-I course. We at The Medical Wing Ltd have a gucci HEMs course that is a Hostile/Hazardous Environment Medics course that awards the student an IHCD FPOS-I certificate but has extra modules that we KNOW they will need as the FIRST person on scene over seas. We do not try to confuse anyone and are very open about what you do get on our courses. If we can be of any further help please contact us at info@the-medical-wing.com
I hope that this has helped, stay safe, Chef
The Medical Wing - Medical Training, Equipment Supply and Medical Consultancy
 
I work on a couple of Co-Responder Schemes as well as paid work for NHS Ambulance Trusts.

My understanding is that FPOS Enhanced is only available to NHS Ambulance trusts and that there are no plans to expand that. More info on my blog at IHCD FPOS Advanced / Enhanced Update August 2011 - NHS First Response

Reasons are that the drugs issued need to be under a directive, with the trust's medical director sign off.

BMs are considered minimally invasive, but again need approval.

Joint Royal Colleges Ambulance Liaison Committee (JRCALC) who approved the course (collection of the most senior medical bodies in the UK) have placed the NHS trust only restriction.

Only way round this for overseas work is messy, gain sponsorship of the medical director of the organisation you are working for, undertake training and get a specific sign off and then submit the protocol to the local authorities for approval. That is how some of the NGOs allow non nursing staff to administer vaccines in remote locations.

P.
 
Hey I'm new to the forum and been looking through some of the topics on medical courses as I am interested to get back into it as been away for a few years. I recently did my IHCD First person on scene intermediate course in Essex, was a very good week with some great instructors as well as a great venue. I was looking at going higher and come accross this thread about the enhanced course. Same as you guys commenting I did look at companies delivering this course as to what i've heard it is going to be level 3 which would be handy as if the company is registered I can use my resettlement money. I too heard it isnt commercial yet however just this week I've had an email from the company who did my intermediete training saying they are now registered to do the enhanced course being the only non NHS centre to have this and im booked on in June. As a bonus too they are ELCAS registered. They can fbe found on the ELCAS website as I dont know the rules on here about name dropping / advertising comapanies etc.
 
cheers starlight and the-medical-wing reading your posts are very interesting and now I'm waiting out cos I was intending to do a MIRA course with said TP as I keep hearing FPOS is old hat now spec in Iraq oil n gas as starlight points out someone is now saying MIRA is the way to go, what I want is 2 things from my TP 1: value for money 2: recognised civilian qualification. should add on through teaching and testing and up to date practices also....so make that 3 or would that be 4 lol.... cheers....

will this ever be clarified so TP's and CP companies can get on board and come out with a 1 fits all course (obviously some things will be added due to personal situations)
 
There is one company I know that delvers the FPOS advanced over 10 days THAMES AMBULANCE TRAINING it is open to persons who have FPOS I etc.


Would rather be judged by twelve than carried by six
 
The costs are £914 plus VAT for the 10 day Level 3 Enhanced FPOS course and £76 for registration fee

Or £457 plus VAT for the second week if you already hold FPOS I, the registration fee is £50

There is also a requirement to complete a 20 hour clinical placement in order to achieve the requirements for the Level 3 certificate.
 
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