Review of CORE for Health Professionals

CORE enables a standardised approach to resuscitation in New Zealand. It is informed by objective evidence and promotes best practice.

The Certificate of Resuscitation and Emergency Care (CORE) is the New Zealand Resuscitation Council's flagship qualification and training programme. It is the accepted standard of resuscitation training for many of New Zealand's health professionals, and a recognised standard professional requirement for many health practitioners.

We'll be looking at all parts of CORE - from training courses to manuals, to instructor feedback and quality control.

The Review of CORE for Health Professionals is as an opportunity to ensure that CORE remains relevant to New Zealand Health Professionals for years to come.

Please see our letter to 1 July 2016 Letter to Stakeholders about expected developments.

CORE Providers should also check out information on implementation of CORE 2016

CORE Immediate and CORE Advanced to replace CORE levels

On 7 April 2016 we announced that current courses available across CORE Levels 4-7 will be replaced by two new courses: CORE Immediate and CORE Advanced.

This change will occur before the end of 2016, and new resources will be available for each course.

CORE Immediate and CORE Advanced take the knowledge and skills expected of untrained rescuers, basic trained rescuers/first aiders, and first responders as a baseline expectation for New Zealand health professionals. This includes:

  • Recognise unresponsiveness and absence of breathing
  • Know to call 111, recognise emergency signage, and follow instructions to do CPR and use an AED
  • DRS ABCD
  • Simple airway management including choking
  • First Aid skills
  • Use simple airway adjuncts, suction, bag-mask ventilation, and administer supplementary oxygen.

A mapping table showing the translation of skills and knowledge to the new CORE courses is given below. Note that some skills and knowledge currently covered in CORE Level 5 may sit within CORE Immediate, while other skills and knowledge may sit within CORE Advanced.

CORE 2016 - Mapping Table 

Rescuer

Characteristics

People who may be represented

Suggested skills and knowledge

Current CORE training

CORE training from mid 2016

Health Professional - responder

Holds a formal tertiary qualification in a health-related discipline and is relatively new to their area of practice

May encounter resuscitation events in their occupation or workplace with rapidly-available backup by advanced rescuers

Graduate nurses and midwives

Graduate anaesthetic technicians

Radiographers

Other trained support staff in hospitals and community health

Dentists

Emergency medical technicians

Recognition of the deteriorating patient

Teamwork

Advanced life support for adults and children

Understand "shockable" and "non-shockable" rhythms

Supraglottal airway adjuncts

Awareness of adrenaline and amiodarone in resuscitation

CORE Level 4

or

Modular CORE Level 4

CORE Immediate

Resource:

Resuscitation - A Guide for Health Professionals

Health Professional - early management

As above plus:

Is expected to manage resuscitation events until advanced rescuers arrive

Experienced nurses and midwives

Experienced anaesthetic technicians

General practitioners in metropolitan areas

Paramedics

As above plus:

Manual defibrillation

Awareness of Waveform capnography

Awareness of intra-osseous access

CORE Level 5

 

CORE Advanced

Resource:

Resuscitation - A Guide for Advanced Rescuers

 

 

Health Professional - advanced rescuers and medical providers

 

As above plus:

Is expected to manage and supervise resuscitation events as an advanced rescuer

Rescuer may hold a formal qualification in medicine

Hospital nursing supervisors

Senior nursing staff in units where resuscitations are common or expected (such as Critical Care Unit or Cardiac Intensive Care Unit)

Intensive care paramedics

Anaesthetic technicians on resuscitation teams

Registrars and specialists who do not work in emergency medicine, trauma, anaesthesia or intensive care

General practitioners in rural settings

As above plus:

Leading teams

Management of peri-arrest conditions

Advanced airway managment in teams

Consider and correct (4Hs, 4Ts)

Awareness of prognostication following cardiac arrest

Awareness of post-resuscitation care

A more complex understanding of conditions that lead to cardiac arrest, and post-arrest management

CORE Levels 6 and 7

Specialist medical provider

As above plus:

Specialises in providing resuscitation and emergency care

Doctors working in emergency medicine, trauma, anaesthesia, and intensive care

As above plus skills and knowledge that may include:

Advanced airway management

Cardioversion and pacing

Other advanced specialist skills

CORE Level 7 plus extra training not offered by NZRC

CORE Advanced plus extra training not offered by NZRC

 

Implementation - Information for Providers

Find out about the implementation of CORE Immediate, CORE Advanced, and CORE Skills. 

Removal of Intubation

As of 1 August 2014, intubation has been removed from CORE assessments.

Documents and resources

Course and Manual Review (8 November 2013, Palmerston North)

CORE 2014 and Beyond: Refreshed, Restored, Redefined (24 July 2014, Queenstown) 

Where can I find out more?

Contact us to find out more.