Contact information
Newport Town Community First Responder Group Volunteer Expression of Interest Form
Newport Community First Responder Scheme is was launched live in 2017, our group’s volunteers respond to cardiac arrest calls within 5 k.m. of Newport town centre, directed by the National Ambulance Service (NAS), following a 999/112 call. With the possibility of high waiting times for emergency ambulances, our priority is to get get to patients and begin the chain of survival, with early CPR and defibrillation, as soon possible before the ambulance crew arrives.

Please complete this form if you are available to volunteer your time to respond to 112/999 cardiac arrest calls once a month, or more often. The information provided will only be used and retained by us as is necessary to contact you and provide you with relevant paperwork. An information pack will be emailed to you after completing this form.


Requirements:-
- Over-18 years of age, fit & healthy,
- Garda clearance (we will take care of this for you)
- Accepted proof of ID, and proof of address,
- Passport-style photo,

You will need to take some training all of which is provided free of charge.
- PHECC CFR Cardiac First Responder Community training (cardiac arrest - CPR & AED, heart/angina attack, chest pain, choking, stroke),
- Child protection training,
- Hand hygiene, infection prevention & control, and COVID-19/droplet precaution personal protective equipment training,
- Critical Incident Stress Management training, 
- Manual & patient handling, and any other training as required,

- Inform you motor insurer,
- Commit to meetings, ongoing training/upskilling, and keep certificates validated,
- Read and abide by NAS CFR policy and Code of Conduct, Child Safety Statement, and
- Complete & sign CFR Volunteer Declaration of Confidentiality, Policy & Procedures agreement.

All of the above necessary training and vetting will be provided free of charge to our volunteers.

Thank you for your interest,
Name *
Email *
Address *
Phone number
Are you over 18 years of age *
Do you hold a full Irish Driving Licence and Insurance
Clear selection
Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms