Occupational First Aid Course

Presented by

6/7/2011 4:59 PM

Presented byPeter Fleming BSc(F.S.T),M.B.A,DSHWW ,

Grad IOSH, MCMI Alcam Health & Safety Ltd

Housekeeping

• Exits

• Start / Finish

• Coffee Breaks

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• Coffee Breaks

• Phones

• Notes

• Assessment

Course Content• Unit 1 : First aid in the workplace

• Unit 2 : Patient assessment

• Unit 3 : Respiratory emergencies

• Unit 4 : Cardiac first response

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• Unit 4 : Cardiac first response

• Unit 5 : Wounds and bleeding

• Unit 6 : Altered levels of consciousness

• Unit 7 : Musculoskeletal injuries

• Unit 8 : Burns and scalds, chemicals, electric

shock

TimetableDay 1 :

9.00 Registration

Introductions

Unit 1

10.30 Coffee

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10.30 Coffee

11.00 Unit 2 + 3

1.00 Lunch

2.00 Unit 4

CPR

4.00 Homework

TimetableDay 2 :

9.00 Revision

9.15 Unit 5

10.30 Coffee

11.00 Unit 6

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11.00 Unit 6

Role Play

1.00 Lunch

2.00 Unit 7 + Unit 8

3.30 Role Play

TimetableDay 3 :

9.00 Revision

9.45 Exam

10.30 Coffee

11.00 Practical Role Play

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11.00 Practical Role Play

1.00 Lunch

2.00 Assessments

4.30 Finish

Legislation

• Safety, Health and Welfare at Work Act 2005. Section 11 Emergency Procedures.

• SHWW Regulations 2007. Part 7, Chapter 2.

• Guide to the SHWW Regulations 2007.

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• Guide to the SHWW Regulations 2007.

• Safety Statements

• Risk Assessments

• Medication / Aspirin. 1st June 2008.

Unit 1 : First Aid in the

Workplace

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Workplace

Objectives• List the Aims of First Aid• List your responsibilities• Understand the importance of safety• Be able to make an emergency phone call

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call• List the priorities of treatment • Be able to define the primary / secondary survey

• Describe the importance of reporting• Describe the importance and process of protecting oneself

Employers Duties• to provide first-aid materials /equipment

• Depending on the size and/or specific hazards of the workplace, trained occupational first aiders must also be provided.

• First aid rooms must be provided where appropriate

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• First aid rooms must be provided where appropriate

• These rooms must be properly equipped with first aid equipment and facilities.

• Necessary external contacts must be made as regards first-aid and emergency medical care.

• Information must be provided to employees.

‘’First Aid’’(a) Treatment in a life threatening situation ( e.g. heart stoppage or severe bleeding) pending medical

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severe bleeding) pending medical help, or

(b) Treatment for minor injury ( e.g. cuts or bruises)

‘’Occupational First-Aider’’A person trained and qualified in

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A person trained and qualified in Occupational first - aid

• To be trained and certified as competent at least once every 2 years by a registered occupational

Occupational First Aider Duties

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years by a registered occupational first aid training provider.

• To ensure first aid box is maintained

• To communicate with employer regarding first aid aspects

• To report accidents/illnesses

Aim in providing Treatment in First Aid

The three P’s

• Preserve Life

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• Prevent further injury

• Promote recovery

Life Threatening Conditions

• Asphyxia

• Bleeding

If any of these conditions are present, immediate

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• Bleeding

• Cardiac arrest

• Shock

immediate treatment must be given to prevent possible loss of life.

Your Responsibilities as an Occupational First Aider

1. Assess the situation

2. Assess the casualty

3. Call for Help

4. Make a diagnosis

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4. Make a diagnosis

5. Provide treatment

6. Arrange transport

7. Remain with the casualty

8. Make a report

9. Prevent cross infection

10. Look after yourself

Survey the scene

– Calm Approach

– What happened

1. Assess the situation

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– What happened

Scene Safety

– Yourself

– Casualties

– Bystanders

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2. Assess the casualtyPrimary survey

– Medical emergency

A Airway ( open and clear airway)

B Breathing ( look, look, listen and

feel)

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feel)

C Circulation ( look and listen for

signs of life and bleeding)

D Disability ( levels of responsiveness)

E Examination ( head to toe / medic

alert)

2. Assess the casualtyPrimary survey

– Trauma emergencyA Airway – Open airway with a jaw

thrust

c Cervical Spine management

B Breathing – Look, listen and feel

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B Breathing – Look, listen and feel

C Circulation – Look ,listen and feel for

signs of life

D Disability – Level of responsiveness /

pinch

E Examination – Expose, examine and

treat.

2. Assess the casualty

SAMPLE : ( if conscious )

• Some questions to ask the patient

Signs & Symptoms

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Signs & Symptoms

Allergies

Medication

Previous Medical History

Last Meal

Event

3. Summon HelpEmergency Services 112 / 999

Do NOT hang up until told to do so

by operator!!!

• Service required

• Your phone number & location

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• Your phone number & location

• Number of casualties

• Type of incident

• Type of injuries

• Any Hazards

• How long will they be

4. Make a diagnosis

Secondary Survey

–History

– Signs

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– Signs

– Symptoms

4. Make a diagnosisVital signs

• Pulse

• Breathing

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• Eyes

• Temperature / Skin Colour

• Head to Toe Examination / medical

identification

4. Make a diagnosis

Pulse rates

• Normal pulse of an Adult at rest

60 – 100

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60 – 100

• Radial pulse

• Carotid pulse

5. Provide Treatment

Remember treat the Priorities

•Breathing

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•Breathing

•Bleeding

•Unconsciousness

6. Arrange Transport

• Ambulance

• Next of kin

• Friend

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• Friend

• Responsible adult

7. Remain with Casualty

• In case condition deteriorates

• To report to medical personnel / next of kin etc.

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next of kin etc.

8. Make a report

• Report observations to those taking over care of casualty (provides continuum of care)

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(provides continuum of care)

• Report Book

• Cardiac First Responder Report

8. Make a report

• Casualty’s name

• History of the incident

Where is your accident report book?

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• History of the incident

• Time and date of incident

• Description of any injuries

• Treatment given

9. Prevent cross infection• Wash hands, cover cuts

• Do not cough, breath, sneeze over wounds

• Wear Personal Protective Equipment (PPE)

– Airborne (masks)

– Touch (gloves, pocket mask)

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– Touch (gloves, pocket mask)

– Absorption (apron, protective sheets)

• Immunisation

• Dispose of waste safely (especially sharps)

ALWAYS WEAR GLOVES

10. Look after yourself

Protect yourself from

• Injury

• and infection and spread of

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• and infection and spread of infection

Look after yourself• Look after psychological health

– Satisfaction and pleasure

– Confusion and doubt

– Anger and sadness

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– Anger and sadness

• Deal with stress (mental and physical response resulting from exposure to any demand or pressure)

– Immediate (fight, flight)

– Post (traumatic)

Patient Confidentiality• Be aware you are in a workplace

• Be aware of the excitement/ Emotions of the situation ( you could start talking)

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start talking)

• Information only to emergency crew

Respect the wishes of your patient

Contents First aid Box

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Contents First aid Box

Storage Fold

First Aid Room

First Aid Kit

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Signs & Symptoms of stress / post traumatic stress

disorder

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disorder

Symptoms of stress / post traumatic stress disorderThe greater the demand the more intense the stressPhysical

– Overwhelmed– Confusion– Poor concentration / memory– Hyper arousal

Psychological

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Psychological– Anger– Anxiety– Depression– Loss of motivation– Sadness– Guilt– Fear– Avoidance of reminders– Intrusive thoughts– Numbing

Prolonged and excessive stress causes distress

Dealing with stressImportant otherwise become illDo• Express your emotions• Talk about what happened• Review experience

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• Review experience• Discuss with colleagues• Look to friends and colleagues for support• Keep life and daily routine as normal as possible

• Get professional help when needed – ( GP Counsellor, alternative therapies, employee assistance programmes)

Dealing with stress

Don’t• Use drugs/drink to hide feelings

• Avoid situation

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• Allow anger and irritability to mask feelings

• Be afraid to ask for help

• Think feelings sign of weakness

Dealing with Stress• Find help if

– Feel cannot handle feelings– Stress reactions do not lessen– Continue to have nightmares– No one to share feelings with

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– No one to share feelings with– Relationships suffering– Become clumsy/accident prone– Start taking drugs– Work performance suffers– Tired all the time– Take it out on your family– Things get on top of you– Health deteriorates

Summary

• Employer to provide equipment and staff

• Aim of first aid : PPP

• 4 life threatening conditions

• First aider 10 responsibilities

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• First aider 10 responsibilities

• Important to look after and protect self and prevent cross infection