First Aid At Work Training
First Aid At Work Training
First Aid at Work (Great Britain)
This Emergency First Response First Aid at Work (Great Britain) supplement is to be used with the Emergency First Response Primary and Secondary Care Participant Manual (European Resuscitation Council version). This supplement covers the additional regulatory information needed for First Aiders in the workplace, specifically in Great Britain.
The person designated to provide first aid in the workplace is called a First Aider. The minimum requirement of an employer is to appoint a person to take charge of first aid arrangements, including looking after the equipment and facilities and calling the emergency services when required. Appointed Persons may not have been trained to render first aid.
Employers, employees, appointed persons and First Aiders in the work-place should be familiar with the following health and safety legislation:
The Health and Safety at Work Act 1974
All workers need to understand and comply with this act to ensure the health, safety and welfare of themselves and their colleagues. The act also specifies that employees must be adequately trained in health, safety and welfare.
Health and safety (First Aid) Regulations 1981
This sets out the essential aspects of first aid that employers have to address. It outlines the responsibilities of employers, First Aiders and Appointed Persons to organise and provide adequate first aid provision. It also dictates that all employees are aware of the provision available and how an employee assesses their organisational needs.
The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR)
This regulation indicates that employers must report to the appropriate authority any serious accidents at work (which include any resulting in more than three days' absence from work), dangerous occurrences and specified occupational disease.
Control of Substances Hazardous to Health Regulations 1999 (COSHH)
COSHH relates employers' responsibility for assessing hazardous substance risks and deciding on mitigating actions. All employees must follow both an organisation's safety guidelines and employer-specified precautions.
The Social Security Administration Act 1992
This act relates to an organisation's reporting system and employee obligation to supply information if involved in an incident. The First Aider usually records accident information, but anyone may do so. All accidents involving an injury on the organisation's premises must be recorded.
Assessment needs of the workplace
Injuries and illnesses happen to people at work. It doesn't matter whether the injury or illness is caused by the work they do. What is important is that they receive immediate attention and in serious cases, EMS is activated. The First Aid At Work programme covers arrangements to ensure this happens. However, it does not include giving tablets or medicines to treat illness.
Level of First Aid Provision
Employers should assess first aid needs appropriate to their particular circumstances and justify setting this level of first aid provision. Although there is no requirement for a formal or written first aid needs assessment, this may be useful documentation.
In a first aid needs assessment, employers should consider:
As a First Aider you should be able immediately to assist patients with common injuries and illnesses as well as those specific to the workplace. Therefore, you may need additional, specific first aid training in addition to the First Aid at Work programme. You should also know how to summon professional medical help or an ambulance.
If an employer's first aid needs assessment determines a First Aider is not necessary, employers must designate an appointed person for first aid arrangements. This includes looking after the equipment and facilities and calling the emergency services when required.
The First Aid Kit
There are no mandatory first aid kit items. Employers should determine first aid kit contents based upon their first aid needs assessment. Here is a sample minimum stock of first aid items for a workplace with no special risks:
First aid kits should be easily accessible, dust and damp proof, and properly marked. Kits should not include tablets and medications but should be frequently examined and restocked. Sufficient supplies should be kept in a back up stock on site.
Employers should provide First Aiders and appointed persons an accident book. If there are multiple First Aiders, one central book should be used when practicable. The information to be recorded should include:
Duties of a First Aider
"You must protect yourself from injury and infection by insuring the situation is safe before treating a patient"
You should also look after your own psychological health and stress management. As a First Aider your duties include:
As a First Aider you must also understand hazardous substance procedures. These items include:
Place soiled items, including glove, in a plastic bag (ideally a dedicated yellow bio-hazard bag). Dispose of sharp objects in a plastic container (ideally a dedicated sharps container). Seal and label the bag or container, indicating that it contains clinical waste. Bio-hazard bags should be incinerated. If you don't have this capability, ask your local ambulance service or local environmental health department for suggestions. Continue cleanup with a bleach solution.
Moving and Transporting Casualties
First Aiders should move an injured or ill person only if there is clear and direct danger to the casualty's life or if emergency care is impossible due to a casualty's location or position. Never move a casualty unless absolutely necessary.
How can you safely move a casualty without causing further harm?
Assisting a casualty
Select the appropriate transportation method and prepare equipment. When possible use more than one person and elect a leader. Explain to casualty what is happening and solicit co-operation from casualty. Ensure safety and comfort of all involved.
Supporting a walking casualty
Stand on the casualty's injured side and grip the casualty's palm, holding casualty's arm out slightly in front of their body. Pass free arm around casualty's waist and grip belt, waistband or clothing. When casualty is ready to move take small steps walking at casualty's pace. If casualty starts to fall assist to ground.
Controlling a fall
Move behind casualty and place arms around casualty. Place feet shoulder width apart with one foot in front of the other and knees slightly bent. Allow casualty to fall against and then down your body. Adjust their position to make them comfortable.
Moving a collapsed casualty onto a carry sheet for transport
Roll sheet length-ways to half its width. Use log roll, with helpers, to move casualty onto their side and place rolled section of sheet against casualty's back. Lower casualty back over the sheet and onto the other side. Unroll sheet and roll casualty back onto flat sheet. Ensure they are fully supported throughout.
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