FIRST AID TRAINING FOR THE SCHOOL BUS OPERATOR

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UNIT X

• FIRST AID TRAINING FOR THE SCHOOL BUS OPERATOR

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Topics to be discussed

• Basic Principles
• Good Samaritan Act
• Body Fluid Cleanup Procedures
• Heat Illness
• Eye Injuries
• Wounds/Nosebleeds
• Fainting

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Basic Principles

• First aid procedures apply only to immediate
  temporary needs.
• Accepted first aid procedures only should be
  used. We are not medical doctors, so only minimal
  first aid should be administered.
• It is important to remain calm when administering
  first aid.
• Injuries vary in seriousness. Make good
  decisions.
• Every bus should be equipped with a first aid kit
  and body fluid cleanup kit, complete with
  step-by-step directions.

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Good Samaritan Act

• 768.13(2)(a), F.S.
• Any person, including those licensed to practice
  medicine, who gratuitously and in good faith
  renders emergency care or treatment either in
  direct response to emergency situations related
  to and arising out of a public health emergency
  declared pursuant to s. 381.00315, a state of
  emergency which has been declared pursuant to s.
  252.36 or at the scene of an emergency outside of
  a hospital, doctor's office, or other place
  having proper medical equipment, without
  objection of the injured victim or victims
  thereof, shall not be held liable for any civil
  damages as a result of such care or treatment or
  as a result of any act or failure to act in
  providing or arranging further medical treatment
  where the person acts as an ordinary reasonably
  prudent person would have acted under the same or
  similar circumstances.

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Bodily Fluid Cleanup ProceduresProcedures for
cleaning a body fluid spill

• Students should be moved away from the
  contaminated area.
• Put on disposable gloves.
• Sprinkle absorbent material over spilled area.
  Liquid will quickly congeal for safer handling.
• After one minute, remove gelled material with
  scoop and scraper. Carefully place in discard
  bag from kit.
• Clean away solids with absorbent towel.
• After the spill is removed apply disinfectant
  from the kit.
• Place all contaminated materials (including
  gloves) in discard bag. Seal and dispose of bag
  properly.
• Wipe hands with anti-microbial hand wipe. Wash
  with soap and running water as soon as possible.
• If possible, the students clothing and other
  soiled, non-disposable items should be placed in
  a plastic bag and sent home with the student.

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Five Leading Causes of Unintentional Deaths
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Heat Illness

• Signs-Early Stages
• Cool, moist, pale, or flushed skin
• Headache, nausea, dizziness
• Weakness, exhaustion
• Heavy sweating
• Signs-Late Stages
• Red, hot, dry skin
• Changes in level of consciousness
• Vomiting
• Care
• Get the victim out of the heat. Move victim to a
  cool place. Loosen tight clothing.
• Remove perspiration-soaked clothing.
• Apply cool wet cloths to the skin.
• Fan the victim.
• If victim is conscious, give him cool water to
  drink.
• If person refuses water, vomits, or starts to
  lose consciousness
• Send someone to call for an ambulance.

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Eye Injuries

• When you can feel something in your eye, take
  your upper eyelid and pull it down over the
  bottom lid and let the natural tearing process
  rinse out the foreign matter. If this does not
  help, rinse eye with water until matter is
  removed. If object is still in eye, seek medical
  help. Wrap both eyes. Reassure victim.
• If an object is embedded in an eyeball, never
  remove the object. Place a cone-shaped article
  over the eye and object, wrap with clean
  dressing, and get medical help.
• When chemicals are spilled or splashed into the
  eyes, rinse with water for at least 15 minutes.
  Seek medical attention.

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Wounds/Nosebleeds

• Wounds Care
• Put on latex gloves.
• Cover the wound with dressing and press firmly
  against the wound with hand.
• If possible, elevate wounded area above the level
  of the heart.
• Cover dressing with a roller bandage to maintain
  pressure.
• Apply additional dressing, as needed.
• If bleeding does not stop
• Apply additional dressings and bandage.
• Squeeze the nearby artery against the bone
  underneath
• Arm Inside of the upper arm, between the
  shoulder and elbow.
• Leg Crease at the front of the hip, in the
  groin.

• Nosebleed Care
• Put on latex gloves.
• Have person lean slightly forward.
• Pinch the nostrils together for about 10 minutes.
• Apply an ice pack to the bridge of the nose.
• If bleeding does not stop
• Apply pressure on upper lip just beneath nose.

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Fainting

• Fainting is a temporary loss of consciousness.
  It may indicate a more serious condition. Never
  give an unconscious victim anything to eat or
  drink.

• Care
• If the victim does not have a head, back, or neck
  injury, place the victim on his back.
• Elevate the feet 12 inches and loosen any
  restrictive clothing, such as belts, ties, or
  collars.
• Check breathing and pulse.
• Do not give victim anything to eat or drink.

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Think Safety

• Be alert and avoid potentially harmful conditions
  or activities that increase your injury risk.
• Take precautions, such as wearing appropriate
  protective devices helmets, padding, and eye
  wear. Buckle up when driving or riding in motor
  vehicles.
• When handling sharp items found on the bus, use
  extreme care.

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Summary

• Basic Principles
• Good Samaritan Act
• Body Fluid Cleanup Procedures
• Heat Illness
• Eye Injuries
• Wounds/Nosebleeds
• Fainting