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First-aid and CPR requirements for public schools

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Title: First-aid and CPR requirements for public schools


1
First-aid and CPR requirementsfor public schools
DEPARTMENT OF LABOR AND INDUSTRIES WASHINGTON
STATE OFFICE OF SUPERINTENDENT OF PUBLIC
INSTRUCTION
2
First-aid
  • First aid is NOT emergency medical care
  • Why do we have a rule?
  • Prompt care and treatment
  • Reduce injury severity
  • Reduce time away from work

3
Who is covered by L I?
  • All employers in Washington State
  • LI rules protect all employees
  • Students are not covered by LI rule
  • LI rules apply to all workplaces - including
    schools
  • No special rules for schools from LI
  • There are other special rules for schools from
    OSPI

4
Who else is covered?
  • Other rules that reference LI rule are not
    enforced by LI
  • School Bus drivers
  • Coaches
  • Day care employees
  • Teachers
  • Maintenance Operations Employees
  • These rules must be enforced by others
  • OSPI
  • Local School District
  • School Principal, Dept. Head, Athletic Director
  • Liability is incurred when rules are not complied
    with

5
The Basic LI Rule
  • WAC 296-800-15005
  • You must
  • Comply with the first-aid training requirements
    of 29 CFR 1910.151(b) which states
  • "In the absence of an infirmary, clinic, or
    hospital in near proximity to the workplace,
    (e.g.,schools) which is used for the treatment of
    all injured employees, a person or persons shall
    be adequately trained to render first-aid."

6
What is near proximity?
  • Near proximity is NOT Call 911
  • Near proximity is based on
  • Number of employees
  • Injuries they are exposed to
  • Location of work place and clinic
  • Special circumstances that affect response

7
What are some examples of special
circumstances?
  • Downtown Spokane during rush hour
  • Closed bridges or blocked railroad crossings
  • Security gates or checkpoints
  • 7th floor of a building next door to a hospital

8
an infirmary, clinic or hospital
  • None of our schools have
  • an infirmary, clinic, or hospital in near
    proximity to the workplace, (e.g., your school)
    which is used for the treatment of all injured
    employees
  • Therefore, we MUST have First-aid trained
    employees available

9
How must employees be trained?
  • No specific number or ratio of first-aid trained
    employees is set by rule
  • Requirement is based on
  • Response time
  • Size of the work place
  • Complexity of the work place
  • Number of employees
  • The employer must decide
  • LI will decide if the employer made the correct
    decision

10
What do first-aid classes have to cover?
  • Injuries employees are likely to suffer
  • CPR is no longer required by LI but is
    recommended for school employees
  • Retraining is recommended
  • Three years for first aid
  • Each year for CPR

11
Who can teach a first-aid class?
  • Instructor-certification is no longer required by
    LI.
  • Classes can be taught by
  • Doctor or licensed health care professional
    (LHCP)
  • EMT
  • School Nurse
  • Transportation Driver-Trainer
  • Classes from recognized groups are recommended
  • American Red Cross
  • EMP America (Medic 1st Aid)
  • ESD 101 recommends certified instructors and
    recognized classes (e.g., Red Cross or Medic)
    due to liability concerns

12
First-aid Kits and Supplies
  • No list of required supplies from LI rule
  • Employer selects what is necessary to treat
    likely injuries
  • No consumables in schools where students have
    access to kits. (RCW 28A.210.260)
  • Supplies must be
  • Readily available
  • Protected
  • Well marked
  • Transportable

13
First-aid Kits and Supplies
  • Use recommendations from
  • American Red Cross
  • EMP America- Medic First Aid
  • Doctor or LHCP
  • EMT
  • School Nurse
  • Use requirements from
  • WA. State Patrol (Buses)
  • Prepackaged kits are OK for most employers
  • Target
  • Costco
  • Internet

14
WSP Requirements for School Bus First-aid Kits
  • Contents of a 24-Unit First-aid Kit
  • Minimum Specifications for School Buses Sept. 1,
    2004
  • Two 1 x 2 1/2 yards adhesive tape rolls
  • Twenty-four sterile gauze pads 3 x 3
  • One Hundred 3/4 x 3 adhesive bandages
  • Eight 2 bandage compress
  • Ten 3 bandage compress
  • Two 2 x 6 sterile gauze roller bandages
  • Two non-sterile triangular bandages approximately
    40x36x54 with 2 safety pins
  • Three sterile gauze pads 36 x 36
  • Three sterile eye pads
  • One rounded-end scissors
  • One pair latex gloves
  • One mouth-to-mouth airway

15
Internet Links
  • Training classes
  • American Red Cross
  • https//redcrosssecure.org/spokaneredcross/
  • EMP America (Medic 1st Aid)
  • https//www.Medicfirstaid.us
  • Recommended supplies
  • http//www.redcross.org/services/hss/lifeline/faki
    t.html
  • WSP requirements for school bus first-aid kits
    (Pg.59)
  • http//www.k12.wa.us/transportation/pubdocs/BusSpe
    cManual.pdf

16
Rules for First-aid in WA Schools
  • -
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