[PPT] - OCA Conference 2014 First Aid Kits Types Placement # of Kits PowerPoint Presentation

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OCA Conference 2014

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 First Aid Kits

Types
Placement
# of Kits
Contents

 AED’s

Definition
Types
Placement
Benefits Training

 Roles

Scope of Practice
Working Together
Reporting

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 Canadian Red Cross Defines The Following:

First Aid: “the immediate care that you give to an ill
r injured person until more advanced care can be
btained”
Injury: “some king of damage to the body caused by

an external force”

Medical Emergency: “illness or condition that needs

immediate medical attention

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

Workplace Safety & Insurance Board (WSIB) Regulation 1101

Only required to follow this regulation if your camp/organization is registered under WSIB
Following are considered “by application” and not mandatory to be covered

 boys' recreational camps  children's day camps  dude ranch operations  girls' recreational camps  nudist camps  recreation camps (excluding fishing and hunting)  sports camps  trail riding camps  vacation camps  wilderness camps  children’s education camps

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If your camp is not registered with WSIB then there are no current regulations or laws based on First Aid Kits/Supplies

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Some companies and camps choose to follow WSIB even if they are not covered by them just to have some sort of guidelines to follow

Keep in mind WSIB requires only bare minimums…it’s actually scary

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It would be wise for all OCA camps to come together and develop a standard!

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

WSIBE Reg. 1101 Different Types of Workplaces

Section 8

 Every employer employing not more than 5 workers in any one shift

Section 9

 Every employer employing more than 5 workers and not more than 15 workers in any one shift

Section 10

 Every employer employing more than 15 workers and fewer than 200 workers in any one shift

Section 11

 Every employer employing 200 or more workers in any one shift

Section 16

 Bush workers or farm workers  Vehicle used to transport workers  Workers engaged in transporting goods outside urban area  Operating heavy construction & maintenance equipment

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 Health Protection & Promotions Act (R.R.O. 1990,

Regulation 565 for Public Pools)

 Established Pools Related to Camps Under

Regulation

a pool operated on the premises of a recreational camp,

for use by campers and their visitors and camp personnel

a pool operated on the premises of a campground, for

the use of its tenants and their visitors

a pool operated in conjunction with a day nursery, a day

camp or an establishment or institution for the care or treatment of persons who are ill, infirm or aged or for persons in custodial care, for the use of such persons and their visitors

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 Specific First Aid Requirements Associated to this Act  Spine board or device designed for transporting a person

who has incurred a spinal injury

 First-aid box containing at least,

a current copy of the St. John Ambulance or the Canadian Red

Cross Society First Aid Manual,

one dozen safety pins,
twenty-four adhesive dressings individually wrapped,
twelve sterile gauze pads, each seventy-five millimeters square,
four rolls of fifty millimeter gauze bandage,
four rolls of 100 millimeter gauze bandage,
four sterile surgical pads suitable for pressure dressings

individually wrapped,

six triangular bandages,
two rolls of splint padding, and
one roll-up splint

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 WSIB Regulation Kits  Workplace/Office Kits (indoor area)  Kitchen/Food Service Kits  Burn Kits  Vehicle Kits  Sports/Athletic Kits  Marine Kits  Wilderness Kits or Trip/Outing Kits  Trauma Kits

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 Accessible – what does that mean???

E.g. WSIB says: “First aid stations shall be so located as

to be easily accessible for the prompt treatment of any worker at all times when work is in progress”

 Best

t Practi tice – – First t Aid Kit t is 2 minute te walk away

Th

This is w will dif ill differ f er for ev

r every cam

ery camp p

 Considerations:

Higher risk activities
Staffing (RNs, Doctors, First Aiders, Staff w/ no training)
Water front
Specialty kits for specialized needs
Indoor vs. outdoor
Size of Camp

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 First Aid Kits at every activity

The more comprehensive the better, but even basic

kit will be better than nothing

 works well if you have a good reporting system and the staff at specialty are first aid trained

 All staff have some FA Supplies on them

Fanny pack, pouches, PPE (gloves!!!)

 recommended if staff have training

Depending on qualifications of staff, having trauma/

jump kits in central areas of camp that are ready to be grabbed and taken to incident

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 Contents will vary based on the level of first aid

training and/or medical qualifications of responder (nurse or doctor)

 Supplies should be accessible to be able to treat

every injury/illness the responder is trained to treat

 Stock only supplies you know how to use

(compress bandage???)

 Basic Supplies

Wound care, antiseptics, splinting etc.

 Advanced Supplies

Airways management, trauma supplies, specialized

products, oxygen etc.

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 PPE (Gloves, Mask, Bio-Hazard Bags)  Bandaging (Gauze Rolls, Pads, Sponges)  Compress Bandages, AB Pads  Bandages (“Bandaids” Assorted Types)  Tape (Hypoallergenic, waterproof)  Antiseptic (BZK Wipes instead of alcohol, Skin Cleaner Spray**)  Splints  Instant Cold Pack  Triangular Bandages  Instruments (scissors, forceps, splinter out)  Elastic Supports (“Tensor Bandage”)  First Aid Manual (even if it’s a pocket guide)  Record Book  Burn Products (Burn Gels, Burn Dressings)

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 For use with First Responders or Nurses**  In a trauma bag type kit  All of the last slide plus

Better Splints
Foil Blankets
Airway Supplies (Suction, BVM, Airways)
Oxygen
Stethoscope
BP Cuff
Thermometer, Penlight
Irrigation Solution: Sterile Water or Sodium Chlroide
Trauma Dressings
Eye Wash

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A first t aid kit t should conta tain th the following:

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Emergency telephone numbers for EMS/9-1-1, your local poison control centre, and your personal doctors

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Sterile gauze pads (dressings) in small and large squares to place over wounds

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Adhesive tape

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Roller and triangular bandages to hold dressings in place or to make an arm sling

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Adhesive bandages in assorted sizes

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Scissors

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Tweezers

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Safety pins

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Instant ice packs

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Disposable non-latex gloves, such as surgical or examination gloves

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Flashlight, with extra batteries in a separate bag

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Antiseptic wipes or soap

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Pencil and pad

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Emergency blanket

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Eye patches

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Thermometer

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Barrier devices, such as a pocket mask or face shield

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Canadian Red Cross first aid manual

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 Never include items that the first aider is not

trained to use

 A difference to having supplies on hand for

health centre and supplies to stock first aid kits to be used by first aiders

 No medications

Watch out for ointments that have a DIN e.g.

Polysporin

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 AED: “An electric device that analyzes the

heart’s electrical rhythm and, if necessary, tells the user to deliver a shock to a person in cardiac arrest”

 Defibrillation: “An electric shock that is given

to correct a life threatening heart rhythm”

 Cardiac Arrest: “A condition in which the

heart has stopped beating or beats too irregularly or too weakly to pump blood”

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 When the person is in cardiac arrest

As soon as you determine the person is not

breathing

 AEDs are used in conjunction with CPR  Adults & children for sure, babies are debate

Heart & Stroke says no, but Red Cross says Yes
Child considered between 1 & 8
Baby is considered between 1 yr old and less

 If a person is wet they need to be dried off

first

 AEDs can be used on pregnant women

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 Common Manufacturers

Philips, Zoll, Defibtech, Life Pack, Cardiac Science

 All manufacturers operate their AEDs in

almost the exact same way

Same protocols and procedures

 Some have screens that show videos  Some differences include:

Wording, metronome, help buttons

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 All AEDs are approved by Health Canada and

meet the latest International Liaison Committee on Resuscitation (ILCOR) guidelines

 Purchase an AED that fits your camp’s budget

and needs

Some AEDs are more durable and therefore better

for an outdoor environemnt

Some AEDs are more expensive because you are

paying for extra features

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 Goes back to accessibility

Study published by UofT, Queens & St. Mike Hospital suggest that “in order

to be effective, AEDs should be within 100 metres of the scene of a cardiac arrest, so a bystander is able to retrieve it and return within three minutes

 Common places cardiac arrest can occur

Mess hall, waterfront, sports area, office, health centre

 Depending on size of camp and where activities take place,

having more than one AED is very important

One is better than none….BUT!
There is no standard but think about why public places have multiple AEDs

 Scenario: at the soccer field a staff member collapses and stops

breathing…how and how long does it take for another staff member to “alert” the designated responder? How long does it take that responder to bring the AED?

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 CBC ran a segment in December titled:

“Defibrillators may be hard to find in emergencies”

Fewer than 8% of Canadians that go into cardiac arrest in

public will receive help from an AED before paramedics arrive

CBC visited 52 “hotspot” location in Toronto including

banks, coffee shops, gyms, malls, offices

 Only 50% of these 52 locations visited had AEDs

Security in many of the buildings didn’t even know if

there was an AED

Many were locked away or only accessible by building

staff

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 Death Clock

0 Minute: Breathing stops. Heart will soon stop beating

= CLINICAL DEATH

4-6 Minutes: Brain Damage Possible
6-10 Minutes: Brain Damage Likely
10+ Minutes: Irreversible Brain Damage is Certain

=BIOLOGICAL DEATH

 American Heart Association says that for every

minute lost before an AED is used the survival rate decreased by 7-10%

 Over 70% of the time that a person goes into

cardiac arrest they will be in a rhythm that is shockable by an AED

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 Even though AEDs are “dummy proof” and able to be used

by the public, in order to be effectively used, your first aiders should be trained in the proper use & maintenance

f AEDs

 Chase McEachern Act (Ontario)

protects people from liability if they assisted someone, using a

defibrillator, at an emergency (under certain conditions) or (again under certain conditions) if they made defibrillators available in good faith

Public not designated responders or medical professionals

 Pads expire every 2 year, batteries expire ~ 4 years and

sometimes there could be technical issues. It is the CAMP’s responsibility for ensuring the AEDs are maintained properly and always in proper working condition

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 Emergency First Aid Certificate

Preparing to Respond
EMS System
Check, Call, Care
Airways Emergencies
Breathing & Circulation Emergencies
Respiratory & Cardiac Arrest
Wound Care

 Standard First Aid Certificate

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Emergency First Aid Cert. Standard First Aid Cert.

Preparing to Respond
EMS System
Check, Call, Care
Airways Emergencies
Breathing & Circulation

Emergencies

Respiratory & Cardiac

Arrest

Wound Care
Above Plus:
Head & Spine Injuries
Bone, Muscle & Joint

Injuries

Sudden Medical