1 Assessment and Accident Scene Management

8/7/2019 1 Assessment and Accident Scene Management

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Safety Health and Welfare

at Work Act 2005

(General Applications) regulations 2007

(S.I No 299 of 2007)

Unit 1 First aid in the workplace


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DEFINITION = First Aid is the immediate

assistance or treatment given to someoneinjured or suddenly taken ill, before the

arrival of an ambulance or appropriately

qualified person.



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To Preserve life

To Promote recovery

To Prevent further injury

The Aims of First Aid

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Occupational First Aider?

DEFINITION = A First Aider is defined as

a person who has completed a

theoretical and practical OFA course and

has passed a professionally supervisedexamination.


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Respond to the scene safely

Remain safe during patient care

Protect the casualty and bystanders from further danger

Assess the scene and summon further help

Identify and treat life threatening conditions

Identify and treat non-life threatening conditions

Seek and direct bystander help if necessary

Control bystander activities

Maintain skill level

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Responsibility towards personal Safety


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Responsibility towards patient and

bystanders


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Scene Safety for rescuers


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Assess the Scene for Safety


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Unit 2 Patient assessment

Direct Contact

Touching wound

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Methods ofTransmission

Indirect Contact

Paper

Airborne Infection

Cold

Flu


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Unit 2 Patient assessment

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Hand Washing


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PREVENTING CROSS INFECTION

Alwayswas your hands

Wear disposable gloves

Avoid touchingwounds or inside ofdressings

Discard soiled dressings safely

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Patient Confidentiality

Patient CircumstancesPatient History

Assessment Findings

Care Given

A patients information is confidential.

Confidential information includes

This information should be shared only with persons involved

in the patients care

First Aid and the LawFirst Aid and the Law

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Duties of the employer

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An employer shall

Provide andmaintain suitably markedandeasily accessible first-aidequipment,

as is adequate andappropriate in the circumstances for enabling first-aidto be

given to persons at every place where working conditions require it, at a place

of workunder the employers control,

Regulation 165 - Provisions for first-aid www.hsa.ie.



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Materials

First-Aid

Travel Kit Contents

First-Aid

Box Contents

1-10

persons

11-25 persons 26-50

persons* 1

Adhesive Plasters 20 20 20 40Sterile Eye Pads (No. 16) (bandage

attached)2 2 2 4

Individually Wrapped Triangular

Bandages2 2 6 6

Safety Pins 6 6 6 6Individually Wrapped Sterile

Unmedicated WoundDressingsMedium(No. 8) (10 x 8cms)

1 2 2 4

Individually Wrapped Sterile

Unmedicated WoundDressings

Large(No. 9) (13 x 9cms)

1 2 6 8

Individually Wrapped Sterile

Unmedicated WoundDressings

ExtraLarge(No.3 ) (28 x 17.5 cms)

1 2 3 4

Individually Wrapped Disinfectant

Wipes

10 10 20 40

Paramedic Shears 1 1 1 1

Pairsof Examination Gloves 3 5 10 10

Sterile water where there is no clear

runningwater** 2

2x20 mls 1x500 mls 2x500mls 2x500mls

Pocket Face Mask 1 1 1 1Water Based Burns Dressing Small

(10x 10 cms) *** 31 1 1 1

Water Based Burns Dressing Large

*** 31 1 1 1

Crepe Bandage(7cm) 1 1 2 3

Recommended Contents of FirstRecommended Contents of First--Aid Boxes and KitsAid Boxes and Kits

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Minimum Requirements for first aid rooms

A couch with a waterproof surface, pillow and blankets and a chair

Sink with running hot and cold water always available, papers towels

Drinking water and disposable drinking vessels

A suitable store for first aid equipment and materials

Soap, a bowl or basin

Smooth topped working surfaces, and clean protective garments for use by first

aiders

Suitable refuse containers lined with a disposable plastic bag

A first aid treatment record book

The following minimum facilities and equipment should be provided in first-aid rooms

The rooms entrance should be wide enough to accommodate an ambulance

trolley, stretcher, wheel chair or carrying chair.


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Activation Of EMS112/999

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TELEPHONING FOR HELP

EMERGENCY SERVICES - 999 OR 112

Give your phone number

Give exactlocation Type and seriousness of accident

Number of casualties

Condition of casualties

Details of any hazards

Don't hang up phone until you are told todo so

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Stress

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Definition of Stress

Stress is any outside force or event that has an

effect on our body or mind.

(Physicalor Psychological)


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Stress

First Aid calls are stressful

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Critical incident Stress .. a collection of symptoms

which develop in response to unusual or abnormal life

events

CFR Training ManualP.29


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Symptoms ofCritical incident Stress

Recognise symptoms ofCritical incident Stress,both in yourself and infellow First Aiders, and toknow the steps to take torelieve it.

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Feeling hot and flushed, excessive sweating

Dry mouth, churning stomach

Diarrhoea and digestive problems

Frequent desire to use toilet

Muscle tension

Restlessness, tiredness, sleep difficulties, headaches

Increased drinking or smoking

Over-eating, loss of appetite

loss of interest in sex

Physical symptoms


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Feeling overwhelmedLoss of motivation

Dreading going to work

Becoming withdrawn

Racing thoughts

ConfusionSelf-neglect

Difficulty making decisions

Poor concentration

Poor memory

Anger

Anxiety

Depression

Racing heart, breathlessness and rapid breathing

Psychological symptoms

CFR Training ManualP.29 23


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Post-Traumatic Stress Reactions

Single traumatic event or regular exposure to such events (as is foundin the emergency services) post traumatic stress may occur. All the

symptoms of stress may occur and in addition the following feelings

can be experienced

Anger

Sadness and DepressionGuilt

Fear

Avoidance

Intrusive thoughts

Hyperarousal

Numbing


If the symptoms do not diminish over time e.g. two weeks

it is important to seek support and help

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Professional

Counseling

Eat

Healthy

Change Work

Schedule

Rest &

Relaxation

Exercise

Regularly

Balance

Activities

Stop

Smoking

Stress Management

Consult your

G.P or

Occupational

Health Nurse

If you

Experience

Symptoms

Of excessive

stress

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What is First Aid and its Aims

Roles and Responsibilities of an Occupation Fist Aider

Safety Personal, Patient, Bystanders, Rescuers

Scene Safety

Confidentiality

Contents of First Aid Box

Duties of the employer The Aims of First Aid

Contents of a First Aid Box

Activation of Emergency Services

EmotionalReactions to Trauma

Post traumatic stress

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Summary

1 Assessment and Accident Scene Management

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