Hart First Response Induction Module

1. Hart First ResponseInduction Module

2. Contents Introduction to HFR Training and development Volunteer policy Child and vulnerable adult protection Data protection, patient confidentiality, consent Health and safety, incident reporting and COSHH Moving and minimal handling Infection control and waste disposal Equal opportunity and diversity Policies and procedures

3. Hart First Response We aim to help save lives by providing ambulance and first aid cover at local events, and by teaching first aid skills within the community.

4. Introduction to HFR Formed September 2001 Registered Charity: 1092333 (June 2002) Run by Executive Committee: Graham, Gillian, Martin, Hester Annual awards, AGM and Quiz in November All members are volunteers and receive no payment HFR also known as “Heifer” Provide event cover eg Karting, horse shows, fetes, adventure races Provide first aid training eg Riding for the Disabled, Scouts, Guides Owns two ambulances (Bertha and Dora), and loaned two 4x4 vehicles (Ethel and Eeyore)

5. Who’s who? Graham Brown – Chair Gillian Dawes – Vice chair Martin Pike – Hon. Treasurer Hester Wain – Hon. Secretary Carl Waldmann– Medical Advisor

6. What do we do?

7. What do new volunteers need to do? Complete HFR application form, with name of referee Complete demographics form, CRB application form, personal info form Complete HFR Training and development needs assessment Informal interview with two members of HFR Exec. Agree Individual Skills Development Plan Ensure Hepatitis B vaccination up to date Undertake HFR Induction module Complete and send off NSPCC child protection course Attend First aid at work course (if funding available) Read identified HFR policies and procedures Sign volunteer agreement Attend events under supervision Continue attending Tuesday evening training sessions Undertake assessments for: Resuscitation, AED, Administration of medication

8. What will HFR do? Contact referee and then review reference Validate and then review CRB application Two members of HFR Exec. interview new volunteer and propose as member Agree Individual Skills Development Plan Order uniform Create ID badge Provide HFR Induction training Provide Tuesday evening training sessions Provide HFR policies and procedures Issue ID badge, uniform and equipment/training manuals etc Organise First aid course (if funding available) Provide training mentor Provide opportunities to attend events and observe or treat under supervision Provide assessments for: resuscitation, AED, Administration of medication

9. When can you attend events? As soon as we have received a reasonable reference and you have been given some uniform you are able to attend events as an observer Following this, once you have an appropriate first aid qualification you can treat patients under supervision at events

10. Training and Development Assignment of mentor Training and development needs assessment Individual Skills Development Plan Initial probationary period for new volunteers – with supervision at events Competency Self-Assessment Questionnaire (SAQ)

11. Weekly Training Meet every Tuesday 20.00-22.00 At Crondall Old Gym Training programme online Includes first aid and other subjects eg health and safety Includes mandatory training Voluntary contribution (£1-2) to hall hire collected during tea break at 9pm Bring: pen, paper, folder, stethoscope, first aid manual Wear suitable clothing and avoid high heels Switch mobile to silent No smoking

12. First Aider Must have undertaken the HFR induction training module Qualifications needed: FAW or equivalent Child and infant resuscitation and Administration of medication certificates (issued by HFR) To be promoted from trainee status, the first aider needs to: Have patient contact on a minimum of ten HFR patient report forms. Show professional conduct Have attended a minimum of half of all weekly HFR training sessions Competence to move from trainee to full first aider status will be agreed by the Executive Committee. Can be re-graded to 3rd person if weekly training is not undertaken

13. Ambulance Aider Must already have full first aider status Qualifications needed: FPOS Intermediate, PHECT Certificate, or equivalent Manual handling training records To be promoted from trainee status the ambulance aider (AA) needs to: Administer medical gases twice (documented on PRF) Perform spinal immobilisation (documented on PRF) Must be over 18 (as need to administer medication) Show professional conduct Have attended a minimum of half of all weekly HFR training sessions Competence to move from trainee status will be agreed by the Executive Committee. All ambulance aider crews must contain at least one member who has a minimum of four years AA experience.

14. Insurance Medical Indemnity Register (MIR) Medical malpractice insurance for volunteers at HFR events when providing treatment Need current certificates for insurance Volunteer’s responsibility to ensure valid certificates given to HFR Exec. HFR does not provide medical malpractice insurance when not at HFR events Other Insurance Public liability Employer’s liability Vehicles and equipment HFR volunteers must have written agreement from their car insurers if they intend to use their own car to carry passengers on HFR business

15. General Any service or training undertaken on behalf of Hart First Response by its volunteers must be authorised in writing Volunteers have the right to refuse to enter a situation which they feel may constitute a danger to their personal safety. Volunteers have the right to refuse to treat any person who they feel may constitute a danger to their personal safety. Volunteers will conduct themselves in a professional manner as to engender public confidence in the delivery of pre-hospital care. If any volunteer is pregnant they must inform a member of the Exec, before attending any event or training, in order that their health and welfare needs can be assessed. Volunteer suggestions can be raised at any time during training or other events. However, it is most useful to put these in writing (email) to the honorary secretary, so that they can be discussed at the next Exec meeting.

16. Grievance Issues may include, but are not limited to: health and safety, personal relationships within the charity, and organisational change. Volunteers may not use this procedure to disrupt any disciplinary action being pursued against them, nor any disciplinary penalty subsequently invoked. Any grievance should be brought to the attention of a member of the Executive Committee as soon as reasonably practicable. Initially, there will be an informal meeting to discuss the grievance with the relevant parties. If this is not successful the issue will be raised at the next Executive Committee meeting for discussion. The volunteer will be invited to attend.

17. Complaints against volunteers Any allegation against a volunteer will be dealt with in complete neutrality. No assumption of responsibility will be made until all investigations have been completed. If complaint is made against a volunteer, the Executive Committee will decide if suspension is appropriate. There will be a meeting of the available Executive Committee (minimum of two members) within 24 hours. Any volunteer who is suspended will be allocated a member of the Executive Committee to act as their point of contact If appropriate the Police or Social Services will be invited to investigate the allegation, and only when such an investigation has been completed will any internal investigation take place. The decision of the HFR Exec is final.

18. Bullying and harassment All volunteers should be treated with respect and dignity. Harassment is any conduct, action or behaviour which is uninvited, unwanted or unwelcome by one or more persons against another person or group of persons. It can be verbal, physical or psychological and can be experienced by both males and females. Harassment also includes bullying and unfair discrimination on any ground. Electronic harassment (eg via text, email, facebook) is a legally acknowledged problem. Receiving any kind of unsolicited, malicious message is unpleasant, remember this is their problem and not yours, they are trying to provoke a response from you. Do not hit reply, instead press save or make a note of the text, including the time and date and inform a member of the Exec as soon as possible. Any volunteer who experiences harassment should bring this to the attention of a member of the Executive Committee as soon as reasonably practicable and the issue will be raised at the next Executive Committee meeting for discussion.

19. Equal opportunity and diversity HFR is committed to equality of opportunity in education, training, casualty treatment and employment (of volunteers). This commitment applies to all, regardless of gender, age, racial origin, nationality, creed, sexual orientation, marital status, employment status, any disability, responsibilities for dependants, or offending background that does not create risk to children and vulnerable adults. HFR seeks to ensure the following: The content, assessment and demands of its training schemes are non-discriminatory and are appropriate to the knowledge and skills specified. The style and language of its documentation are readily understood and do not reflect stereotyped or biased attitudes. Its promotional materials and activities reflect the diversity of the public. There is an effective appeals procedure of which casualties, students and volunteers are made aware.

20. Expenses Reasonable expenses (such as travel and food) will be paid by Hart First Response as agreed by the Exec. Travel includes: Return travel between home and the place of volunteering, agreed training and conferences. It does not include weekly training sessions. Food includes: Meals taken when the voluntary work or training is more than four hours in any given day. Any expenses over £10 in total, must be agreed by the Exec in advance. Volunteers will not be paid for their time. All claims should be made on the HFR expenses claim form available from the treasurer. Receipts will be required. Claims should be made within a month of expense Claims will be paid as soon as possible by cheque.

21. Drugs and alcohol In order to promote a safe and healthy environment for all, the attendance of volunteers at any event on behalf of HFR whilst their performance is impaired by alcohol, drugs or substance misuse will not be tolerated. HFR recognises that alcoholism and drug abuse are illnesses and wish to support volunteers where there is a genuine problem by referring them to their GP. The smell of alcohol on the breath is unacceptable and may lead to doubt about adequacy of performance. Complaints from patients, their relatives and/or colleagues will be investigated. Any unauthorised removal or misuse of drugs will be classified as theft and dealt with accordingly.

22. Mobile phones etc It is expected that volunteers will take personal mobile phones to events and that these can then be used as a means of contact during the event by organisers and other HFR volunteers. Personal calls and texts may also be received at an event, but these must not interfere with patient contact or treatment. HFR volunteers must ensure they do not break patient's confidentiality or the Data Protection Act 1998 if they capture any images during an event. HFR is not liable for the loss of any items of personal electronic equipment taken to an event. HFR volunteers should not use mobile phones during training sessions unless absolutely necessary and should then, out of common courtesy, remove themselves to an area out of earshot. Volunteers must not take photos of patients or scenes on their mobile phones unless they have written patient consent and agreement of the OIC

23. Event cover Know where you are going Take event sheet with you Wear uniform, ID badge, watch, stethoscope Place gloves in your pocket Report to Officer in Charge Debrief after event if required

24. Volunteer Support Some events can seem quite traumatic, with serious or multiple patients Everyone reacts differently and some people appear to cope more easily than others If you have any concerns with what you have seen or done during an event, discuss them with the officer in charge as soon as you can, or once the event has finished If you still have concerns after the event, contact the officer in charge or a member of the Executive Committee There is usually a debrief session on all the more serious patients at the next HFR Tuesday training session The HFR Exec are all available to talk through things, but you need to make the first step and contact one of us Nothing is ever too small, or insignificant to be discussed, if it is worrying you, talk to someone about it If a volunteer is having difficulty fulfilling their agreed role this should be identified in supervision. We will offer appropriate support and training. If the issue cannot be solved we will support the volunteer to accept this.

25. Patient Report Forms A healthcare record / patient report form (PRF) must be completed every time a patient is seen and examined, even if no treatment is given. The carbon copy is offered to the patient or given to the NHS ambulance crew Volunteers must not keep personal copies of patient details Volunteers must not attempt to contact any patient directly using information gained by completing the patient report forms.

26. Child and vulnerable adult protection Child = any person under 18 Vulnerable adult = any person over 18 who: is a patient of HFR; has a learning or physical disability; has a physical or mental illness, chronic or otherwise, including an addiction to alcohol or drugs; or has a reduction in physical or mental capacity Child/ Vulnerable adult Protection Officer (CPO): Gillian Dawes 01189-816165, or mobile: 07761-348007 Assistant Child/ Vulnerable adult Protection Officer ACPO: Sue Lomax 01256-355200, or mobile: 0771-322362 NSPCC: 0808 800 5000 This contact information is on every event sheet Child Protection Policy is in vehicle folder

27. Child Protection Guidelines Treat children with respect. Do not place yourself in a situation where you find yourself dealing with children on your own. If it is impossible to ensure that you are in a position where others can observe you; inform colleagues where you are and ask them to check on you (advising the child that you have done this). Ensure that any time spent with the child does not exceed that required by the immediate situation. Do not indulge in horseplay or play fighting with a child. If at all possible ensure that male / female children are dealt with by members of the same sex. Dress appropriately at all times. Do not make suggestive remarks or gestures, even in fun. Remember at all times that any actions, however well intended, may be misinterpreted. Always be alert to the possibilities of abuse. Discourage inappropriate attention-seeking behaviour or "crushes". Never believe that you could not be the victim of an accusation.

28. How to treat children If life is not at risk treatment, other than that necessary to stabilise the patient, should be postponed until appropriate safeguards can be put in place. Only treat when a HFR volunteer, another official person, or a person with parental responsibility is present to act as a chaperone. If at all possible, ensure that an adult with responsibility for the child is summoned to the scene of an incident as quickly as possible. Do not do anything for a young person that they can do for themselves e.g. removing clothing, holding an ice pack in place. Under no circumstances leave children in the care of an individual other than HFR volunteers, another official person, a person with parental responsibility, or members of the police or ambulance services summoned to the scene of an incident.

29. Actions: if abuse is observed Try not to intervene. Call the Police. Write down your observations. Contact HFR CPO.

30. Actions: if abuse is suspected Remain calm. Do not appear to be shocked. Try to act normally. Do not investigate or try to question. Do not challenge parents or carers about your concerns. Record all details which support your suspicions. Sign, date and keep these in a secure place, prior to passing on to the HFR CPO. Contact the HFR CPO to discuss and agree what action should be taken.

31. Actions: for a disclosure Offer support, understanding and sympathy. Do not challenge what has been said, reassure the child that you will take their statement seriously and treat it as such. Do not say "I believe you". Do not agree to keep secrets. Explain that if what they have to say is about someone / something that is hurting them or represents a danger to them that you cannot keep it to yourself. If they cannot accept this then provide them with the NSPCC freephone number. Do not make promises that you cannot keep. Do not attempt to "push" for details or to prevent a child from sharing too much. Remember that, if at all possible, investigating agencies will need to rely on the details you have recorded to avoid exposing the child to too much distress in the future. Record all details as soon as possible. Sign, date and keep these in a secure place, until passing on to the HFR CPO. Contact the HFR CPO and agree what action should be taken, or inform the HFR CPO of your actions as soon as reasonably practicable. If the situation requires immediate action and the CPO/ACPO cannot be contacted seek advice from the Police.

32. Data protection Data protection officer (DPO) Hester Data Protection Act 1998 8 Data Protection Principles which include: Personal data shall be processed fairly and lawfully Personal data shall be obtained only for specified and lawful purposes Personal data shall be adequate, relevant and not excessive Personal data shall be shall not be kept for longer than is necessary Personal data comprise name, address, phone number and date of birth. All members are responsible for ensuring that: Any personal data which they hold, whether in Electronic or Paper format, is kept securely. Personal information is not disclosed either orally or in writing or accidentally or otherwise to any unauthorised third party. Volunteers should also be aware that regardless of any disciplinary action taken, they may also be liable to prosecution under Data Protection Act.

33. Patient confidentiality Patient Handover to Healthcare Professionals Ambulance NHS crew - give a verbal handover Give the carbon copy of the patient report form Information requested by event organisers Do not provide full details of patients to the event organisers without the patient's consent. Patient report forms contain a "consent to datashare" section. You should ask the patient: "We may be asked to provide information on your injury/illness to the organisers along with your name and address etc, do you give you consent for us to associate your name with your injury/illness?". Patients do not have to give consent. The OIC at an event will decide if details need to be passed on for health and safety reasons e.g. Motor Sport Association events or Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (1995) Do not discuss the patient with anyone else (friends etc) at the event Do not discuss anything with the press – refer them to the OIC

34. Information “required by statute” Volunteers are required by statute to notify the relevant authority in the following cases. If possible the volunteer should refer the enquirer to the Officer in Charge of the event or the HFR Executive Committee: s11, Public Health (Control of Disease) Act 1984 - Duty to notify proper officer of the local authority of the name, age, sex, and address of a person suffering from a notifiable disease or food poisoning; s18, Prevention of Terrorism Act 1989 - Power to require the production of information from any person; also makes it an offence to fail to volunteer that information; Regulations made under the Health and Safety at Work Act 1974- Notification of industrial accidents and diseases; s172, Road Traffic Act 1988 - Power to require any person to disclose information which may lead to the identification of a person guilty of certain offences.

35. Disclosure to Police You are required to co-operate with the Police and must not break the law. You should not breach patient confidentiality (ie giving patient’s name, address etc). However, in the following circumstances you are obliged: To inform the police of a motor vehicle collisions involving injury. To inform the police of an industrial accident (that needs to be reported via RIDDOR) To inform the police when a serious criminal event has occurred, such as assault or rape You should not be providing any other details to the police and should not inform them of an overdose or illegal drug use by a patient. If any other information is requested, such as patient details or notes, please refer them to the OIC, who will refer them to the HFR Chair. Disclosure  When a patient does not consent to police or other agencies being called then their wishes must be respected and unless they are believed to be incapable of making an informed decision, or in extreme personal danger either from themselves or a third party, their right to confidentiality must be respected. When a patient has agreed to the police or other agencies being called then information may be given to those agencies that pertains to the crime and may assist them in their enquiries.

36. Health and safety Health and Safety Officer is Graham All volunteers are required to: Co-operate with all other volunteers and the Executive Committee on health and safety matters. Not interfere with anything provided to safeguard their health and safety. Take reasonable care of their own health and safety and use Personal Protective Equipment (PPE) as provided and in line with their training. Report all health and safety concerns to any member of the Exec. Risk assessment will be conducted by suitably qualified and experienced persons under the guidance of the person responsible for health and safety.

37. Personal Protective Equipment (PPE) Responsibilities of the volunteer to be familiar with the range of PPE supplied, assess risks whilst at an event and use PPE appropriately as required. to use the PPE provided in accordance with the training they have received. to contact a member of the executive committee if they feel that there is a need for any additional PPE. PPE is provided for members to use only on approved HFR events. to take reasonable care of any PPE provided for them and to ensure that their personal PPE is maintained in a clean and serviceable condition. to inform a member of the executive committee of any damage to PPE that they may find. PPE provided Safety glasses, earplugs, hard hats, sun hats, warm hats, BVM and pocket masks for resuscitation, high visibility clothing, waterproof clothing, uniform, plastic aprons, nitrile gloves, warm gloves, ‘rigger’ gloves

38. Consent No decision about me without me Valid Consent: The voluntary and continuing permission of the patient to be given a particular examination, treatment, operation or examination. Consent is only valid where it is given by an appropriately informed person who has the capacity to consent to the intervention in question Informed Consent: A patient’s consent to a clinical procedure (or to participation in a research study) after being advised of all relevant facts and all risk involved. Capacity to Consent: The ability to receive, understand and retain information long enough to be able to make a decision. An individual must be assumed to have capacity unless it has been determined that they lack capacity. Duration of Consent: The length of approval gained by valid consent being given. This generally remains valid unless it is withdrawn by the patient, however, new information should be given to the patient as it arises, and consent regained. Duty of Care The absolute responsibility of a healthcare provider to treat and care for a patient with a reasonable degree of skill and care. Best Interests An act done or decision made under the Mental Capacity Act for or on behalf of a person who lacks capacity.

39. Consent Before we examine or treat you, we need your consent. If you later change your mind, you’re entitled to withdraw consent at any time. We will explain: How we intend to examine, or treat you. What the main treatment options are. What alternative treatments are available (including no treatment). What the intended benefits are. What risks (if any) may be associated with these treatments. Any extra procedures which may become necessary during the treatment. How you can expect to feel afterwards. We will ask you: If you have any illnesses, or allergies which you may have, or have suffered from in the past. If you have any particular concerns. If there is any procedure you don’t want to happen. If you consent to treatment.

40. Consent for young people Aged 16–17 People aged 16 or 17 are entitled to consent to their own medical treatment Aged under 16 – the concept of “Gillick competence” Under 16 year olds who have sufficient understanding and intelligence to enable them to understand fully what is involved in a proposed intervention will also have the capacity to consent to that intervention. This is sometimes described as being “Gillick or Fraser competent” Refusal of treatment The refusal of a competent person aged under 18 years may in certain circumstances be over-ridden by either a person with parental responsibility or the court. This power to over-rule must be exercised on the basis that the welfare of the young person is paramount. It may only be appropriate to over-rule a competent young person’s refusal, if that person is at risk of suffering “grave and irreversible mental or physical harm”.

41. Medical Gases FIRE Procedure Actions to be taken when a fire is discovered Do not attempt to fight the fire If the cylinders have not become heated and you believe it is safe to do so, remove the cylinders to a safe place. Ensure cylinder valves are closed - all gas cylinders are closed by turning the key clockwise. Evacuate the area to a minimum distance of 100m and advise persons within 300m from the fire to take cover. Call the Fire Brigade and inform them that compressed gas cylinders are being carried. When the Fire Brigade arrives inform them of the number of cylinders directly involved in the fire, their locations and the names of the gases involved. DO NOT approach until given permission by the Fire Brigade. Cylinders can still explode after the fire has been extinguished.

42. COSHH Control of Substances Hazardous to Health Regulations (2002) COSHH Officer: Gillian Volunteers are expected to: Make proper use of any control measures provided to reduce risk Make proper use of PPE provided Report any defects in control measures Report any incidents resulting in exposure to substances hazardous to health Only use equipment provided by HFR

43. Incident reporting Volunteers are responsible for: Being aware that adverse incident reporting is a part of their own accountability for governance; Reporting any adverse incident or near miss to the Exec Com, by completing an adverse incident form Reporting All incidents are to be reported either verbally to the Hon Sec (who will then complete an adverse incident report form) or in writing by the volunteer completing the adverse incident report form. Adverse incident report forms will be made available online, hard copy direct to members and within HFR vehicles. All Adverse incident report forms will be received by the Hon Sec who will make a judgement as to whether an extraordinary Exec meeting needs to be called, otherwise the Adverse incident report forms will be discussed at the next Exec Com meeting.

44. Moving and minimal handling Legislation Common law: refers to the fact that everyone has a duty to everyone else to take reasonable care, in order not to cause them to suffer a foreseeable loss, as is reasonably practicable Health and Safety at work act 1974 Manual handling operations regulations 1992 (MHOR) Risk avoidance – minimal handling Avoid if possible Assess hazard Reduce hazard where possible Report any incident

45. Moving and minimal handling Risk Assessment Environment – is it hot, cold, wet, slippery? Load – is it large, heavy, inherently dangerous, awkward? Individual – consider individual capabilities Task – how far, how often, route Equipment – do I have equipment to help me? Correct lifting procedures Keep close to the body Avoid twisting Avoid forward flexion Look up Good posture Prepare muscles

46. Infection control Infection Control Officer (ICO): Hester Volunteers must ensure that they: Carry and use the appropriate personal protective equipment, to protect them from any hazards they may encounter e.g BVM, gloves Wash their hands before and after contact with patients. In preference with soap and hot/cold running water. If soap and water are not available, single-use towelettes (with detergent) may be used before an alcoholic handrub. Hands should then be washed with skin disinfectant and running water at the first opportunity. Try to keep bare below the elbows Carefully check any equipment before and after use for any soiling, or damage and report it as soon as possible to the Infection Control Officer. Dispose of clinical waste in an appropriate manner, according to local health and safety regulations. Keep their Hepatitis B vaccination up to date Remember: "If its wet and not yours don't touch it!"

47. Needle stick injury Every needle stick-type injury must be reported to the ICO and an incident report form completed. The object should be placed as soon as possible carefully into a sharps box. The wound should be encouraged to bleed by gentle pressure around it. The wound should be cleaned with soap and water, and a medi-wipe and covered with a plaster. Where possible we should obtain name, address and contact number of patient whose body fluid is on any sharp involved in a needle stick injury. The patient should seek medical advice at the first available opportunity. The sharps box should be disposed of as clinical waste as soon as possible after use.

48. Uniform HFR will issue uniform clothing (polo shirt, sweat shirt, fleece, trousers) as required. This uniform is only to be worn only on HFR business e.g. providing first aid at events and training courses. Each volunteer is responsible for keeping uniform clean and tidy and notifying the honorary secretary should replacement or additional items be required. Volunteers must wear agreed uniform at events and change out of their uniform promptly at the end of a shift HFR will provide adequate items of shared personal protective equipment such as high visibility jackets and hard hats for each event. These must be returned to the vehicles/first aid post at the end of the event and must not be taken home. In the event of leaving the charity, volunteers are responsible for returning their uniform to the honorary secretary.

49. Driving All volunteers driving an HFR ambulance must ensure that they provide the honorary secretary with copies of their driving licence on an annual basis. Only those volunteers with the relevant categories on their licence and who are covered by the vehicle insurance may drive an HFR ambulance. All potential drivers will need to undertake ambulance driver training and assessment before driving at events. HFR is not insured for volunteers to carry passengers, while doing voluntary work, in their own car (this will include taking a passenger to a HFR event). Any volunteer who wants to do this, as part of their voluntary work, must obtain a written response from their insurer, confirming that proper cover is in place, indemnifying HFR to third party claims, before using their vehicle for volunteering. HFR will not pay for this insurance.

50. Infectious Clinical Waste Includes: blood, semen, vaginal, cerebrospinal, synovial, pleural, peritoneal, pericardial, amniotic fluids, soiled surgical dressings, human tissue, used swabs and mediwipes, and used gloves, blood bags, blood preserves and body parts or other recognisable anatomical items. Actions: Wear gloves and apron when handling such waste. Decontaminate hands after removing protective clothing. Place waste directly into a yellow clinical waste sack conforming to UN 3291. Handle yellow sacks by the neck – wear appropriate protective clothing including gloves, apron/overalls For suction or other fluid products spillage granules / gelling agent must be used for each sack. Remove sack daily (or more frequently when ¾ full). Seal with a plastic tag. Place in the labelled waste box which must be kept secure.

51. Sharps Clinical Waste Includes: syringe needles (found discarded or in association with patients), contaminated broken glass (including shards taken from wounds), diabetic blood testing sticks, adrenaline pens, venflons and other needles used to administer fluids, other disposable sharp instruments or items, and other sharp debris found in wounds. If at all possible, waste of this type will be passed to the Healthcare professional /patient for them to dispose of. Actions Handle with care - using disposable forceps. Do not pick up using fingers. Drop into the yellow sharps bin (UN 3291) using a single handed technique. Do not hold or get anyone else to hold the sharps bin. Ensure an appropriate sharps bin is nearby. It is advisable that a sharps bin be at the point of use. Do not re-sheath. Avoid disassembling needles and syringes. Do not place sharp debris removed from wound onto hand for inspection

52. Confidential Waste Includes: Patient records Volunteer records Financial information that is considered sensitive Confidential contractual documents Exec. reports that are considered sensitive Any material containing personal information such as name, telephone number, address. Disposal by shredding

53. HFR policies and procedures Communication, Consent Being Open Policy Compliments Concerns Comments and Complaints Policy Equality and diversity Policy Healthcare records Policy Infection prevention and control policy Medical Devices Policy Safeguarding (Child/adult Protection) policy Scope of Practice Policy Volunteer Handbook Data Protection Policy Health and Safety Policy Pre-hospital care at events procedure Volunteer Training and Development Policy Waste Disposal Policy Control Of Substances Hazardous To Health (COSHH) Policy Pre-hospital care treatment protocols…

54. Where to find information Vehicle folder – policies and protocols PRF book – consent, RIDDOR, Pain score, Admin of medications, entonox, oxygen, head injury, spinal clearance, burns to hospital checklists KED, KTD – instructions attached Ambulance wall – waste disposal checklist Paed resus kit – Pedi wheel of vital signs FA kit – advice cards, patient survey cards, ambulance tour certificates Cervical collars bag – manufacturer’s instructions on measurement

55. Any Questions?