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First-aid and CPR requirements for public schools

First-aid and CPR requirements for public schools. DEPARTMENT OF LABOR AND INDUSTRIES WASHINGTON STATE OFFICE OF SUPERINTENDENT OF PUBLIC INSTRUCTION. First-aid. First aid is NOT emergency medical care Why do we have a rule? Prompt care and treatment Reduce injury severity

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First-aid and CPR requirements for public schools

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  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 • L&I rules protect all employees • Students are not covered by L&I rule • L&I rules apply to all workplaces - including schools • No special rules for schools from L&I • There are other special rules for schools from OSPI

  4. Who else is covered? • Other rules that reference L&I rule are not enforced by L&I • 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 L&I 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 • L&I 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 L&I 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 L&I. • 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 L&I 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 40”x36”x54” 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/fakit.html • WSP requirements for school bus first-aid kits (Pg.59) • http://www.k12.wa.us/transportation/pubdocs/BusSpecManual.pdf

  16. Rules for First-aid in WA Schools • -

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