Thursday, December 20, 2012

First Aid Program Fundamental Part 7: Elements of a First-Aid Training Program

There are a number of elements to include when planning a firstaid training program for a particular  workplace. These recommendations are based on the best practices and evidence available at the time this guide was written. Statistical information is available from BLS to help assess the risks for specific types of work.
Program elements to be considered are:
1.Teaching Methods
Training programs should incorporate the following principles:
Basing the curriculum on a consensus of scientific evidence where available;
Having trainees develop “hands-on” skills through the use of mannequins and partner practice;
Having appropriate first-aid supplies and equipment available;
Exposing trainees to acute injury and illness settings as well as to the appropriate response through the use of visual aids;
Including a course information resource for reference both during and after training;
Allowing enough time for emphasis on commonly occurring situations;
Emphasizing skills training and confidence-building over classroom lectures;
Emphasizing quick response to first-aid situations.
2. Preparing to Respond to a Health Emergency
The training program should include instruction or discussion in the following:
Prevention as a strategy in reducing fatalities, illnesses and injuries;
Interacting with the local EMS system;
Maintaining a current list of emergency telephone numbers (police, fire, ambulance, poison control) accessible by all employees;
Understanding the legal aspects of providing first-aid care, including Good Samaritan legislation, consent, abandonment, negligence, assault and battery, State laws and regulations;
Understanding the effects of stress, fear of infection, panic; how they interfere with performance; and what to do to overcome these barriers to action;
Learning the importance of universal precautions and body substance isolation to provide protection from bloodborne pathogens and other potentially infectious materials. Learning about personal protective  equipment -- gloves, eye protection, masks, and respiratory barrier devices. Appropriate management and disposal of blood-contaminated sharps and surfaces; and awareness of OSHA’s Bloodborne Pathogens  standard.
3. Assessing the Scene and the Victim(s)
The training program should include instruction in the following:
Assessing the scene for safety, number of injured, and nature of the event;
Assessing the toxic potential of the environment and the need for respiratory protection;
Establishing the presence of a confined space and the need for respiratory protection and specialized training to perform a rescue;
Prioritizing care when there are several injured;
Assessing each victim for responsiveness, airway patency (blockage), breathing, circulation, and medical  alert tags;
Taking a victim’s history at the scene, including determining the mechanism of injury;
Performing a logical head-to-toe check for injuries;
Stressing the need to continuously monitor the victim;
Emphasizing early activation of EMS;
Indications for and methods of safely moving and rescuing victims;
Repositioning ill/injured victims to prevent further injury.

1 comment:

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