OCA Conference 2014
First Aid Kits ◦ Types ◦ Placement ◦ # of Kits ◦ Contents AED’s ◦ Definition ◦ Types ◦ Placement ◦ Benefits Training Roles ◦ Scope of Practice ◦ Working Together ◦ Reporting
Canadian Red Cross Defines The Following: ◦ First Aid: “the immediate care that you give to an ill or injured person until more advanced care can be obtained” ◦ Injury: “some king of damage to the body caused by an external force” ◦ Medical Emergency: “illness or condition that needs immediate medical attention
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 If your camp is not registered with WSIB then there are no current regulations or laws based on First Aid Kits/Supplies 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 ◦ It would be wise for all OCA camps to come together and develop a standard!
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
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
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
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
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 or 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
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
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.
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)
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
A first t aid kit t should conta tain th the following: Emergency telephone numbers for EMS/9-1-1, your local poison control centre, and your personal doctors Sterile gauze pads (dressings) in small and large squares to place over wounds Adhesive tape Roller and triangular bandages to hold dressings in place or to make an arm sling Adhesive bandages in assorted sizes Scissors Tweezers Safety pins Instant ice packs Disposable non-latex gloves, such as surgical or examination gloves Flashlight, with extra batteries in a separate bag Antiseptic wipes or soap Pencil and pad Emergency blanket Eye patches Thermometer Barrier devices, such as a pocket mask or face shield Canadian Red Cross first aid manual
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
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”
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
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
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
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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