Issue Date: Feb 2015 First Aid Introduction Alpha Plus Group has developed the First Aid section and procedures for the protection of all persons using the nursery/school/college under their control including employees, pupils/students, parents and visitors. First Aid can be defined as “the initial assistance or treatment given to a casualty for any injury or sudden illness before the arrival of an ambulance, doctor or other qualified person”. In providing First Aid facilities, Alpha Plus Group not only complies with their statutory duties but also helps prevent deterioration of injuries, which in extreme cases, may result in death among employees. Policy This aims to set out the organisations commitment to provide adequate and appropriate equipment, facilities and personnel to enable first aid to be given to employees if they are injured or become ill at work in order to comply with The Health and Safety (FirstAid) Regulations 1981. It is company policy that at each nursery/school/college there will be: adequate provision of First Aid trained employees and Emergency First Aid trained employees; adequate provision of First Aid equipment to enable First Aiders to carry out their function effectively; adequate provision of First Aid facilities to enable First Aiders to carry out their function effectively. This will be achieved by the involvement of all levels of staff from senior management to those staff with client facing roles. Provision of First Aid Personnel It is difficult to lay down any precise ratio of First Aiders and Emergency First Aiders (previously known as Appointed Persons) to employees which can be adopted in all cases. All relevant factors need to be taken into account. These include the distribution of employees within the nursery/school/college, the nature of the work, the size and location of the facility, whether there is shift working and the distance from outside medical services, as well as the number of employees. First aiders will be determined via the risk assessment process. Definitions A ‘designated First Aider’ is one who has been trained by, and holds a current First Aid certificate issued by an organisation whose training and qualifications are in line with the Health and Safety Executive’s requirements. There is no longer an obligation on first aid training providers being accredited by the Health & Safety Executive. The designated First Aider is required to render First Aid in the event of an injury or illness. An ‘Emergency First Aider” is one who is appointed to take charge of the situation in the absence, in temporary or exceptional circumstances, of the designated First Aider. The main aspect of the work of the Emergency First Aider is to follow the procedures which are laid down within the facility. He/she should be familiar with the leaflet in the First Aid box. First Aid Training Requirements First Aiders An employee who is to be appointed as a First Aider must first undergo a sufficient training course by a reputable provider. Certification is subject to the employee passing an examination on completion of the course. (3 days) The qualification is valid for three years, therefore the First Aider must receive refresher training and re-qualify before the three years expires. (2 day course) Emergency First Aider An employee who is to be nominated as the Emergency First Aider to deputise for a First Aider must undergo a one day emergency/basic certificate training course. This qualification is valid for three years, therefore the Appointed person must receive refresher training before the three years expires. Records of First Aiders and Emergency First Aider A list of designated First Aiders and Emergency First Aider must be kept. Information retained shall include the name, places covered, date and issuing authority of the certificate held. The School Head/College Principal should ensure that the required refresher training is carried out prior to expiry of certification. First Aid Equipment and Facilities In all premises, First Aid provision should be readily available to each employee at all times. The equipment and facilities to be provided will vary according to circumstances from a small travelling First Aid kit to a First Aid room. All premises will need at least one First Aid box. Each box should be placed in a clearly identified and readily accessible location. The First Aider or Emergency First Aider is responsible for restocking the First Aid box after use. First Aid boxes should be made of suitable material designed to protect the contents from damp and dust and should be clearly identified as First Aid containers. The marking used should be a white cross on a green background in accordance with the Safety Signs and Signals Regulations 1996. First Aid Boxes should contain only the following items in the quantities indicated in the table overleaf. No drugs e.g. Paracetamol, Aspirin etc. should be kept in the box Leaflets giving general guidance on First Aid Individually wrapped sterile adhesive dressings - assorted sizes Sterile eye pad with attachment (e.g. Standard Dressing No. 16 BPC) Triangular bandages (sterile if possible) Safety pins A selection of individually wrapped sterile un-medicated wound dressings including at least the following: Medium sized sterile un-medicated dressings (approx. 10 x 8 cm. e.g. Standard Dressing Nos. 8 and 13 BPC) Large sized sterile un-medicated dressings (approx. 13 x 9 cm. e.g. Standard Dressing Nos. 9 and 14 BPC and the Ambulance Dressing No. 1) Extra large sized sterile un-medicated dressings (approx. 28 x 17.5 cm. e.g. Ambulance Dressing No. 3) Where there is a foreseeable risk of eye injuries and where tap water is not readily available nearby, suitable quantities of sterile water or sterile normal saline in disposable containers each holding at least 300 ml. should be kept easily accessible, and near to the First Aid box, for eye irrigation. At least the numbers of each item shown in the table below should be provided. It should be noted that these quantities are based on one box per appropriate number of persons. The First Aider/ Emergency First Aider should check that these levels are maintained by carrying out formal 6 monthly inspections and recording same. Any shortfall in stock must be reported and items replenished in accordance with departmental procedures. Contents of First Aid Boxes Item Numbers of Employees 1-5 6-10 11-50 Guidance card/First Aid Leaflet Individually wrapped sterile adhesive dressings Sterile eye pads, with attachment Triangular bandages Sterile coverings for serious wounds (where applicable) Safety pins Medium sized sterile unmedicated dressings Large sterile un-medicated dressings Extra large sterile unmedicated dressings Sterile water or saline in disposable containers (where tap water is not readily available) 51-100 101-150 1 1 1 1 1 10 20 40 40 40 1 2 4 6 8 1 2 4 6 8 1 2 4 6 8 6 6 12 12 12 3 6 8 10 12 1 2 4 6 10 1 2 4 6 8 1 1 3 6 6 Disposable plastic gloves and aprons and suitable protective equipment should be kept in or near the First Aid box. These should be properly stored and checked regularly to ensure that they remain in good condition. Blunt-ended steel scissors (minimum length 12.70 cm) should be kept where there is a possibility that clothing might have to be cut away. These should be kept along with items of protective clothing and equipment. Plastic disposable bags for soiled or used First Aid dressings must be available and be used. In line with current First Aid training, the use of resuscitation aids should be considered as good practice and should therefore be available. Recording of First Aid Treatments The First Aider or Appointed person will be responsible for ensuring that all First Aid treatment, no matter how minor is recorded using the Accident Reporting process and that records of accidents are kept. The designated First Aider and Emergency First Aider should be aware of the accident reporting requirements. First Aid Rooms First Aid rooms, where provided, should be identified locally. They should be large enough to hold a couch and the door of the room wide enough to accommodate a stretcher, wheelchair, carrying chair or emergency trolley. Facilities, kept clean and properly maintained, should be provided nearby where employees can await treatment. In the room itself all surfaces should be easy to clean and the room cleaned daily. There should be effective heating, lighting and ventilation which should be adequately maintained. The facilities and equipment which should be provided in rooms designated as First Aid rooms are as follows: sink with running hot and cold water drinking water (if not available on mains tap) and disposable cups paper towels smooth topped working surfaces a range of First Aid equipment (at least to standard required in First Aid boxes) chair couch (with waterproof cover), pillow and blankets suitable storage facilities for First Aid materials soap clean protective garments for First Aiders suitable refuse container lined with disposable plastic bags an appropriate treatment record keeping facility The room should be used solely for First Aid treatment. The room should be clearly marked as a First Aid room by means of a sign complying with the Safety Signs and Signals Regulations 1996 and an approved sign should be displayed on the door clearly showing the names, and locations of First Aiders. In situations where specialised First Aid equipment is required at the workplace, this may be kept in the First Aid room as appropriate. As with First Aid boxes and travelling First Aid kits, a nominated First Aider or Emergency First Aider must maintain the First Aid room stock to the required levels. The First Aid room must always be ready for immediate use. Supplementary equipment This may include suitable means for the transportation of casualties; blankets; disposable plastic gloves (for protection against blood, etc.), aprons and other suitable protective equipment and blunt ended stainless steel scissors (minimum length 12.70cm). Where such equipment is considered necessary it should be stored in the vicinity of the First Aid boxes. Departments should also consider the provision of plastic disposable bags which are labelled biohazard for the safe collection and disposal of soiled dressings. Provision of First Aid Training First Aid training requirements will be assessed and training arranged by the School Head/College Principal. A register of First Aid personnel and their locations will be held. The register should also identify expiry dates for certificates in order that refresher training can be arranged prior to expiry dates. First Aiders and Emergency First Aider should be asked to notify their School Head/College Principal no later than 12 weeks before the expiry date of their current First Aid certificate in order to ensure that there is adequate time for re-certification courses to be arranged. Provision of Information to Employees Staff must be informed of the arrangements which have been made for the provision of First Aid, including the locations of equipment, facilities and personnel. An approved notice should be posted in a prominent position and should be updated as necessary. This gives the location of First Aid equipment and facilities and the name(s) and the location(s) of First Aiders. Roles & Responsibilities Alpha Plus Group What needs to be done, when and how? Sufficient provisions made that each unit has adequate and appropriate equipment, facilities and personnel to enable first aid to be given to employees if they are injured or become ill at work. Need to know That each unit has appropriate number of suitably trained First Aiders on site at all times. Monitoring & Reporting Each unit must have a register of all First Aiders with details of their location and expiry of their First Aid Certificate. School Heads/College Principals What needs to be done, when and how? Ensure that, within their Nursery/school/college, there are adequate provisions for First Aid including personnel, facilities and equipment. Need to know The First Aid requirements for their facility. Monitoring & Reporting Ensure there are procedures in place to ensure that all employees that are administering First Aid have a valid First Aid Certificate. Employees What needs done when and how? First Aid trained and Appointed Person trained employees carry out their function in accordance with the training they have received. Employees contact First Aiders immediately if any employee becomes ill or sustains an injury whilst at work. Need to know How to contact a First Aider. Monitoring & Reporting Employees are required to report any accidents and/or near miss incidents.