First-aid and CPR requirements for public schools

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First-aid and CPR requirementsfor public schools
DEPARTMENT OF LABOR AND INDUSTRIES WASHINGTON
STATE OFFICE OF SUPERINTENDENT OF PUBLIC
INSTRUCTION
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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

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Who is covered by L I?

• All employers in Washington State
• LI rules protect all employees
• Students are not covered by LI rule
• LI rules apply to all workplaces - including
  schools
• No special rules for schools from LI
• There are other special rules for schools from
  OSPI

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Who else is covered?

• Other rules that reference LI rule are not
  enforced by LI
• 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

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The Basic LI 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."

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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

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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

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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

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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
• LI will decide if the employer made the correct
  decision

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What do first-aid classes have to cover?

• Injuries employees are likely to suffer
• CPR is no longer required by LI but is
  recommended for school employees
• Retraining is recommended
• Three years for first aid
• Each year for CPR

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Who can teach a first-aid class?

• Instructor-certification is no longer required by
  LI.
• 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

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First-aid Kits and Supplies

• No list of required supplies from LI 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

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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

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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
  40x36x54 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

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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/faki
  t.html
• WSP requirements for school bus first-aid kits
  (Pg.59)
• http//www.k12.wa.us/transportation/pubdocs/BusSpe
  cManual.pdf

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Rules for First-aid in WA Schools

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