to define what is first aid objectives april 2012 21 first aid (i).pdf · • to define what is...

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2_6 1 First Aid By Mohd Rizal Nasiran April 2012 2_6 2 Objectives To define what is first aid To state the purpose of first aid at workplace To describe 3 principle of first aid To explain the requirement under the first aid guideline by DOSH To explain 3 levels of first aid training

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2_6 1

Firs

t Aid

By M

oh

d R

iza

l Na

sira

n

Ap

ril 20

12

2_6 2

Obje

ctiv

es

•T

o d

efin

e w

hat is

first a

id

•T

o s

tate

the p

urp

ose o

f first a

id a

t w

ork

pla

ce

•T

o d

escrib

e 3

prin

cip

le o

f first a

id

•T

o e

xpla

in th

e re

quire

ment u

nder th

e

first a

id g

uid

elin

e b

y D

OS

H

•T

o e

xpla

in 3

levels

of firs

t aid

train

ing

2_6 3

Topic

s

•R

easons fo

r pro

vid

ing F

irst-A

id

•P

lannin

g fo

r Firs

t-Aid

•F

irst-A

id fa

cilitie

s

•T

rain

ing

2_6 4

What Is

Firs

t-aid

Firs

t aid

is "th

e im

media

te a

nd te

mpora

ry

care

of th

e v

ictim

of a

n a

ccid

ent, w

ith th

e

aim

of p

reventin

g o

r reducin

g a

n a

cute

th

reat to

the life

or h

ealth

of th

e v

ictim

".

–In

tern

atio

na

l La

bo

ur O

rga

nis

atio

n

2_6 5

The A

ims O

f Firs

t-aid

Are

To:

•P

reserv

e life

•S

top th

e c

onditio

n b

ecom

ing w

ors

e

•P

rote

ct th

e u

nconscio

us

•P

rom

ote

recovery

and

•R

elie

ve p

ain

and s

uffe

ring

•C

om

plia

nce w

ith F

acto

ry a

nd M

achin

ery

A

ct (R

eg. 3

8) a

nd O

SH

A (S

ectio

n 1

5(1

)

2_6 6

Who N

eeds F

irst-A

id

A p

ers

on w

ho:

–R

eq

uire

s im

me

dia

te a

tten

tion

–W

ho

se

inju

ry w

ou

ld n

ot n

ee

d tre

atm

en

t by a

m

ed

ica

l pra

ctitio

ne

r or n

urs

e

–M

ino

r inju

ries w

ho

wo

uld

oth

erw

ise

rece

ive

no

tre

atm

en

t

No

te:

All in

jurie

s h

ow

eve

r min

or s

ho

uld

be

trea

ted

, o

the

rwis

e it m

igh

t lea

d to

infe

ctio

ns le

ad

ing

to lo

st

time

illne

sse

s.

2_6 7

Firs

t Aid

Response

•G

et h

elp

imm

edia

tely

. Speed is

essentia

l. M

inute

s c

an s

ave liv

es

•F

irst-A

ider a

ssess s

ituatio

n w

ithout

endangerin

g s

elf

•Id

entify

inju

ry o

r inju

ries

•In

cases o

f multip

le c

asualtie

s p

rioritis

e

treatm

ent

•K

eep re

cord

s o

f treatm

ents

2_6 8

Prin

cip

les O

f Firs

t Aid

•ID

EN

TIF

ICA

TIO

N –

–W

ha

t kin

d o

f inju

ries o

r dis

ea

se

s a

ntic

ipa

ted

•A

SS

ES

SM

EN

T –

–T

he ty

pe o

f work

bein

g c

arrie

d o

ut a

nd its

level o

f hazard

–W

ork

aw

ay fro

m th

e e

mplo

yer's

pre

mis

es.

–C

on

se

qu

en

ce

s

–A

vaila

bility

of o

ther p

laces o

f treatm

ent (a

re th

ere

hospita

ls n

earb

y?)

•C

ON

TR

OL –

–P

rovis

ion

of firs

t aid

facilitie

s a

nd

se

rvic

es

2_6 9

Firs

t-Aid

Work

er E

xposure

•T

he d

utie

s o

f first a

iders

should

be

analy

sed a

s p

art o

f the h

azard

m

anagem

ent p

rocess

•Id

entify

hazard

s fro

m

–M

an

ua

l ha

nd

ling

–In

fectio

n c

on

trol

2_6 1

0

Level o

f Pre

para

tion –

Depends O

n R

isk -

1

•P

lan

nin

g is

imp

orta

nt fo

r hig

h ris

k p

lace

s o

f w

ork

, su

ch

as:

–W

ork

pla

ces w

hic

h u

se o

r manufa

ctu

re h

azard

ous

substa

nces

–W

ork

pla

ces w

here

hazard

ous p

rocesses m

ay b

e

used (e

.g.a

bra

siv

e b

lastin

g);

–C

onstru

ctio

n s

ites;

–W

here

heat is

used a

s p

art o

f any p

rocess (e

g

work

ing

in fo

undrie

s o

r weld

ing a

nd c

uttin

g); a

nd

–W

ork

pla

ces w

hic

h re

quire

people

to w

ork

in

rem

ote

isola

ted a

reas (e

g a

gric

ultu

ral o

r transport

industry

).

2_6 11

Level o

f Pre

para

tion –

Depends O

n R

isk -

2

•If h

as p

ote

ntia

l for m

ass c

asu

altie

s p

rovid

e:

–S

afe

pla

ce

for e

va

cu

atio

n

–E

qu

ipm

en

t e.g

. stre

tch

ers

, wh

ee

lch

airs

, etc

.

•F

or h

aza

rdo

us s

ub

sta

nce

s a

nd

po

iso

ns

–P

roce

du

res, tra

inin

g a

nd

PP

E fo

r ha

nd

ling

•A

ntid

ote

s in

first-a

id b

ox, e

.g. fo

r cya

nid

e a

nd

p

roce

du

re fo

r usin

g it, if n

ece

ssa

ry

–T

o b

e a

dm

inis

tere

d o

nly

by tra

ine

d firs

t aid

er2

_6 1

2

A F

irst -

Aid

Pro

gra

m

1.

Pro

pe

rly tra

ine

d a

nd

de

sig

na

ted

first-a

id

pe

rso

nn

el o

n e

ve

ry s

hift,

2.

Firs

t-aid

kit, s

up

plie

s a

nd

roo

m

3.

A firs

t-aid

ma

nu

al

4.

Po

ste

d in

stru

ctio

ns fo

r ca

lling

a p

hysic

ian

an

d

no

tifyin

g th

e h

osp

ital th

at th

e p

atie

nt is

en

rou

te

5.

Po

ste

d m

eth

od

for tra

nsp

ortin

g ill o

r inju

red

e

mp

loye

es a

nd

instru

ctio

ns fo

r ca

lling

an

a

mb

ula

nce

or re

scu

e s

qu

ad

an

d

6.

An

ad

eq

ua

te firs

t aid

reco

rd s

yste

m

Firs

t Aid

Sta

tion

2_6 1

3

2_6 1

4

Firs

t-Aid

Consid

era

tion -

1

•F

or a

ll work

pla

ces

–C

om

mu

nic

atio

ns –

for q

uic

k re

sp

on

se

–R

escu

e a

nd

eva

cu

atio

n

•P

lan firs

t aid

in c

onju

nctio

nw

ith th

e

em

erg

ency re

sponse p

lan. (E

specia

lly fo

r m

ajo

r hazard

facilitie

s (M

HF

))

•If th

ere

are

many e

mplo

yers

in th

e s

am

e

work

pla

ce th

an th

e p

rincip

al e

mplo

yer is

re

sponsib

le

2_6 1

5

Firs

t-Aid

Consid

era

tion -

2

•M

atte

rs to

be d

ete

rmin

ed h

avin

g id

entifie

dhazard

s a

nd a

ssessed th

e ris

ks a

t the

work

pla

ce a

re:

–T

he

nu

mb

er a

nd

loca

tion

of firs

t aid

bo

x

–T

he

ir co

nte

nts

–T

he

nu

mb

er o

f em

plo

ye

es to

be

train

ed

in a

id

–T

he

leve

l of tra

inin

g

–P

ossib

le n

ee

d fo

r a firs

t aid

roo

m a

nd

e

qu

ipm

en

t it sh

ou

ld c

on

tain

2_6 1

6

Firs

t-Aid

Consid

era

tion -

3

•N

um

ber O

f Firs

t Aid

er

•T

he n

um

bers

of e

mplo

yees.

•T

he d

istrib

utio

n o

f em

plo

yees

•N

um

ber o

f shifts

•T

he n

atu

re o

f the w

ork

(type o

f industry

)

•T

he s

ize a

nd lo

catio

n o

f the w

ork

pla

ce

•T

he d

ista

nce fro

m o

uts

ide m

edic

al s

erv

ices

•S

ele

ctio

n o

f Firs

t Aid

ers

•A

ppoin

tment o

f a p

ers

on in

low

risk

situ

atio

ns (o

ffice)

2_6 1

7

Firs

t-Aid

Boxes -

1

Pro

vid

e T

o E

nsure

:

–S

turd

y, p

orta

ble

an

d Im

me

dia

tely

acce

ssib

le -

mo

bile

em

plo

ye

es a

lso

to b

e c

on

sid

ere

d

–N

am

es o

f Firs

t Aid

ers

/ em

erg

en

cy s

erv

ice

s

on

or n

ea

r to b

ox

–C

PR

instru

ctio

ns in

/ or n

ea

r bo

x

–P

lace

of w

ork

inju

ry in

stru

ctio

ns in

or n

ea

r to

bo

x

–C

on

ten

t is d

ep

en

de

nt o

n th

e ty

pe

of s

erv

ice

s

req

uire

d

–H

ea

da

ch

es a

nd

co

lds m

ed

icin

e m

ay n

ot b

e

inclu

de

d

Firs

t Aid

er

2_6 1

8

Firs

t Aid

er

2_6 1

9

Firs

t Aid

Guid

e

2_6 2

0

2_6 2

1

Firs

t-Aid

Boxes -

2

•Lis

t conte

nt a

nd its

quantity

to fa

cilita

te

reple

nis

hm

ent

•E

mplo

yer is

responsib

le. F

irst A

ider to

assis

t reple

nis

hin

g c

onte

nts

•T

here

is o

ften a

diffe

rence o

f opin

ion

regard

ing p

roper tre

atm

ent, firs

t-aid

pro

cedure

s

–S

ho

uld

sp

ecify

the

typ

e o

f me

dic

atio

n, if a

ny,

to b

e u

se

d o

n m

ino

r inju

ries, s

uch

as c

uts

an

d

bu

rns

2_6 2

2

Firs

t-Aid

Equip

ment

•In

are

as w

here

chem

icals

are

sto

red,

handle

d, o

r used p

rovid

e:

–E

me

rge

ncy flo

od

sh

ow

ers

–L

ow

pre

ssu

re e

ye

-wa

sh

fou

nta

ins

2_6 2

3

Firs

t-Aid

Room

•W

hen m

ore

than 1

50 e

mplo

yees

•E

nough to

pla

ce a

couch a

nd p

eople

to

move a

round

•Id

entifie

d, p

rivate

, well lit (in

clu

din

g

em

erg

ency lig

htin

g), v

entila

ted a

nd

tem

pera

ture

contro

lled

•A

ccess fo

r wheelc

hair/s

tretc

her

•E

asy a

ccess to

work

are

as a

nd to

ilets

•E

asy to

cle

an

Firs

t Aid

Room

2_6 2

4

Firs

t Aid

Room

2_6 2

5

2_6 2

6

Stre

tchers

•K

eep n

ear p

laces o

f serio

us h

azard

s

•K

eep c

lean a

nd re

ady fo

r use a

t all tim

es

•K

eep in

cabin

ets

that a

re c

learly

mark

ed

and p

rom

inently

locate

d

•P

rote

cte

d a

gain

st m

echanic

al d

am

age a

nd

destru

ctiv

e v

apours

or fu

mes, d

ust, e

tc.

•T

este

d p

erio

dic

ally

if made o

f mate

rials

th

at w

ill dete

riora

te

2_6 2

7

Tra

inin

g F

or A

ll Em

plo

yees

•Locatio

n o

f first a

id b

oxes/ro

om

s

•N

am

es, lo

catio

n, c

onta

ct n

um

bers

of F

irst

Aid

ers

•F

irst a

id p

rocedure

s

•U

niv

ers

al p

recautio

ns

2_6 2

8

Firs

t Aid

Tra

inin

g

LE

VE

L I

–B

AS

IC F

IRS

T A

ID (e

merg

ency firs

t aid

pro

cedure

s).

LE

VE

L 2

–W

OR

KP

LA

CE

FIR

ST

AID

(Level I p

lus tre

atm

ent

of in

jurie

s a

nd illn

esses, e

g h

eart a

ttack, fa

intin

g).

LE

VE

L 3

–O

CC

UP

AT

ION

AL F

IRS

T A

ID -

(Level 2

plu

s b

road

unders

tandin

g o

f hazard

s, e

merg

ency c

are

&

assessm

ent)

•U

se

ap

pro

ve

d tra

inin

g p

rovid

er

Firs

t Aid

Tra

inin

g

2_6 2

9

2_6 3

0

Sum

mary

•F

irst-A

idis

for p

rese

rvin

g life

an

d p

reve

ntin

g

co

nd

ition

s o

f accid

en

t vic

tims fro

m w

ors

en

ing

•A

sse

ss h

aza

rds in

the

wo

rkp

lace

be

fore

first-a

id

se

rvic

es a

nd

pro

gra

mm

es a

re id

en

tified

•F

irst a

id p

rog

ram

me

co

nsis

ts o

f :

–Id

entific

atio

n o

f Firs

t Aid

ers

and tra

inin

g o

f em

plo

yees

–P

rovis

ion o

f first-a

id b

oxes

–F

irst-a

id ro

om

, stre

tchers

, show

ers

and e

yew

ash if

necessary