Ref: Version AP3: 2017 Safe Operating Procedure Policy: SOP 44 First Aid Version: 2.0 Synopsis: Policy Owner: This policy covers the procedure to be followed by all Colleges UK Health & Safety Manager Relevant to: All Bellerbys employees Date introduced: 14 April 2014 Next review date: Related Documents: Date(s) modified/reviewed: This policy will be reviewed annually, or in line with legislative or regulatory changes or guidance from Codes of Practice. Study Group Health & Safety Policy First Aid Needs Assessment Template First Aid Risk Assessment Document 16th June 2015: Reviewed by Andrew Williams. Changed names for the persons responsible for maintaining first aid boxes. 17th September 2015: Reviewed and modified by Sandy Connors 23rd August 2016 (Sandy Connors and Ali Baines) Reviewed. First Aider list updated. No other changes. 1st Feb 2017 (Sandy Connors). 1st Aider list updated. 23 August 2017: Annual Review completed by Bellerbys Principals and UK H&S Manager. Document converted to an operating procedure within the context of the overall UK H&S Policy. Page 1 of 9
LOCATION: Location of First Aid Boxes BELLERBYS COLLEGE BRIGHTON VOYAGER HOUSE First Aid Boxes Main College Building Cafeteria Science department Residences Offices AED Machine x 2 Behind reception Outside Security Office (Boarding) Held by Reception Catering Manager Science Faculty Office Security office staff and boarding house flats List of First Aiders Date of Last Training Next Training Due Helen Andrews Science Dept. July 2017 July 2020 Rory Goss Science Dept. July 2017 July 2020 Bernadette Macadam Science Dept. July 2017 July 2020 Sheila Hyde Science Dept. July 2017 July 2020 Kevin Toomey Science Dept. July 2017 July 2020 Sandra Battley Science Dept. July 2017 July 2020 Kai Swarvett Canteen July 2017 July 2020 Juan Gomez Corrales Canteen July 2017 July 2020 Minnie Hooper Ground Floor Catering July 2017 July 2020 Siti Nur Choiriyah Office Canteen July 2017 July 2020 (Nye )Benjaphorn Lambert Canteen July 2017 July 2020 Gorwyn Ignacio Cabrera Residences Supervisor July 2017 July 2020 Elze Camargo Residences Supervisor July 2017 July 2020 Katarzyna Paczynska Residences Supervisor July 2017 July 2020 Mateusz Kowalczyk 4 th Floor Study Group July 2017 July 2020 Helen Bartley 4 th Floor Study Group July 2017 July 2020 Clare Lane PE / Enrichment Office July 2017 July 2020 Brad Crescenzo Ground Floor Embassy 2 nd Floor July 2017 July 2020 Tom Hall Embassy 2 nd Floor July 2017 July 2020 John Fulcher Maintenance July 2017 July 2020 Cathy O'Neil Security July 2017 July 2020 Deborah Daltrey Security July 2017 July 2020 James Daltrey Security July 2017 July 2020 Richard Jay Security July 2017 July 2020 Colin Gough Security July 2017 July 2020 Page 2 of 9
Contacting Emergency services Request and Ambulance Dial 999 (or 9 for an outside extension and then 999) or 112 from a mobile phone Speak clearly and slowly Be ready to repeat information if required Follow any instructions given Remain calm Give your name and contact telephone number you are calling from Give your location: Bellerbys College Voyager House 1 Billinton Way Brighton Give the post code: BN1 4LF Inform the Ambulance control that the best entrance for the ambulance is Main entrance Billinton Way And someone will meet them there to escort them to the casualty Give detail of casualty and incident: Name Age Time incident occurred What happened Their current condition (conscious/unconscious, breathing/not breathing, bleeding etc.) Page 3 of 9
44.1 Scope Employers must provide adequate and appropriate equipment, facilities and personnel to ensure employees receive immediate attention if they are injured or taken ill at work. The requirement applies to all places of work (which includes away from a work place) but do not place a duty on employers towards non-employees, such as the public or students in schools. However, DfE Guidance relative to our school premises, and our duty of care towards students within the premises, applies. General duty of care also places a moral and legal requirement on all staff to make their best endeavours to secure the wellbeing of other persons in the workplace, especially in emergency situations, where the consequences of no action are likely to be more serious than assisting. Therefore Study Group expects that workplace First Aiders will treat any person in need at our premises, such as a visitor or contractor and for the for the purposes of needs assessment, Study Group will include student numbers in any needs calculation. 44.2 Responsibility Those in the following positions are responsible for ensuring that first aid arrangements are in place in their respective office or academic and accommodation or premises (where accommodation is directly managed): Principal Centre Director Head Of Centre Programme Manager Office Manager This responsibility can be delegated at the local level to a suitable nominated person e.g. Director of Student Services, Facilities Manager, or Residence Manager. And in the case of excursions, trips and activities, an Activities Manager, Excursion Manager, External Visits Co-ordinator (EVC), Enrichment Programme Manager or Sports and Social Programme Manager, or the organising teacher or Head of Department. 44.3 EQUIPMEMT Accident Book This document must be present at every site, as the means by which an employee can make a report of any injury they experience in the workplace. However, a record of injury to any person in the workplace, e.g. a visitor or contractor, should be made in the Accident Book. The Book should be kept in a central and easily accessible location, made known to staff and known of by First Aiders, such as at Reception or a Main office. Any report entered should then be removed from the Book by a nominated administrator and filed separately, to ensure it is free of personal details when provided to the next person wanting to make an entry, for data protection purposes. Any person administering first aid should direct the injured party to make a report of their workplace injury in the local Accident Book. A First Aider should also ensure that a report is made, as a record of their actions toward another. The report can be made by any party. Well completed Accident Book reports will meet the criteria for schools to keep records of first aid treatment that has been administered to students. Page 4 of 9
44.4 EQUIPMENT - Signage The details of designated First Aiders will be given on signs displayed around buildings, in locations where the relevant audience is likely to see them. Signage may only describe the First Aiders available in the locality (and not all First Aiders for the whole site). Signage will also describe where first aid kits can be located and give the location of any designated First Aid Treatment room. The responsible person must ensure that this signage is kept current, by regular review of the prescribed arrangements. 44.5 EQUIPMENT First Aid Kits The minimum number of first aid kits needed at a workplace will be determined by needs assessment although as a guide, where more than 50 potential users are on site at any one time, more than one first aid kit should be provided. First aid kits should be located in easily accessible and highly visible places. They should also be present in locations of likely greatest need, such as: Within a Science department where substances harmful to health (SHH) are in use Within any department where SHH or high risk equipment is in use e.g. Art or Design Within a Housekeeping / Cleaning team, where SHH are in use Within a Catering team Within an U18 Residence Within an out-of-hours Security team With an Excursion or Activities team First aid kits should be in grab-bag form or a suitably mobile form where a First Aider has a need to transport the kit to a place of treatment or carry the kit in off-site (visit or activities) provisions. First aid kits will be kept stocked with contents in accordance with standard BS EN 8599 and any items exceeding an expiry date removed. First aid kits will not contain medication of any kind and will not contain any treatment liquids / pastes / gels, other than specified dressings for the treatment of burns and sterile eye wash. Additional pairs of disposable waterproof non-latex (nitrile) gloves will be added. Ice packs should also be stocked on site in a location known to First Aiders. Burns kits should be placed where it is reasonably foreseeable or incident data suggests a burn incident may take place, such as use of burning chemicals, or exposure to scalding water, or in kitchens. Public Service Vehicle operators must carry a first aid kit. However, this should never be relied upon as having access to a first aid kit and neither should the coach driver be considered a First Aider; the organiser of an offsite visit should always make their own first aid arrangements. Staff that are away from a workplace as a job requirement, e.g. mobile operational, sales or activity staff, or homeworkers, must have access to a first aid kit where a risk assessment identifies there is a likely foreseeable need for first aid. So this may mean, for example, having a first aid kit carried in a Maintenance team works van. Equally, a risk assessment for an off-site visit will determine the first aid (kit) provisions are required. Where kits are provided to or held by individuals, those individuals must be responsible for kit contents. Otherwise fixed point workplace kit contents must be regularly checked (no less than monthly) by responsible or nominated persons. Page 5 of 9
The storage location of mobile kits (for use on excursions, or at sporting events, or in pool vehicles etc) must be made known to responsible or nominated persons for check purposes. Otherwise, the contents of any kit not brought to the attention of responsible or nominated persons is the responsibility of the storing department to maintain. In U18 residences, first aid kits will not be made available where easy unrestricted access will encourage students to self-treat, potentially followed by a failure to report their injury. Kits will be present in the Main Office or equivalent, any main kitchen (not kitchenettes on each floor) and in the Residential Supervisor s / Warden s room. 44.6 EQUIPMENT - Defibrillators Where risk assessment identifies a workplace where there is a likely risk of heart failure because of the type of activity carried out at, or the nature of the people making use of the premises, defibrillators will be installed. In such workplaces, whilst the equipment is designed to be easily used by anyone, First Aiders should undertake practical familiarisation training with the equipment, concurrent with First Aid refresher training cycles. This does however not need to be formal training and a play session making use of a resuscitation dummy would be sufficient. It is noted that a FAW training course should include use of a defibrillator as standard, but an EFAW course does not. Where defibrillators are installed, regular (no less than monthly) readiness checks should be made by responsible or nominated persons. Maintenance and servicing of defibrillators will be as per manufacturer s instructions and must be organised by Facilities teams. The location of any defibrillators installed should be made known to all designated First Aiders. 44.7 FACILITIES Treatment Room Where needs assessment identifies it as necessary, a place where first aid can be administered discretely will be identified and designated a First Aid Treatment Room with signage to denote this. Ideally this will be a place where a casualty can lie down, can be easily accessed by emergency services if necessary and should be a room that is always readily available for use. It should be easy to clean, offer seating and a washbasin and ideally be close to a toilet. Even when risk assessment does not identify a Treatment Room as necessary, where facilities allow, such a room should be created, as the degree of privacy offered by a this room will be welcomed by a casualty and allow a First Aider to provide a more professional degree of care. The location of this place should be made known to all designated First Aiders. Page 6 of 9
44.8 PERSONNEL First Aiders Duties The primary duties of a First Aider are: To ensure that emergency doctor or paramedic services have been called to the site where necessary. To provide an emergency first response to casualties, where this does not place them at significant risk to do so. To provide basic remedial or restorative care and / or treatment to casualties, until emergency services can assist where this is necessary. To provide response, care and treatment in accordance with their training. To ensure that Accident Book and Incident Report records are made as applicable. To ensure that first aid kits remain fully stocked when in their personal possession. A qualification suitable to the work environment will be held by designated First Aiders. In our office, educational and accommodation premises, a suitable qualification is First Aid at Work (FAW). This can be supported by those holding an Emergency First Aid at Work (EFAW) qualification, but only where sufficient numbers of FAW qualified people make up the site First Aid team, as determined by needs assessment. The Appointed Person qualification is not suitable for our organisation, only being appropriate in a workplace where needs assessment has determined that no first aid treatment will likely be necessary. This is not the case for ANY Study Group premises. Where an off-site visit requires first aid provision, as determined by risk assessment, the designated First Aider(s) must as a minimum be EFAW qualified in sufficient numbers relative to the number of students. Supervisory adults of the group will also need to be competent to assist any student administer any medication they may need, as per any applicable Medicines Policy; these persons do not need to be qualified First Aiders. Any designated First Aiders accompanying an off-site visit or overseeing any activity must be suitably trained to address the relevant first aid risk, for example: Qualified Lifeguard for a swimming activity Qualified Lifeguard or RYA First Aid qualification for watersport activities First Aid in the Outdoors qualification for land based adventurous activities Sports First Aid qualification for sporting activities Anaphylaxis Management (or FAW) qualification to administer an epi-pen. 44.10 PRACTICES Information (in addition to signage) Workplace first aid treatment should be sought from designated First Aiders named on signage displayed at the premises. This should be supplemented by a full central list held where a request for first aid assistance is likely to be made, such as at Reception or in a Main Office. Information detailing first aid arrangements will be provided to staff and students as part of an induction programme, and similar will be provided to building visitors on arrival. Contractors will either receive a site induction detailing the arrangements, or receive the same information as a site visitor, depending upon the nature of their work on site. Page 7 of 9
44.11 PRACTICES First Aid Training Providers Any person employing the services of a First Aid trainer has a duty to establish the technical competence of that trainer and must make pre-use supplier checks accordingly. Therefore, adopted First Aid training suppliers will be selected and checked by the H&S Manager and their details circulated for use, which is mandatory, unless there is a good business case to deviate from adopted suppliers. 44.12 PRACTICES Reporting, Records and Monitoring Responsible or nominated persons must ensure that an Incident Report Form is completed for any significant first aid incident, which should provide more extensive details than the basic Accident Book record. At this point, the Study Group SOP 43 Incident Reporting applies. The Incident Report form must be forwarded on to those that need to address any workplace deficiency and/or the local H&S Co-ordinator or H&S Appointed Person, and in the case of serious incident, also directly to the H&S Manager. Accident Book and Incident Report records must be kept for a minimum of 3 years after the event. The Company will report any accidents to the HSE as required under the RIDDOR (Reporting of Injuries, Diseases & Dangerous Occurrence Regulations 1995). All accidents, however minor must be reported so that the incident can be investigated. The accident log book is held in the Finance Office, Queens Campus. Where it is in place (Bellerbys Colleges), First Aid qualification and refresher certification details must be provided to the nominated administrator of the Central Training Record. This Record (or equivalent) must be monitored by responsible and nominated persons as a means to confirm that sufficient First Aiders with suitable and current qualifications are in place. In the absence of a formal Central Training Record, some other form of training register must exist, at least for First Aid records. Medical records will be kept for any student with a known medical condition. These records must be treated as private and confidential and only shared with those that need to know. However, if it is likely that a first aid situation may arise as a result of the medical condition, First Aiders need to know to be in a position to provide the best care in the event of need. If necessary, responsible and nominated persons should seek consent from students to share this specific medical information. Whilst parents should inform Study Group in advance of arrival of any student medical conditions, it is a good practice to ask students during their induction and when signing up for off-site visits to highlight any medical conditions. Whilst Central HR will hold Health Questionnaire information about staff, this is not shared for first aid purposes. So locally there should be a request made to staff to inform responsible persons of any medical condition that may likely result in a first aid situation, along with their consent to share this information with First Aiders. Whilst confidentiality and security of private information must be maintained, both student and staff medical records must be readily accessible in the event of an emergency so that they can, for example, be immediately provided to medical personnel when they arrive on site and/or go with the casualty to hospital. Consider that records kept in a computer file with highly restricted or single person access or locked in secure storage which has highly restricted or single person access may not be readily accessible. Page 8 of 9
44.13 PRACTICES Biological Waste Management First aid waste is usually offensive or hygiene waste, which is not clinical or hazardous waste if it: Is not known to be infectious Does not require special treatment or disposal When handled, offensive and hygiene waste does pose a residual health risk, which should be dynamically risk assessed and appropriate precautions implemented. However, provided the waste is appropriately wrapped, properly handled and free from excess liquid, the risk to health is considered by the HSE to be low. Suitable methods for dealing with small amounts of ad-hoc hygiene waste are: Wash soiled clothing (separately from other clothing) Flush away biodegradable substances (not dressings that may block) down a toilet Make use of a (female toilet) sanitary waste disposal bin Where present, make use of College Nurse biological (and sharps) waste disposal bins Large amounts of hygiene waste or sharps will need to be treated as clinical waste and removed from a commercial premises under clinical waste management control. 44.14 PRACTICES Safeguarding When English is not a student s first language, it is important that we assist them in understanding any medical situation concerning themself and provide them with support in the case of any distressing medical condition. Students under the age of 16, or any student incapacitated and unable to act for themselves, taken to hospital will be accompanied by a supervisory adult; usually someone from the Student Services/Welfare or Residential Management teams. Students that are unwell but do not attend hospital will be monitored. Arrangements for this will be made with College Nurses, Student Services/Welfare Managers, Residential Managers, Security teams and Homestay hosts as appropriate. The Study Global system will contain all student guardian contact details, for those with a responsibility for student welfare to promptly inform guardians of any serious or significant incident having a negative impact on a child s wellbeing that has occurred. Page 9 of 9