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First-aid and CPR requirementsfor public schools

DEPARTMENT OF LABOR AND INDUSTRIES

WASHINGTON STATEOFFICE 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

• L&I rules protect all employees

Students are not covered by L&I rule

• L&I rules apply to all workplaces - including schools

No special rules for schools from L&I

There are other special rules for schools from OSPI

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Who else is covered?

Other rules that reference L&I rule are not enforced by L&I

• 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 L&I 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 L&I 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 L&I 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 L&I. 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 L&I 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 40”x36”x54” 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/fakit.html

WSP requirements for school bus first-aid kits (Pg.59) • http://www.k12.wa.us/transportation/pubdocs/BusSpecManual.pdf

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Rules for First-aid in WA Schools

-•Staff Position •Req’d. or Rec. •Requirement or Recommendation •Regulation

•An Employee to offer first-aid

•Required •First-aid card – At least one employee at each location, at all times -- (CPR recommended)

•WAC 296-800-15005 29 CFR 1910.151(b)

•Bus Drivers •Required •First aid card and CPR certification •WAC 180-20-101(d)

•Coaches •Required •First aid card and CPR certification •WIAA Handbook Rule 23.2.1 A&B

•Licensed Child Care Staff

•Required •First aid card and CPR certification •WAC 388-295-1100(1)

•P.E. Teachers •Required for Endorsement

•First aid card and CPR certification •WAC 180-79A-380(1)

•Health/Fitness Teachers

•Required for Endorsement

•First aid card and CPR certification •WAC 180-82-340(2)

•Lab Science Teachers/CHO

•Recommended •First aid card and CPR certification •WAC 296-62-40025(d)(v)(C)

•M & O worker •Required •First-aid card when performing “construction” work •WAC 296-155-005-(1)

•WAC 296-155-120