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HomeMy WebLinkAbout700-01POLICY & PROCEDURE Subject: First Aid, AED, CPR, Mental Health First Aid, and Naloxone (Narcan) Index: Human Resources and Risk Management Number: 700-01 Effective Date: 7/10/2023 Supersedes: 6/19/1980 Page: 1 of 9 Staff Contact: Ellen Bradley-Mak Approved By: 1.0 PURPOSE: 1.1 To ensure City of Renton employees are well trained and equipped with the appropriate resources to respond to a medical emergency. 1.2 To aid in preparation for potential first aid hazards of the workplace and to align with applicable laws and regulations. 1.3 To contribute to a safe environment for employees and visitors. 2.0 ORGANIZATIONS AFFECTED: All departments/divisions. For all commissioned and non-commissioned members of the Renton Police Department, this policy is applicable in all circumstances except where there is a conflict with departmental Renton PD Lexipol Policy 430: Medical Aid and Response, in which case the departmental policy 430 shall prevail. 3.0 REFERENCES: State Laws: •WAC 296-800-150: First-Aid Summary •RCW 69.41.095: Opioid overdose reversal medication Washington State Good Samaritan Laws: •RCW 4.24.300: Immunity from liability for certain types of medical care •RCW 4.24.31: Immunity from liability for certain care or assistance at scene of emergency or disaster •RCW 70.54.310: Semiautomatic external defibrillator – Immunity from civil liability Policy 700-01 First Aid, AED, CPR, Mental Health First Aid, and Naloxone (Narcan) p. 2 of 9 Related City policies: • Occupational Exposure to Bloodborne Pathogens: Policy 300-55 • Hazard Communication Program: Policy 700-14 • Accident Reporting (Employee-Vehicle-Property): Policy 700-03 • Accident Prevention Program: Policy 700-05 4.0 POLICY: 4.1 This policy covers Basic First Aid, CPR, AED, Mental Health First Aid, and Naloxone (Narcan) administration. Where applicable, employees should also refer to Policy 300-55 Bloodborne Pathogens Post-Exposure, Policy 700-14 Hazard Communication Program, and information contained in Safety Data Sheets (SDS’s). Employees should follow the subsequent procedures as trained and to their level of comfort and skill. For a medical emergency, City employees must call 9-1-1. Employees should not transport an injured person(s) on their own. 9-1-1 must be called for emergency medical services (EMS) to determine the severity of the medical emergency and whether transport to the hospital is recommended. Commonly referred to as “Good Samaritan Laws,” RCWs 4.24.300, 4.24.310, and 4.24.311 provide immunity from liability for certain types of emergency care or assistance, including for people offering First Aid and CPR. 4.1.1 Basic First Aid: Some job positions require that the employee is trained in first aid. First aid supplies will be readily available and accessible to employees appropriate to their occupational setting. Formal First Aid training often covers: • Asthma emergencies • Anaphylaxis • Burns • Choking • Diabetic emergencies • External bleeding and severe trauma • Environmental emergencies • Heart Attack • Poisoning • Neck, head, and spinal injuries • Stroke • Seizure 4.1.2 Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillator (AED). Certain job positions require that the employee is Policy 700-01 First Aid, AED, CPR, Mental Health First Aid, and Naloxone (Narcan) p. 3 of 9 trained in CPR and AED use. All employees trained in basic first aid will also be trained in CPR and AED use. An AED will be readily available and accessible to employees in most work areas and settings. 4.1.3 Washing Facilities: The City of Renton provides emergency washing facilities in alignment with WAC 296-800-15030. Functional emergency washing facilities should be readily accessible in work areas where employees have the potential to come into to contact with corrosives, strong irritants, or toxic chemicals. 4.1.4 Mental Health First Aid: Mental Health First Aid training helps employees to identify, understand, and respond to signs of mental illness and substance use disorders, and provides the skills needed to help and respond to someone in crisis. 4.1.5 Naloxone (Narcan): Naloxone (Narcan) is a nasal spray that reverses opioid drug overdose by temporarily blocking the drug’s effects. Naloxone can also be used to reverse the impacts of accidental exposure to fentanyl or other opioids. 5.0 DEFINITIONS: Automated External Defibrillator (AED): A lightweight, portable device that delivers an electric shock through the chest to the heart. The shock can potentially stop an irregular heartbeat (arrhythmia) and allow a normal rhythm to resume following sudden cardiac arrest. Cardiopulmonary Resuscitation (CPR): An emergency lifesaving procedure performed when the heart stops beating. First Aid: One-time, short-term treatment that requires little technology or training to administer. Some examples of first aid include: cleaning minor cuts, treating minor burns, applying bandages, draining painful blisters, removing debris from the eyes, and administering drinking fluids to relieve heat stress. Medical Emergency: An acute injury or illness that poses an immediate risk to a person's life or long-term health. Call 9-1-1 for a medical emergency. If employees are uncertain about the level of risk, they should err on the side of caution and call 9-1-1. Mental Health First Aid: Help offered to someone experiencing a mental health crisis or the worsening of an existing mental illness. The aid is given until appropriate professional help is received, or the crisis resolves. Policy 700-01 First Aid, AED, CPR, Mental Health First Aid, and Naloxone (Narcan) p. 4 of 9 Readily Accessible: Capable of being reached quickly for operation, renewal, or inspections, without requiring those to whom ready access is requisite to climb over or remove obstacles or to resort to portable ladders, chairs, etc. 6.0 PROCEDURES: 6.1 Basic First Aid 6.1.1 Basic First Aid supplies: 6.1.1.1 Risk Management will maintain guidelines for approved First Aid supplies. See Appendix A for the First Aid supplies list. 6.1.1.2 First aid supplies will be ordered and maintained by each Department. For some locations, Facilities may provide maintenance of first aid supplies. 6.1.1.3 Supervisors should review the location of first aid supplies with new and existing employees. 6.1.1.4 The first aid supplies must be easily accessible to all employees and stored in containers that protect them from damage, deterioration, or contamination. Containers must be clearly marked, not locked, may be sealed, and able to be moved to the location of an injured or acutely ill worker. 6.1.2 Administering Basic First Aid: 6.1.2.1 Employees trained in first aid may administer first aid using the provided supplies. 6.1.2.2 The injured/ill employee should seek prompt medical care. 9-1-1 must be called for all medical emergencies. 6.2 Emergency washing facilities 6.2.1 Eyewash facilities and emergency showers 6.2.1.1 For work with the potential for contact with corrosives, strong irritants, or toxic chemicals, supervisors shall orient employees to the location and use of eyewash facilities and emergency showers. Policy 700-01 First Aid, AED, CPR, Mental Health First Aid, and Naloxone (Narcan) p. 5 of 9 6.2.2 Using eyewash facilities 6.2.2.1 Employees whose eyes come into contact with corrosives, strong irritants, or toxic chemicals should irrigate and flush both eyes simultaneously for at least 15 minutes. 6.1.2.2 The employee should seek prompt medical care. 6.2.3 Using emergency showers 6.2.3.1 Employees who experience a major portion of their body in contact with corrosives, strong irritants, or toxic chemicals should use the emergency shower to cascade water over their entire body for least 15 minutes. 6.2.3.2 The employee should seek prompt medical care. 6.3 Cardiopulmonary Resuscitation (CPR) 6.3.1 Employees comfortable doing so can perform CPR as trained if an adult is not breathing at all or if a child/infant is not breathing normally, or if a person’s heart stops beating. 6.3.2 Employees must call 9-1-1 or summon someone else to call 9-1-1 before starting CPR. 6.3.3 Employees should give chest compressions as trained until emergency medical services arrive. 6.4 Automated External Defibrillator (AED) 6.4.1 AED supplies 6.4.1.1 Facilities will install and maintain AED supplies. 6.4.1.2 Supervisors should review the location of closest AED with new and existing employees. 6.4.2 Using an AED 6.4.2.1 The employee responding to a cardiovascular event should first follow the procedures for CPR. Policy 700-01 First Aid, AED, CPR, Mental Health First Aid, and Naloxone (Narcan) p. 6 of 9 6.4.2.2 Once 9-1-1 has been called and the responding employee has begun chest compressions, they should utilize the AED in accordance with training. The employee should follow the step- by-step instructions on the defibrillator and deliver a shock if the AED determines it is needed. 6.5 Mental Health First Aid 6.5.1 Recognizing and responding to mental health and substance use crises 6.5.1.1 Trained employees should use their training to identify potential risk factors and warning signs for mental health and substance use challenges and should respond to their level of comfort. 6.5.1.2 Employees who are not trained or are not comfortable responding to a mental health or substance use crisis should call Emergency Services at 9-1-1. 6.6 Opioid Overdose Reversal 6.6.1 Naloxone (Narcan) supplies 6.6.1.1 Departments, Divisions, and City facilities whose employees have the potential to be exposed to opioids and/or people who may experience an opioid overdose should order and store intranasal spray Naloxone (Narcan) in a location with similar access as standard First Aid supplies. Risk Management is available to provide support assessing exposure risk to interested Departments and Divisions. 6.6.1.2 Risk Management will maintain guidelines for approved training, storage, and reporting. 6.6.1.3 All employees with access to Naloxone should be offered training at least every three years to recognize signs and safely respond to potential overdose situations. Many First Aid/CPR courses include instruction in Naloxone use. Naloxone training is optional, unless required within a specific position’s responsibilities. 6.6.1.4 The department, division, or facility must track the expiration date, training compliance, and notify HRRM through prompt completion of an Incident Report in the event of use. Policy 700-01 First Aid, AED, CPR, Mental Health First Aid, and Naloxone (Narcan) p. 7 of 9 6.6.2 Naloxone (Narcan) use 6.6.2.1 Employees who suspect opioid overdose or accidental exposure should call 9-1-1. 6.6.2.2 Employees comfortable doing so can administer Naloxone as trained and/or per instructions. 6.6.2.3 If warranted by the emergency, employees who are also trained in CPR should offer CPR as trained and to their level of comfort and skill. 6.7 Training, record keeping and reporting 6.7.1 Training 6.7.1.1 Certain job positions require that the employee is trained in First Aid, CPR, AED and/or Naloxone (Narcan) use. This may include adult, child, and/or infant CPR, AED, and First Aid, as deemed appropriate to the position. Supervisors and/or hiring managers should ensure these training requirements are included in position descriptions and courses are provided at no cost to the employee. 6.7.1.2 Optional First Aid, CPR, AED, Naloxone (Narcan) training may be offered to all employees. 6.7.1.3 Optional Mental Health First Aid training may be offered for employees who are interested and/or who have the potential to interact directly with the public. 6.7.1.4 Departments and divisions may organize other relevant and related training for their employees. 6.7.1.5 Departments, Divisions, and hiring supervisors may consult with HRRM to identify which positions currently or should require training and which positions should offer optional training. 6.7.2 Training records 6.7.2.1 Training records must include (1) dates of the training sessions, (2) contents or a summary of the training sessions, (3) names and Policy 700-01 First Aid, AED, CPR, Mental Health First Aid, and Naloxone (Narcan) p. 8 of 9 qualifications of person(s) conducting the training, and (4) names and job titles of all persons attending the training sessions. 6.7.2.2 Training records are maintained by the department and must be maintained for 6 years from the date of training. 6.7.3 Incident reporting 6.7.3.1 An Employee Injury Report and/or an Incident Report must be submitted by the employee, their supervisor, or the first individual arriving at the scene of an emergency. 6.7.3.2 All other related procedures must be followed if the incident involved occupational exposure to bloodborne pathogens or exposure to a hazardous chemical, including appropriate reporting and recordkeeping as outlined in other City policies. Policy 700-01 First Aid, AED, CPR, Mental Health First Aid, and Naloxone (Narcan) p. 9 of 9 APPENDIX A: Approved First Aid Kit Contents The American National Standards Institute (ANSI) and International Safety Equipment Association (ISEA) – Minimum Requirements for Workplace First Aid Kits and Supplies (ANSI/ISEA Z308.1-2021) establishes minimum requirements for first aid kit supplies. ANSI 2021 Standard (effective October 16, 2022) First Aid kits are classified based on the assortment and quantity of first aid supplies intended to manage most types of injuries and sudden illnesses that may be encountered in the workplace. Departments and Divisions may choose the kit that is most appropriate for their work environments. HRRM recommends assessing risk level of the environment and tracking past supply needs to determine the best kit. HRRM is available to provide consultation and recommendations if needed. Option #1: CLASS A Kits, appropriate for the majority of workplace needs. Required Minimum Fill: Option #2: CLASS B Kits, contains a broader range and quality of supplies and appropriate for high-risk environments. Required Minimum Fill: • 16 Adhesive Bandage 1" x 3" • 1 Adhesive Tape 2.5 yd total • 10 Antibiotic Application 1/57 oz • 10 Antiseptic 1/57 oz • 1 Burn Dressing (gel soaked) 4" x 4" • 10 Burn Treatment 1/32 oz • 1 Cold Pack 4" x 5" • 1 CPR Breathing Barrier • 2 Eye Covering w/means of attachment 2.9" sq • 1 Eye/Skin Wash 1 fl oz total • 1 First Aid Guide • 1 Foil Blanket 52" x 84" • 10 Hand Sanitizer 1/32 oz • 4 Medical Exam Gloves • 1 Roller Bandage 2" x 4 yd • 1 Scissors • 2 Sterile pad 3" x 3" • 2 Trauma pad 5" x 9" • 1 Triangular Bandage 40" x 40" x 56" • 50 Adhesive Bandage 1" x 3" • 2 Adhesive Tape 2.5 yd total • 25 Antibiotic Application 1/57 oz • 50 Antiseptic 1/57 oz • 2 Burn Dressing (gel soaked) 4" x 4" • 25 Burn Treatment 1/32 oz • 2 Cold Pack 4" x 5" • 1 CPR Breathing Barrier • 2 Eye Covering w/means of attachment 2.9" sq • 1 Eye/Skin Wash 4 fl oz total • 1 First Aid Guide • 1 Foil Blanket 52" x 84" • 20 Hand Sanitizer 1/32 oz • 8 Medical Exam Gloves • 2 Roller Bandage 2" x 4 yd • 1 Roller Bandage 4" x 4 yd • 1 Scissors • 1 Splint 4" x 24" • 4 Sterile pad 3" x 3" • 1 Tourniquet • 4 Trauma pad 5" x 9" • 2 Triangular Bandage 40" x 40" x 56"