Category Archives: Healthcare

Paediatric First Aid Book Update 2015

 

Screen Shot 2015-01-23 at 09.42.05Slight change to your recent book if you attended a Paediatric First Aid course with me in the last 12 months

AED Data Collection

The Resuscitation Council (UK) no longer supplies or collects the AED event form that has been in use. Out-of-hospital cardiac arrest remains an important priority for the Resuscitation Council (UK) and it has established a national out-of-hospital database with the British Heart Foundation and Association of Ambulance Medical Directors, in partnership with the University of Warwick. This audit also captures the events where a public access AED has been used before the arrival of the ambulance crew via a reusable and easily accessible new online event form. To that end, there is a requirement to reflect this information within the suite of Highfield First Aid books.

The required changes are below.

Page 7

The book states the following:

‘In cases where a defibrillator has been used, regardless of whether shocks were given or not, then the Event Report Form (ERF) requires completing in full and the white copy to be sent to the Resuscitation Council (UK) as soon as possible. The address of which can be found at the bottom of the form.’

This paragraph requires removing and the following inserted:

‘In cases where a public access AED has been used, dependent on local authority policies, there may be a requirement to report the event using a prescribed audit reporting chain’

 

Thank you

 

PK

What is Sickle Cell Anaemia?

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The disorder affects the red blood cells which contain a special protein called haemoglobin (Hb for short). The function of haemoglobin is to carry oxygen from the lungs to all parts of the body.

People with Sickle Cell Anaemia have Sickle haemoglobin (HbS) which is different from the normal haemoglobin (HbA). When sickle haemoglobin gives up its oxygen to the tissues, it sticks together to form long rods inside the red blood cells making these cells rigid and sickle-shaped. Normal red blood cells can bend and flex easily.

Blocked blood vessels

Because of their shape, sickled red blood cells can’t squeeze through small blood vessels as easily as the almost donut-shaped normal cells. This can lead to these small blood vessels getting blocked which then stops the oxygen from getting through to where it is needed. This in turn can lead to severe pain and damage to organs.

Who Gets SCDs?

The different kinds of SCD and the different traits are found mainly in people whose families come from Africa, the Caribbean, the Eastern Mediterranean, Middle East and Asia.* In Britain SCD is most common in people of African and Caribbean descent (at least 1 in 10-40 have sickle cell trait and 1 in 60-200 have SCD). It is estimated there are over 6,000 adults and children with SCD in Britain at present. There are other inherited conditions that mainly affect other groups, e.g. Cystic Fibrosis in Europeans, and Tay-Sachs disease in Jewish people.

Thalassaemia is a group of inherited blood disorders where the part of the blood known as haemoglobin is abnormal.

The abnormality means that the affected red blood cells are unable to function normally, which leads to anaemia (a red blood cell deficiency).

Red blood cells

Red blood cells are very important because they contain a substance called haemoglobin, which carries oxygen from the lungs to the rest of the body.

Haemoglobin is produced in the bone marrow (a spongy material found inside larger bones) using the iron that the body gets from food.

In thalassaemia, haemoglobin production is abnormal, leading to anaemia and a reduced oxygen-carrying capacity. If your body doesn’t receive enough oxygen, you’ll feel tired, breathless, drowsy and faint.

If left untreated, the most serious types of thalassaemia can cause other complications, including organ damage, restricted growth, liver disease, heart failure and death.

Who is affected by thalassaemia?

In England, beta thalassaemia major (BTM) is thought to affect around 1,000 people, with an estimated 214,000 carriers.

It most commonly affects people of Cypriot, Indian, Pakistani, Bangladeshi and Chinese origin.

In the UK, 8 out of 10 babies born with BTM have parents of Indian, Pakistani or Bangladeshi ancestry.

Sickle Cell and Thalassaemia: A guide to school policy [pdf]

A new law (Section 100 of the Children and Families Act 2014) places a duty on schools and academies to make arrangements for supporting pupils with medical conditions. Research has shown that schools struggle to support young people with sickle cell, but the Sickle Cell Society can offer help and advice. Working with university researchers our advisors have overseen the development of a Guide to School Policy for Sickle Cell.

Teachers are faced with many different possible medical conditions and it is not reasonable to expect them to remember details of all of them. At the same time young people with sickle cell dislike initiatives that draw attention to them as different from their peers,” said Professor Simon Dyson of De Montfort University, who led the team of researchers. “What was needed was a policy that supported the student with sickle cell but which operated in the background without overloading teachers with information”.

The Guide to School Policy for young people with sickle cell is based on examples of good practice and contains a template for drawing up an individual health care plan.

Dyson-School-policy-sickle-cell pdf.

Statutory_guidance_on_supporting_pupils_at_school_with_medical_conditions pdf.

For more information go to www.sicklecellsociety.org There is a great video on the website about Sickle cell and how a young person feels about the condition.

 

British Standard First Aid Kit

Child First Aid

Here is the law as revised recently in relation to First Aid Kits.

Health & Safety (First Aid) Regulations 1981 (revised 2013).

“An employer shall provide or ensure that there are provided such equipment and facilities as are adequate and appropriate in the circumstances for enabling first aid to be rendered to his employees if they are injured or become ill at work.”

You have a choice when it comes to kits. You can buy an expensive kit to BS8599 standards or you can have a kit that meets the minimum that the HSE recommend. It is your choice.

Your kits must be based on your ‘First Aid Needs Assessment’

How to make sure you meet the new BS8599-1 Standard…

  1.  Undertake a First Aid needs assessment:

LOW RISK (e.g. shops, offices, libraries etc.)

HIGH RISK (e.g. light engineering and assembly work, food processing, warehousing, extensive work with dangerous machinery or sharp instruments, construction, chemical manufacture etc).

 

  1.  Based on risk, choose the appropriate British Standard First Aid Kit:

SMALL KIT USAGE GUIDELINES

LOW RISK   Less than 25 employees

HIGH RISK   Less than 5 employees

MEDIUM KIT USAGE GUIDELINES

LOW RISK   25-100 employees

HIGH RISK   5-25 employees

LARGE KIT USAGE GUIDELINES

LOW RISK     1 Large Kit per 100 employees

HIGH RISK     1 Large Kit per 25 employees

Remember Its your choice on the type of kit.

What does the HSE say?

“Employers may wish to refer to British Standard BS8599 which provides further information on the contents of workplace first aid kits. Whether using a first aid kit complying to BS8599 or an alternative kit, the contents should reflect the outcome of a first aid needs assessment”

Hope this helps

 

Again you can email me on paulkenny@me.com

 

PK

Checking First Aid Kits (UK)

Green first kit equipmentWhen ever children and adults are on site and whenever they leave the building on official duties or trips they must have access to a first aid kit. This also relates to solo workers.

There are no set guidelines for checking kits, however it is advisable to check them on a regular basis to ensure they are fully stocked.

Planning frequency depends on use. A review of your accidents over the last twelve months for your first aid needs assessment will tell you how often each box or bag is used and it should highlight the type of accidents you are dealing with. Each box/bag is stocked with items that reflect this audit.

There is a recommended minimum for your kits which is shown on my website www.paulkenny.me This list is also available from the HSE website.

There are two lists:

When checking kits, the contents should be:

  • Within the use by date
  • Still sealed
  • Packaging intact
  • Stocked to match the number of bodies on site
  • Is water available close to the kit?

You can have what ever you want as long as you justify it with evidence from previous incidents.

Remember no pills, creams or potions.

Water needs to be available at all times so wall kits need to be mounted near or in the same room as a sink and portable kits need a small sealed, sterile water bottle. ‘Still’ water bottles with a sports nozzle are ideal but remember it needs to be sterile and sealed. Also if it is a bottle of water it needs a sticker on saying for First Aid or HSE use only.

As a company we check our first aid kits every Monday and record in each kit a completion list on a monthly checklist. Each week a different member of the team checks the kits as each one has additional items as well as the HSE Minimum to meet that area of use. By doing the rotation on staff checks, all staff get familiar with the kits in that room or area.

Each kit has copies of blank accident forms and Patient report forms as well as the monthly check tick sheet. We also have a monthly treatment spreadsheet for minor injuries where wipes or plasters are used and don’t need a full accident form. On playground duties this spreadsheet will be daily and must be stored in a folder in the office. The only people to access this should be recognized first aiders.

As a busy first aid company we check fixed wall kits weekly and our portable kits daily.

If you have mobile kits used everyday on playground duties then these should be checked daily and a small amount of regular used stock need to held on site. Don’t hoard dressings as they usually only have a short 3 to 4 year shelf life.

If you are a venue that does not have many incidents the minimum really should be monthly.

I have not mentioned the BS8599-1 kits here and will cover this in my next update.

Hope this helps.

Email me on paulkenny@me.com for any information you need.

PK

AED use in schools.

AED Use in Schools

I get a number of requests for AED costs and the training required for AEDS.

There is a new guide that has been released by the UK Government for schools and a copy is available from the link below.

A question I get asked is about training provision and how long the training is valid for.

AED’s are simple to use and easy to maintain. There are a number of courses available. On average a course provided should last for three years and it is recommended that staff refresh skills every 6 months by either video or manikin practice. The guide the government has released covers this. It also has a link for skills to purchase a machine from the NHS. Below is a short extract from that document which I think is important.

‘AEDs, as work equipment, are covered by the Provision and Use of Work Equipment Regulations 1998 (PUWER), and as such this places duties on employers in respect of employee training and the provision of information and instructions in the use of such equipment. However, AEDs are designed to be used by someone without any specific training and by following step-by-step instructions on the AED at the time of use. It should therefore be sufficient for schools to circulate the manufacturer’s instructions to all staff and to provide a short general awareness briefing session in order to meet their statutory obligations. Schools may want to use this opportunity to raise awareness of the AED in school and to promote its use should the need arise.

The awareness briefing may also be incorporated into any wider training on CPR and the chain of survival’.

Any questions or if you want a quick skill update email me at paulkenny@me.com

Automated external defibrillators (AEDs): a guide for maintained schools and academies This is the .gov site.

Automated_external_defibrillators-Nov_2014 This is the PDF document.

Click the book to find out about our courses.

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Myth Busters – Primary school staff asked not to take any drinks onto the playground during breaks

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Here is a case I hear a lot about from teachers.

Case 327 – Primary school staff asked not to take any drinks onto the playground during breaks

Issue

For health and safety reasons staff at a primary school were asked not to take drinks, including cold ones, out onto the playground during breaks to safeguard the children.

Panel decision

This is one of the most extreme cases the panel has dealt with in relation to disproportionate restriction of drinks around children. It relates not only to hot drinks, but includes cold drinks on highly improbable grounds including the possibility of a child suffering an allergic reaction. Occupational health and safety law does not ban teachers from having a cuppa and even less a refreshing cold drink, whilst on playground duty, and to suggest it does is just preposterous. If the head wants to impose ridiculous rules on staff, he/she should not use health and safety as a convenient cover.

Some schools / nurseries have a local policy of not allowing hot drinks onto the playground where small children are, so they issue staff with insulated cups with the school logo printed on them. For areas with small children make sure the lid is screw on not push fit.

 

http://www.hse.gov.uk/myth/myth-busting/

Supporting pupils at school with medical conditions

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Every course I get emails asking for a template for the Health Care Plan.

These attachments are the templates for the Health Care plan you need for children in your care.

Every child with a special health care need or serious health condition should have one of these completed.

 

Statutory_guidance_on_supporting_pupils_at_school_with_medical_conditions

Supporting_pupils_with_medical_conditions_-_templates  Copy and paste into google search this will take you to the .Gov site to be able to download the word documents.

Supporting_pupils_with_medical_conditions_-_templates These are the word documents you need.

Or email me paulkenny@me.com and I will forward the word files to you.

The website address with the word document templates is:

Copy and paste this link into your web browser.

https://www.gov.uk/government/publications/supporting-pupils-at-school-with-medical-conditions

As usual any problems let me know.

 

PK