1. 6/05 First-aid and CPR requirements for public schools DEPARTMENT OF LABOR AND INDUSTRIES WASHINGTON STATE OFFICE OF SUPERINTENDENT OF PUBLIC INSTRUCTION

2. 2 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

3. 3 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

4. 4 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

5. 5 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."

6. 6 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

7. 7 What are some examples of “special circumstances”?  Downtown Spokane during rush hour  Closed bridges or blocked railroad crossings  Security gates or checkpoints  7 th floor of a building next door to a hospital

8. 8 “…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

9. 9 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

10. 10 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

11. 11 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

12. 12 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

13. 13 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

14. 14 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

15. 15 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

16. 16 Rules for First-aid in WA Schools -- Staff PositionReq’d. or Rec.Requirement or RecommendationRegulation An Employee to offer first-aid RequiredFirst-aid card – At least one employee at each location, at all times -- (CPR recommended) WAC 296-800-15005 29 CFR 1910.151(b) Bus DriversRequiredFirst aid card and CPR certificationWAC 180-20-101(d) CoachesRequiredFirst aid card and CPR certificationWIAA Handbook Rule 23.2.1 A&B Licensed Child Care Staff RequiredFirst aid card and CPR certificationWAC 388-295-1100(1) P.E. TeachersRequired for Endorsement First aid card and CPR certificationWAC 180-79A-380(1) Health/Fitness Teachers Required for Endorsement First aid card and CPR certificationWAC 180-82-340(2) Lab Science Teachers/CHO RecommendedFirst aid card and CPR certificationWAC 296-62- 40025(d)(v)(C) M & O workerRequiredFirst-aid card when performing “construction” workWAC 296-155-005-(1) WAC 296-155-120