Emergency Response American Red Cross Instructor: Joel Bass MS ATC 1995 USDOT First Responder Curriculum

Preventing Disease Transmission

OSHA Regulations Occupational Safety and Health Administration Issues regulations to protect employees from bloodborne pathogens. Proper work practices Use of protective equipment Training What jobs would include these regulations?

How Diseases Spread Video (Segment one, Preventing Disease Transmission) Disease transmission requires the following conditions A Pathogen Sufficient quantity of the pathogen to cause disease A person vulnerable to the specific disease A correct entry site for the specific pathogen Pathogens enter the body one of the four ways: Direct contact Indirect contact Airborne Vector-borne

Diseases That Cause Concern Video (Segment two, Preventing Disease Transmission) Diseases of primary concern Hepatitis HIV Herpes Tuberculosis Meningitis What is the mode of transmission for the diseases above? Direct Contact & Indirect Contact Direct Contact Airborne Direct Contact & Airborne

10 Minute Break

Preventing Disease Transmission II

Protecting Yourself From Disease Transmission Video (Segment three, Preventing Disease Transmission) Exposure Control Plans should include: Exposure determination Schedules and methods for implementing elements of the OSHA standard Procedures for evaluating exposure incidents Immunizations for prevention of disease

Body Substance Isolation (BSI) Protective equipment Personal hygiene Engineering controls Work practice controls (Gloves, masks, etc) (Hand washing) (Sharps containers) (Cleaning up broken class, or blood spills

If An Exposure Occurs An exposure would include any contact with potentially infectious blood or other bodily fluids through a needle stick, broken skin, or membranes of the eye, nose, or mouth. Clean the point of contact, write down what happened, notify your supervisor Protocols should be followed

Skill Practice: Removing Gloves Video (Removing Gloves) Bring your skill sheets to the practice area Find a partner

10 Minute Break

Legal and Ethical Issues

Legal Considerations Scope of practice Standard of care Duty to act Competence Consent Advance directives/DNR orders Refusal of care Battery Abandonment Negligence Good Samaritan laws Confidentiality Preserving evidence Documentation Range of duties and skills allowed to perform Criterion established for the extent and quality of care Responsibility to act as a result of case law, statute, or job description Victim’s ability to consent to or refuse care Victim’s permission to provide care Instructions from a physician Competent adults have the right to refuse care Unlawful touching of a victim without victim’s consent Once you begin to provide care, you cannot leave Have a duty, Breach of duty, Cause, Damage Not grossly negligent, act in good faith, act within scope of training The victim has a right to expect that you will keep all information confidential Avoid altering a crime scene Document everything

Break-out Session As a first responder, you are summoned to the scene of an emergency. You have a duty to respond to the emergency scene, obeying traffic laws that govern your actions. You commit a breach or duty by failing to obey these laws. The result is an incident in which a child is struck by the vehicle you are driving. Therefore, your actions are the cause of the accident. The accident results in damage to the child in the form of injury. Create another example in which the four components of negligence are present.

10 Minute Break

Human Body Systems

Understanding the Human Body Video (Human Body Systems) What are the major structures of this system? What is this system’s primary function? How can you recognize that the system is working properly? What are some indications that the system is not working properly?

Assignments Reading Assignment: Read Chapter 6 Workbook Unit 6 (Turn in at the beginning of class) Review for test over Chapters 1 – 6 next week.