6.2 First Aid & Medical Treatment – copy

Natasha Birsa

First Aid & Medical Treatment

  • First aid kit locations – General
    • Every SNRC office – 1 x Level 1 First Aid Kit
    • Every SNRC pickup – 1 x Level 1 First Aid Kit and Blankets
    • Every SNRC employee – 1 x Personal First Aid Kit
    • Other – Project specific first aid supplies may be required as per schedule 3-A of WorkSafeBC regulations
  • First aid response in the office
    • Level 1 first aid attendants are available in the office for minor first aid requirements. A first aid kit is available for minor wounds and is kept in the safety cabinet.
    • In the event of a serious emergency, call 911.

 

WCB OFA Level 1 & 3
  • Occupational First Aid Level 1
    • Depending on the employee’s assigned duties, the employee may receive instruction in WCB OFA level 1 first aid training and the corresponding transportation endorsement if required.
  • Occupational First Aid Level 3
    • OFA level 3 attendants are required on sites of 16 or more working employees that are more than 20 minutes from a hospital.
    • With power saw operations, a level 3 attendant must be on sites with 11 workers or more and more than 20 minutes from a hospital.
  • Unsure of first aid requirements? Consult with the supervisor or health & safety manager.

 

Medical Treatment
  • Emergency
    • If emergency medical treatment is required, go to the emergency room of the nearest hospital.
    • Inform medical staff that it is a work related incident and inform your supervisor of the situation ASAP to complete the necessary WCB paperwork.
  • Non-Emergency
    • Inform your direct supervisor ASAP.
    • Report/call a level 3 first aid attendant for assessment before reporting to a doctor.
    • If the injury requires medical treatment, the necessary paperwork will be provided for completion and submission to human resources.

 

First Aid Response in the Field
  • A minimum of 1 employee per 2 to 5 field crew members will be a certified (and ERP designated) OFA level 1 first aid attendant.
  • The first aid attendant has authority over the treatment of the injured worker and will arrange transportation.
  • Serious Emergency – MAKE THE SCENE SAFE
    • Applying first aid and getting the casualty to a medical facility is the highest priority.
    • Stabilize the victim(s), stop any bleeding, and do not move the worker if there is high risk of further injury.

 

First Aid Response in the Field
  • Field Response issues to consider
    • Can we carry the person out in a basket stretcher?
    • Can we get an ambulance or ETV close to the site?
    • Can we land a helicopter nearby?
    • Do we need a faller to fall a heli-pad for patient airlift?
    • Is there a possibility we will have to spend the night?
    • Identify your exact location and be prepared to communicate your location as required.

 

First Aid Response in the Field
  • Relaying information to the First Aid Attendant or Transportation Provider
    • State, ‘This is an emergency’ and inform everyone to stop unnecessary radio communication.
      • Provide the caller’s name and location
      • State the nature of the injuries and condition of the victim(s)
      • Indicate if air or land evacuation is required
      • Identify the equipment required for evacuation (stretcher, billy pugh, etc.)
      • Do not give out the victim’s name.
    • Continue to provide updates to First Aid and rescuers
      • Contact other crews in the area to assist with First Aid and removal of the victim.
      • Call the helicopter dispatch directly if air extraction is required.
    • First Aid Attendants are responsible for completing the First Aid Record in the Strategic Incident Reporting Package9.

 

Transportation of Injured Workers
  • Notify the first aid attendant of transportation and follow these procedures:
    • Consider
      • Terrain type for transportation
      • Location of patient
      • Distance to nearest hospital and travel time
      • Availability of an industrial ambulance or ETV
      • Work site response time by ambulance service
      • Maintenance procedures and equipment needs for the ambulance service
      • Equipment and manpower requirements to assist patient transport
      • Special needs for remote worksites – helicopters, planes, boats
      • Communication with: ambulance dispatch, hospital, transportation agencies
      • Backup procedures in case of equipment failure or weather conditions

 

Emergency Transport Vehicles
  • ETV Operation & Transportation Guidelines for patients falling into the Rapid Transport Category (RTC)
    • First aid attendant must:
      • Operate the transportation vehicle in a safe manner at all times, according to local traffic laws and to ensure the safety and comfort of all passengers.
      • For industrial ambulances, the attendant must ensure that the driver is properly licensed to operate the vehicle.

 

Fatalities
  • Do not disturb the accident scene except as needed to conduct first aid.
  • Seal off the area.
  • Cover the body.
  • Keep the deceased’s name confidential.
  • Call the RCMP, coroner, and WorkSafeBC.
  • Notify SNRC ownership (Jon Lok or Niels Jorgensen) ASAP.