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First aid

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UH Mosaic Staff Development

on 8 December 2016

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Transcript of First aid

AnnualFirst Aid Refresher
First aid may help someone recover more completely or more quickly and may mean the difference between life and death.
Most of the time you will give first aid for minor illnesses or injuries. You may also give first aid for a more serious illness or injury, such as a heart attack or major bleeding.
Should I or shouldn't I ??
As an employee of United Helpers, it is your responsibility to perform first aid while working. However, when you are off-duty, you can choose whether or not to provide first aid.
Welcome to your annual first aid/CPR refresher course.
What is First Aid?
Morning Agenda
First Aid is the immediate care that you give someone with an illness or injury before someone with more advanced training arrives and takes over.
Please sign in (Leave the time blank) You must also clock in.
This class is a competency for United Helpers. It is in no way affiliated with American Heart Association or Red Cross. You will not be receiving a card and are not "Certified" through either of these agency's to administer CPR.
Introductions
First Aid
Heart Physiology (how the AED works)
CPR/AED at UH
Work with the mannequins
Test and what if?
What should you do before providing first aid to anyone?
Assess the Scene
Ask the person if you may help them. (Always help our residents)
Get PPE and first aid kit.
Call 911 if needed.
Assessing the Scene
Asking the person if they need help.
If the person responds, ask them if they need help.
If the person agrees, you may give first aid.
If the person refuses your help, (Always help our residents) phone 911 and stay with the person until the rescue squad arrives and takes over.
If the person is confused or cannot answer, assume that they would want you to help.
Collect your PPE and get the first aid kit.
Where is the first aid kit in your facility?
Is there a stocked first aid kit in the van at your facility?
Finding the problem
Lunch is at 12pm, don't forget to punch in and out.
Always make sure the scene is safe before performing First aid or CPR.
Look out for danger to you or the injured person.
Look for people who can help you or call 911 if needed.
Who is injured?
How many people are hurt and see if you can tell what happened.
Where are you? Be specific. The 911 dispatcher will want to know the address, floor, or location in the building or on the property.
Choking
Severe Choking
Allergic Reactions
Mild Allergic Reaction
Severe Allergic Reaction
TROUBLE BREATHING
How to use an Epinephrine Pen
HEART ATTACK
What to do....
Follow these steps if you think someone is having a stroke
Is it stocked?
Where is the blood spill kit in your facility?
Name some PPE you would want to use if someone was profusely bleeding from the head and vomiting?
SHOCK
A Person in Shock may:
Diabetes and Low Blood Sugar
Follow these steps if someone is responding and shows signs of low blood sugar
Injury emergencies, Bleeding you can see
Take the following actions to stop bleeding you can see
Small wounds heal better with less infection if an antibiotic ointment or cream is used. Wash the area with lots of clean water, apply cream or ointment then a clean dressing, but only if the wound is a small scrape or surface cut, other wise just try to get the bleeding to stop.
Make sure the scene is safe.
Look for signs of the cause of the problem.
Check for responsiveness. Tap the person and shout, "Are you ok?"
If the person is unresponsive, call or send someone to call 911, get the first aid kit and AED.
Look for obvious signs of injury and medical information jewelry.
Check for breathing. If the person isn't responding or breathing, begin CPR.
Can make sounds
Mild Choking
Can cough loudly
Stand by and let them cough
If worried about their breathing call 911
Can't breathe or has a cough with no sound
Can't talk
Makes the choking sign
Act quickly
Perform abdominal thrusts.
Abdominal Thrusts
Many allergic reactions are mild. Some reactions that seem mild can become severe within minutes. People can be allergic to many things, including:
Foods, such as eggs, nuts, chocolate, or seafood
Insect stings or bites, especially bee or wasp stings.
Medications
A Stuffy nose, sneezing, and itching around the eyes.
Itching on the skin.
Raised, red rash on the skin (hives)
SWELLING OF THE TOUNGE AND FACE
SIGNS OF SHOCK
They may look different but they all work the same
Hold the epinephrine pen in your fist without touching either end because the needle comes out of one end.
Remove the safety cap. Follow instructions on the pen if you aren't sure how to administer it.
You are now armed and dangerous!!!
The needle comes out of the opposite end, not the end where the cap was removed from.
Push the end with the needle hard
against the side of the person's thigh,
about halfway between the hip and the
knee.
Give the injection through clothes or
bare skin.
Hold the needle in place for about 10 seconds.
Remove the needle by pulling the pen straight out. Rub the area for about 10 seconds Dispose of the needle properly. Note the time it was given.
Heart disease is the single biggest
cause of death in the United States
Women, the elderly, and people with diabetes are
more likely to have less typical signs of a heart attack, such as an ache in the chest, heart burn of indigestion. They may have an uncomfortable feeling in the back, jaw, neck, or shoulder. They may also complain of shortness of breath or have nausea or vomiting.
Make sure the person stays calm and at rest.
Call or have someone else call 911.
Ask someone to get the AED and first aid kit.
If the person has no allergy to aspirin, no serious bleeding, and no signs of a stroke, give them an aspirin (either 2 low-dose aspirin or 1 regular).
See if the person needs CPR. If they do, give CPR.
We can not give aspirin to the residents unless it is prescribed by their doctor.
What is a stroke and how do I recognize it?
Make sure the scene is safe.
Call or have someone else call 911.
Get or have someone else get the AED and first aid kit.
Note the time when the signs of the stroke first appeared.
See if the person needs CPR. If they do, give CPR.
Shock develops when there is not enough blood flowing to the cells of the body. Someone with shock may stop responding. In adults shock is most often present if someone:
Loses a large amount of blood, that you may or may not be able to see.
Has a severe heart attack.
Has a severe allergic reaction.
Feel weak, faint, or dizzy
Feel nauseous or thirsty
Have pale or grayish skin
Act restless, agitated, or confused
Be cold and clammy to the touch
Make sure the scene is safe.
Call or have someone call 911.
Help the person lie on their back.
Cover them to keep them warm.
Monitor the person. Do CPR if needed.
What do you do if you think someone is in shock?
Low blood sugar can occur if a person with diabetes has
Not eaten or is vomiting
Not eaten enough food for the level of activity
Injected to much insulin
Sign of low blood sugar can appear quickly and include
Confusion or irritability
Sleepiness or not responding
Hunger, thirst, or weakness
Sweating, pale skin color
Seizure
If the person can sit up and swallow, give him something that contains sugar to eat or drink.
have them sit quietly and relax.
Call or have someone else call 911.
Give foods that contain sugar, such as
Fruit Juice
Milk
Sugar
Honey
Regular soft drink
If someone with low blood sugar is unable to sit up and swallow, don't give them anything to eat or drink.
Bleeding often looks worse then it is, however, When a large blood vessel is cut or torn, the person can lose a lot of blood within minutes. You can stop most bleeding with pressure alone.
A dressing is the clean gauze, cloth, or fabric that is directly applied to the wound to stop the bleeding. A bandage is applied over the dressing to hold it in place and also to apply pressure to the wound.
Call or have someone call 911 if
There is a lot of bleeding
You cannot stop the bleeding
You see signs of shock
You suspect a head, neck, or spine injury
You are not sure what to do
Make sure the scene is safe.
Put a clean dressing on the wound.
Apply direct pressure on the dressing using the flat part of your fingers or the palm of your hand.
If bleeding does not stop, add more dressings on top of the first and press harder.
Keep pressure on the wound until it stops bleeding.
If you can't keep pressure on the wound, wrap a bandage firmly over the dressing to hold it in place.
Amputation
Head, neck, and spine injury
Burns
Always remember to make sure the residents are dressed appropriately for the weather.
YOU DID IT!!!!
Nose bleeds
Press both sides of the nostrils while the person sits and leans forward.
Eye Injury
Call 911 if the eye was hit hard or punctured.
Tell the person to keep their eyes closed.
If there is an irritant, such as sand, in the eye, use water to rinse the eye.
If the irritant does not come out or the the person is in extreme pain, call 911 and tell the person to keep their eyes closed.
Rinse amputated part with clean water.
Cover with a clean dressing and place in watertight plastic bag.
Place bag in another container with ice, label with time, date, and persons name.
Send to hospital with the injured person.
DO NOT

move someone who you suspect may have a head, neck, or spine injury.
Only move them if they are in danger, it is necessary to provide CPR, or they are vomiting and have fluids in their mouth. If they are vomiting, wear PPE and roll them on their side.
Call or have someone call 911
IMMEDIATELY!!!!!
Bone, Muscle & Joint Injuries
During the summer apply sunblock and avoid prolonged sun exposure.
Make sure everyone is hydrated and a comfortable temperature.
Make sure the van has at least half a tank of gas at all times.
Some medications cause a sensitivity to the sun and make people more likely to burn.
You have finished the first aid portion of the training
LETS TAKE A 15 MINUTE BREAK
We will begin CPR training when we return from break
Make sure walkways are clear and ice free in the winter
Full transcript