Parent/Student PortalOffice365WebmailStaffReset Password
River East Transcona School Division
creating student success
First Aid Program

 Safe Operating Procedure

 PURPOSE

 

Establish a comprehensive, controlled first aid program at River East Transcona School Division (RETSD) that meets or exceeds provincial workplace safety and health program requirements.

 

A first aid program must be defined and documented for compliance as part of Element 3, identify people and resources available in an emergency situation, for the effective development and implementation of a workplace safety and health program under Manitoba legislation.

 

SCOPE

 

This safe operating procedure and associated documents establish a policy, procedure and program framework for a first aid program for all workers at RETSD.

 

The best practices apply to all RETSD worksites.

 

RESPONSIBILITY

 

RETSD

 

RETSD is obligated and responsible for providing adequate first aid services at all facilities and workplaces.

 

DEFINITIONS

 

First Aid Services

 

The services of a first aider and the first aid equipment, facilities and supplies required to perform the service.

First Aid Training Provider

 

A person, society or organization that provides a training course in first aid or cardiopulmonary resuscitation, or both, that is acceptable to the director of the workplace safety and health division.

 

First Aider

 

A first aider is a worker who has the qualifications of a first aider 1, 2 or 3, or has equivalent qualifications approved by the director of workplace safety and health division.

 

PROGRAM REQUIREMENTS

 

This procedure is based on the Manitoba provincial government requirements for provision of first aid.

 

It is required that individuals with appropriate first aid training will be available on each working shift, in accordance with provincial legislation. First aid is intended to preserve life, and reduce the impact of injury until proper medical attention can be provided.  First aid is not intended to delay or postpone proper medical treatment. 

 

In addition to the training requirements established by this procedure, each work site has a requirement to have adequate first aid supplies available. These supplies are listed in the first aid sub-section of the provincial legislation. 

 

Information about all trained first aiders and the expiry date of their certification will be posted at all work sites and in proximity to all employer-provided first aid supplies. 

Employer to Provide First Aid Services

 

RETSD shall supply appropriate first aid services in the workplace.

Workers to Be Advised Of Location for First Aid

 

RETSD shall ensure that a worker is aware of the location at which first aid services are available in the workplace.

Ill or Injured Worker Must Report

 

A worker who becomes ill or is injured at the workplace must, as soon as is reasonably practicable, report to

 

(a) The first aid room, when a first aid room is provided at the workplace, or

 

(b)The location(s) identified when there is no first aid room at the workplace.

Assistance

 

RETSD shall ensure a worker who becomes ill or is injured at the workplace receives assistance, as required, from

 

(a) A first aider, or

 

(b) A supervisor, if no first aider is required to be present in the workplace.

 

Number of First Aiders That Must Be Present

 

RETSD shall ensure that the minimum number of first aiders, as set out in the following table, is present during working hours at a workplace.

 

 

TABLE 1:

 

 

Generally, RETSD facilities fall into the Close Workplace category

(Close Workplace = Within 30 minutes of a medical facility, under normal traffic conditions)

 

Number of workers (i.e., staff and employees, not including students) per shift

Low Work Hazard

 

·     Offices

·     Standard classrooms

·     School buses

·     Other

Other Work Hazard

 

·     Shops

·     Gymnasiums

·     Other

 

1 to 10

-

-

11 to 40

1 FA1

1 FA2

41 to 100

1 FA1

2 FA2s

101 to 199

2 FA1

2 FA2s

200 or more

3 FA1

3 FA2s

 

Regarding Table 1:

 

(a) The number of workers per shift is to be determined

 

(i) At a close or distant workplace, on the basis of the number of workers working at the beginning of the shift, and

 

(b) Where both low hazard work and other work, being work that is not low hazard work exist in the same workplace, an employer may

 

(i) Combine the number of workers and provide first aiders as if all work were other work, or

 

(ii) Provide separate first aiders for the different types of work; and

 

(c) "FA1" means a person who holds a valid first aider 1 qualification, "FA2" means a person who holds a valid first aider 2 qualification and "FA3" means a person who holds a valid first aider 3 qualifications.

 

Standardized First Aider Qualifications for RETSD Workers

 

RETSD recommends the training standard for providing first aid services to workers in the division at FA1 and FA2 levels.

 

River East Transcona School Division shall:

 

(a) Maintain a list of the name and work location of each first aider; and

 

(b) Ensure that a copy of the list is

 

(i) Provided upon request to a committee member or representative at the workplace, and

 

(ii) Posted in a conspicuous location at the workplace.

 

First Aiders are listed in each facility's Fire Safety Plan.

Minimum Requirements for First Aider 1 Certification (FA1):

 

The following are training criteria for FA1 level certification: (Generally an eight-hour course)

 

  • The role, function and responsibilities of the first aider

  • Emergency scene management

  • Patient assessment: primary and secondary survey

  • Basic anatomy and physiology, including body systems such as respiratory, circulatory, musculoskeletal, neurological and integumentary

  • Obstructed airway and other breathing emergencies

  • Cardiovascular emergencies, such as heart attack and stroke

  • control of bleeding, both internal and external

  • Signs and symptoms of shock

  • Cardiopulmonary resuscitation, adult, one person rescue

  • Trauma and other acute medical situations, bone and joint injury, head and spine injury, skin disruption (lacerations and burns) and poisoning

  • General precautions to prevent blood and body fluid exposure

  • Infection control

 

Minimum Requirements for First Aider 2 Certification (FA2):

 

A person has the qualifications of a FA2 if he or she holds one or more certificates issued by one or more first aid training providers showing that he or she has successfully completed at least 16 hours in the following first aid and cardiopulmonary resuscitation training courses:

 

At least 12 hours in first aid training that addresses the topics required for FA1 plus the following additional topics:

 

  • Interaction with higher-level trained personnel and medical care agencies

  • Ambulance system

  • Obstructed airway and other breathing emergencies

  • Assessment and monitoring of vital signs

  • Respiratory emergencies - respiratory system review, management

of airways, airway obstruction and chest injuries

  • Circulatory system review - heart attack and stroke

  • Bleeding - wounds and control of bleeding and bandaging

  • Abdominal injuries - system review by quadrant

  • Stabilization - head, spine and pelvis injuries

  • Upper and lower extremity injuries

  • Medical emergencies - epilepsy, diabetes and drug overdose

  • Assessment and treatment of burns

  • Eye injury

  • Environmental illness and injury - heat, cold and poisonings

  • Movement of a casualty – carries

  • Performing first aid services on subjects in wheel chairs or similar devices

 

At least 4 hours in cardiopulmonary resuscitation training that addresses the following topics:

 

  • Risk factors

  • Signals and actions of heart attack and stroke

  • Airway obstruction - prevention, causes and recognition

  • Entrance into the emergency medical services system

  • One rescuer cardiopulmonary resuscitation (adult and infant)

  • Treatment of an adult or infant with an obstructed airway 

  • Turning of the casualty into the recovery position

  • Performing first aid services on subjects in wheel chairs or similar devices

 

Other First Aid Certifications

 

RETSD shall train select individuals in other levels of first aid as required specifically to service the student population in remote settings. Examples include, but are not limited to:

 

  • Wilderness first aid

 

The provision of other first aid certifications may fall outside the divisional vendor agreements.

 

Employer Obligations to First Aiders

 

RETSD shall:

 

(a) Allow a first aider to provide prompt and adequate first aid to an ill or injured worker.

 

(b) Ensure the first aider suffers no loss of pay or other benefits as a result of providing the first aid.

 

(c) Ensure a first aider has adequate time off from regular work duties to receive required first aider training, with no loss of pay or other benefits.

 

First Aiders Obligations to Employer:

 

A first aider trained at the expense of the RETSD first shall:

 

(a)    Provide first aid to an ill or injured worker.

 

(b)    Shall provide first aid servicers for the duration of their certification period in the division.

Employer to Keep Record of Illness and Injury

 

RETSD shall ensure any illness or injury suffered by a worker in the course of the worker's work is promptly recorded and that the records are retained for five years from the date the record is made.

 

The Safety Concern or Incident Report or equivalent form shall be used to capture incidents of injury or illness that require first aid services in all facilities.

 

Transportation of Seriously Ill or Injured Worker

 

RETSD shall, at the division's expense, ensure a seriously ill or injured worker is transported to a medical facility.

 

If a licensed ambulance service is operated from a location within 30 minutes travel time of a workplace under normal travel conditions, an employer must ensure a means of communicating with the ambulance service is available at the workplace.

 

In the event an employee receives an injury that requires medical attention at a medical facility, the first option is to call for an ambulance. If the situation is such that it is reasonable, practicable, and safe to transport an employee to a medical facility with a cut injury, then the worker's supervisor may make the judgement call to transport the worker to a medical facility or use a commercial cab service to have the worker transported to the medical facility.

 

In all medical emergency situations (heart attack, stroke etc.), call an ambulance.

 

Contamination by Blood or Bodily Fluids

 

An employer must ensure that anything in the workplace that has been contaminated by blood or bodily fluids is disposed of or cleaned by a competent person in a manner that prevents a worker from being exposed to the blood or bodily fluids.

 

See Biological Substance Exposure Assessment and Control for further details.

 

Asphyxia or Poisoning

 

If a worker at a workplace is at risk of asphyxiation or poisoning, an employer must ensure that, so far as is reasonably practicable, arrangements are made to immediately provide first aid, medical attention and other measures appropriate to the nature and probable effects of a worker being asphyxiated or poisoned.

First Aid Supplies and Facilities Required

 

RETSD shall provide first aid kits that meet the following minimum requirements at the workplace:

 

 

FIRST AID KIT TABLE

 

Total number of workers employed at workplace

 

Number of first aid kits that must be provided at workplace, at a minimum

 

24 or fewer

 

1

 

25 to 50

 

2

 

51 to 75

 

3

 

76 or more

 

4

 

In respect of the number of first aid kits that must be provided, a vehicle, boat or aircraft used by an employer to transport one or more workers is deemed to be a workplace, and the number of workers employed at that workplace is deemed to equal the seating capacity of the vehicle, boat or aircraft.

 

Personal First Aid Kit for Worker Working Alone

 

RETSD shall ensure a personal first aid kit is provided to a worker who works alone and who does not have ready access to a first aid kit.

When Employer Must Provide First Aid Room

 

RETSD must provide a first aid room at a workplace at which 100 or more workers per shift are employed to perform work that is not low hazard work.

 

There are no workplaces currently at RETSD that employ over 100 or more workers per shift performing work that is not low hazard, therefore, first aid rooms are not required in any RETSD workplace.

Requirements for First Aid Room When a First Aid Room Is Required

 

Every first aid room, when there is a requirement for one, must:

 

(a) Be located in an area that is

 

(i) Easily accessible to workers at all times.

 

(ii) Near both the work area it is to serve and toilet facilities.

 

(b) Have adequate lighting, ventilation and heating, and be covered by a floor made of non‑porous material.

 

(c) Be of an adequate size to accommodate a stretcher.

 

(d) Be equipped with

 

(i) Instructions on how and where to access a first aider.

 

(ii) A communication system capable of communicating with the medical facility to which an injured worker would be transported.

 

(iii) A permanently installed sink with hot and cold potable running water.

 

(iv) A cot or bed with a moisture ‑ protected mattress and two pillows.

 

(v) Other items as set out in the regulation.

 

RETSD shall ensure that a first aid room, when required:

 

(a) Is clearly identified as a first aid room.

 

(b) Is used exclusively for the purposes of administering first aid and medical examinations and to provide rest for persons who are ill or injured.

 

(c)    During working hours, is supervised by a first aider who is readily available to provide first aid.

(d) Is kept clean and sanitary.

 

ADMINISTRATION OF THE FIRST AID PROGRAM FOR WORKERS

 

Training

 

RETSD shall pay for first aid training and certification of designated workers, including the cost of replacement staff when required. In turn, the workers trained in first aid paid for by the division shall provide first aid services to the division for the 36-month period that their certification is in effect, provided they remain workers in the division during this period.

 

Recertification and Refresher Training

 

RETSD may entertain interim recertification courses or refresher programs for FA2 certified workers. First aid certification shall be recognized as valid for a period of 36 months from the training. In order to continue certification after the 36-month period, the worker must take the full FA2 training program again.

 

Workers Designated for Training

 

The following workers shall be offered FA1 and FA2 level first aid training, on a voluntary basis to support their skill sets in their respective occupations and to provide first aid services for workers in the division:

 

FA1 Level Designates (8 Hour Program):

 

  • Two school staff employees at all facilities (suggest that site safety representatives be considered)

  • All school bus drivers

 

FA2 Level Designates (16 Hour Program):

 

  • All Level 3 paraprofessionals in the division

  • All middle and senior years physical education teachers

  • All middle and senior years industrial arts teachers

  • All senior years vocational teachers

 

Selection of First Aid Training Vendor

 

RETSD will consider tendering out a contract for the provision of FA1 and FA2 training and establish a divisional budget for accounting of same.

 

The tender contract will be for a period of training service of three school years, September to June. A staged training plan will be implemented to cover off the training of designated workers. The staged implementation plan over three years will ensure training and retraining opportunities will occur on an annual basis, and allow for costs to be spread out more evenly.

 

Selection of First Aid Supplies and Management Vendor

 

RETSD shall tender out a contract for the provision of first aid training supplies and establish a divisional budget for accounting of same. The vendor will also be tasked with monitoring, inspecting and replenishing the supplies in the kits or rooms on a regular interval.

 

The tender contract will be for a period of training service of three school years, September to June.

 

Training Records Management and Qualified First Aider Lists

 

All tracking of training, certification and retraining schedules shall be kept by the division in an appropriate manner.

 

A qualified first aider list shall be kept current in the fire safety plan for all facilities and a copy of such list shall be posted in an accessible place in the workplace.

 

COMMUNICATION

 

A combination of hard-copy postings, distributions and electronic posting will be used to communicate safety and health program information within RETSD.

 

TRAINING

 

All stakeholders shall be trained to their required level of involvement in the WSHMS to become familiar with its structure, organization, and how to look up and access information both electronically and in hard copy form through:

 

  • New employee orientation, employee manuals or employment information packages

 

  • Return to work or remedial programs, as required on an individual basis

 

  • Planned ongoing training through team meetings, individual coaching or other methods as developed or adopted

 

ENFORCEMENT

 

Ultimately, the superintendent shall be responsible for the sustainability of the WSHMS, and shall enforce compliance to standards at a divisional level.

 

Workplace safety and health management system compliance shall be managed through the application of performance management and progressive discipline policies and procedures.

 

Worker failure to comply with provisions of the RETSD safety program may lead to discipline, up to and including discharge from employment and / or other remedies available at law.

 Document Number

WSHMS-03-SOP-015-03


 Document Control

Prepared:

Divisional Safety and Health Officer

Controlled:

Divisional Safety and Health Officer

Reviewed:

Divisional Workplace Safety and Health Committee

Issued: 

Director of Human Resources

Approved:

Director of Human Resources

Origin Date:

February 23, 2010

Last Revised:

August 1, 2018

Last Reviewed:

August 1, 2018

Next Review On or Before:

August 1, 2021




 References

Manitoba Workplace Safety and Health Act or equivalent legislation as applicable

 

Manitoba Workplace Safety and Health Regulation or equivalent legislation as applicable

 

Manitoba Workplace Safety and Health Regulation Part 05 – First Aid

 

Manitoba Workplace Safety and Health Program Element 02 – Identifying and Controlling Hazards

 

All other associated and applicable workplace safety and health management system documents