Abu Dhabi EHSMS Regulatory Framework (AD EHSMS RF)

Transcription

1 Abu Dhabi EHSMS Regulatory Framework (AD EHSMS RF) EHS Regulatory Instrument Code of Practice EHS RI - CoP 4.0 First Aid and Medical Treatment Version 2.0 February 2012

2 ACKNOWLEDGEMENTS With gratitude Abu Dhabi EHS Center acknowledges the great support provided by the Executive Council in facilitating the issuance of Abu Dhabi Emirate Environment, Health and Safety Management System (AD EHSMS) and its implementation at Emirate level. The issuance of the system would not have been possible without the supervision, diligent efforts and productive recommendations of the AD EHS Center Board of Directors. These documents (Regulatory Instruments) constitute the efforts of the Abu Dhabi EHS Center and the concerned Sector Regulatory Authorities who worked together to integrate all relevant regulatory requirements under AD EHSMS RF. The input, contribution and constructive views of all sectors is highly appreciated. May these documents prove to be beneficial and helpful in system implementation and in expanding the knowledge in the EHS field. CoP 4.0 First Aid and Medical Treatment Page 2 of 28

3 Table of Contents 1. Introduction Training and Competency Training Requirements for First Aid Training Programs Requirements for Accredited First Aid Training Providers Training Requirements for Emergency Medical Technicians (EMT) Training Requirements for Nurses Training Requirements for Physicians Requirements Roles and Responsibilities First Aid/Medical Treatment Requirements First Aid Kits Infection Control Employee Camps / Villages First Aid and Medical Treatment Centres Record Keeping References Appendix 1: Minimum Learning Requirements - Level Appendix 2: Minimum Learning Requirements - Level Appendix 3: Minimum First Aid and Medical Staffing Requirements Appendix 4: Minimum First Aid Resources Checklist Appendix 5: Guideline for Minimum Structural and Equipment Requirements for First Aid and Medical Treatment Centres Appendix 6: Layout Guideline of First Aid and Medical Treatment Centres Appendix 7: Definitions CoP 4.0 First Aid and Medical Treatment Page 3 of 28

4 Preface This Abu Dhabi EHS Regulatory Instrument was developed by the Health Authority - Abu Dhabi as the primary Competent Authority for this topic to set the minimum mandatory requirements. Every effort was made in developing this document so that it does not conflict with existing local or federal laws and regulations. In case of conflict, requirements of the existing local and federal laws and regulations shall prevail, and all concerned are obliged to bring the same to the attention of AD EHS Center for resolution. This AD EHS Regulatory Instrument has been developed, reviewed and approved, following the process as described in AD EHSMS Implementation Guideline: The Integration of EHS Requirements in the Emirate of Abu Dhabi, by the following stakeholders: Abu Dhabi EHS Higher Committee; Abu Dhabi EHS Center; Environment Agency Abu Dhabi; Department of Municipal Affairs; Abu Dhabi City Municipality; Al Ain City Municipality; and Western Region Municipality. Department of Transport Abu Dhabi; Abu Dhabi Water and Electricity Authority; Health Authority - Abu Dhabi; Higher Corporation for Specialized Economic Zones (ZonesCorp); Center for Waste Management Abu Dhabi; Abu Dhabi Tourism Authority; Abu Dhabi Food Control Authority; Abu Dhabi Education Council; Regulation and Supervision Bureau; and Other Relevant Federal and Local Competent Authorities. The AD EHSMS consists of the following hierarchy of documents: AD EHSMS RF Elements - Mandatory System Requirements EHS Regulatory Instruments: Standards and Guideline Values - Mandatory EHS threshold and exposure levels Codes of Practice - Mandatory EHS technical requirements subject specific Mechanisms - Mandatory system implementation processes and procedures CoP 4.0 First Aid and Medical Treatment Page 4 of 28

5 Guidelines: Technical Guidelines - Non-mandatory guidance on how to implement an EHS Regulatory Instrument AD EHSMS Guidance Documents - Non-mandatory guidance and interpretation of an AD EHSMS RF concept and/or principle Further, this document is not intended to conflict with any contractual obligations in effect at the time of its issuance. However, all future contracts shall adhere to applicable requirements stated herein, and existing long term contracts shall be brought into compliance with its requirements as soon as reasonably practicable as stipulated by relevant subject authorities. This document will be reviewed periodically as part of the continual improvement cycle. CoP 4.0 First Aid and Medical Treatment Page 5 of 28

6 1. Introduction (a) This Code of Practice (CoP) applies to all employers within the Emirate of Abu Dhabi. This CoP is designed to incorporate requirements set by UAE and Abu Dhabi regulatory authorities. If requirements of this document conflict with requirements set by another regulatory authority, employers are required to follow the more stringent requirement. (b) Any medical professional providing services beyond first aid in the occupational setting, or at employer supplied accommodation (worker camps), shall have a valid license to practice medicine as required by Health Authority Abu Dhabi (HAAD). Medical and advanced first aid facilities shall maintain valid licenses as required by HAAD. 2. Training and Competency 2.1 Training (a) Employers shall ensure that EHS training complies with the requirements of: (i) (ii) (iii) AD EHSMS RF Element 05 Training and Competency; AD EHS RI Mechanism 7.0 AD EHS Professional Entity Registration; and AD EHS RI Mechanism 8.0 AD EHS Practitioner Registration. (b) First aiders shall be registered and maintain a valid certificate of training from one of the approved training providers and/or approved training courses, listed in Table 1: Country Training Provider / Accreditation Bodies Any organization accredited by the National Training Australia Information System (NTIS) of Australia ST. John Ambulance Belgium European Resuscitation Council Red Cross Canada Lifesaving Society St. John Ambulance Croix Blanche France French Resuscitation Council German Red Cross Germany German Resuscitation Council Any instructor and/or organization that is registered with the Health and Safety Authority to provide first Ireland aid training. St. John Ambulance Japan Japanese Red Cross Society Netherlands Dutch Red Cross St. John Ambulance New Zealand Red Cross CoP 4.0 First Aid and Medical Treatment Page 6 of 28

7 Trainer registered with New Zealand Qualifications Authority (NAQA) to provide first aid training. Any instructor that is registered with the Ministry of Singapore Manpower (Singapore) to provide first aid training. South Africa St. John United Arab Emirates (or Red Crescent any GCC Country) or organization approved by HAAD St. John Ambulance St. Andrew s First Aid United Kingdom British Red Cross or training organization approved by the Health and Safety Executive American Red Cross United States of America American Heart Association Table 1 Approved First Aid Training Providers and/or Training Courses (c) First aiders that are registered and have a valid certificate of training from a country not listed in Section 2.1(a) can submit information on the training they received to the AD EHS Center for consideration to have it added to the approved list. (d) Employers that develop their own first aid training based on their needs can submit information on the training they developed and provide to their employees to the AD EHS Center for consideration to have it approved to meet the requirements of this CoP. (e) First aider s initial training shall be refreshed as required by the training provider, but at a minimum annually for life threatening emergencies, cardiopulmonary resuscitation (CPR) procedures and automated external defibrillator (AED) use. Unless otherwise stipulated by the training provider, nonlife-threatening response refresher training shall be provided at a minimum every two years. 2.2 Requirements for First Aid Training Programs (a) First aid training programs shall: (i) (ii) (iii) be in line with the scope of the activities, services, functions and needs of the employer, environment and associated potential hazards and risks; be based on the risk assessment, if there is a low risk of heart attack, stroke (eg. schools, office work, etc.) or trauma, first aiders shall satisfy the minimum learning requirements for level 1 first aid as identified in Appendix 1; and be familiar with the procedures for medical emergency response and calling for ambulatory services; be based on the risk assessment, if there is a reasonable risk of heart attack, stroke (eg. older workforce, working in heat, etc.) or trauma, first aiders shall satisfy the minimum learning requirements for level 2 first aid as identified in Appendix 2; and be familiar with the procedures for medical emergency response and calling for ambulatory services; CoP 4.0 First Aid and Medical Treatment Page 7 of 28

8 (iv) (v) comply with all requirements of relevant regulatory bodies and related regulations; and trainers / training providers shall be accredited by the Red Crescent Society of the United Arab Emirates or any of the internationally recognized accrediting bodies listed in Section 2.1(a). 2.3 Requirements for Accredited First Aid Training Providers (a) Accredited First Aid Training providers are required to ensure that: (i) (ii) (iii) (iv) (v) the training is aligned with the resources and needs of the employer (eg. staffing resources, hazards and risks identified, the needs for first aid devices and kit); the training content shall be delivered according to the learning requirements (Appendix 1 and 2); assessment of successful completion of the first-aid training program shall include instructor observation of acquired skills and written performance assessments; only trainees who have successfully completed the requisite training are to be provided with documentary evidence to demonstrate that the trainee has met the minimum learning requirements and passed any test necessary to practise first aid at a designated level; the documentation shall include: full name; emirates ID number; employee ID number; full name of the awarding body; full name of the training centre; full name of the training course; and date and expiry of the first aid certificate/award. they provide evidence to demonstrate they are accredited by an internationally recognized body. 2.4 Training Requirements for Emergency Medical Technicians (EMT) (a) Emergency Medical Technicians (EMT) and Paramedics (EMT-P) shall have training identifying common worksite hazards prior to starting work onsite. (b) EMT s shall maintain a valid license issued by the HAAD. 2.5 Training Requirements for Nurses (a) Nurses shall receive training on common worksite hazards prior to starting work. All nurses shall hold the designation of Registered Nurse and maintain a valid license issued by HAAD. CoP 4.0 First Aid and Medical Treatment Page 8 of 28

9 2.6 Training Requirements for Physicians (a) Physicians shall receive training on common worksite hazards prior to starting work. All physicians shall maintain a valid license issued by HAAD. 3. Requirements 3.1 Roles and Responsibilities Employers (a) Employers shall undertake their roles and responsibilities in accordance with the general requirements of AD EHSMS RF Element 01 Roles, Responsibilities and Self-Regulation Section (b) Employers shall ensure all employees and other persons have appropriate medical insurance that will provide coverage for medical care provided in the Emirate of Abu Dhabi. (c) Employers shall ensure in the event of a medical emergency or work related injury/illness, that the employer shall transfer the employee to the nearest medical facility that can provide appropriate care for the employee. Employers shall not transfer employees to medical facilities outside the Emirate of Abu Dhabi unless that is where the closest medical facility is located that can provide appropriate care is located. (d) Employers shall ensure workplaces have a detailed medical emergency plan that includes contact information for medical care facilities, ambulance services, and maps to the closest medical facility that can provide emergency medical care. (e) Employers shall ensure documented health risk assessments are undertaken, on a regular basis, to determine the level of first aid and medical care required at the worksite. The risk assessment shall consider: (i) (ii) (iii) (iv) (v) (vi) (vii) the nature of the work and workplace hazards and risks; the size of the organisation; the nature of the workforce; work patterns; the number and distribution of the workforce; the entities history of incidents; provision for treatments throughout a 24-hour day and during weekends; (viii) the need of travelling, remote or lone employees; (ix) (x) (xi) the remoteness of the worksite from emergency medical services; transport arrangements for emergency evacuation when required; employees working on shared or multi-occupied sites; (xii) annual leave and other absences of first aiders and appointed persons; and CoP 4.0 First Aid and Medical Treatment Page 9 of 28

10 (xiii) first aid provisions for non-employees. (f) Employers shall ensure the provision of the minimum first aid and medical care facilities at each place of work that are appropriate for the risks and hazards associated with the worksite, meet the minimum requirements set forth in this document, and comply with requirements set in Chapter V of Federal Labour Law No 8, for (g) Employers shall ensure that the appropriate level of training for first aid staff and/or licensed medical professionals, as defined in this document (Appendices 1 & 2), are adhered to at all times. Employers shall ensure that worksites with medical facilities including first aid treatment and/or licensed medical professionals shall meet all the requirements set by HAAD for registration and licensing. (h) Employers shall ensure those persons who require emergency services receive prompt, appropriate first aid services by an appropriately certified trained first aid officer, whilst appropriate arrangements for emergency support are being pursued. (i) Employers shall ensure that, at a minimum first aid trained personnel, in accordance with Appendix 3, be available at a worksite at all times. First aider s may not have the primary duty of providing medical assistance, but they shall be able to respond if an incident occurs. (j) Employers shall ensure that employees understand how and where to receive first aid or medical treatment. Notices indicating contact details for first aiders or appointed persons, the emergency contact number/radio frequency, and where the first aid box is, shall be posted about the worksite. Special consideration shall be given to the provision of first aid information to employees in a manner taking into account language and literacy levels. (k) Employers shall ensure Nurses, Occupational Health Nurses, Medical Practitioners and any other medical professionals rendering related services shall be registered in their professional capacity with the HAAD. (l) Employers shall ensure that licensed/professional medical staff shall operate medical treatment centres and provide medical services to employees working onsite in a manner that provides the best patient care reasonably practicable. (m) Employers shall ensure that any designated first aid or medical treatment center be of appropriate size to meet the needs of the worksite as per the risk assessment. (n) Employers shall ensure that all first aid facilities are appropriately identified and marked with the recognised first aid sign, as per AD EHS RI CoP 17.0 Safety Signage and Signals, and that the environment where first aid treatment may take place is, as far as reasonably practicable, free from hazards. (o) Employers shall ensure that the availability of First Aiders and Medical staff, their level of training, skills, knowledge and experience is based on the assessed risk factors of the industry and entity. CoP 4.0 First Aid and Medical Treatment Page 10 of 28

11 (p) Employers shall ensure that the knowledge and skill levels of the First Aiders and Medical staff, according to this CoP, be maintained. (q) Employers shall ensure that all records be kept with regards to all trained First Aiders and Medical staff, their level of training and their current contact details. (r) Employers shall ensure that all records be kept with regards to First Aid statistics and emergency cases treated in accordance with the AD EHSMS RF Element 09 Compliance and Management Review and other relevant requirements. (s) Employers shall ensure the availability of first aid resources appropriate for first aid support to manage injuries and/or illnesses that are reasonably practicable to occur in the particular workplace environment. (t) Employers shall ensure that first aid resources are based on the assessed risks identified from the risk assessment, that at a minimum satisfy the items specified in Appendix 4. (u) Employers shall ensure that first aid resources are consistent with the level of First Aider training, and competency of the first aider. (v) Employers shall ensure the safe disposal of waste resulted from first aid treatment in accordance with the relevant waste regulations and requirements of AD EHS RI CoP 54.0 Waste Management. (w) Employers shall ensure the Names and contact information for first aiders and onsite medical providers shall be posted throughout the worksite. Contact and address information shall be posted at the entrance to worksites and worker camps for employer approved physician (along with the hours of operation) and emergency medical facility (eg. hospital) that shall provide care beyond first aid for employees. (x) Employers shall ensure reported first aid and medical treatment cases are investigated as per the requirements of AD EHSMS RF Element 07 Monitoring, Investigation & Reporting. (y) Employers shall ensure all costs associated with medical treatment and transportation to medical facilities for employees are paid by the employer as long as the employee follows established policies and procedures for receiving medical treatment, except in the case of emergencies the employer shall pay costs regardless of other policies and procedures are followed. (z) Employers shall ensure that the workplace first aid resources are documented in Policies and Operating Procedures and compliant with Chapter V of Federal Law No. 8, of 1980; Ministerial Decision No. (37/2) of 1982 and the AD EHSMS RF Employee (a) Employees shall undertake their roles and responsibilities in accordance with the general requirements of AD EHSMS RF Element 01 Roles, Responsibilities and Self-Regulation Section CoP 4.0 First Aid and Medical Treatment Page 11 of 28

12 (b) Employees shall report to appropriate supervisors / first aider when items from first aid kits are used. (c) Employees shall report all injuries and illnesses to a designated first aider or onsite medical personnel Self-Employed Persons: (a) A self-employed person shall provide, or ensure there is provided, such first-aid equipment, as is appropriate and appropriate in the circumstances to enable him/her to render first-aid to him/herself while at work Lone Worker(s) and Remote Location Worker(s): (a) Employers with lone worker(s) and/or remote location worker(s) shall provide, or ensure there is provided, such first-aid equipment, as is appropriate and appropriate in the circumstances to enable the employee(s) to render first-aid to him/herself while at work. Employees shall also have appropriate means of communication and contact information for local emergency services First Aiders and Medical Staff: (a) First Aiders / Medical Staff are required to: (i) (ii) (iii) (iv) (v) limit their first aid treatment to that within the scope of their license and training level; ensure that their training is certified and current in accordance with the requirements of this CoP; keep documentation of cases treated in accordance with requirements of their employer and AD EHSMS RF Element 09 Compliance and Management Review and other relevant requirements; be knowledgeable about the nature and type of hazards that they are reasonably practicable to encounter and the types of injuries and specific health conditions that are reasonably practicable to require first aid treatment; and ensure that emergency support services are pursued to ensure timely intervention by specialist services such as ambulance services or physician support for a chronic condition. 3.2 First Aid/Medical Treatment Requirements Staffing (a) The number of first aiders and medical staff to number of employees / other persons shall be in line with the identified risks and hazards of the workplace environment, the needs of the employer/organisation and the employees/persons including the requirements of other relevant regulatory bodies but shall conform to the minimum requirements as set in Appendix 3. CoP 4.0 First Aid and Medical Treatment Page 12 of 28

13 (b) First aiders and medical staff working hours shall not exceed 12 hours in any 24 hour period Treatment of Patients (a) Emergency Services: (i) (ii) (iii) (iv) initial first aid treatment shall be available anywhere on the worksite within a three minute response time; if a worksite has onsite Ambulatory services, the response time shall be within 10 minutes to anywhere on the site; if ambulatory (internal or external ambulatory services) response time is greater than 15 minutes for a worksite that have high hazard activities, the worksite shall have appropriate medical staff onsite with current Immediate Life Support (ILS) and Basic Trauma Life Support (BTLS) training to ensure a response time of 10 minutes or less; and up-to-date telephone numbers of first aiders and nearest emergency organizations (eg. medical clinics, hospitals) shall be clearly displayed on notice boards and communication points including the contact information for Poison and Drug Information Center (Tel No.:800424, pdic@haad.ae). (b) General Treatment of Injured Persons: (i) (ii) (iii) (iv) 3.3 First Aid Kits minor injuries, injured persons shall be evaluated and treated according to their injuries; non-life threatening injuries that require a higher level of medical treatment, the injured person can be transported by a company vehicle to the nearest medical treatment centre or hospital; major injuries and injuries that are life threatening, ambulatory services shall be called upon to transport the patient to the nearest hospital for treatment; and employees complaining of chest pain shall always be treated as a life threatening condition and ambulatory services called immediately. As far as reasonably practicable, an employee complaining of chest pain shall not be transported to a medical treatment centre or hospital in a personal or company vehicle, unless the vehicle has been registered with HAAD as an ambulance and is staffed with a minimum of one EMT-P and a driver. (a) Employers shall perform a health risk assessment to determine the contents of the first aid kits. (b) First aid kits shall be placed in all worksite vehicles. (c) First aid kits shall be placed in all office buildings (minimum one on each floor) and throughout the worksite as needed and not stored in a locked container / cupboard / facility. CoP 4.0 First Aid and Medical Treatment Page 13 of 28

14 (d) Contents of the first aid kits shall be based on the health risk assessment, but at a minimum shall have the contents listed in Appendix 4. If more stringent regulations exist, those regulations shall take precedence. (e) Employers shall ensure that first aid kits / medical supplies are inspected by a competent person at least once per month to ensure the required contents are available, including replenishing necessary items and replacing expired items. (f) A first aid registry shall be provided with the first aid kit to be completed by the first aider and be provided to the EHS responsible person after administering any form of first aid. 3.4 Infection Control (a) First aid personnel and employees may be at risk of exposure to infectious diseases or biological hazards and they shall receive training on the various types of blood borne pathogens and methods to protect themselves from exposure. (b) Appropriate Personal protective equipment (PPE) shall be provided to protect first aid personnel and ill or injured persons from risks of exposure to infections. (c) PPE shall include at a minimum: (i) (ii) (iii) (iv) (v) protective gloves such as disposable PVC, latex gloves or heavy duty gloves where there is a risk of exposure to sharp objects or when cleaning blood or body substance spills; protective clothing such as disposable non-porous overalls or plastic aprons; eye protection such as goggles and safety glasses; safety footwear to protect feet from sharp objects; and resuscitation mask to reduce the risk of exposure to blood and body substances. (d) Control measures shall be in place for the management of skin penetrating injuries (SPI) and other blood or body substance exposures. (e) Management of a SPI includes the following: (i) (ii) (iii) encourage the wound to bleed by gently squeezing; wash the area with cold running water and soap if available; and apply an antiseptic if available then cover the wound with an appropriate dressing. (f) Procedures shall be in place for the management of exposure to blood or body substances. (g) Management of exposure to blood or body substances includes the following: (i) wash away the blood or body substance with soap and water. If water is not available then use a 60-90% alcohol based hand rinse or foam; CoP 4.0 First Aid and Medical Treatment Page 14 of 28

15 (ii) (iii) if the eyes are contaminated, rinse eyes while open with tap water or saline solution; and if blood gets into the mouth, spit it out and then repeatedly rinse with water. (h) If exposed to blood or body substances the person shall be referred for medical assessment immediately. The doctor can then assess the degree of exposure and arrange blood tests and immunisation where appropriate. Access to professional counselling shall also be provided, if necessary. (i) Records of blood or body substance exposure shall be documented and kept at the workplace. Records of exposure and treatment shall be kept confidential. 3.5 Employee Camps / Villages (a) Employers that have employee camps/villages, or contract out to a third party to provide an employee camp/village, shall ensure first aid and/or medical treatment facility is available onsite. In addition to the requirements set above for medical treatment, employers shall ensure a community health program exists that provides the following services: (i) (ii) (iii) (iv) education of employees on communicable diseases to include blood borne pathogens, HIV, Hepatitis B & C, sexually transmitted diseases (STD s), chicken pox, and tuberculosis (TB); annual drug and alcohol awareness campaigns; annual smoking cessation campaigns; and vaccination & immunisation program aligned with relevant HAAD Policy and Standards; (b) Employers shall ensure that employee camps/villages have a crisis management plan that addresses a potential outbreak of contiguous disease and that facilities are designated to isolate employees that have contiguous diseases (eg. chicken pox, flu, etc.) (c) Employers shall ensure employee camps/villages have a medical emergency response plan that is tested at a minimum, annually. 3.6 First Aid and Medical Treatment Centres (a) Worksites with first aid and medical treatment centers shall meet all the requirements set by HAAD for registration and licensing as a clinic. The HAAD definition of a clinic includes the following: (i) (ii) a health care facility that includes one clinic or more staffed by general practitioner GP (one or more), or a specialist (one or more). A clinic shall be mainly used for health consultations and simple treatment. It does not provide emergency services but provides first aid services. Emergency cases shall be referred to a hospital. Clinic Subtypes: General Clinic; CoP 4.0 First Aid and Medical Treatment Page 15 of 28

16 General Dental Clinic; School Clinic; Specialized Clinic; Specialized Dental Clinic; and First Aid Post: (A health facility that administers emergency treatment to an injured or sick person before necessary professional medical care is secured). (b) The structural and equipment requirements of First Aid and Medical Treatment Centers shall, as a minimum, include items as contained in Appendix 5 and layout requirement as in Appendix Record Keeping (a) At a minimum, the following information shall be documented for all first aid and medical treatment cases: injured person s name; Emirates ID number; employee ID number; profession of injured person; date, time and place of injury; description of injury; 5. References description of how the injury occurred; treatment provided, to include treatment provided by outside medical services; any follow-up treatment required; and name and signature of the first aider. AD EHSMS RF Element 01 Roles, Responsibilities and Self-Regulation AD EHSMS RF Element 07 Monitoring, Investigation and Reporting AD EHSMS RF Element 09 Compliance and Management Review Ministerial Order No. (32) Year 1882, The Determination of Retentive Methods and Measures for the Protection of Workers from the Work Risks Ministerial Decision No. (37/2) of 1982, The Medical Care which the Employer is Obliged to Provide to his Workers CoP 4.0 First Aid and Medical Treatment Page 16 of 28

17 Cabinet Decision No. (13) Approving the General Standards Manual for Group Labor Accommodation and Related Services UAE Law No 8 for 1980 (Labour Law) HAAD Requirements for Facility Development and Registration. CONS-U Consult Room _Vol2.pdfhttp:// _Vol4.pdf The Health and Safety (First-Aid) Regulations 1981, Approved Code of Practice and guidance, Health and Safety Executive - UK Best Practices Guide: Fundamentals of a Workplace First-aid Program, Occupational Safety and Health Administration - USA CoP 4.0 First Aid and Medical Treatment Page 17 of 28

18 Appendix 1: Minimum Learning Requirements - Level 1 Learning Outcome 01: Demonstrates the Application of First Aid Procedures Sub-outcome 01: Sub-outcome 02: Apply First Aid Basics (eg. rescue duties, victim and rescuer safety, finding the problem) Review the First Aid steps for Medical/Health Emergencies: o Breathing problems, choking, allergic reactions, heart attack, fainting, diabetes and low blood sugar, stroke, seizures,and shock Review the First Aid steps for emergencies with Injuries o Visible bleeding, head-neck-spine injury, broken bones and sprains, burns and electrocution Review the First Aid steps for Environmental Emergencies: o Bites and stings, snakebites, insect-bee-spider bites and stings, temperature-related and, poison emergencies Administration protocol for epinephrine pen in allergic reactions Learning Outcome 02: Demonstrates Understanding and Skills Pertaining to Cardiopulmonary Resuscitation (CPR). Sub-outcome 01: Sub-outcome 02: Perform cardiopulmonary resuscitation using a mask (hands-on with manikin) to an adult and child Perform cardiopulmonary resuscitation using a mask (hands-on with manikin) to an infant (Optional) Learning Outcome 03: Demonstrates understanding and skills related to airway obstruction. Sub-outcome 01: Identify signs and symptoms of airway obstruction and dislodging techniques for an: Adult and child Infant (optional) CoP 4.0 First Aid and Medical Treatment Page 18 of 28

19 Appendix 2: Minimum Learning Requirements - Level 2 Learning Outcome 01: Demonstrates the Application of First Aid Procedures. Sub-outcome 01: Sub-outcome 02: Sub-outcome 03: Apply First Aid Basics (eg. rescue duties, victim and rescuer safety, finding the problem) Review the First Aid steps for Medical Emergencies: o Breathing problems, choking, allergic reactions, heart attack, fainting, diabetes and low blood sugar, stroke, seizures,and shock Review the First Aid steps for emergencies with Injuries o Visible bleeding, head-neck-spine injury, broken bones and sprains, burns and electrocution Review the First Aid steps for Environmental Emergencies: o Bites and stings, snakebites, insect-bee-spider bites and stings, temperature-related and, poison Administration using correct protocol of an epinephrine pen in allergic reactions Treatment for trauma injuries Learning Outcome 02: Demonstrates and recognizes the early warning signs of respiratory and cardiac arrest and identifies the signs and symptoms of stroke. Learning Outcome 03: Demonstrates understanding and skills pertaining to cardiopulmonary resuscitation (CPR) and the use of an automated external defibrillator (AED). Sub-outcome 01: Sub-outcome 02: Sub-outcome 03: Perform cardiopulmonary resuscitation using a mask (hands-on with manikin) to an adult and child Perform cardiopulmonary resuscitation using a mask (hands-on with manikin) to an infant (optional) Use an automated external defibrillator(aed) accurately for victim Learning Outcome 04: Demonstrates understanding and skills related to airway obstruction. Sub-outcome 01: Identify signs and symptoms of airway obstruction and dislodging techniques for an: o Adult and child o Infant (optional) CoP 4.0 First Aid and Medical Treatment Page 19 of 28

20 Appendix 3: Minimum First Aid and Medical Staffing Requirements Number of employees at worksite or worker camp Minimum number of medical staff required per shift at worksite Minimum number of medical staff working per shift at worker camp 0-49 All Risks = 2 First Aiders 1 First Aider All Risks = Low Risk = High Risk = Low Risk = High Risk = 2 First Aiders 1 Registered Nurse 1 First Aider/100 employees (minimum 3 First Aiders) 1 Registered Nurse 1 First Aider/50 employees (minimum 3 First Aiders) 1 Registered Nurse 1 first aider/100 employees and 1 Registered Nurse 1 first aider/50 employees 2 Registered Nurses 1 First Aider 1 Registered Nurse on-call 2 First Aiders 1 Registered Nurse on-call 1 First Aider and 1 Registered Nurse during hours of use Low Risk = High Risk = 1 first aider/100 employees and 2 Registered Nurse 1 first aider/50 employees 2 Registered Nurses 2 First Aiders and 1 Registered Nurse during hours of use Low Risk = High Risk = 1 first aider/100 employees and 2 Registered Nurses 1 first aider/50 employees 3 Registered Nurses 2 First Aiders and 2 Registered Nurses during hours of use Low Risk = High Risk = 1 first aider/100 employees and 3 Registered Nurses 1 first aider/50 employees 3 Registered Nurses 3 Registered Nurses during hours of use * This chart sets minimum requirements in accordance with Ministerial Decision No. (37/2) of The employer shall determine actual staffing numbers when they perform a health risk assessment. ** All employers shall identify a doctor and medical facility for the treatment of employees beyond first aid care and a hospital that can provide emergency medical care. CoP 4.0 First Aid and Medical Treatment Page 20 of 28

21 Appendix 4: Minimum First Aid Resources Checklist Item No. Product Description First Aid Equipment Volume/ Quantity/ Size Item Quantity 1 Basic first aid notes 1 2 Sterile Gauze swabs 10 x 10 cm 1 small pack 3 Pocket masks in each kit with viral and bacterial barrier, low resistance one way valve and pre inflated cuff. (eg. Laedral pocket mask CPR Barrier) 2 4 Gloves, latex free. Two of each size 6 5 CPR mouth pieces 2 6 Scissors Tough cut type with skin protective 1 leading edge 7 Disposable razor 1 8 Pair of forceps 1 9 Splints eg. SAM Splint 45.7 x 10.8cm x 14cm 10 Triangular bandage 1 11 Crepe bandages 2 x 100mm wide 4 2 x 50mm wide 12 Non adherent dressings eg. Primapore 8.3 cm x 6 cm 2 13 Elastoplasts roll 2.5 cm wide 1 14 Band-Aid type plasters 4 15 Hypo allergenic tape eg. Micropore tape 2.5 cm wide 1 16 Paper stitches eg. Steri-Strip 3mm x 75 mm 2 packets 17 Sterile eye pads 2 18 Foil blanket 1 19 Saline sachets 4 20 Eye wash plastic vials 20ml 2 21 Rapid Nasal packing eg. Rhinocell Nasal packs 2 22 Water gel dressing for burns 10 x 10cm 2 23 Kinetic torch 1 24 Epinephrine auto-injector 1 25 Medical Waste disposal bag 1 Item No. Product Description CPR / AED Equipment Volume/ Quantity/ Size Item Quantity 1 CPR mouth pieces 2 2 Adult AED with adult pads 1 3 Child AED with child pads 1 4 AED accessories (towel, razor, etc) 1 5 Spare batteries for AED way valve Adult mask way valve Pediatric mask 1 8 Face shield 1 CoP 4.0 First Aid and Medical Treatment Page 21 of 28

22 Appendix 5: Guideline for Minimum Structural and Equipment Requirements for First Aid and Medical Treatment Centres As per HAAD Guidelines for Health Facility Design, Approvals, Construction and Consultant Prequalification, version 2, January CoP 4.0 First Aid and Medical Treatment Page 22 of 28

23 CoP 4.0 First Aid and Medical Treatment Page 23 of 28

24 CoP 4.0 First Aid and Medical Treatment Page 24 of 28

25 Appendix 6: Layout Guideline of First Aid and Medical Treatment Centres CoP 4.0 First Aid and Medical Treatment Page 25 of 28

26 CoP 4.0 First Aid and Medical Treatment Page 26 of 28

27 Appendix 7: Definitions AED BTLS CPR EMT EMT-P First Aid GP HAAD Identification number ILS Level 1 Learning requirements Level 2 Learning requirements Medical Device MOH TB STD s Automated External Defibrillator Basic Trauma Life Support Cardiopulmonary resuscitation Emergency Medical Technicians Emergency Medical Technicians Paramedics Emergency treatment administered to an injured or sick person before professional medical care is available General Practitioner Health Authority - Abu Dhabi This number may include the following: Emirates ID number Visa number Work permit number Immediate Life Support Demonstrates the application of basic First Aid procedures and the understanding and skills pertaining to cardiopulmonary resuscitation (CPR) and airway obstruction. Demonstrates the application of basic First Aid procedures demonstrates and recognizes the early warning signs of respiratory and cardiac arrest and identifies the signs and symptoms of stroke. Demonstrates understanding and skills pertaining to cardiopulmonary resuscitation and airway obstruction, (CPR) as well as the use of an automated external defibrillator (AED) A product used in healthcare for the diagnosis, prevention, monitoring or treatment of illness or handicap excluding drugs. As a rule it does not achieve its principal intended action in or on the human body by pharmacological, immunological or metabolic means Ministry of Health Tuberculosis Sexually transmitted diseases CoP 4.0 First Aid and Medical Treatment Page 27 of 28

28 Abu Dhabi EHS Center 2012 This document is and shall remain the property of the AD EHS Center. The document may only be used for the purposes for which it was intended. Unauthorised use or reproduction of this document is prohibited. CoP 4.0 First Aid and Medical Treatment Page 28 of 28