It is College policy to provide first aid support if someone is injured or becomes unwell on College premises, or whilst engaged in activities associated with academic life. Student Union Clubs and Societies involved in extracurricular pursuits should consider the first aid arrangements for that activity, to ensure compliance with the Health and Safety (First Aid) Regulations 1981 (as amended 2013). The prime objective of the College Policy is that someone trained in basic first aid skills should be able to attend an incident on campus within 3 minutes of help being requested during normal working hours and within 10 minutes at other times.

Departments are responsible for organising first aid provision for their students, staff and visitors to their department.

The College Occupational Health Service and Learning and Development Centre provide advice to departments on first aid arrangements, organise training, liaison with co-ordinators and are responsible for auditing the effectiveness of first aid arrangements across the College.

Policy Guidance

1. Departmental Arrangements

1.1. Effective first aid provision relies on a number of factors, as well as:

  • An adequate number of trained first aiders
  • First aid equipment

There has to be:

  • Local risk assessment to determine needs & resources
  • Local organisation of first aiders
  • Local display of information on how to obtain help
  • Periodic review of arrangements

1.2. Heads of Departments must appoint a First Aid Co-ordinator to organise first aid for their department. The co-ordinator must be given sufficient time, authority & support for them to fulfil their responsibilities.

1.3. First Aid Co-ordinators: the person appointed should be willing to take on the role, able to carry out risk assessments and preferably be a first aider. They should be a member of the department’s safety committee. As Departmental Safety Officers have an overview of activities within a department, they may be best placed to undertake this role as part of their work.

1.4. A co-ordinator will normally be responsible for:

  • Undertaking & reviewing the department’s assessment of first aid needs
  • Monitoring numbers of first aiders so a sufficient number of suitably trained first aiders are available
  • Assisting with recruitment of  departmental first aiders
  • Inducting new first aiders
  • Distributing information notices to first aiders
  • Organising stocking and replenishment of first aid supplies
  • Maintaining up to date notices on the local first aid arrangements
  • Liaising with the Faculty Safety teams, Departmental Safety Officers and the College’s Central Health & Safety advisors and where appropriate Building Managers on first aid issues
  • Liaison with the Faculty Safety teams, Departmental Safety Officers to arrange supplementary training where this need is identified by local or fieldwork first aid risk assessment

1.5. First Aiders must be allowed time to attend incidents and to attend training. They should have easy access to a first aid kit and disposable gloves, (Appendix 1). All first aiders should be contactable via e-mail for distribution of information on first aid issues. Arrangements should be made to pass on mailings to first aiders who do not have access to email.

2. First-Aiders

2.1. There are two types of first aider in the College:

  • Fully qualified first aiders (FAW) can provide first aid assistance in almost all situations likely to occur in College
  • “LifeSavers” - who have completed Emergency First Aid at Work (EFAW) training and competency assessment, are able to deal with immediately life-threatening conditions and care of an unconscious casualty

In the guidance, the term ‘first aider’ refers to both fully qualified first aiders and LifeSavers.

2.2. Both first aiders and LifeSavers are able to recognise and manage any immediate life-threatening condition. If the problem needs a fully qualified first aider, a LifeSaver can safely look after the casualty whilst a first aider is called.

2.3. Qualified physicians and nurses can act as fully qualified first aiders without having to attend specific training courses. To be counted as part of a department’s complement of first aiders a doctor or nurse must:

  • Be in clinical practice
  • Be willing to attend incidents on request
  • Be aware of and comply with local first aid arrangements (location of equipment and reporting procedures)
  • Be included on lists of first aiders
  • Maintain competency in resuscitation skills, regular attendance of a hospital BLS refresher training in accordance with local Trust policy will satisfy this requirement

3. Selection of First-Aiders

3.1. Personal qualities: to be an effective first aider, a person needs to be reliable, have good communication skills, able to stay calm in an emergency, have a good standard of person hygiene & be fit enough to rapidly attend an incident. The person must be willing to provide first aid to anyone at any time whilst at work and to attend training courses to obtain and retain their qualification.

3.2. Recruitment: first aiders should be selected from staff who can be easily contacted and who are usually based in the area for which they are providing cover. Individuals who are likely to be long term employees should be selected for training in preference to staff who are likely to leave within two years of training. Students should only be recruited as first aiders where it proves impossible to recruit staff to meet a defined need.

New members of staff should be asked at induction whether they are trained in first aid and willing to act as a first aider. If so, their details should be passed on to the department’s first aid co-ordinator. If subsequently appointed as a first aider, the Learning and Development Centre should be notified so that the person's training can be included on their record and they can be recalled for refresher training.

4. Planning First-Aid Provision

4.1. Departments must carry out an assessment of the first aid needs of the department. This should usually be undertaken by the first aid co-ordinator in co-operation with the Departmental Safety Officer. The assessment and decisions taken on the basis of it should be recorded. The Departmental First Aid Provision Tool is designed to record all aspects of the needs assessment.

Where a department is located in more than one building, separate local assessments may need to be undertaken.

Assessments should take into account:

  • Number of occupants
  • Workplace and task hazards
  • Building layout
  • Other occupants
  • Hours of work
  • Availability of back up support on the campus or site
  • Foreseeable absences of first aiders

4.2. Outcome: The assessment should provide answers to:

  • How many first aiders are needed in the department?
  • Where are they needed?
  • Whether any need to be fully-qualified?
  • Whether additional training is required?
  • What equipment is needed?
  • Where should equipment be located?
  • Where should notices & signs be posted?

4.3. Number of occupants. Students & visitor numbers should be taken into account when assessing needs.

The minimum level of provision in any building should be two LifeSavers for the first fifty occupants, plus one LifeSaver for every additional hundred occupants. If higher numbers are needed to meet the three minute response, additional persons should be trained as LifeSavers. Where there is no campus-wide arrangement in place for fully qualified first aider support (para5.8), there should also be one fully qualified first aider always available per building. One additional fully qualified first aider should be appointed for every 200 additional occupants.

4.4. Hazards. In areas where activities with significant accident risks take place e.g. workshops, teaching laboratories, plant rooms, kitchens, a LifeSaver should be available within the area. A fully trained first aider should be available within the building, unless one can be reliably summoned from elsewhere to arrive within 10 minutes. The risk assessment should consider local Access Control requirements.

Specific arrangements may be necessary to cover work with unusual, rapidly dangerous hazards e.g. research work using toxins or dangerous pathogens: the person in charge of the work should address these in the COSHH assessment for the particular work.

On Hospital campuses, LifeSavers will usually be sufficient unless the risk assessment identifies the area high risk or isolated.

The College Director of Occupational Health should be consulted for advice and the first aid coordinator informed.

4.5. Building layout: In most buildings there should be at least one LifeSaver on each floor or area, if divided into separate functional units. Where the layout of an area or security measures may hamper access, additional first aiders may need to be appointed.

4.6. Lone working: when individuals seek authorisation to working alone they must be aware of the local or arrangements for summoning first aid assistance for that  time of day ( e.g. early morning, late evening, weekends) Campus Security may be the most reliable provider of first aid support.

4.7 Campus support: At South Kensington, the Security Emergency Response Team (ERT) will provide additional first aid support across campus buildings and external environment. College Security Officers working on the St. Mary’s, Brompton & Charing Cross campuses can provide limited support to first aiders. On most medical campuses, the associated hospital ‘crash team’ can be called for a casualty requiring resuscitation. Details are given in Appendix 2.

These arrangements can reduce the numbers of fully qualified first aiders needed within a department e.g. on the South Kensington campus most departments should not require more than one or two fully-trained first aiders as the Security Emergency Response Team can be called upon to provide first aid for a situation beyond the scope of a LifeSaver, or provide additional first aider support if a major incident with several casualties occurred. Supra-departmental arrangements will not usually reduce the number of LifeSavers required in a department.

4.8. Interdepartmental co-operation: Assessments should take into account other occupants within a building. Where there is co-operative working between members of different departments sharing a building, this will improve the effectiveness of first aid response. The arrangements should be agreed and recorded.

This will apply in multi department buildings across all campuses.  The person undertaking the First Aid Needs Assessment from each department should be responsible for ensuring the agreement works and is maintained. Where required, Occupational Health can advise on co-operative working agreements. Responsibility for ensuring that such arrangements are effective lies with the departments involved.

First Aid should be included as a standing agenda item for Building User Group meetings where departments have the opportunity to share information about first aid arrangements in their areas.

4.9. Foreseeable absences of first aiders: holidays, sick leave, work commitments away from the person’s usual location have to be taken into account when calculating levels of provision.

4.10. Numbers of first aiders. The numbers of appointed LifeSavers and fully trained first aiders should be no more than necessary to meet the objectives of the College policy, taking into account the factors above. Appointing larger numbers of first aiders than this may make it more difficult to provide an effective first aid response. First aiders skills may be lost through lack of opportunity to use them. Annual refresher training may become impractical, if the numbers of first aiders in College rise too high and first aid notices will require more frequent updating to remain accurate.

4.11. Review. Periodic review of the adequacy and effectiveness of first aid arrangements is an integral part of an effective health & safety management process. Review should be part of a department’s annual health & safety inspection or conducted separately. Significant changes in a department’s structure e.g. a move into a new building or a new research group being set up should provoke at least a partial review of first aid arrangements.

5. First-Aid Outside Departments

5.1. Fieldwork: Academic departments with fieldwork commitments on taught courses must carry out an assessment of first aid needs for these courses and ensure appropriate first cover arrangements are in place. Where the risk assessment considers the activity to be low risk in areas where there is reliable access to the emergency services at least one group leader must be trained to at least LifeSaver standard,  but would benefit from additional training to confidently manage an emergency away from their usual place of work.

Where fieldwork takes place in remote locations, or where there may be a delay in obtaining help from emergency services, (approximately 2 hours from emergency services) group leaders must have attended a field work first aid course and carry a fieldwork first aid kit.

Students should receive basic first aid & personal safety training before being required to work in the field for significant periods of time away from immediate contact with a trained leader. General information on fieldwork safety can be found on the Safety Departments Web pages.

Students and Fieldworkers must be advised to bring a sufficient supply of medication prescribed for the management of existing medical conditions for the duration of the trip. They must advise the group leader of any situation where they may need assistance with the administration of medication or if they have a health condition which can cause sudden incapacity or otherwise require emergency assistance.  Group leaders may refer to the Occupational Health Service for advice on the support needs of students who make such declarations. Group leaders should not carry Prescription Only Medication (POM) for supply to a third party.  If, following risk assessment it is considered necessary to carry supplies of medicine, group leaders must refer to Occupational Health for advice on carrying over the counter (OTC) medications which may be required to manage minor illness. If it is considered appropriate, arrangements may be made to prescribe Prescription Only Medication.

Accidents and illness should be recorded on SALUS in the same way as onsite incidents.

5.2. Sports Facilities: At least one first aider trained to “LifeSaver” standard, plus additional training (or FAW) so that immediate care of sports injuries can be provided when sports activities premises are in official use. All persons employed as life-guards should hold a recognised life-saving qualification and undergo requalification every 2 years.

5.3. Halls of Residence: Each hall of residence must have a first aid box available at all times. At least one member of the hall, trained to “LifeSaver" standard, should be available at nights and at weekends when the hall is occupied. Wardens and sub-wardens should attend an appropriate training course unless they already hold a valid first aid qualification and be prepared to provide first aid when in hall.

Where it is impossible to provide adequate cover by training of wardens and sub-wardens, students may be trained to “LifeSaver” standard to meet needs. A valid first aid qualification could be taken into account when assessing re-applicants.

First Aid notices in halls should include information on how to obtain help at times when there is no trained first aid support available.

At the South Kensington Halls of Residence, help can be requested from Security.

5.4. Student Union Clubs: At least one member of organised parties undertaking dangerous sports or activities in remote locations with rough inaccessible terrain should hold a valid, recognised first aid certificate with a level of training appropriate to the hazards encountered. Parties should carry appropriate first aid equipment.

5.5. Event Management: Organisers of major events in College should ensure arrangements for first Aid comply with Health and Safety Executive HSG 195.

6. Equipment

6.1. First Aid Boxes At least one first aid box has to be readily available in a building whilst the building is occupied. In large buildings, or where a building is occupied by more than one department, each department should maintain its own box, unless a single box is held at a staffed reception desk for the building and can be quickly delivered to an incident.

The contents of first aid boxes should comply with Appendix 1 of the guidance. Sufficient materials should be to hand to cover the usual maximum occupancy of the area covered.

College vehicles should carry a first aid box.

6.2. An individual, preferably the first aid co-ordinator or a first aider should be made responsible for regularly checking and replenishing first aid boxes. The frequency of checks should be specified in the department’s first aid assessment. It should relate to the frequency with which supplies are used up.

6.3. First aiders should each hold or have easy access to a stock of basic first aid dressings, gloves and materials for cleaning up after treatment of a casualty.

6.4. Adhesive plasters should be available within areas where persons may suffer minor cuts or abrasions e.g. workshops, kitchens, engineering laboratories or where covering wounds on exposed skin is a routine infection control measure e.g. bio-medical laboratories, clinical areas.  It is possible to use a dispenser which can be easily checked.

6.5. In commercial food preparation areas only, detectable (blue) plasters should be available for use.

6.6 No medication should be held in first aid boxes or supplied by either FAW or LifeSavers. The HSE guidance states Aspirin may be administered if an individual is suspected of having a heart attack - however it is not recommended that first aiders hold supplies of any tablets in the first aid box.

First aiders may assist an individual taking their own medications e.g. use of an “Epipen”, asthma inhaler or GTN spray.

7. Automated External Defibrillator

7.1 Non Hospital Campus

Automated External Defibrillators (AED) are located on a number of campuses. While the UK Resuscitation Council guidelines indicate that training is not necessary to operate this equipment; provision of training is considered best practice. On this basis AED training is incorporated into FAW and EFAW (and associated) courses. Security First Aiders have an on-going program of training and competancy assessment. Where this arrangement is in place it is not considered necessary for additional AED to be located in departments as the Security Emergency Response Team will bring it to the point of use. 

If the local first aid risk assessment indicates an AED is necessary, departments may locate a device within their area as long as these arrangements do not interfere with those already in place for managing cardiac emergencies within College. Should a department wish to locate an AED in their area, they will be responsible for its procurement, equipment checks and ongoing maintenance. Departmental AED should be registered with Campus Security.

Where AED is provided in the workplace it is considered work equipment to which the Provision and Use of Work Equipment Regulations 1998 apply. Failure to maintain the equipment and to train persons in its use would be a breach of these Regulations.

Guidance on the responsibilities of departments wishing to locate such equipment in their local area is outlined in Appendix 3.

7.2 Hospital Campuses

When requested to attend a “casualty” on hospital campuses, Resuscitation teams will attend but will not usually carry equipment or medication.

8. Information

8.1. Accurate, accessible information on how to obtain first aid is essential for an effective response.

8.2. All new staff, students and visitors in a department should be provided with information at induction on how to obtain first aid assistance. This information should cover:

  • General organisation of first aid in the department
  • Where to find information on first aiders
  • Emergency phone numbers
  • Where to obtain a first aid box

8.3. First aid notices should be posted up in communal areas, e.g. lift lobbies, entrance halls and in areas where enquiries on where to find a first aider are likely e.g. reception & messenger desks, general offices, notice boards, departmental web sites.

8.4. Notices should be easily recognisable through use of the standard first aid symbol (a green cross) & provide information on:

  • The name, room number & telephone number of first aiders within the building or department
  • Who the nearest first aiders are
  • The location of the nearest accessible first aid box
  • Campus telephone numbers for obtaining emergency assistance
  • Arrangements for obtaining help outside normal hours, if different • telephone number for calling an ambulance

Suitable notices customised for use on each of the College’s campuses & major sites are available for download from the OH Service’s web site.

8.5. Laboratories, kitchens, workshops and large offices should each have a notice posted up providing information on the nearest first aiders, first aid equipment and how to summon additional help if needed.

8.6. Rooms occupied by first aiders, or holding a first aid box for general use should have an appropriate notice displayed on the outside of the entrance door.

8.7. All first aid notices should be regularly checked for accuracy and up-dated. Notices will need to be altered if a listed first aider leaves, moves location or does not renew their certificate. The notice will need to provide information on new first aiders.

8.8. All first aiders need to be kept informed of changes in the location of other first aiders. LifeSavers need to be specifically informed of how to obtain assistance from a fully qualified First Aider.

8.9. Details of local First Aid arrangements will be maintained on the Occupational Health Department’s Web pages.

9. Training

9.1. The training centre used should offer nationally recognised and accredited qualifications and be registered with the First Aid Industry Body.

9.2. All first aiders have to either attend or provide evidence of having attended an accredited training course to be recognised as a first aider in the workplace. First aiders have to attend and pass a refresher course 1 year following initial qualification and every 3 years thereafter to retain their certificate.

9.3. All training for Departmental first aiders is organised by the Learning and Development Centre (LDC). A variety of courses are offered, details are provided on the LDC web pages. Anyone wishing to attend a first aid course must first obtain approval from their Line Manager/Academic supervisor and First Aid co-ordinator.

9.4. The course for fully qualified first aiders follows the syllabus proscribed in the First Aid at Work Regulations for the award of a First Aid at Work certificate. The course covers initial management of all problems likely to be encountered in the work place. The initial training course is 3 days long. Refresher training lasts two days.

9.5. The EFAW qualification (formally referred to as Appointed Person training) covers emergency first aid techniques, necessary to be competent in the treatment of immediately life-threatening conditions and first aid for chemical burns.  Individuals who have achieved this standard are referred to as LifeSavers.

9.6. The First Aid for Fieldwork course covers, in addition to the fully qualified first aider course, transport of casualties. Other courses, based on the EFAW course, provide additional training for groups with specific needs. Details are provided in the College Health & Safety training web pages.

9.7. LDC will confirm participation and success of individuals with First Aid Coordinators. The LDC can advise on the provision of additional first aid training identified in local first aid risk assessments.

10. Obtaining First Aid

10.1. If someone is injured, or becomes unwell and needs help, the nearest first aider should be contacted, and asked to attend. The first aider will assess the situation, provide help, request assistance from other first aiders if necessary, and stay with the casualty until recovered or arrangements for further care if needed are made. Arrangements for obtaining assistance from outside of a department will vary between different college sites. (Appendix 2- campus specific arrangements)

10.2. If attempts to summon a first aider fail, then casualty should be assisted to get to the nearest hospital A&E department. Failure to obtain an effective first aid response should be reported as a ‘dangerous occurrence’.

10.3. Ambulances and crash teams should be called, if needed, in accordance with campus specific arrangements detailed in Appendix 2.

11. Obtaining Further Help

11.1. Crash Teams: Help from hospital crash teams, where available, should be requested only where a casualty requires resuscitation i.e. where breathing or circulation is thought to have stopped.

11.2. Medical support: When a first aider thinks that a casualty needs urgent medical treatment, the first aider should arrange for the casualty to be taken to the nearest hospital accident & emergency department. At South Kensington campus, during normal hours, assistance can be sought from the College Health Centre (Appendix 2).

11.3. Ambulance: When an ambulance is needed to take a casualty to hospital, it should be called in accordance with guidance in (Appendix 2). A first aider should remain with the casualty until the ambulance arrives.

12. Recording Keeping and Confidentiality

12.1. Where First Aid training is organised by LDC, records of an individual’s participation and qualifications are maintained on the Oracle Learning Management System (OLM). This facilitates the recall of individuals for requalification in good time before their qualification expires.  Where training is arranged within departments, First Aid Coordinators can be given access to the OLM database to record this training and to use the “recall” functionality of the software.

12.2. Assessment: A written record of the current departmental first aid needs assessment should be kept for reference and as evidence of effective health & safety management.

12.3. First Aid:  Accidents and illness should be reported through SALUS, the online reporting portal located on the Safety webpages As well as the usual details of the accident (if appropriate) the name of the person giving first aid and summary details of the treatment given should be recorded. Failure to obtain first aid support when required should be reported as a dangerous occurrence.

12.4 Anyone with an existing medical condition which may affect them at work (e.g. diabetes, epilepsy) should either advise their local first aiders or contact Occupational Health for guidance.  

The trade unions have suggested the following be included on the Day One induction as there is no mechanism for first aiders to be advised of individuals with serious health problems in departments. This should be helpful to both parties as it:

  1. Gives individuals with conditions, such as diabetes or epilepsy, the opportunity to explain to the first aiders working closest to them what their experience of needing support is and what they would expect if a situation arose during the working day. They may share information such as where they keep their medication and details of their Next of Kin or person to be contacted in an emergency (promote In Case of Emergency - ICE).

This is sensitive information and if the individual requests that it is not be shared amongst colleagues this should be respected. If a first aider requires advice on the matter they may contact Occupational Health who may be able to assist.

  1. Assists first aiders by raising awareness of individuals with particular needs and giving them an opportunity to maintain their skills in this area.

This declaration is not formal or compulsory however it is designed to optimise the assistance available should a member of staff, student or temporary worker disclose such a condition. 

This information sharing is informal and First aiders are not expected to record any medical history and they should make this clear to the person concerned.  If the individual wishes to disclose to their manager they should do so themselves.

Appendix

Appendix 1 - First Aid Equipment

The First Aid Needs Assessment will inform what items should be included in the first aid kit. The contents of British Standard Kit BS8599-1 will be in excess of what is required in most working environments at Imperial College.

The following is a suggestion from the HSE guidance for the minimum contents for low risk environments.

QuantityItem
1 HSE first aid treatment guidance leaflet
20 Individually wrapped sterile plasters (assorted
sizes), appropriate to the type of work (waterproof/fabric/hypoallergenic as
necessary)
2 Sterile eye pads
2 Individually wrapped triangular bandages,
preferably sterile
6 Medium-sized sterile individually wrapped
unmedicated
3+ Pairs of disposable gloves nitrile/vinyl


1. Adhesive plaster dispensers
Where minor cuts & grazes are the most common accident, wall mounted dispensers may be useful. Most allow a single dressing to be dispensed for immediate use which can assist will stock control -they can be easily checked & restocked.

2. Adhesive plasters for catering outlets
Plasters available in food preparation areas must be of the high visibility (blue) type.

3. Eye wash bottles
Mains tap water is recommended when eye irrigation is necessary.  Eye wash stations in laboratory /workshop areas should be clean and periodically checked.

Special eye wash bottles are only needed where this is not readily available. These should provide at least a litre of sterile water or sterile normal saline (0.9%) in sealed disposable containers. Once the seal has been broken, the containers should not be kept for reuse. The container should not be used after the expiry date.

4. Spillage Kits
A kit for clearing up and disinfecting spillages of blood or other body fluids must be available in every building.

Kits should contain absorbent granules, a disinfectant (unless incorporated in the granules), gloves & a scoop for picking up the granules. A number of suitable kits are commercially available.

5. Medication
No medication or treatments should be contained within a first aid box.

6. Gloves
There should be an ample supply of non-latex gloves in a size large enough to accommodate local first aiders.

8. Ice
Ice is very useful to reduce swelling and discomfort for bruises and musculoskeletal injuries. Gel ice packs are commercially available and can be stored in a freezer where there is no risk of contamination from food or chemicals. Alternatively chemical ice packs while expensive may be helpful for some fieldwork activities. Ice packs must not be applied directly to the skin.

Appendix 2 - Campus Arrangements

Campus Specific arrangements – web link as updated periodically

Appendix 3 - Arrangements for provision of AED

Arrangements for Provision of Departmental Automatic External Defibrillator (AED), AED Algorithm and key skills
Following risk assessment, departments may locate AED within their area as long as local arrangements do interfere with arrangements already in place for managing cardiac emergencies within College.

1. Procurement: AED should be the standard make and model as supplied centrally - First Aiders will have been trained to use this and this familiarity will assist them in an emergency situation. Ongoing costs of replacing batteries and pads should be calculated when acquiring an AED; the First Aid Coordinator will be aware who has authority to order consumables [pads & battery]. After use or expiry, 1 set of replacement pads should be ordered after use and 2 sets of pads if expired. 

2. Liaison: register  the AED with the College Security - it may save time if members of the Emergency response team are aware of its location.

3. Location: The AED should be located in an area where it can be accessed by anyone in the building without hindrance and where it will be highly visible to staff and students. Holding it in a highly visible and populated location will help build awareness of its existence & increase the likelihood of it being used. The main entrance of the building could be a prominent location and under view by CCTV. A notice next to the AED that is under video surveillance should help reduce risk of theft. The Resuscitation Council state that vandalism or theft of AEDs in public places is 'minimal', however a daily check that is is in place will also be useful.

4. Checks and Maintenance:  Responsibility for ensuring that the AED checked must be delegated by the First Aid Coordinator; weekly and monthly checks must be registered on the Imperial Colleges LAS AED web page.

If faulty, repairs should be arranged ASAP, [to be returned to supplier under warranty]. There needs to be information on the AED about reporting any use to the responsible person. There are specific after-use checks, even when the unit has only been used to assess a casualty without delivery of shocks.

5. Promotion: Advertise to everyone in the building that you now have an AED for use by anyone. The more people that know, the more likely it is to be used. In an institutional environment with an existing first aid set-up, unless people are told it can be used by everyone, many will assume it can only be used by a trained first aider.

6. Training: No specific training is required to use an AED however the Resuscitation Council and HSE recommend training be provided. The use of an AED is incorporated onto all College first aid courses but specific training is not part of the First Aid at Work syllabus. LAS have produced a short training film on how to use a defibrilator.

7. Integration: At South Kensington Campus the AED should be labelled with information instructing users on how to summon an ambulance in College: [via x4444 from a College phone or 020 7589 1000 from a mobile]. This will have the advantage that Security will take over summoning an ambulance and ensuring that the right instructions are given for the ambulance crew to quickly reach the scene. Security will also dispatch two officers with their AED to assist in dealing with the incident.  Security staff are the most highly trained and experienced First Aiders in College.

AED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Key skills - Automatic External Defibrillator (AED)
By the end of a course and or during formal assessment it is expected that a participant should be able to perform the skills below in a competent manner. (Competence for AED and CPR may be assessed together).

SkillThe ParticipantYesNo
Activate AED Demonstrates switching AED
on
   
Attach Electrodes Demonstrates attaching
electrodes in acceptable positions
   
Analyse Rhythm Allows Rhythm analysis
without touching AED
   
Deliver shock Demonstrates rapid and safe
delivery of a single shock, (including visual check and verbal instruction to
stand clear)
   
Following shock Resumes CPR immediately as
guided by voice prompts starting with chest compressions
   
CPR Minimises interruptions in
chest compressions
   

Appendix 4 - First aid courses for fieldwork activities

Recommended Content of First Aid Courses for Fieldwork Activities

  • Emergency First Aid at Work syllabus plus
  • Fieldwork planning
  • Search and rescue
  • Site assessment, communication and delegation
  • First Aid kits for fieldwork
  • Relevance & application of CPR in remote areas
  • Recognising and treating illness and injuries
  • Shock - types, treatment and importance when help is delayed
  • Use of  improvised splints, and  commercially available splints
  • Moving injured patients
  • Typical illnesses
  • Environmental problems: heat, cold, altitude sickness