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Chicago Safety Institute helps you meet OSHA Requirements

Sudden injuries or illnesses, some of which may be life-threatening, occur at work. The OSHA First Aid standard (29 CFR 1910.151) requires trained first-aid providers at all workplaces of any size if there is no �infirmary, clinic, or hospital in near proximity to the workplace which is used for the treatment of all injured employees.� In addition to first-aid requirements of 29 CFR 1910.151, several OSHA standards also require training in cardiopulmonary resuscitation (CPR) because sudden cardiac arrest from asphyxiation, electrocution, or exertion may occur. CPR may keep the victim alive until EMS arrives to provide the next level of medical care.

However, survival from this kind of care is low, only 5-7%, according to the American Heart Association. The OSHA standards requiring CPR training are:

1910.146 Permit-required Confined Spaces

1910.266 Appendix B: Logging Operations � First-Aid and CPR Training

1910.269 Electric Power Generation, Transmission, and Distribution

1910.410 Qualifications of Dive Team

1926.950 Construction Subpart V, Power Transmission and Distribution

If an employee is expected to render first aid as part of his or her job duties, the employee is covered by the requirements of the Occupational Exposure to Bloodborne Pathogens standard (29 CFR 1910.1030). This standard includes specific training requirements. A few of the medical emergency procedures mentioned in this guide as first aid may be considered medical treatment for OSHA recordkeeping purposes. The OSHA Recording and Reporting Occupational Injuries and Illnesses regulation (29 CFR 1904) provides specific definitions of first aid and medical treatment. If a medical emergency procedure which is considered by 29 CFR 1904 to be medical treatment is performed on an employee with an occupational injury or illness, then the injury or illness will be regarded as recordable on the OSHA 300 Log.

First-Aid Supplies

It is advisable for the employer to give a specific person the responsibility for choosing the types and amounts of first-aid supplies and for maintaining these supplies. The supplies should be adequate, should reflect the kinds of injuries that occur, and should be stored in an area where they are readily available for emergency access. An automated external defibrillator (AED) should be considered when selecting first-aid supplies and equipment.  A specific example of the minimal contents of a workplace firstaid kit is described in American National Standards Institute ANSI Z308.1 - 2003, Minimum Requirements for Workplace First Aid Kits.  The kits described are suitable for small businesses.  For large operations, employers should determine how many first-aid kits are needed, and if it is appropriate to augment the kits with additional first-aid equipment and supplies.  Employers who have unique or changing first-aid needs should consider upgrading their first-aid kits. The employer can use the OSHA 300 log, OSHA 301 reports or other records to identify the first-aid supply needs of their worksite. Consultation with the local fire and rescue service or emergency medical professionals may be beneficial. By assessing the specific needs of their workplaces, employers can ensure the availability of adequate first-aid supplies.  Employers should periodically reassess the demand for these supplies and adjust their inventories.

Automated External Defibrillators

With recent advances in technology, automated external defibrillators (AEDs) are now widely available, safe, effective, portable, and easy to use. They provide the critical and necessary treatment for sudden cardiac arrest (SCA) caused by ventricular fibrillation, the uncoordinated beating of the heart leading to collapse and death. Using AEDs as soon as possible after sudden cardiac arrest, within 3-4 minutes, can lead to a 60% survival rate.3 CPR is of value because it supports the circulation and ventilation of the victim until an electric shock delivered by an AED can restore the fibrillating heart to normal.  All worksites are potential candidates for AED programs because of the possibility of SCA and the need for timely defibrillation.  Each workplace should assess its own requirements for an AED program as part of its first-aid response.  A number of issues should be considered in setting up a worksite AED program: physician oversight; compliance with local, state and federal regulations; coordination with local EMS; a quality assurance program; and a periodic review, among others.  You may call us for who can provide additional information about AED program development.

American Heart Association in collaboration with International Liaison Committee on Resuscitation. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Consensus on Science, Part 4: The Automated External Defibrillator. Circulation. 2000; Vol. 102, Supplement: I 61.

First-Aid Courses

Training for first aid is offered by the American Heart Association, the Red Cross, and other nationally recognized and private educational organizations like Chicago Safety Institute. Chicago Safety Institute is authorized for certified Instruction of both Red Cross and AHA. OSHA does not teach first-aid courses or certify first-aid training courses for instructors or trainees.  First-aid courses should be individualized to the needs of the workplace. Some of the noted program elements may be optional for a particular plant or facility. On the other hand, unique conditions at a specific worksite may necessitate the addition of customized elements to a first-aid training program.

Elements of a First-Aid Training Program

There are a number of elements to include when planning a firstaid training program for a particular workplace. These recommendations are based on the best practices and evidence available at the time this guide was written. Statistical information is available from BLS to help assess the risks for specific types of work.  Program elements to be considered are:

Teaching Methods

Training programs should incorporate the following principles:

_ Basing the curriculum on a consensus of scientific evidence where available;

_ Having trainees develop �hands-on� skills through the use of mannequins and partner practice;

_ Having appropriate first-aid supplies and equipment available;

_ Exposing trainees to acute injury and illness settings as well as to the appropriate response through the use of visual aids;

_ Including a course information resource for reference both during and after training;

_ Allowing enough time for emphasis on commonly occurring situations;

_ Emphasizing skills training and confidence-building over classroom lectures;

_ Emphasizing quick response to first-aid situations.

            Some courses may require more than 1 Instructor $115.00 per extra instructor in some cases for mass training.

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