Term
| What is the critical role of the O.F.A. Attendant |
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Definition
- Recognize the seriously injured worker quickly
- Perform lifesaving first aid interventions quickly
- Ensure that the patient gets to the hospital without delay |
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Term
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Definition
| the seriously injured person must be in an operating room within 60 minutes for the best chance to survive |
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Term
| How do you treat someone whose mechanism of injury place them in the Rapid Transport Category (RTC)? |
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Definition
| They require definitive treatment in hospital within the golden hour, so only essential treatment is done at the scene. This essential treatment is referred to as critical interventions. |
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Term
| What are the critical interventions |
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Definition
- Airway
- Clear an obstructed airway and maintain the airway (while protecting the cervical spine as necessary
- Breathing
- ventilate with supplemental oxygen using a pocket mask
- provide oxygen by mask
- seal an open sucking chest wound
- Circulation
- start CPR if cardiac arrest has occured
- control life-threatening hemorrage
- Cervical Spinal Immobilization
- Apply an appropriate hard collar
- Rapid Trasport "Packaging"
- Secure the patient on a well-padded spine board
- Provide limited immobilization for major or open fractures or dislocations |
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Term
| what three truths provide the rationale for the priority action approach |
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Definition
1. First aid trauma care requires efficient use of time, so that the patient is transported to the hospital as quickly as possible.
2. Many truama patients die because they do not make it to the operating room in time
3. Major trauma patients cannot be "stabilized" in the field. |
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Term
| What are some of the steps that you can take to prepare for an emmergency situation |
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Definition
1. Know your work environment
2. Know how to get help quickly
3. Review the worksite emergency response procedures.
4. Pretrain workers
5. Hold information and training sessions.
6. Ensure that essential equipment is ready and available. |
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Term
| what can you do specifically to better know your work environment in preparation for an emergency situation |
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Definition
| First aid cannot be performed if you cannot find your patient. It is important to know all the ins and outs of the job environment. Establish predetermined evacuation routes if some locations are difficult to extricate a stretcher from. |
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Term
| What can you do specifically to increase your ability to efficiently get help in preparation for an emergency situation |
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Definition
| Identify other workers with first aid experience or train some co-workers on each shift to assist you in the event of an emergency. Know how to contact the ambulance or helicopter service as well as the local hospital. Keep emergency phone numbers and written evacuation procedures adjacent to all phones and radio telephines for quick reference. |
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Term
| what worksite emergency response procedures do you need to review in preparation for an emergency situation |
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Definition
Every worksite must have posted written procedures for providing first aid. These procedures must include:
- the equipment, supplies, facilities, First Aid Attendants, and services available
- The location of, and how to call for, first aid.
- The authority of the First Aid Attendant over the injured workers and the responsibility of the employer to report injuries to the local workers compensation board.
- Who is to call for transportation for the injured worker, and the method of transportation and calling
- Prearranged routes in and out of the workplace and to medical treatment. The worksite emergency response procedures for transportation should be activated as soon as the attendant determines that the patient requires stretcher transport to medical aid. |
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Term
| What skills should you be pretraining to co-workers |
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Definition
- how to provide assistance in first aid procedures
- how to get other helpers and first aid equipment
- How to contact emergency medical help |
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Term
| What information should be covered in information and training sessions for co-workers so they understand the key brief information you require when the first call for help is received. |
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Definition
- the exact location of the patient(s) and the best route to get there
- what happened
- how many patients there are
- whether the patients are accessible and if not, what is needed to get to them
- scene dangers
- special equipment required
- whether the patients can be evacuated from the site by car, truck, or helicopter
- whether someone will be there to direct you to the site |
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Term
| How can you ensure that essential equipment is ready and available |
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Definition
| All essential equipment must be brought to the scene by the attendant or co-workers to save precious time and running back and forth. All equipment necessary for the Priority Action Approach must be maintained in a state of readiness so that it can be easily identified and brought to the injury site by the attendant or helpers. |
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Term
| what is considered to be essential equipment for the Priority Action Approach |
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Definition
- Oxygen and airway equipment and a suction device
- First aid kit
- Hard cervical spine collars
- Long spine board with straps
- If available, a lifting device such as a Robertson Orthopedic Stretcher |
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Term
| Define good communication practices |
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Definition
- Be calm and reassuring. Tell the patient that you are a trained First Aid Attendant and that you are there to help
- Use the patient's name and establish personal interaction by looking him or her straight in the eye
- Use language that the patient can understand and always speak clearly and slowly. Explain what you are going to do and reassure the patient as you carry out each procedure.
- Providing there is no immediate life-threatening condition, allow enough time for the patient to respond to your questions.
- Tell the truth, otherwise you will destroy the patient's trust in you. You may not tell the patient everything, but a direct specific question deserves a direct, specific answer, to the best of your abilities.
- Use appropriate body language. this includes good eye contact and a non-threatening body posture.
- Avoid being coldly deached or becoming angry or irritated with the patient. Keep your own emotions under control. |
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Term
| What are the four stages of the Priority Action Approach |
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Definition
1. Scene assessment
2. Primary survey
3. Critical interventions/transport decision
4. Secondary survey |
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Term
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Definition
The attendant must:
- Assess the schene for hazards
- Determine the mechanism of injury
- Count the number of victims |
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Term
| What are some hazards that may be present at the scene |
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Definition
- Are wires down?
- Are toxic gases present?
- Is there a risk of wxplosion or fire?
Decide if the patient must be extricated because of such hazards or environmental extremes. Do not proceed with patient assessment if it exposes you and/or the patient to further risk. |
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