First Aid, Deaths

EMERGENCIES - FIRST AID / DEATH

OVERVIEW

This procedure provides basic guidelines for handling medical emergencies ranging from minor to serious/life threatening, and death.

FORMS USED

Student Accident Report

Employee Industrial Illness or Injury Worksheet

CODES, REGULATIONS, AND DISTRICT POLICIES RELATED TO THIS PROCEDURE

Governing Board Policy #523, Health Services Fee

Governing Board Policy #804, Civil Defense and Disaster Preparedness

GCCCD Bloodborne Pathogen Exposure Control Plan

California Education Code 76400 et seq.

PRIMARY STAKEHOLDER

Health Services

Department of Public Safety

Risk Management

Evening Division/ Night Administrator

Student Affairs/ Services

COMMENTS

Minor injuries can be handled by basic first aid procedures and do not require immediate additional medical treatment or transportation. Serious, non-life threatening injuries require immediate medical attention (beyond first aid) which is provided on site. These injuries do not require ambulance transportation. Life threatening injuries require immediate ambulance transportation to a medical facility. This may include individuals with chest pains, breathing difficulties, severe bone breaks, severe back injuries, severe cuts with uncontrollable bleeding, unconscious persons, or severe head injuries. In all but the most extreme cases, Health Services personnel should determine whether or not an ambulance and/or Emergency Medical Technician Services are required.

Deaths due accidents or homicide fall under the jurisdiction of the appropriate law enforcement agency. In either case, notify the Department of Public Safety and Public Information immediately. Witnesses must stay in the area until cleared to leave by the attending Police Officer or Sheriff's Deputy.

For further information, see District Operating Procedure EM15, Mental Health Emergencies, or the GCCCD Blood Borne Pathogen Exposure Control Plan.

MEDICAL EMERGENCY PREPAREDNESS

STEP	TASK PERFORMED BY	DESCRIPTION
1	Risk Management	Maintain Health Qualifications Listings Maintain a current list of those employees who are trained in first aid and/or CPR. This list will be posted in all common-work areas.

2	Risk Management	Post Basic First Aid Guidelines Post basic first aid and CPR information and guidelines in all common-work areas.

3	Risk Management	Maintain Blood Borne Pathogen Plan

INJURIES AND SERIOUS ILLNESS

STEP	TASK PERFORMED BY	DESCRIPTION
1	Faculty, Staff, and Students	Perform Required First Aid/CPR Take appropriate first aid and/or CPR measures. Do not move the injured individual unless required to prevent further injury. Notify the college Health Services Office of the injury immediately. Health Services (Grossmont): ext 7192 Health Services (Cuyamaca): ext 4200 If an injury or serious illness occurs during off-hours, notify Public Safety. Dept. of Public Safety (open 24 hours) Grossmont: Ext. 7654 Cuyamaca: Ext. 4456 "#1" from Speed Dial public phones If blood or any other body fluid is present, use extreme caution to avoid contaminating yourself or others. Use the rubber gloves that are provided in the First Aid kits. Ensure that the incident is logged and reported as required in the District Blood Borne Pathogen Exposure Control Plan. Contact Risk Management as soon as possible at Grossmont College extension 7711. Copies of the Blood Borne Pathogen Exposure Control Plan are available from Risk Management, the Department of Public Safety, Maintenance, Operations, and Health Services. The Plan is also available on the Public "W" drive (W:\PUBLIC\PLANS).

2	Faculty, Staff and Students	Report all Injuries / Serious Illness All injuries to both students and employees should be reported as soon as possible to the college Health Office in order to: Allow the nurse to evaluate the injury or illness and treat if appropriate Allow the nurse to refer the injured/ill person to appropriate medical facilities if required Allow students to access the student medical insurance policy if appropriate In all but the most extreme cases, call Health Services so that they can evaluate the situation to determine if an ambulance and/or Emergency Medical Technician Services are required. This will prevent unnecessary and costly charges to the inured/ill person.

3	Health Office	Evaluate and Treat, or Refer Patient If the injury or illness is life-threatening or requires the service of emergency response units, call 911. In addition, notify: Department of Public Safety Student Affairs (for students only) President or other designated senior administrator (i.e. Night Administrator during the evening) Chancellor or Vice Chancellor (District employees only) Public Information Provide first aid or emergency medical aid as required. Give either the Student Accident Report or the Employee Industrial Illness or Injury Worksheet to the injured/ill person and ensure that they fill the form out and submit it. Provide assistance in accessing medical insurance providers as required.

4	Department of Public Safety	Provide Required Security and Escort Services If emergency response units have been called in, escort the units to the appropriate site. Provide any other required security services as specified by the Health Office.

5	Injured Student/Employee	Complete Required Report Forms If forms have not been turned in for an injury that occurred on campus, complete and turn in the appropriate accidental injury report form. forms are available either at Risk Management or the college Health Services Office.

DEATHS

STEP	TASK PERFORMED BY	DESCRIPTION
1	Faculty, Staff and Students	Invoke First Aid/CPR Guidelines If CPR is started on a person who is not breathing, it must be continued until the victim is either declared dead by a medical professional or the attending caregiver is replaced or relieved by a CPR-qualified individual. In most cases, a death declaration will not be made on site; the victim will be transported to the nearest hospital where a physician will make the determination. Deaths due to accidents or homicide fall under the jurisdiction of the appropriate law enforcement agency. In either case, notify the Department of Public Safety and Public Information immediately. Witnesses must stay in the area until cleared to leave by the attending Police Officer or Sheriff's Deputy.

2	Department of Public Safety	Notify Police/Sheriff and Secure the Area Notify either the El Cajon Police or the San Diego Sheriffs Office as appropriate. Secure the crime or accident scene. Ensure that witnesses to the crime or accident remain in the area until after the Police/Sheriff have stated that they are authorized to leave.