May 2023 EAP

/ Uncategorized / By

Scenario this month

A parent is having difficulty breathing in the lobby


General EAP

  1. Recognize the parent is having a possible medical emergency.
  2. Activate EAP – blow whistle, yell code Yellow or inform coworkers that it looks like there is a possible medical emergency.
  3. Approach the victim and administer care.
  4. Advise – In most cases you are going to advise them to seek out medical advice about their emergency.
  5. Release – only release the victim when the rescue and emergency care provided by you and your team are complete.
  6. Report – Collect the required information and complete the Online Incident Report
  7. Debriefing
  8. Return to Work

Primary Responder

Secondary Responder

  • Recognize the victim 
  • Activate the EAP
  • Respond appropriately to the emergency
  • Immediate and accurate communication with other staff
  • Primary job – stay and provide care to the victim until replaced by a more experienced emergency responder.  If the primary responder cannot continue to be the 1st responder, then the current 1st responder is responsible for assigning a primary responder.

Notes for the Primary Responder

As you approach the victim, take in the surroundings.  Make sure it is safe and determine if there are any other victims as well as clues on what may have caused the situation.

When you get to the victim, 

  • Identify yourself as a trained responder.  If you are not a trained responder and the victim needs assistance, get a trained responder to the scene immediately.
  • Obtain consent.
  • Be ready to use your PPE.
  • Conduct a Secondary Assessment
  • Use SAMPLE. If they find it difficult to talk, have them answer “yes/no” questions by nodding their head. Ask these questions, 
    • Are you in any pain? 
    • Do you have any allergies? 
    • Do you take medications? If so, can I help you administer the medications? (Only if the responder is trained to do so.) 
    • Do you have any past, pertinent medical information I need to know? 
    • Have you had anything to eat or drink today? 
    • What were you doing leading up to this incident?” 
  • Assist the parent to a position where they can breathe comfortably. (this may be sitting, reclined or lying down or on their side)
  • Continue to monitor conditions and be prepared to perform CPR or Ventilations if needed.
  • Provide appropriate care for the victim.
  • The employee next closest to the victim
  • Supervise the primary responders students.
  • If 911 needs to be called, ensure that it is called, either by another staff member or yourself if you are the only one available) Use the closest phone to you.
  • Return to aid the primary responder.  
    • Help retrieve supplies if needed, initiate crowd control, and obtain permission from the parents of a minor victim.
  • Primary job – assist the primary responder in providing care to the victim until replaced by a more experienced emergency responder. (make sure students are superovised, 911 is or has been called, offer assistance to the primary responder)

Third Responder

  • Call 911
  • Define the emergency
    • What kind of injury?  Ex. Parent having breathing emergency in the lobby.
    • Describe what is going on with the body, not what we think is going on
  • Give Location (Little Flippers Swim School – 7 Strathmore Road, Natick)
  • Give Call Back Number (508-647-0077.)  If you are on your phone you can give the your number as well)
  • If easy access to the facility is not possible, let EMS know where you will meet them.(in most cases we will meet them at the front entrance)
  • Do not hang up until instructed to do so
  • Report back to the Manager or Primary Responder to let them know EMS has been called and they are on the way.
  • Assist with the emergency by following the directions of the DS or Manager in charge
  • Call to inform the General Manager and Corporate Directors (their phone numbers should be available at the front desk)
    • Paul  (Nat LF), Nicole (PG) or Gabe (Win LF) 
    • Chris 
    • Krissy 
  • Go outside to direct EMT to the door closest to the victim.  Ask police to set up barriers to keep onlookers and reporters out.  Stay at the ambulance door and keep reporters and onlookers away.

Additional Responders

All Staff

  • Clear the pool room/gym and take the children from the primary and secondary responders to the parents to leave the facility
  • Announce to parents that there has been an accident and the facility is being closed
  • Ensure that the victim’s privacy is protected and bystanders are not capturing them on video
  • Take children without parents into the party room to color and await parents.
  • Check on the primary and secondary responders to ensure they have everything under control.
  • Ensure the primary and secondary responders have space to give care to the victim
  • Be ready to assist with crowd control and comforting the victim’s family.
  • Take the name of all witnesses (including customers and staff) so we can get statements later. Please get their names, phone numbers and if possible, their email addresses.
  • Only allow staff or emergency personnel in the building, do not let others enter. 
  • If the victim is blocking customers from retrieving their things (like car keys), have a responder collect the items and take them outside to give to customers exiting the building.
  • Wait outside to flag down EMS when they arrive.  This should be done at the entrance to the parking lot so they can be directed to the correct  entry (back/front/side door, depending on the victim’s location)
  • Make sure you check in with the DS/Manager in charge and follow their directions on what you can do to assist with the emergency.
  • Only Corporate Directors will address any media.  Make no statements. Answer no questions. 
  • Give the list of names and numbers of the witnesses to the highest available manager.  If the owner and all other Corporate Directors are unavailable, leave a message and wait for a response.  Do not give out information on the victim.  Say “I don’t know”  or “ I’m not at liberty to discuss”
  • Tell adult customers that the situation is being handled and ACT CALMLY.
  • Tell the children that a little boy/girl is hurt and someone is helping them right now.
  • The Customer Service staff should cancel the rest of the lessons for that shift.
  • The highest director will make the decision on when to re-open the facility.  It should be reopened as soon as possible.
  • Make certain all staff are able to work
  • Replace any staff that are unable to work.

S.A.M.P.L.E.

Use the SAMPLE mnemonic as an easy way to remember what you should ask about when you are taking the brief history:

 

S = Signs and symptoms

  • These include bleeding, skin that is cool and moist, pain, nausea, headache and difficulty breathing.

 

A = Allergies

  • Determine if the victim is allergic to any medications, food or environmental elements, such as pollen or bees.

M = Medications

  • Find out if the victim is taking any prescription or nonprescription medications and whether they took them today as prescribed.

P = Pertinent past medical history

  • Determine if the victim has any medical conditions, has had medical problems in the past or recently has been hospitalized.

L = Last oral intake

  • Find out what the victim most recently took in by mouth, as well as the volume or dose consumed. This includes food, drinks and medication.

E = Events leading up to the incident

  • Determine what the victim was doing just before and at the time of the incident.

When talking to a child, get down at eye level with the child, speak slowly and in a friendly manner, use simple words and ask questions that the child can easily understand. For children and infants, you will need to involve the parent or legal guardians and obtain consent, when possible.

If the person is responsive but not fully awake and alert, you may need to ask bystanders several of the SAMPLE questions in order to gather a history.