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Posted By John Thorley
We are all aware that the purpose of first aid at work is to preserve life and miminmise the consequences of an ijury or illness until help arrives, equally minor injuries can be treated without placing a burden on the NHS.
I was informed recently that a first aider who covered a persons wound with a plaster was sued for compensation because the patient had an allergic reaction to the plaster. This happended in the Liverpool area and i believe was highlighted in the press. What i cannot ascertain is whether this happened at a place of work or not. Can anybody tell me what your liabilities are, if any, if you administer first aid at work and someone was to suffer ill affects through your treatment.
Regards John
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Posted By Clairey O
Hi John
I haven't heard of this, i have asked the question on first aid cafe as they are upto date with all the first aid stuff going on.
watching with interest on this one.
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Posted By Clairey O
what o
having a quick troll and found this:
EDUCATION NEWS: When your kids fall over in the playground and graze a knee, what would you expect their teacher to do? (There is an assumption here that your kids are firstly allowed into a playground and, secondly, are then allowed to play. After all, British Bulldog and even Tag has been banned in many parts.)
Surely a call for the first aid box and the swift application of a plaster isn't too much to ask? Think again. Apparently teachers are now being instructed not to apply a plaster but merely wipe the wound with a damp paper towel. The reason? The fear of being sued by parents should their offspring develop an allergic reaction to the plaster.
We'll set aside the gutless paranoia that stops a teacher comforting a child in their care for fear of a law suit and merely ask the question: "How many children have died or become seriously ill or even mildly ill after developing an allergic reaction to a plaster in this country in the past 20 years?"
The answer may surprise you. None. Not a single one. The madness spreads …
BARRY BEELZEBUB
http://www.holdthefrontp...05/03mar/barry159a.shtml
In relation to john's original posting this could be a case of chinese whispers.....
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Posted By John Thorley
Thanks Clairey O, I'll be honest i was chairing a H&S meeting and was asked the question and normally i can give a direct answer but in this instance i could not. Unfortunately with the claims culture i thought it best to get my facts right before i commit to giving an answer.
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Posted By Brett Day
Going back a few years, well about 16 my sister had a serious reaction to a plaster administered by a dinner lady at school despite it being in her school medical record. The reason her record said 'Do not give plasters' was that she had a severe allergy to penicillin and penicillin based products (which at the time included the anti bacterial treatment found in plasters) (I believe silver oxide is more commonly used know).
Of the cases I've followed where teachers & school staff have been sued over first aid treatment it has been as a result of the staff failing to check a child's medical notes or going beyond the bounds of first aid training (for example giving aspirin to a child with a headache where the child's medical notes state they have an aspirin allergy).
Bottom line if you give first aid within your training you are covered under the good samariton principle, if you step outside you are on your own.
Using the school examples, if a child has medical notes and the injury is a cut knee or other such non-serious injury it would be reasonable to expect a first aider to check records before administering to them.
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Posted By Chris Packham
This question has been around for some time. It goes back to the old style sticking plaster that contained colophony as one of the constituents of the adhesive. Colophony is well known as a skin sensitiser, although causing a type IV immune response (allergic contact dermatitis) which hardly ever results in an anaphylactic reaction. Modern plasters should not contain colophony, so this possibility is virtually eliminated, particularly if good quality (hypo-allergenic, whatever that means!)plasters are used.
Of course, this does not rule out the possibility that someone, somewhere will react to something in the plaster. There are even people with a skin allergy to water! Should we not wash the wound for fear of an allergic reaction?
Surely it is all about trying to decide which is the greater risk: leaving the wound untreated or putting on a plaster with the minimal risk that someone might react?
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Posted By Cathy Ricketts
With regards to negligence claims "rescuers" are afforded protection. When a "rescuer" is acting in a position which they have been trained for ie "lifeguards"/first aiders providing they are acting within the realms of their professional training then they shouldnt have any problems. I havent looked at the case mentioned it does seem a little extreme and has probably been underreported - what usually happens is reporters like to leave out key information in order to sensationalise so you never actually get to know exactly why the case was successful. Ask the question would the "reasonable first aider administer a plaster without first enquiring about allergies" If the answer is that it would be common practice to ask about an allergy to plasters and this is included in first aid training then the first aider maybe negligent. If not then the first aider is unlikely to be liable. With regards to first aiders at work our first aiders are covered by company insurance at all times when they are attending first aid at work with employees or members of the public.
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Posted By John Thorley
Kathy,
Thank you for your reply. Where can i find the information you refer to - With regards to negligence claims "rescuers" are afforded protection ?.
Thanks John
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Posted By Cathy Ricketts
Contact me via my e.mail and I will arrange to get the information to you
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Posted By John Webster
Clairey
Thanks for the pointer to the First Aid website. Did not know it existed, but now bookmarked for future reference.
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Posted By Maggie Atterbury
Hi John
Appart from the fact that an adult is perfectly capable of saying that they are allergic to plasters etc., if mistakes are made when the First Aider acted in good faith in line with their training, it is the employers responsibility and covered under Public or Employers Liability Insurance, depending on who the casualty was.
With regard to school First Aid , all our schools ask parents at the start of every school year if their children have any allergies. If the parents replied that their child had an allergy to plasters then all First Aiders would be informed and a photo of the child posted in the First Aid room. They would then purchase Hypo-allergenic plasters for use on that child.
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Posted By John Thorley
Hi Maggie
Thank you very much for your reply. I was asked the above question by a Safety Rep in a Safety meeting i was chairing last week and to be honest i can normally give a direct answer, but in this instance i could not. I work in the Construction sector.
Its goes to show that it is sometimes best to go away, give the question some thought and ask fellow safety professionals who have a bit more understanding on the subject. We all learn something new everyday and from the above answers i have recieved, i have more than answered the question and have gained a bit more knowledge in the process.
Thanks to you all for finding the time to reply to my question. The website recommended by Clairey is very good, www.firstaidcafe.co.uk
Regards John
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Posted By kanta
Most First Aiders at work have been on a course paid for by the employer.
As such any action arising out of intervention at work is covered by the employers' liability insurance.
Please check this is the case where you work.
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