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#1 Posted : 08 April 2009 09:34:00(UTC)
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Posted By Steven R Boulter

I have always been a bit uncertain about this question.

Are first aiders required in GP practices?

We also have an intermediate care unit where nurses (not necessarily first aid trained as such) are present 24/7.


I understand the minimum requirements of the first aid regs. i.e.
• A suitably stocked first-aid box
• An appointed person to take charge of first-aid arrangements

I am thinking that as long as we have the above, our cover should be adequate as it is a reasonably low risk environment (compare to an engineering workshop for example) and there are plenty of medical professions around. But not 100% sure

Would appreciate your thoughts

Steve
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#2 Posted : 08 April 2009 09:46:00(UTC)
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Posted By Paul Leadbetter
Are any of the medical staff competent in first aid?

Paul
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#3 Posted : 08 April 2009 10:01:00(UTC)
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Posted By David Bannister
Steven, as you know, first aid provision should be determined by the risks.

In a GP surgery, there will be a very high proportion of people in poor health compared to an industrial/commercial workplace, although the likelihood of serious injury will be lower.

Whilst there may be GPs and nurses around, how long is it since any of them had any basic first aid training or had cause to use it? Are you confident that they can provide the basic life saving service that a first aider is trained to provide, at times when there is a sizeable population who may need it?

If you can answer these questions then you will be able to reach a decision on what, if any, additional resource is required.

Patients are not at work, so the Regs themselves will not require you to consider them but neither are concert goers nor sporting venue crowds, each of whom should have adequate 1st aid provision.
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#4 Posted : 08 April 2009 11:26:00(UTC)
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Posted By Jay Joshi
Paragraph 7 of L 74, First aid at work,
The Health and Safety (First-Aid) Regulations 1981 , ACoP & Guidance, 1997 edition informs that:-

The training and experience of qualified medical doctors registered with the General Medical Council and registered nurses of the Single Professional Register maintained by the United Kingdom Central Council for Nursing, Midwifery and Health Visiting qualify them to administer first aid.

The employer may take that into account in determining in particular the need for appointing first aiders where such doctors and nurses are employed.

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#5 Posted : 08 April 2009 12:11:00(UTC)
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Posted By Descarte
"Patients are not at work, so the Regs themselves will not require you to consider them"

So theres nothing required for any visitor or member of the public? Interesting...
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#6 Posted : 08 April 2009 15:04:00(UTC)
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Posted By Swis
Gosh, sometimes I want to head a brick wall.

Are you guys serious in sayin that ARE DOCTORS COMPETENT TO PROVIDE FIRST AID?

or IS THERE A NEED TO PROVIDE REFERENCE TO SUPPORT ARGUEMENT?

how can you compare years of intensive skills and training from THE professionals with few hours of course from a joe blog?
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#7 Posted : 08 April 2009 15:11:00(UTC)
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Posted By warderic
Most doctors and nurses are not trained in first aid at work, daft I know. I would contact the HSE and put the question to them. However, you may not need a first aider. If you have a small workforce doing low risk jobs then an appointed person will be sufficient.
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#8 Posted : 08 April 2009 15:15:00(UTC)
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Posted By Swis
"Most doctors and nurses are not trained in first aid at work".

You mean they don't have a first aider certificate from joe blog.
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#9 Posted : 08 April 2009 15:25:00(UTC)
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Posted By Merv Newman
(swift expletive) first aid administered by an MD would be infinitely preferable to that from a St John's erk. Being such an erk myself (and apologies to other erks) I would be very very happy if someone announced 'I'm a doctor, get out of my way !

Where I work (France) a first aider is required for 20 to 50 employees then another for each additional 50. A full time qualified nurse is required for 200+ employees, another for each additional 500. A full-time MD is required for 500+ employees. And so on.

These are additive, not exclusive.

European legislation may be coming YOUR way

Merv



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#10 Posted : 08 April 2009 15:30:00(UTC)
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Posted By stephen d clarke
Hi,
Must agree wholeheartedly with Swis on this one and I have heard this argument in the past on more than one occasion. If I needed first aid and had choice of first aider or Dr/nurse I know I would always go for the medical professionals. In an emergency does anyone ask if there is a first aider in the house/plane etc I think not, its a Dr that's called for, as I understand it from the 3Ps rule of first aid - first aiders are there to prevent injury, preserve life and promote recovery until the qualified medical professionals arrive.
Steve
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#11 Posted : 08 April 2009 15:34:00(UTC)
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Posted By Phil
If the Doc or Nurse isnt from an acute or pre hospital emergency care field, then they may not be "trained" in FAW.
In hospital Docs and senior nurses do advanced life support ticket every 4 years, to be a team leader in a cardiac arrest scenario.

You would be surprised at how many new Docs arent that good in basic life support at the start of the course!

G.P's as far as I know have no prerequisite to be FAW trained.

However, if a patient is taken seriously ill whilst at a surgery, we as the ambulance service only have to attend in the fast response car if there is no defib on site.
A normal road ambulance is sent in this case to transfer the patient to a place of definitive care.
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#12 Posted : 08 April 2009 15:51:00(UTC)
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Posted By Paul Duell
I spend my Summer holiday volunteering on the medical team at a large event (12000 camping.caravanning delegates for a fortnight). We have a mixed team of doctors, nurses, first aiders and paramedics/ambulance techs.

On the first day - although we're all trained and qualified in our own field - we all do a refresher session: One of the nurses trains us all (including the doctors) in diabetes care: One of the paramedics trains us all on the defib, etc. In immediate care of life-threatening wounds, application of slings, etc, the first aiders take the lead. Having been at these sessions over a number of years, if I'd slashed my wrist on a rusty nail, I'd rather be cared for by a first aider (initially) than by some of the doctors, especially those from a non-A&E background.

So in answer to the question above "are you saying a doctor isn't competent to apply first aid?", I'd say "I wouldn't presume competence of all doctors, no."

Having said that, in a real (i.e. non-training) situation, I've seen an A&E-experienced doctor defer to the more relevant experience and training of a senior paramedic as well.
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#13 Posted : 08 April 2009 16:01:00(UTC)
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Posted By Swis
First Aid is not a treatment but a first protocol (relief) before treatment.

Why would someone go to a first aider, if doctor is available. (for the above post)
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#14 Posted : 08 April 2009 16:10:00(UTC)
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Posted By David Bannister
Whilst doctors and nurses do basic training that includes first aid, as a previous poster has said, there is not always a requirement for their skills to be kept up to date.

I doubt whether my GP would be comfortable if she had to do any resuscitation although I would expect her to be able to diagnose and treat a wide range of common medical ailments. Similarly, the nurses who do the ante-natal and immunisation clinics, dressing changes, blood samples etc may well not be up to date in their first aid techniques.

Like many professions, medics tend to specialise. Likewise, H&S professionals will often choose an area of interest, do CPD etc in those areas and their skills in other "core" H&S matters may deteriorate.

I am not competent to advise on anything to do with scaffolding or tunnelling, even though in the dim & distant I was taught the basics.
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#15 Posted : 08 April 2009 16:13:00(UTC)
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Posted By Paul Duell
In response to Swis - depends on what's wrong. If I've put my hand through a glass window and opened an artery, it's going to need suturing and probably vascular surgery. Even if my GP had the skill to do that (which if his only doctor-ing experience is as a GP, he probably wouldn't), he wouldn't have the equipment.

A first aider xouldn't do the long-term care, but he'd keep me alive until a paramedic arrived, who'd keep me alive long enough to get to hospital.
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#16 Posted : 08 April 2009 16:20:00(UTC)
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Posted By Swis
A first aider keeps you alive,
A parmedic keeps you alive
but a doctor would let you die.

As i said earlier, sometime i want to head a brick wall. (Leaving my will to be operated by first aider but not by a doctor)

P.S. All GPs have to work in hospital first. and MBBS MBCHB stands for bachelor of medicine and bachelor of surgery.
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#17 Posted : 08 April 2009 16:36:00(UTC)
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Posted By b12
Not sure if it will help or hinder but in my previous life of the Armed Forces I was in the Medical Cadre. I wasn't a medic or nurse etc... so every few years would have to go through (basically) a first aid at work course. Also in attendance were nurses! On the several occasions when I asked "why on earth are you here" the response would be "we never do this kind of thing - we either sit in a medical centre (GP Office equivalent) dealing with minor ailments jabs etc... or work in fully equipped hospitals were we have a load of equipment to help. We don't do the basics so we need to come on these courses"

Anyway what I'm getting at is basically why don't you ask them! If they are capable of providing basic first aid in whatever likely scenarios may arise in your workplace, with the skills they have and equipment which is on hand then do you really need 'first aiders'. If they don't think they're up to speed on what is needed then you probably need to do something extra.
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#18 Posted : 08 April 2009 16:51:00(UTC)
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Posted By Dave Wilson
Have a shifty at this

http://www.hse.gov.uk/pubns/web41.pdf

This is the requirements for delivery of FAAW and assessing and Doctors and nurse and paramedics appear to be exempt from holding a certificate but must have evidence as part of their portfolio of work.(within the past 3 years)

This suggests to me that they are classed as first aiders for the workplace because if they can teach it then they must be able to deliver it as needed.

Remember that all these people have to do secondments to casualty depts as part of their overall training and get good first aid skills in there.

Just see the situation where Mrs miggins has a heart attack in a GP surgery and they cant deliver first aid! Get out of here they are first aiders and probably use their skills more than a workplace first aider
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#19 Posted : 08 April 2009 16:59:00(UTC)
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Posted By Swis
One thing I fail to understand is that some people have this perception that doctors only give you pain killers or antibiotics.

If you spend some time in surgeries, you would realise that they come across all types of cases. They even carryout minro surgeries there. They also have to cover in out of hours, where they are called in home emergencies. They are doing these things all the time.
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#20 Posted : 08 April 2009 17:49:00(UTC)
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Posted By Andy Camroux
In response to Swis: As you said yourself, the whole point of providing first aid is to provide relief before treatment is available. There may be times when a nurse or doctor is not readily available - for example they are providing medical treatment to a patient in a planned appointment - in which case a trained first aider would supply relief until the nurse or doctor becomes available, or emergency help (paramedics) arrive.
The other consideration is competence. In certain environments, experienced first aiders may be more competent than the nearest doctor or nurse.
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#21 Posted : 08 April 2009 18:05:00(UTC)
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Posted By Jay Joshi
Risk Assess, Risk Assess, Risk Assess your particuler situation, which should include assessing the FAW competence in some form or another of the medical professionals--again no straight yes or no answers!!!
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#22 Posted : 08 April 2009 20:27:00(UTC)
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Posted By Bob Youel
my friend spent many an hour looking after a large hospital and after finding out that the vast majority of qualified medical staff did not understand first aid nor could provide first aid, irrespective of their various specialist areas of knowledge, set up a proper first aid cover just as if he was in a factory

The moral is that just because they are medically qualified does not mean that they know what to do when somebody falls over A&E being the exception

He found out that A&E was being used throughout the hospital cause the other medics did not have the knowledge!

So my advice is to get adequate cover irrespective of academic etc qualifications
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#23 Posted : 09 April 2009 23:21:00(UTC)
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Posted By GaryC40
Is this a late April Fools?
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