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Hospital or not hospital if a first aider sayes not
Rank: Forum user
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We have had several cases where a first aider says a person is okay to return to work
on full or light duties the manager also agrees
the person has insisted on hospital and transport etc involving finding a car and driver, hours off site etc, they then go sick so we get a LTA or RIDDOR if they self cert.
can we refuse to take them based on our first aiders opinion and say no
if you want to go make your own way there and back?
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Rank: Super forum user
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Are your First Aiders qualified medical professionals i.e. do they have the appropriate title and are they recognised in the register of a medical organisation RCN, RCS etc..?
If the answer is No they are only qualified to give a personal, not a medical opinion - first aid training is done in days, not years.
The legal responsibilities (can I be held accountable / sued if the casualty dies or becomes permanently incapacitated) are something often discussed during First Aid training as well as not sending the casualty on their own to hospital in case their condition deteriorates in transit.
A First Aiders failure to arrange a trip to the hospital following a knock to the head may have contributed to our being short one family member - so apologies if my response seems a bit strong.
Unfortunately regardless of perception of the individual the employers duty of care applies.
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Rank: Super forum user
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Are your First Aiders qualified medical professionals i.e. do they have the appropriate title and are they recognised in the register of a medical organisation RCN, RCS etc..?
If the answer is No they are only qualified to give a personal, not a medical opinion - first aid training is done in days, not years.
The legal responsibilities (can I be held accountable / sued if the casualty dies or becomes permanently incapacitated) are something often discussed during First Aid training as well as not sending the casualty on their own to hospital in case their condition deteriorates in transit.
A First Aiders failure to arrange a trip to the hospital following a knock to the head may have contributed to our being short one family member - so apologies if my response seems a bit strong.
Unfortunately regardless of perception of the individual the employers duty of care applies.
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Rank: Forum user
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Hi Ian,
Not knowing anything about the previous cases, and the severity of the complaints, but what qualifications does your first aider or manager hold that allows them to determine if someone is okay to return to work following an injury? (unless we are talking minor scratches etc).
I,m assuming again, but would suggest your guys are not qualified Health professionals; I would suggest a proper diagnosis from a health professional should be the route.
Your first aiders and managers should know their limitations.
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Rank: Super forum user
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Could you explain it a bit further as it sounds like your first aider missed something...?
It also delves into patient consent and capability..duty of care ect.
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Rank: Super forum user
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Given the amount of people who are called "health professional" these days I would prefer "medically qualified".
Unless the first-aid person has reasonable qualifications in a medically-related field their OPINION is worth very little.
I have only known one first aid person, in 40 years at work, whose opinion was worth anything.
In fact it is alarming that people on here still regard them as doctors in waiting!
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Rank: Forum user
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With respect your first response should be for the health and welfare of the Employee - not whether your Company gets an LTA or a RIDDOR reportable or if it is inconvenient to transport them, etc.
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Rank: Super forum user
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Hi,
I may not ebabout to add too much to this beyond some general observations and one frustration - Some 1st aiders will send anything, including a small cut to A7E "just in case..." Can't argue with the thinking or logic....
Look, the OP gives no detail really of the type of injury sustained or the type of person injured - young, old, long time employee etc. There are so many factors at play in this. Some long term employees will, in the style of the Knight in Monty Python isist "'tis nowt more than a scratch" and insist on carrying on, others may be looking for an excuse to take a few days off; not because they're intrinsically bad but because they are stressed, under pressure or poorly paid and working long hours. Some people do not take time off because they don't get pid for the first two days on sick etc.
What I am saying is there is far more to this than just the relative qualifications and experience of the first aider verses the medical experts, site culture, expectations and culture are at play too...
Just a thought,
Jim
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Rank: Super forum user
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What severity of injuries are your referring to when your injured person or persons are "insisting on hospital and transport etc involving finding a car and driver, hours off site etc, they then go sick so you get a LTA or RIDDOR if they self cert" ?
Your issue requires a more in depth investigation into such a "culture".
I would not expect any first-aider to give a medical opinion. Thier role is the appllication of their first-aid training and not to give medical treatment or opinion
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Rank: Forum user
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Hiya
thanks for all your replies
the issues are over low level bruising, someone was hit by a crate that dropped a metre
another one was hit on the nose by a rack, it was all low level.
We have been using the criteria (and I use that word very loosely please)
if it was your family member would you say that needs to be checked out?
head injuries always go to hospital regardless
we are not trying to say people can't go or it is our medical opinion that they shouldn't go
it is about saying when someone has what is quite obviously a light bruise
we are offering light duties etc and they pack their gear up and say take me to the hospital
and arrange a lift home before even going to the hospital that is so frustrating
we just wondered if we could in these circumstances say look, it is obvious it is a light bruise
we have offered light duties if it gets worse of course we will take you but
if you insist on going yourself then make your own arrangements!!!
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Rank: Super forum user
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head injuries don't always need to go and light bruising can be everything from 'I fell and bruised my knee' to cancer..
You need to make sure your criteria is included in your risk assessment and endorsed by a healthcare professional.
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Rank: Forum user
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Ian you state we are offering light duties etc and they pack their gear up and say take me to the hospital and arrange a lift home before even going to the hospital that is so frustrating
If an employee can not resume their normal duties then it would be a LTA or RIDDOR if this extends over the prescribe period as your employee must be fit to do the role they are employed for
Chris
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Rank: Super forum user
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Listen to the sensible and learned comments noted herein and then get a professional opinion e.g. allow a formal medical practitioner to decide
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Rank: Forum user
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As a First Aider I would never hinder anyone who felt they needed qualified medical treatment. The clue is in the name ‘First’. Bandage them , keep them breathing and get the professionals in asap. I am not qualified to do any more than that.
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Rank: Forum user
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Quote - it is our medical opinion that they shouldn't go.
What medical training has the first aider or manager undergone to offer such an opinion..... We would send anyone with a head injury no matter how small to hospital to be thoroughly checked out.. It doesn't take long for a minor injury to turn nasty.
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Rank: Super forum user
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Ian
What does it say about your culture of (no) care if you deter someone with an injury, however minor it appears, from getting opinion from a medical professional?
Production, even if light duties, is king?
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Rank: Forum user
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hi
this was more of a frustration posting than anything
copuple of points people bought up
light duteis we ahve this as part of our operators normal taksks
putting card into crates
printing labels
paperwork etc so someone has to do them every day
the person i was referring to has now been off 2 weeks and has been seen round town shopping
carrying heavy bags etc
you know the rest
solictors letter is on it way
if it okay with everyone i will close this discussion
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Hospital or not hospital if a first aider sayes not
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