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#1 Posted : 29 April 2002 09:08:00(UTC)
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Posted By Michael Webb
Unless our staff are qualified first aiders, we do not allow them to administer first aid, emergency or not. This applies to all our staff, be they office based or working in one of our elderly sheltered schemes.
However, i have heard mentioned a 'Good Samaritan' rule, which prevents legal action being taken as a consequence of the treatment provided, should there be repercussions. Is anyone aware of this 'rule', if so could they give me further details......or, is it a myth??

Many thanks.
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#2 Posted : 29 April 2002 09:47:00(UTC)
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Posted By mark
What are the consequences of not allowing emergency first aid to be administered and someone dying as a result? To lay down in stone that you do not allow unqualified people to administer this kind of care is surely not a step in the right direction for humanity. How can an unqualified person stand by and do nothing? Where I work my staff are told to do what it takes at the time, qualified or not. We work in remote places (woodlands, etc), so no help is bad help. I am sorry if this comes out wrong but I feel passionate about this not helping unless qualified tosh!

Best wishes
Mark
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#3 Posted : 29 April 2002 13:48:00(UTC)
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Posted By Andy Petrie
If one of your 'non qualified' employees does not give first aid to an inured person, and that person subsequently dies or suffers a major injury then they (and yourself/company as they were working to your instructions) could be liabel to prosecution for not helping to save a life. Again the 'reasonable' rule comes in to play.

This is one of those poisoned chalice questions, where your staff have a duty to help an injured person, but at the same time they have not to cause additional harm. There is no easy answer to this question but I would suggest basic first aid training for all staff. I would also instruct to take limited first aid action if they judge the situation needs it.
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#4 Posted : 29 April 2002 16:22:00(UTC)
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Posted By John Webster
Suggest you also have a look back at a couple of threads in the old forum which deal with this topic

Legal pitfalls of being a First - Aider
Posted by Emma Coutts on Tuesday, 30 May 2000

First Aiders
Posted by Angela White on Monday, 28 February 2000

and on the new forum
First Aid
Posted by Samantha Bevington on Monday, 27 November 2000

I would suggest that legal action is LESS likely against an untrained "Good Samaritan" than against a trained first aider (and that is only likely if the first aider went outwith their training). However, in the workplace there would be repercussions on the employer if adequate emergency procedures were not in place. Do all your staff know what to do in an emergency? How to summon first aid? Would it be available quickly?

I do not think that forbidding intervention is a good idea. Instruct on the right course of action, and if it is not practicable to train all staff in emergency resuscitation, at least provide information and encourage them to do as much as they feel confident in doing to preserve life until help arrives.
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#5 Posted : 29 April 2002 17:13:00(UTC)
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Posted By Jay Joshi
The First Aid Manual --i.e. the authorised manual of the voluntary aid agencies (i.e. St John Ambulance, St Andrew's Ambulance Assocition & British Red Cross) states under the heading Duty of Care, "If First Aiders practice( Mod. Law Rev. 1990, 53) their skills in accordance with proper accepted first-aid practice, it is unlikely that a civil action in the application of firstiaid would succeed............."
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#6 Posted : 29 April 2002 20:32:00(UTC)
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Posted By David J Bristow
Michael

You could be "dammed" if you do and the condition is made worse by an inexperienced person and you could be "dammed" if you dont and the person's injuries worsen or they die.

In this world of ours today, with the ease by which litigants have nothing to loose if they loose (if you see what I mean) surley the best practice is go for it in big way by ensuring you have the best provisions in place (how many staff are trained first aiders is up to you!).

The First at Work Regs 1981 give advice that employers should check their public liability insurance to ensure cover againsts litigation costs if any of the above events were to happen.

Good luck

Regards



David B
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#7 Posted : 30 April 2002 12:46:00(UTC)
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Posted By Keith Archer.
Michael,

I would suggest that you review your current instructions on this matter, Take the following scenario:

You are with two colleagues working late and there is no one else in the office your two colleagues are not qualified first aiders. You are all having a pizza while discussing work issues when you suddenly start to choke on a piece of pizza. Your colleagues under your present procedures stand and watch you choking and as a consequence you end up choking to death.

Not very pleasant but I hope it jolts you into changing the present situation.

If an unqualified person provides first aid it is very unlikely that that person will be prosecuted the same I would imagine would go for that persons employer. However as you say your staff attending to people in the sheltered scheme are under the same rule. Answer yourself the following:

Do you have responsibility and therefore a duty of care the people in this scheme?

If the answer is yes then you will most certainly be liable to prosecution by not administering any form of first aid to that person whether qualified or unqualified.

Hope this helps

Keith
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#8 Posted : 30 April 2002 13:24:00(UTC)
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Posted By Ken Taylor
The employer has a duty to provide a level of first-aid cover (based upon assessment) to his/her staff and those under his/her care. Beyond meeting these duties, I would recommend providing 'essentials of first-aid training, guidance, literature, etc where relevant - and then allowing the Samaritan's (good or otherwise) to do their best without hindrance. I suspect that there is still a lot more thieves than first-aiders on the Jericho Road.
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#9 Posted : 30 April 2002 18:01:00(UTC)
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Posted By Graham Bullough
For instinctive humanitarian reasons most people who are not qualified first aiders will tend to want to help a casualty in an emergency situation. Thus, banning or advising employees not to give first aid is unlikely to overcome their instinct if a qualified employee is not available. Therefore, where feasible, I would support the suggestions of offering basic first aid training to all staff. In situations where urgent first aid is required, it's better for everybody concerned for it to be rendered by people who at least have a basic knowledge rather than none at all. In some cases the best first aid is knowing what not to do other than reassure the casualty and seek specialist help!

First aid is a valuable knowledge/skill which people of any age can find themselves unexpectedly needing at any time whether at home, work, while travelling or during leisure activities. Sadly the proportion of people who don't know what to do when faced with a casualty probably far exceeds those who do. Although some enlightened primary and secondary schools teach their pupils first aid, it seems that most do not. Therefore, as part of preparing young people for a safer life and being able to be effective "Good Samaritans" when things go wrong, both in and outside work, is there not a strong case for encouraging schools to provide first aid training for their pupils? In the long term surely this would significantly increase the number of people who are able to give reasonably competent first aid, and furthermore be willing to get refresher training at appropriate intervals. If so, the practical difference between designated first aiders and other employees may gradually diminish and thus tend to help resolve the issue which underlies Michael Webb's query.

This thread stimulates various questions: Does anyone have information to share about the basis and outcome of cases where casualties or their relatives have sued persons who have rendered first aid? For example, I recall an item in the press some months ago about a father who was suing a first aid organisation because volunteer members were not able to revive his daughter who collapsed during a sporting event. However, does anyone know what the outcome was? (One of the benefits of teaching first aid in schools would be to promote better understanding about first aid, including its context and limitations.) Are there any existing initiatives to persuade schools to offer first aid tuition? If so, how successful have they been? What are the problems, e.g. lack of sufficient qualified people to give the tuition, and how can they be overcome? Is there scope for IOSH and other organisations and their members to press, by various means, for first aid tuition in schools? Do other countries have first aid tuition as a standard feature in their schools?
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#10 Posted : 01 May 2002 08:35:00(UTC)
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Posted By Adrian Watson
Dear all,

The general principle in law is that you do not have to act unless you have a duty to that person. In most cases this means that you do not have to act! In the case of a Good Samaritan your judgement would be legally correct but morally abhorrent.

However, if you do act you are expected to act with the reasonable skill and care expected by a reasonable man.

If you do not exercise this care and you cause injury through your acts or omissions then you can be held to account in the civil courts.

The simple answer is therefore is ensure that you can carry out simple first aid to sustain life until expert help arrives!

Regards Adrian
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#11 Posted : 01 May 2002 10:00:00(UTC)
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Posted By Laurie
I am not a first aider, but I have completed resuscitation and CPR training. If it became necssary for me to use that training I would do so, and so, I suspect, would anybody else.

Laurie
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#12 Posted : 01 May 2002 13:32:00(UTC)
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Posted By Jim Sweetman
An interesting thread, it certainly appears that there are number of 'Good Samaritans' about.

However, to put a different slant on things, a qualified first-aider needs to be trained/retrained every three years. Following a four day course and a succesful exam, you have a qualified first-aider. After 2yrs and 11 months, that person is required to make use of their training and give first-aid. They then have a rough time trying to remember all they were told 2yrs and 11mths ago. Unless you belong to an organisation such as St John's Ambulance, it is very unlikely that you will practice any first aid between training courses.

Maybe a willing helper may be of more user than a 'qualified'first-aider in this scenario.

Legislation requires first-aid provision, but I am not aware of any specifics saying that only a suitably qualified person may give first-aid.

Keep your fingers crossed that if you find yourself requiring first-aid that a Good Samaritan' is on hand to do the decent thing.

Jim
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#13 Posted : 02 May 2002 00:53:00(UTC)
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Posted By Bob Randall
The "rule" you are thinking of is the exception made for rescuers to novus actus interveniens when trying to establish negligence.

Ordinarily a new act (novus actus) by a person which worsens the original situation would break the chain of causation between the original cause and the consequences.

For example if a person falls in the street as a result of an uneven surface and stumbles into the road into the path of an oncoming car the owner of the pavement is liable for his injuries. If on the other hand the person falls into the street but gets up with only minor injuries but is subsequently struck by someone driving in excess of the speed limit then the owner of the pavement is not liable for the injuries caused by the car driver because a new act has intervened.

To use another example if a manufacturing company negligently fails to ensure the safety of its operators using a hot process and an operator is badly scalded and collapses the company is clearly liable for the operators injuries at civil law and might also be prosecuted under Section 2(1) of the HASAW Act. However let us suppose that a colleague moves the casualty away from the source of the scalding liquid and in so doing causes further injury. That is not regarded as a novus actus because it is seen as entirely foreseeable that people will try to help by rescuing the casualty.

Your position is that you do not have a legal duty to your elderly clients to provide first aid. Your only statutory duty is towards your employees and you could not be prosecuted for any failure to provide first aid to clients.

As regards the likelihood of a succesful civil action the pursuer or plaintiff would have to establish a duty of care and that a negligent act or omission by the person who owed a duty of care was the cause of their loss or injury. For all the reasons already given by other contributors I think that it is unlikely that a judgement would be made against an employee in such circumstances.

The only way that you as a company could be involved in a civil action is for the plaintiff or pursuer to establish that you are vicariously liable. To do this they must prove that the employee who rendered first aid was acting "in the course of enmployment". If the person is not employed to render first aid but is simply acting out of a perceived moral duty then the Company cannot be liable. If the employee is a trained first aider or appointed person then provided that their qualifications are up to date and that they act within the limits of their training neither they nor you could be liable.


Hope this helps.

Bob Randall
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#14 Posted : 05 May 2002 17:51:00(UTC)
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Posted By David J Bristow
Hi Graham

The only case that I know of is that of the boxer (Michael!) Watson - who sued because the first aid/medical facilities on the night of the fight were he sustained injury were inapropriate and as a consequence he has suffered irreversible damage.

Regards



David B

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#15 Posted : 06 May 2002 10:24:00(UTC)
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Posted By John Webster
......and a rather different scenario, as at any dangerous sporting event the risk of injury is wholly forseeable (in this case the risk of head injury leading to irreversible brain damage - as the whole objective of boxing is to inflict sufficient brain injury to your opponent as to render him unconscious). A professional sportsperson is at work, so presumably the promoters of such events must provide appropriate emergency cover under HSWA, regardless of any othe legislaton relating to first aid at public events.
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