the purpose of the Injury Illness Prevention Program (IIPP) is to outline Cal Maritime's environmental health and safety requirements, expectations, and responsibilities in order to achieve effective campus safety performance through Integrated Safety Management (ISM). The Basic First Aid & AED Use Planis a subject specific component the supports the overall University IIPP.
Note: Training Ship Golden Bear (TSGB) is regulated under MARAD. For operations pertaining to the TSGB - Refer to Shoreside Administration Manual (SAM) and Vessel Operations Manual (VOM).
Cal Maritime's Public Access Automated External Defibrillator Program Site Responsibilities
An Automated External Defibrillator (AED) is a portable medical device which can restart the heart of a person in cardiac arrest. AEDs are simple and safe to use when the manufacturer's instructions are followed. Departments are encouraged to explore purchasing this potentially life-saving device; however there are responsibilities and costs that come with owning and maintaining a departmental AED. Cal Maritime's Public Access AED Program Site Responsibilities document outlines the program requirements for AED's on campus. Additionally, three supporting documents for the AED program are listed below.
The objective of the Basic First Aid and AED Safety Planis to ensure adequate supplies and properly trained personnel are available for employees and visitors of Cal Maritime should an injury occur.
Provide total care for those injuries clearly within responding individual's capability to handle.
All questions pertaining to care should be referred to a health care provider, or local emergency care.
First aid supplies shall be readily available at all buildings and State Vehicles and Vessels.
Where the eyes or body of any person may be exposed to injurious corrosive materials, suitable facilities for quick drenching or flushing of the eyes and body shall be provided within the work area for immediate emergency use.
AED shall be available throughout the Campus and Police vehicles
Employee Job Classification List for Exposure Determination – shall be based upon an employee's reasonable potential for exposure to blood or any other infectious materials that they may contact during their job duties. Cal/OSHA requires exposure evaluations based on the potential for job-related tasks leading to exposure. The Program at Cal Maritime is designed to cover those who are at a higher risk of exposure and establishes high, moderate, or low risk categories. All other employees will be evaluated and determined on an individual basis by the Chief Staff Physician of the Student Health and Counseling Center and SRM.
The categories and job classifications are:
Category 1, High Risk involves procedures or jobs with inherent potential for contact with blood, body fluids, tissues, mucous membranes, or skin contact that could possibly transmit the HBV, HIV or other bloodborne pathogens and includes these Job Classifications:
Clinical Laboratory Tech
Category 2, Moderate Risk - This category has been established for employees who do not work in situations that routinely (day to day) involve contact with infectious materials.
However, a potential for exposure exists. It includes these Job Classifications:
Category3, Minimal Risk - This category involves no exposure to blood, body fluids or tissues such as are described in category 1. However, exposure is possible and it includes these Job Classifications:
The following levels of first aid response will be used by Cal Maritime:
BasicFirstAidResponders. Volunteers will be trained to respond and assist with providing treatment when consent from victim is provided, to minor emergencies such as small cuts, abrasions, sprains, strains and non-life-threatening emergencies.
AdvancedFirstAid Non EMS Responders. Volunteers will be trained respond and assist with providing treatment when consent from victim is provided, for more in-depth support to emergencies where there is life-threatening event or emergency services is needed
Post an employee(s) at key points to direct ambulance services to the injured employee's location.
Responder's should obtain the facility the victim is being taken
Responder's should report back to the department head and or Campus Police, concerning the status of the employee being transported as governed under HIPAA.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the Secretary of the U.S. Department of Health and Human Services (HHS) to develop regulations protecting the privacy and security of certain health information
First aid kits will be primarily maintained by the Department of Safety and Risk Management with the following exceptions; Student Health Center, Food and Beverage operations and Athletics. The type of first aid kit to be maintained will be for minor emergencies such as cuts and skin abrasions. There are fixed mounted 3 shelf stations and mobile pull away kits.
First Aid Kits will be maintained per ANSI 308.1 2015 Compliance Standard. First aid kit containers are classified by portability, the ability to be mounted, resistance to water, and corrosion and impact resistance.
Class A kits are designed to deal with the most common types of workplace injuries.
Class B kits are designed to deal with a broader range and quantity of supplies to deal with injuries in more complex or high-risk environments.
The purpose of adding these two classes is to expand the basic items included so employees will have greater access to items needed to treat common workplace injuries.
The Campus will primarily utilized #10, #25, #50 bulk kits, Class A or B.
First Aid Kits will be inspected monthly to ensure core inventory
OSHA requires employers to perform an exposure determination concerning which employees may incur occupational exposure to blood or other potentially infectious materials. The exposure determination is made without regard to the use of personal protective equipment (PPE). NOTE: Employees are considered to be exposed even if they wear personal protective equipment. This exposure determination requires the listing of all job classifications in which all employees may be expected to incur such occupational exposure, regardless of frequency. These employees will receive the HBV vaccine.
In addition, OSHA requires a listing of job classifications in which some employees may incur occupational exposure. Since not all employees in these categories would be expected to incur exposure to blood or other potentially infectious material, tasks or procedures that would cause these employees to have occupational exposure are also listed to clearly identify which employees in these categories are considered to have the potential to be occupationally exposed. These employees will receive the HBV vaccine post-exposure.
Only employees who have been designated (employees who have job descriptions that require they be trained/certified in CPR/AED/First Aid) may administer first aid or CPR. Anyone providing first aid where blood or bodily fluids are present must wear ASTM – approved medical gloves and a mask/eye shield. Anyone cleaning up blood or bodily fluids must wear gloves. Any mop heads, towels, gloves, etc. used while cleaning up bodily fluids must be properly decontaminated or disposed of according to Company policy.
Refer to Bloodborne Pathogen Exposure Control Plan (BBP) 09-04004 for the complete details.
Bloodborne pathogen-related personal protective equipment is not required in a first aid kit, but is recommended. 29 CFR 1910.151 Non-Mandatory Appendix A states: "If it is reasonably anticipated that employees will be exposed to blood or other potentially infectious materials while using first aid supplies, employers are required to provide appropriate personal protective equipment (PPE) in compliance with the provisions of the occupational exposure to bloodborne pathogens standard, 1910.1030(d)(3). This standard lists the appropriate PPE for the type of exposure, such as gloves, gowns, face shields, mask or eye protection.
Where the eyes or body of any employee may be exposed to injurious corrosive materials, suitable facilities for quick drenching or flushing of the eyes and body shall be provided within the work area for immediate emergency use. This will include but is not limited to, portable and fixed emergency eyewash stations and deluge showers. Where installed, these facilities will be installed in locations within the work area having ready access and periodically inspected in accordance with local requirements.
Considerations for installation. The following criteria will be considered when making a determination for installation of eyewashes and deluge showers.
Employee use of personal protective equipment.
Type and chemical concentration of concern.
Special guards and/or precautions intended to provide for employee protection from exposure.
Based upon employee job functions, determine the extent and type of probable employee exposure.
Note: In areas where the extent of possible exposure is small, a specially designated pressure controlled and identified water hose equipped with a proper face and body wash nozzle which will provide copious amounts of low velocity potable water, or an appropriate portable eye wash device containing not less than one gallon of potable water which is readily available and mounted for use, is considered to provide minimum employee protection when proper personal protective equipment is used.
Personal Protective Equipment. Personal protective equipment for eyes, face, head, and extremities, protective clothing and protective shields and barriers, shall be provided, used and maintained in a sanitary and reliable condition wherever it is necessary by reason of chemical hazards encountered in a manner capable of causing injury or impairment in the function of any part of the body through absorption, inhalation or physical contact.
Facility layout. The facility layout will be one of the key consideration when installing eyewashes or deluge showers. Ease of access, lineofsight, single level access, lighting, proximal electrical hazards and other considerations will be addressed when installing such equipment. Eye wash equipment should provide copious low velocity flow of potable water at a suitable temperature, generally between 60 degrees F and 105 degrees F.
An Automated External Defibrillator (AED) is a device capable of cardiac rhythm analysis, which will charge and deliver a shock after electronically detecting and assessing ventricular or rapid ventricular tachycardia when applied to an unconscious victim who has experienced sudden cardiac arrest. The AED must only be applied to victims who are unconscious, without a pulse, and not breathing. The AED will analyze the heart rhythm and advise the operator if a shockable rhythm is detected. If a shockable rhythm is detected, the AED will charge to the appropriate energy level, advise bystanders of the impending shock, and deliver the shock.
An AED can be used in conjunction with Cardiopulmonary Resuscitation (CPR) in cases of sudden cardiac arrest on campus, in accordance with accepted protocols, including those developed by the American Red Cross and the American Heart Association. Use of the AED and CPR will continue as appropriate during the course of emergency care, until the patient resumes pulse and respiration, and/or local Emergency Medical Services (EMS) arrive at the scene, and assume responsibility for emergency care of the patient
Public AED devices on University properties shall be recorded on a list maintained by the Department of Safety and Risk Management (SRM). Any new device installations are required to include a notification to SRM of the building, floor, nearest room number, and department responsible for installation, testing, and maintenance of the device. You will also be required to provide the manufacturers name, model and serial number to SRM.
AED devices shall have signage at the building exterior, at the main entry door, indicating the location in the building. If multiple devices are located in the building, only the device nearest to the building entrance should be listed. The AED sign shall be affixed to the glass on the active leaf of double doors or of the central door set in buildings with a series of entry doors. This signage shall be affixed to the interior of the door, on the glass, at approximately handle height.
The sign shall include the international symbol for the AED and the text, "AED, Automatic External Defibrillator INSIDE" - this part of the sign shall be 5 inches wide by 3 inches tall. Below this will include a brief, one or two-line description of the location for the device (see examples on the attached sheet). Orders for new signage shall be placed with the University sign shop; they will be responsible for fabrication & mounting of the signs on the designated entry doors. If a variation from the standard text or mounting is required, the sign shop shall contact Campus Planning for approval to proceed.
All other building managers or departments on campus have the option to install a public access AEDs and once an AED is installed, the building occupants/department shall be responsible for the unit and shall follow this public access AED policy.
AEDs should be located in public spaces, near a campus phone in a wall- mounted secured cabinet to prevent tampering. AEDs should be easily accessible and allow for facilitation of periodic inspections. It is suggested AED cabinets should be equipped with support equipment including: two pairs of disposable gloves, two disposable facemasks, extra electrode pads, safety razor, absorbent towels or trauma pads, a pair of scissors, a biohazard bag for infectious waste disposal, an AED incident report form and pen. In locations where children are likely to be present, there shall also be pediatric-sized electrode pads available.
The public access defibrillation provider (the department or area that purchased the AED) shall post a sign or notice at the main entrance to the facility or building in which the AED is stored, indicating the location where any such AED is stored or maintained in such building or facility on a regular basis. (See Attachment B for sample signs.)
The AED's extensive automatic self-test feature eliminates the need for any manual calibration.
Maintenance and testing of all AED units shall be conducted in accordance with the manufacturer's guidelines. At a minimum AEDs will be visually inspected monthly. Inspection will be documented.
A green indicator means the AED is ready for service.
If the indicator is red with a black X, the AED requires maintenance and is not ready for use. Contact Strong Clinical Engineering for servicing.
If the AED is located in a secured cabinet, verify the cabinet alarm battery (9v Alkaline) is installed and replace it annually.
Open the soft-case by un-snapping the two closures on each side of the unit.
Examine AED case and cover for foreign substances, damages or cracks.
Inspect the status indicator. If a red X is visible contact Clinical Engineering.
Pads are located inside the cover of the unit.
Make sure pads are pre-connected to the AED.
Check the expiration dates. Verify the pads have not passed the expiration date (expiration date noted on foil pouch).
Inspect package and make sure it is unopened.
If package is opened or past its expiration date, replace the pads (contact the vendor where you purchased the AED) or pull the unit out of service. Place a sign on the AED cabinet or location where the AED was located stating it's out of service.
Spare pads are not pre-connected (found in the case's back pouch)
Verify presence of one set of spare adult pads and one set of pediatric pads (if applicable) are available.
After each use, clean and disinfect the unit with a soft, damp cloth using 90% isopropyl alcohol, or soap and water, or chlorine bleach and water mixture.
Do not immerse any part of the unit in water.
Do not use ketones (MEK, acetone, etc.) to clean the unit
Avoid using abrasives (i.e. paper towels) to clean the display window.
After using an AED, follow the manufacturer's instructions prior to placing the AED back into service.
The Occupational Safety and Health Administration's (OSHA's) medical services and first aid regulation (29 Code of Federal Regulations (CFR) 1910.151(b)) states: "Adequate first aid supplies shall be readily available." Performance requirements and contents of first aid kits are given in the American National Standards Institute/International Safety Equipment Association (ANSI/ISEA) Z308.1 American National Standard – Minimum Requirements for Workplace First Aid Kits and Supplies standard
U-Corrective Action Notification. Accident prevention through proactive action, recognition and communication.
Report of Safe Work Practices: Demonstrates the unconditional dedication toward the protection of person and property.
Report of Safety Concerns:You are encouraged to report any and all unsafe conditions that you observe on campus by using this form. You may make your report anonymously or you can contact the Department of Safety and Risk Management directly at 707-654-1076. The Report of Safety Concerns include but are not limited to; health and safety risks (such as trip and fall hazards or unsafe conduct by employees or students),