Last Updated: 02/28/2018
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 Plan is 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 Plan is to ensure adequate supplies and properly trained personnel are available for employees and visitors of Cal Maritime should an injury occur.
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:
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:
Category 3, 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:
Inside Emergency Services Within Basic First Aid Capabilities.
Emergency Reporting (Outside Emergency Services Beyond Basic First Capabilities)
Anytime outside emergency services are summoned or medical treatment is provided,
Directing Ambulance Services.
All injuries, regardless of severity, treated by first aid responders will be entered into the incident management system database.
Incident reports are located on the SRM webpage.
First Aid Kits.
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.
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
Bloodborne Pathogen Exposure Control Plan
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.
Eyewashes and Deluge Showers
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.
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.)
AED Coordinator Procedures
Regulatory Standards Reference
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