These materials have been developed based on applicable federal laws and regulations in place at the time the materials were created. The program is being provided for educational and informational purposes only and does not constitute and is not intended to provide OSHA compliance certification, regulatory compliance, a substitute for any "hands on“ training required by applicable laws and regulations, or other legal or professional advice or services. By accessing the materials, you assume all responsibility and risk arising from the use of the content contained therein. ©2010 Grainger Safety Services, Inc. ►►► FHM TRAINING TOOLS This training presentation is part of FHM’s commitment to creating and keeping safe workplaces. Be sure to check out all the training programs that are specific to your industry.

These materials have been developed based on applicable federal laws and regulations in place at the time the materials were created. The program is being provided for educational and informational purposes only and does not constitute and is not intended to provide OSHA compliance certification, regulatory compliance, a substitute for any "hands on“ training required by applicable laws and regulations, or other legal or professional advice or services. By accessing the materials, you assume all responsibility and risk arising from the use of the content contained therein. ©2010 Grainger Safety Services, Inc. ►►► CPR for Lay Rescuers

Learning Objectives Objectives: ► Recognize the role of CPR ► Understand the current guidelines for lay rescuer CPR ► Be prepared to manage other issues that arise performing CPR

Agenda Agenda: ► Overview ► CPR for lay rescuers procedure ► Companion issues

Overview of the Issue ►Section 1

What is CPR? Brain suffers from oxygen starvation: ► Damage after four minutes ► Irreversible damage after seven minutes ► Use CPR to “buy time”

CPR Facts and Statistics According to the American Heart Association (AHA): ► Coronary Heart Disease (CHD) accounts for over 550,000 adult deaths ► 330,000 are due to Sudden Cardiac Arrest (SCA) ► SCA causes 900 American deaths daily ► SCA is often caused by Ventricular Fibrillation (VF)

More CPR Facts and Statistics CPR and AED benefits: ► Doubles survival rate ► Maintains vital blood flow ► Without CPR, survival chances fall 10 percent per minute ► Defibrillation restores normal heart rhythm and pumping

What Does OSHA Have to Say? OSHA standards that require CPR training: ► Permit-required Confined Spaces ► Logging operations– First Aid and CPR Training ► Electric Power Generation, Transmission, and Distribution ► Qualifications of Dive Teams ► Construction of Power Transmission and Distribution Facilities

Lay Rescuer Adult CPR Procedure ►Section 2

CPR Guidelines CPR performance guidelines: ► Provide standard approach for best results ► Changes intend to simplify CPR

CPR at Home CPR at home: ► 80 percent of cardiac arrests happen at home ► CPR can mean the difference between life and death

The Adult CPR Procedure Basic CPR steps: ► Check responsiveness ► No response, call for help ► Tilt victim’s head back ► Provide two rescue breath’s ► Begin chest compressions ► Continue with 2 rescue breaths and 30 compressions

2005 Guideline Changes Guidelines changed in 2005: ► Published in 2005 issue of American Heart Association journal Circulation ► Publication available at

Rescue Breaths Rescue breaths: ► Give each rescue breath over 1 second ► Each rescue breath should make the chest rise ► Rescue breaths and chest compression in ratio of 30:2

Chest Compressions Effective chest compressions: ► Perform at center of chest ► Push hard and fast ► Allow chest to recoil completely after each compression ► Use equal compression and relaxation times ► Limit interruptions

Chest Compression Ratios Ratios: ► Chest compressions to rescue breaths is 30 to 2

The Reality of Lay Rescuer CPR Common consequences: ► Cracked ribs ► Victim to vomit ► CPR and defibrillation increases recovery to approximately 80%

Companion Issues ►Section 3

Companion Issues Additional Issues: ► First aid kits ► Bloodborne pathogens ► Disinfection ► Medical waste ► Good Samaritan Laws ► Maintaining competency

First Aid Kits The supplies should be: ► Adequate ► Reflective of occurring injuries ► Readily available for emergency access

First Aid Kit Contents American National Standards Institute: ► ANSI Z , Minimum Requirements for Workplace First Aid Kits ► Homeland Security National Terror Alert Resource Center: readyguide/firstaidchecklis readyguide/firstaidchecklis

Bloodborne Pathogens Bloodborne pathogens: ► Any pathogenic microorganism present in human blood or other infections materials cause disease ► Pathogenic microorganisms cause diseases such as hepatitis C, hepatitis B, AIDS, malaria, syphilis

Bloodborne Pathogen Infection Rate According to the CDC: ► 75,000 infected with HBV ► 3.9 million infected with HCV ► 2.7 million chronically infected ► 24-27% unaware of their HIV infection

Disinfection Workplace blood spill plan: ► Secure the area ► Access spill response kit ► Wear protective equipment ► Disinfect the area

Medical Waste Management Medical waste: ► Solid or liquid waste presenting a threat of infection ► Non-liquid tissue, body parts, blood, blood products, and body fluids ► Used absorbent materials

Good Samaritan Laws Common features: ► No person is required to give aid ► Not given in exchange for reward ► Responder must not leave the scene

Remaining Competent CPR requires practice: ► Steps may be forgotten after 3 months ► Demonstrate technique to a instructor ► OSHA does not specify frequency of CPR training ► Undergo CPR retesting annually

Additional Information Best Practices Guide: Fundamentals of a Workplace First-Aid Program. US Department of Labor. OSHA N The American Red Cross The American Heart Association American Heat Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Published in the December edition of the American Heart Association Journal Circulation.