CDL Examiner Certification Course
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Transcript CDL Examiner Certification Course
School Bus Driver Training
Unit I
Student Emergencies
Objectives
At the end of this session school bus operators will
be able to:
Describe their role in providing first aid emergency
situations on the bus
Demonstrate good assessment skills in setting
priorities when managing a medical emergency on
the bus
Describe required contents of the first aid kit and
body fluid clean up kit
Student Emergencies
WHAT IS CONTAINED IN THIS UNIT ARE ONLY
GENERAL GUIDELINES. YOU MUST FOLLOW YOUR
LOCAL SCHOOL DISTRICT PROCEDURES AND
GUIDELINES REGARDING RECEIVING FIRST AID
TRAINING AND ADMINISTERING FIRST AID ON
YOUR SCHOOL BUS.
Student Emergencies
FIRST AID AND EMERGENCY CARE ARE ONLY
TEMPORARY STEPS TAKEN UNTIL MORE
ADVANCED TREATMENT CAN BE OBTAINED,
EITHER AT THE SCENE OF AN INCIDENT OR AT A
HOSPITAL
Procedural Overview
Control hazards at the scene
Evaluate injuries or illnesses
Enlist the help of others
Contact emergency medical services
Maintain control of the situation
Medical Liability
Anyone who gives first aid should be concerned about
liability
PA Good Samaritan Act protects well intentioned acts
and omissions from civil liability for those with first
aid training
There are several first aid courses that would meet this
requirement
Pennsylvania Department of Health EMS Information
Bulletin #051
First Aid Procedures
Setting priorities: What to do first?
Hazard control
Existing or imminent smoke or fire condition
Hazardous materials
Unsafe site
Distractions
Obtaining emergency medical assistance
Use a cell phone
Give specific instructions:
Exact location or precise directions
Exact nature of problem
Number of people injured
Description of vehicles involved
Reporting
Report ALL Incidents to your Supervisor
Using Responsible Helpers
Adult bystanders are best
Know your passengers
ONLY IN EXTREME EMERGENCIES SHOULD
OLDER RESPONSIBLE STUDENTS BE SENT FOR
HELP
Follow local policy and procedures
Do NOT send elementary school students
If policy allows sending students, send two together
Assessing Injuries or Illnesses
Prioritize injuries if more than one
Always follow local procedures on performing first aid
treatment
Be organized and do one thing at a time
Treatment Procedures
WHAT IS CONTAINED IN THE FOLLOWING
SLIDES ARE ONLY GENERAL GUIDELINES.
YOU MUST FOLLOW YOUR LOCAL SCHOOL
DISTRICT PROCEDURES AND GUIDELINES
REGARDING RECEIVING FIRST AID TRAINING
AND ADMINISTERING FIRST AID ON YOUR
SCHOOL BUS.
Seizures
Don’t panic, let it run its course
If not already done, lay the student down
Protect student from injury as much as possible.
Move any objects
Cushion head
Monitor airway
Do NOT put anything in the mouth
Do NOT restrain
Afterwards, always call dispatcher
Fractures
Signs and symptoms
Pain at site
Pain on movement
Swelling
Discoloration
Misaligned bones
Care and treatment
Call dispatcher and 911
Prevent movement
Allergic Reaction:
Bites and Bee Stings
Signs and symptoms
Puncture marks
Anxiety
Pale, cool skin with progressive onset of sweating
Rapid, weak pulse
Rapid, shallow breathing or breathing difficulties
Difficulty swallowing and speaking
Blurred vision
Abdominal pain
Nausea and/or vomiting
Headache
Intense pain at site of bite
Localized redness and swelling
Allergic Reaction:
Bites and Bee Stings
Care and treatment
Apply direct pressure over bitten area
Find out if the student has any allergies to stings or bites
Use cold compress, if available, to reduce swelling
Allergic Reaction:
Anaphylactic Shock
Can be life threatening
Follow district policy
Know and use appropriate emergency numbers: CALL
FOR HELP
Enforce “No Food on Bus”
Follow local policies and procedures for
EpiPen/epinephine use
Allergic Reaction:
Anaphylactic Shock
Signs and symptoms
Itching
Red, raised, blotchy skin (hives)
Wheezing
Confusion
Weakness
Pale color
Unconsciousness
Unable to speak more than one or two words
Sitting straight up or with hands on knees
Gasping for breath
Pursing lips to breathe
Using neck muscles to take breaths
Allergic Reaction:
Anaphylactic Shock
Care and treatment
Call your dispatcher and report the situation
Call 911 immediately
If you district procedures and guidelines allow, you are
qualified, and you have received training, administer
epinephrine
Asthma
Can be life threatening
FOLLOW LOCAL PROCEDURES AND GUIDELINES
Signs and symptoms
Pale, cool, clammy skin
Shortness of breath
Wheezing
Anxiety, exhaustion, rapid or weak pulse
Collapse
Care and treatment
Call dispatcher and report
Sit student upright
Be calm and reassuring
Assist using inhaler
Bites from Other Students
Clean bites with antiseptic wipe
Cover with band aid
Report incident
External Bleeding
Types of wounds
Incision
Laceration
Abrasion
Puncture
Amputation
Care and treatment
Get help
Call dispatcher
Call EMS for serious wounds
Use universal precautions
Apply pressure using sterile bandage
Raise and support above the heart
Internal Bleeding
Signs and symptoms
Visible internal bleeding
Blood coughed by student (bleeding in lungs or stomach)
Pale, cool, clammy skin
Thirst
Rapid, weak pulse
Rapid, shallow breathing
Guarding of the abdomen, in fetal position
Pain or discomfort
Nausea and/or vomiting
Swelling
Internal Bleeding
Care and treatment
Get expert medical help
If possible, position student on back
Elevate legs
Give nothing by mouth
Choking
Do NOT slap them on the back
Best not to do anything if person is coughing forcefully
and not turning bluish color
Signs and symptoms
Difficulty or absence of breathing
Inability to speak or cough
Distress – grabbing the throat, collapse
Someone who cannot answer by speaking and can only
nod the head has a complete airway obstruction and
needs emergency help.
Choking
Care and treatment
Check mouth and clear any obstructions
Stand behind the student and wrap your arms around the
their waist
Make a fist with one hand
Place the thumb side of the fist against the student’s abdomen
in the midline and slightly above the navel
Grasp the fist with the other hand and press the fist into the
student’s abdomen with a quick upward thrust
Each new abdominal thrust should be a separate and distinct
movement
Repeat thrusts until student expels the obstruction
Dehydration
Be careful of this during afternoon routes in warm weather
Signs and symptoms
Pale, cool, clammy skin
Rapid breathing
Profuse and prolonged sweating
Thirst
Loss of skin elasticity
Sunken eyes
Care and treatment
Give cool water, if available
Diabetes
Imbalance of sugar in blood
You (driver) are not expected to manage student
diabetes by checking blood glucose levels or
administering medication
Recognize signs and symptoms
Know what to do
Be especially aware at the end of the day
Diabetes
Signs and symptoms
Hot, dry skin
Smell of acetone (nail polish remover) on the breath
Drowsiness or change in mood
Unconsciousness, progressing to coma
Profuse sweating
Grayish skin color
Hunger
Confused or aggressive behavior
Rapid pulse
May appear drunk
May have seizures
Diabetes
Care and treatment
DO NOT give insulin injections
Give sweet drink, if available
Be familiar with Quick Reference Emergency Plan if
available
Be aware of where students keep supplies
Provide input to school health team when requested
Communicate with parents and school nurse
Respect student confidentiality
Heat Stroke
Be particularly aware on afternoon runs in hot weather
More dangerous than sunstroke
Signs and symptoms
Flushed, hot, dry skin
The student has stopped sweating
Rapid pulse, gradually weakening
Irrational or aggressive behavior
Staggering or fatigue
Visual disturbances, headache, vomiting
Collapse and seizure
Care and treatment
Cool the student as much as possible
Give fluids and water if the person is conscious
Hyperventilation
Signs and symptoms
Rapid respirations and pulse
Shortness of breath
Pressure, tightness or pain across the chest
Anxiety
Blurred vision
Tingling in fingers and toes
Hand and finger spasms
Fainting
Hyperventilation
Care and treatment
Reassurance
Remove the cause of anxiety, if possible
If the student has fainted, lay student down with legs
elevated.
Nose Bleeds
Keep trunk of body higher than heart
Tilt head forward
Compress nostril for 5-10 minutes
Report All Incidents
As with all of the above emergencies, FOLLOW
LOCAL PROCEDURES
Report EVERYTHING to proper authorities
Work with your Supervisor and parents to inform
substitute drivers on medical issues – keep
confidentiality in mind!
Watch for after-affects from a crash
First Aid Kit
Inspect
Replace items as used
Placement
Clearly marked
Mounted in accordance with manufacturer’s
instructions
Removable
Easily accessible
Body Fluid Clean Up Kit
Inspect
Replace items as used
Placement
Clearly marked
Mounted in accordance with manufacturer’s
instructions
Removable
Easily accessible
Cleaning Body Fluid Spills
Always wear disposable gloves
Small spills can be cleaned with paper towels or tissues
Clean with disinfecting solution
Remove gloves and place into plastic bag with waste
and other cleaning materials
Wash hands
Soap
Running water for at least 30 seconds
If possible, carry hand sanitizer, extra gloves, and band
aids