Ed: Reviewing my list of items to teach at new hire inservice.

Candidate: Edward Minev

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Related Goal: Edward M: Improve employees training by identifying weaknesses and improving staff confidence.

Trying to find a time to do my inservice station.

Looked at my last assignment and how it was completed.

Went over how to structure an inservice station.

Inservice Station Plan:

Ask the guards what they think they should do for each situation, and then go over it.

• Hypothermia
  • Primary assessment, call 911.
  • Move victim to a warm place while avoiding sudden movements.
  • Remove any wet clothing.
  • Warm victim with blankets, especially the head. Don’t do it too quickly, avoid putting them in warm water.
  • Give them warm–not hot–drinks.
  • Wrap hot packs.
  • Watch for changes in LOC (level of consciousness).
• Hypoxia
  • Rapid or irregular breathing
  • Bluish skin
  • Shortness of breath.
• Over-dose
  • Recovery postion.
  • Call 911.
  • If we had narcan, it would be used.
• Shock
  • Signs and symptoms:
    • Restlessness or irritability
    • Altered LOC
    • Pale, cool, or moist skin
    • Nausea or vomiting
    • Rapid breathing and pulse
    • Excessive thirst
  • Call 911.
  • Lie them on their back.
  • Comfort and reassure them.
  • Supervise the patient.
  • Do Not Give Food Or Water.
• Fainting
  • Is when a person suddenly loses consciousness and then reawakens.
  • Position the person on their back and lessen any tight clothing. Make sure they’re breathing normally.
  • If they vomit, put them in recovery position.
  • If victim can’t stand up without signs or symptoms, call EMS for further evaluation.
• Seizures
  • Seizures in the water:
    • Call 911.
    • Hold the person’s head above water until seizure ends.
    • Get them out of the water as soon as possible once the seizure ends.
    • Put them on their back and perform a primary assessment.
    • Provide CPR or ventilations if needed.
    • Once breathing, place them on their side in recovery position until victim is fully awake and alert.
  • Seizures on land:
    • Protect the person from other nearby objects.
    • Protect the person’s head and shoulders with a thin cushion under it to keep the airway open.
    • Make sure bystanders provide distance.
    • Generally call 911 unless they recover after a few minutes.
• Broken Bones
  • Call Ems if victim can’t move the injured area.
  • Support the injury.
  • Check for circulation.
  • Immobilize the injury, only if it doesn’t cause further pain.
• Internal Bleeding
  • Sweaty, pale skin.
  • Horrible stomach pain
  • Generally after a collision.
  • Might not be able to speak.
    • Call 911 and watch for signs of shock.
• In-Water Ventilations
  • Do a primary assessment. If they have no pulse, give 2 initial breaths, and continue to wait for backboard.
  • If they have a pulse but not breathing, give 2 initial breaths and begin rescue breathing while waiting.
  • Pause rescue breathing to extricate the victim and resume on the cycle you were on.
  • In water ventilations in the deep end.
  • Use the seal as a snorkel, it has to be ridiculously tight.

Notes/Tips

• If a passive victim is breathing, hr, and unconscious, put them in recovery position. Still call 911.
• If a chocking victim is obviously pregnant, use chest thrusts instead of abdominal thrusts to dislodge the object.

Games:

Guess that scenario. (In format of having a seal to tap).

Break out into 2-3 teams.

To play, say what the scenario is for 1 point (within 10 seconds), and explain what you would do (within 20 seconds).

1. A patron is found alone near the pool with pale skin, bluish lips, and weak breathing. They aren’t unconscious, but don’t respond. –
2. While walking through the locker room you find a patron that is breathing, but slowly and shallowly. They aren’t with anyone. There is a bit of foam around the mouth.
3. A patron climbs out of the pool after going down the slide, walks a few steps, and falls down. They are pale and sweating. You ask them if they are ok, but they don’t respond. Fast pulse and confused.
4. A child runs on deck after getting out of the pool and slips. They break their fall with their arm, which is swollen and can’t be moved without pain.
5. A teen rapidly stands up on the pool deck and collapses. They open their eyes after 10 seconds and are breathing normally. They didn’t hit their head.
6. A swimmer starts twitching and slipping below the surface. After 30 seconds it stops. They are breathing but unconscious.
7. You see a patron struggling to stay afloat. You respond and see that they are confused, and are struggling to speak. They can’t lift their left arm and it is affecting their swimming ability.
8. A passive rescue is performed on a patron from the deep end. After performing a primary assessment, it is found that the patron has a pulse and is breathing.
9. A patron is sitting upright and alert after collision in the water. They are able to talk but clench their stomach. They are sweaty and pale, and eventually stop answering questions.
10. Timmy runs into the office and says “I think there is something wrong with my dad! He isn’t responding and is just muttering stuff to himself”.
11. After you come down from your chair, and walk back to the office, you see a kid chugging water from the water fountain. The kid goes into the opposite gender’s locker room and comes back out to drink more water.

Key:

1. Hypoxia
2. Overdose
3. Shock
4. Broken Bone
5. Fainting
6. Seizure in Water
7. Stroke
8. Unconscious w/ Breathing and Pulse – Rescue Position.
9. Internal Bleeding
10. (unnoticeable) Seizures
11. High Blood Sugar (diabetes)

How to treat the patron:

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Action items:

-Cross examine rules about toys with parks website: https://www.deerfieldparks.org/305/Pool-Rules-Procedures

-create plan for how to teach effectively (game? challenge? activity?)

• Ed: Trying to trade away a shift week of 7/21 so I can work the inservice, because I am currently 8 days in a row.

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