National Standard Operating Procedures - Jul 2022

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Blood and Bodily Fluid Exposure - NSOP Section 9 – Search & Rescue Operations Version Number: 1.1 Effective Date: 01 October 2021 Review Date: 31 <strong>Jul</strong>y 2023 Document Owner: <strong>National</strong> Search & Rescue Manager 1.0 PURPOSE To establish guidelines for surf lifeguards and patrol supports who may be at risk of contamination from blood or bodily fluids during the course of a rescue, recovery or first aid. 2.0 SCOPE This NSOP applies to all SLSNZ members and operations where there is possible exposure or risk of exposure or contamination from blood or bodily fluid during the course of rescue, recovery or first aid activities. 3.0 REQUIREMENTS Required PPE Medical gloves Awards/Licenses Surf Lifeguard Award/Patrol Support Award Training N/A Other N/A Equipment Medical gloves, face masks, disinfectant, portable hand pumped nap sack sprayer. 4.0 PROCEDURES 4.1 Decontamination and Post Recovery Cleaning In all situations where members are coming into close contact with patients, members must take all appropriate steps to protect themselves from cross-contamination of blood and bodily fluids. 4.1.1 Appropriate PPE must be worn at all times, as outlined in First Aid Guidelines or the Body Recovery Policy. 4.1.2 Step back from the incident and clean the exposure site immediately. 4.1.2.1 Blood-to-skin or blood-to-blood exposure: Wash under water and disinfect the affected area, apply waterproof dressing if NSOP BLOOD & BODILY FLUID EXPOSURE NSOP_FINAL 120
equired. 4.1.2.2 Mucous membrane exposure (e.g., mouth, eyes etc.): Irrigate under running water. 4.1.3 Complete a risk assessment with the relevant Duty Officer or staff member (below) and make note of this on the Incident Form. Risk assessment The risk of HIV infection after needle stick injuries or splash exposure is minimal, however any exposure does pose a risk that needs to be assessed. The assessment below is based on St John New Zealand and NSW Health guidelines. Level of Risk Injury/Exposure Type Bodily Fluid Type Nil-Low Risk ● Skin not broken ● Injury from clean needle or sharp (not yet used on a patient) ● Mucosal Secretions (e.g., saliva, sputum, nasal secretions). Low Risk ● Superficial injury ● Mucosal exposure ● No visible blood on sharps ● ● Body fluids that do not contain blood Vomit High Risk ● Deep percutaneous injury ● Visible blood on sharps ● ● ● Blood Body fluids that are visibly bloody Patient with known blood borne disease 4.2 Post Exposure Blood tests If required, use the SLSNZ Laboratory Blood Test Request Form and complete a blood test within 24 hours. The blood test will check: Hepatitis B Antibodies, Hepatitis B Antigen, Hepatitis C Screening, HIV status. Antibodies are usually found within 6-12 weeks following infection. Subsequent tests should be carried out 3 months and 6 months after injury/exposure. 4.3 Post-Incident support services These should be made available to the member and records kept of when these were offered. A follow up check with the affected member/s should be scheduled by the relevant peer support service and SLSNZ representative to ensure the intended support is available and meeting the intended needs. 4.4 Equipment Exposure Decontamination Disinfectants must be used on all contaminated equipment following the manufacturer's recommendations for use. Some equipment will require spraying down with a nap sack sprayer, while others will need to be soaked. Ensure PPE is worn when decontaminating equipment and buildings. 4.4.1 IRB Decontamination: NSOP BLOOD & BODILY FLUID EXPOSURE NSOP_FINAL 121
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NATIONAL STANDARD OPERATING PROCEDU
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Section 3 - Powercraft Operations O
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Start of patrol 1.3 Ensure that the
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up. 1.34 All patrol members should
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lifeguards must be present at all t
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Observational Patrol - NSOP Section
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5.7 Assess the distribution of wate
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f) Record the beach and water user
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Enough correctly fitted helmets and
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4.4 If conditions become dangerous
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Vehicle Log/s and liaise with previ
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Patrol Members’ Duties - NSOP Sec
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flagged area. 5.14 While on the bea
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e at least one surf lifeguard with
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4.0 PROCEDURES 4.1 Do not carry out
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Preseason Radio Tests Clubs must en
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ostered club patrol (as per the ros
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Club House & Tower Flags - NSOP Sec
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Temporary Beach Hazard Signage - NS
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Pic 4 Jellyfish The Jellyfish Warni
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5.1 Assessment Title (task) - You a
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identified in the Likelihood table
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NSOP GENERAL RISK ASSESSMENT 42
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SAFER Risk Management - NSOP Sectio
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Operational Risk Assessment - NSOP
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) Consequence - Use the definitions
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NSOP OPERATIONAL RISK ASSESSMENT 50
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NSOP OPERATIONAL RISK ASSESSMENT 52
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a) The person’s name and contact
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Lightning - NSOP Section 2 - Health
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Police Vetting - NSOP Section 2 - H
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IRB Setup - NSOP Section 3 - Powerc
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Note - Take care when lifting the e
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4.0 PROCEDURES IRB Patrol Operation
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4.0 INTRODUCTION When training new
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Refuelling IRB Bladder - NSOP Secti
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Page 94 and 95: Critical Incident Response Procedur
Page 96 and 97: - Contact Benestar to start Well-Ch
Page 98 and 99: Missing Vessel: Where lifeguards ar
Page 100 and 101: Shark Sighting - NSOP Section 6 - E
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Page 118 and 119: 4.2 The CIMS model consists of six
Page 120 and 121: Low Light - Night Operations - NSOP
Page 122 and 123: E S C U Emergency Services Situatio
Page 124 and 125: Body Recovery - NSOP Section 9 -Sea
Page 126 and 127: C U Communicate Undertake Operation
Page 128 and 129: • Lift the bag head first to allo
Page 132 and 133: The disinfectant mixture is made up
Page 134 and 135: 4.0 PROCEDURES 4.1 Member of the Pu
Page 136 and 137: 4.5.7 Once the task is executed, th
Page 138 and 139: Emergency SAR Response with SurfCom
Page 140 and 141: 4.3 Member of public calls 111 abou
Page 142 and 143: Outside Patrol Hours Emergency SAR
Page 144 and 145: 4.0 INSHORE MARINE SAR - PROCEDURES
Page 146 and 147: Land-Based SAR Operations -NSOP Sec
Page 148 and 149: U E D Undertake Operation End Opera
Page 150 and 151: Ensure all rescue equipment kept in
Page 152 and 153: SLSNZ SAR Billing Process - NSOP Se
Page 154 and 155: 6.14 Facilities: A rate of $150.00
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National Standard Operating Procedures - Jul 2022

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