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					St Lucia Community Healthcare and Ambulance Project (SLCHAP) :

      Creating a Safe Working Environment
                (St Lucia Fire Service)




                           May 2010




                                                                 1
                               LIST OF RECOMMENDATIONS



                                    TABLE OF CONTENTS

                                                                      Page

Foreword from Maureen Mullings: Chairperson of SLCHAP                    3

Recommendation 1:

Increase Strength and Stamina of all staff                               4



Recommendation 2:

Improve and update living quarters within fire stations                  4



Recommendation 3:

Invest monies to increase number of accredited Paramedics and EMP’s      4



Recommendation 4:

Health and Safety Legislation to be drafted and implemented              5



Recommendation 5:

Boost the profile of the Fire Service                                    5



Recommendation 6:

Mandatory servicing of equipment                                         6



Recommendation 7:

Mandatory manual handling training for all staff                         6



Recommendation 8:

Increase external sources of income for the Fire Service                 6



                                                                             2
            Foreword from Maureen Mullings: Chairperson of SLCHAP



Our mission has always been to support the St Lucia Health Authority, its staff and
volunteers by providing professional advice, support, equipment, training and
guidance, to alleviate and reduce occupational hazard, stress and injury at work or in
the workplace and to advance the education of the public in matters relating to health
and safety

This project aims to improve the long term provision of emergency healthcare in St
Lucia.

We work in partnership with the GMB, UNISON, the St Lucian Associations in the
UK, volunteers from the UK ambulance services and the local community to raise the
profile of this project and to access funds for this venture.

Since the creation of the charity, we raised funds to purchase specialist carry chairs
to assist in the training of appropriate personnel in the correct usage of this specialist
equipment.

Our intention is to create a sustainable flow of quality equipment backed up by
providing professional support and advice. This will have a positive effect in
improving patients care and protecting the health & safety of the ambulance staff and
the public.



These recommendations result from the Project’s visit to St Lucia in May 2010, and
are based on our own observations as well as input from various members of staff
involved in the training.



We hope that our recommendations are useful and look forward to further
opportunities to share our knowledge and experience, and begin our journey to
achieve our mission.




Maureen Mullings




                                                                                        3
Recommendation 1:

Increase Strength and Stamina of all staff

Observations

      Some staff were unable to correctly and safely manoeuvre a carry chair with a
       person seated in the chair

Recommendations:

      Introduce continual fitness tests to ascertain who is capable of undertaking
       certain types of work
      Incorporate gym equipment in stations
      Subsidised gym membership for staff



Recommendation 2:

Improve and update living quarters within fire stations

Observations

      Living quarters within some fire stations appeared not to have been updated
       for a while

Recommendations:

      Create a “standard of living” test to assess the condition of existing living
       quarters
      Produce a policy to continually assess the suitability of living quarters



Recommendation 3:

Invest monies to increase number of accredited Paramedics and EMP’s

Observations

      Lack of adequate number of Paramedics and Emergency Medical
       Practitioners

Recommendations:

      Introduce accredited programmes to increase number of paramedics and
       EMP’s to ensure that there is always at least one accredited member of staff
       on duty at all times in all districts
      Basic life support training given to all staff

                                                                                       4
Recommendation 4:

Health and Safety Legislation to be drafted and implemented

Observations

       No Legislation exists to ensure the safety of people in the workplace

Recommendations:

       Health and Safety legislation needs to be created by Government to ensure
        that manual handling throughout all types of manual jobs within the private
        and public sector are protected
       Legislation needs to incorporate the following;
           o The requirement that all employers provide, as far as it is reasonably
               practicable a healthy and safe workplace
           o A requirement to take care of all other persons visiting the workplace
           o Requirement that all employees take reasonable precautions for the
               safety of themselves and others
           o Make a provision for the appointment of union representation or
               employee safety representatives
       The Regulations provided by legislation should take on the following practical
        forms;
           o Asses risk
           o Implement controls to reduce those at risk
           o Educate and train workers
           o Provide personal protection
           o Evaluating continued risk via an incident reporting process



Recommendation 5:

Boost the profile of the Fire Service

Observations

       Fire Service are being used for non emergency call outs
       Public unsure when and when not to use an emergency ambulance

Recommendations:

       Introduce a campaign to educate the general public of when and when not to
        use emergency services. This can be done via all media; internet, television,
        radio etc.


                                                                                        5
      Non profit subsidiary setup to assist the local community and give advice on
       manual handing i.e. open days; visiting local hospitals and work places at a
       reasonable fee. All monies go back into training and getting facilities or
       equipment for the fire service



Recommendation 6:

Mandatory servicing of equipment

Observations

      All equipment should be in working order and ready to use in an emergency

Recommendations:

      Carry chairs have to be serviced every 6 months
      Any damage or issues with chairs to be appropriately reported to SLCHAP
       immediately
      All equipment should have a record of servicing history



Recommendation 7:

Mandatory manual handling training for all staff

Observations

      Back injuries already affecting some members of staff.

Recommendations:

      The Fire service staff to have yearly mandatory manual moving and handling
       training.



Recommendation 8:

Increase external sources of income for the Fire Service

Observations

      Opportunity to increase income from other sources

Recommendations:

      Create a penalty system for hotels that incorrectly use emergency services


                                                                                      6
   Liaise with taxi drivers/companies to create an accredited scheme that allows
    accredited drivers to be dispatched for non emergency callouts – i.e.
    transporting discharged patients to their residence.
        o Accredited scheme would generate income from membership fees
        o Drivers would require basic life support training and manual handling
           training (could be included with membership fee)




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