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REGIONAL DISTRICT OF CENTRAL KOOTENAY
POOL SAFETY PLAN
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Table of Contents
Risk Assessment... 4
Progressive Re-Opening ... 4
Employee Health and Hygiene ... 5
Employee Illness ... 5
Personal Hygiene ... 5
Make Space ... 5
Environmental Modification ... 6
Personal Protective Equipment ... 6
Facility Admissions and Access ... 7
Admissions ... 7 Patron Flow... 7 Occupancy Limits ... 10 Programming ... 10 General ... 10 Equipment ... 11 Lane/Lap Swim ... 11 Aquafit ... 11 Swimming Lessons ... 11 Aquatic Sports ... 12
Cleaning and Sanitation ... 12
Cleaning Products ... 12
Schedule ... 13
Safe Water Management ... 13
Aquatic Staff Training ... 13
COVID-19 Updates ... 14
Rescue Ready Assessment ... 14
Training Plan ... 14
COVID-19 Decision Tree ... 15
COVID-19 Resuscitation and First Aid from Lifesaving Society ... 16
COVID 19 – Resuscitation ... 16
CPR for drowning victim – mitigating risk ... 16
CPR for drowning victim – procedure (2 Guards) ... 17
CPR for a non-drowning victim – mitigating risk ... 17
CPR for a non-drowning victim – procedure (2 guards) ... 17
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In-Water Rescue Procedures ... 18
Assessment & Treatment ... 18
Respiratory Hygiene Measures for Victims ... 18
First Aid for Children & Minors ... 18
Administering First Aid – procedures ... 18
COVID-19 Guidelines for all in water rescues (SPINAL, DNS, SEIZURE, SUBMERGED) ... 19
Resources ... 20
Appendix A – Risk Assessment ... 21
APPENDIX B – Job Hazard Assessment ... 25
APPENDIX C – Worker Review of Site Safe Work Plans Sign-off ... 28
Appendix D – WSBC Selecting and Using Masks ... 29
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Risk Assessment
Aquatics Facilities, along with any place of employment and public access, are required to limit the number of individuals attending at one time. Restrictions will be in place and strictly enforced for admissions to facility, flow of traffic, usage of space, personal hygiene practices, number of participants, physical distance, personal protection, specific times for specific programs, signing in and out for contact tracing and reduced hours of operation.
Lifeguards will be stationed using a roving pattern to optimize direct supervision and physical distance from other team members and patrons. Lifeguard Rescue Equipment will be individual wherever possible and enhanced disinfection and cleaning where appropriate.
All regulations, guidelines and recommendations will be strictly adhered to.
Appendix A: Risk Assessment and Mitigation (Regional District of Central Kootenay, WSBC, LSS, BCRPA, RHA).
Progressive Re-Opening
The Nelson and District Community Complex can positively impact the community and the surrounding areas. Safely and progressively increasing community programming has many benefits including social, physical and emotional wellbeing within our communities while promoting health and safety education. Many healthcare professionals have sent clients to our facility for the therapeutic properties of water and the benefits of supported and supervised safe physical activities. Sport, Leisure, Education and Therapy can resume within the Aquatics Facility under the guidelines and recommendations outlined by provincial governing bodies. The Nelson and District Community Complex provides an important service to the entire community. Through online and in-person training Aquatic Professionals can ensure water safety skills are reaching all communities within the Regional District of Central Kootenay.
Water Safety Education and Lifesaving Training decrease the risk of water related injuries and fatalities. Lifesaving Society BC/Yukon and BCRPA have outlined clear and concise documents with a consistent phased approach to returning operations within the aquatics industry in British Columbia. Red Cross Canada has released an official document for resuming water safety education during this pandemic. BCRPA, WorkSafeBC, Provincial Health Authorities and BCCDC have all been working together to outline how, as a province, to move forward in a way that promotes worker and public safety while opening different sectors of industry.
Each stage in our progressive reopening will provide the Aquatics Team and the public time to become educated in our updated operations.
Activity Type Stage 1 Stage 2 Stage 3 Stage 4
Pre-booked Lap Lanes X X X X
Pre-booked Family Swim X X X X
Pre-booked Swim Clubs X X X X
Pre-booked Bubble Swim Rental X X X X
Pre-booked Lessons
Pre-booked Aquafit X X X
Pre-booked Private Lesson X X X
Pre-booked Parent & Child Lessons X X X
Pre-booked Public Swim X X
Pre-booked Birthday Party Booking
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Employee Health and Hygiene
Employee Illness
1. If an employee is ill or presents with any symptoms consistent with cold, influenza or COVID-19, even if symptoms are mild, they must remain at home, and contact their family physician/primary care provider or Health Link BC at 8-1-1.
2. If while at work, an employee starts experiencing symptoms of respiratory illness consistent with COVID-19, even if symptoms are mild, ask the employee to don a mask, to leave work immediately, to go straight home, and to contact their a family physician/primary care provider or Health Link BC at 8-1-1 for further guidance.
3. Ensure that objects and surfaces touched by sick employees who have gone home are cleaned and disinfected before being used by others.
4. If an employee has a COVID-19 diagnosis, the local public health department will identify any co-workers who may have been exposed to the sick employee.
5. The employer and employees should be reassured that if they haven’t been contacted by public health then there is no issue or concern that was identified by public health. (RHA Tips).
Personal Hygiene
1. Avoid physical greetings such as handshakes, high fives and hugs.
2. Employees must wash their hands with soap and water at the start and end of their shift, before eating, after returning from a break, and when hands are visibly soiled.
3. Hand sanitizing using an alcohol-based hand sanitizer should also be practiced frequently throughout the day, especially after touching people or their belongings.
4. Employees must practice good hygiene throughout their shift including proper hand hygiene and cough/sneeze etiquette.
5. Employees must avoid touching their face without washing hands first and after. (RHA) 6. There should be no sharing of equipment without cleaning and disinfecting between users.
7. Employees must wash their hands when arriving and leaving the aquatic facility, and before and after: a. Eating
b. Breaks c. Smoking
d. Blowing one’s nose, coughing, or sneezing e. Going to the toilet
f. Being in contact with animals or pets g. Using shared equipment (e.g. rescue tubes)
h. Providing routine care for another person who needs assistance (LSS)
Make Space
1. Physical distancing of 2 meters is enforced between employees. 2. Break times will be staggered to avoid close contact in close spaces.
3. Events and meetings that require close contact are prohibited; rather use telephone or online communication.
6 | P a g e 4. Consistent work teams or pods will be utilized whenever possible to avoid increasing the number of
interactions.
5. Personal items and clothing brought in by staff must be kept to a minimum. When staff must bring in items they should be stored separately (in employee lockers) with adequate space between individuals’ items.
6. Staff should change clothes before and after their shift.
a. Remove work clothes and/or bathing suit at the end of the shift. b. Used items should be placed in a bag until cleaned.
c. Clean clothing using laundry soap and hot water.
7. Personal items need to be taken home at the end of the shift and their locker is cleaned. 8. Employee visitors are strongly discouraged. (RHA/LSS/WSBC).
Environmental Modification
1. Changing Roomsa. The Change rooms will be Closed with limit of one Universal rest room open; patrons are encouraged to, use the rest room prior to arrival, and arrive in their swim suit.
b. Showers will be available on the pool deck to use prior to entering the pool 2. Pool Deck
a. 1 Chair, 1 Bin, and One Hook will be provided at marked locations for each Patron to remove and store personal items and clothing.
b. All unnecessary equipment and furniture are removed to increase the availability of physical space around the pool deck.
c. Equipment will be provided individually and cleaned and sanitized after every use.
d. Lifeguard roving patterns will be marked 2 meters away for public relations. (LSS, WSBC, BCRPA)
Personal Protective Equipment
1. Patrons are required to wear non-medical masks as soon as they enter the facility a. Moving throughout the facility
b. Until they Enter the Water and as soon as they exit
2. Personal protective equipment (face shield, gloves & goggles) for employees conducting regular pool maintenance duties are not mandatory unless normally required for safety reasons (e.g. when handling pool chemicals).
3. The use of non-medical masks may help prevent the risk of transmission from the wearer. a. Reusable and disposable non-medical masks are provided for Employees. 4. Employees are required to wear non-medical masks in all common spaces
5. Employees must be aware of the following:
a. Masks can become contaminated on the outside when touched by hands so employees should avoid touching or adjusting them often.
b. Masks that become wet, soiled, or damaged are less effective and must be replaced immediately. c. Masks must be put on and taken off correctly, including not touching the front of the mask, and
washing hands.
d. Cloth masks must be washed every day using the warmest water setting and stored in a clean dry place to prevent contamination.
7 | P a g e e. Never share masks with others.
6. PPE recommendations vary and are dependant on the duties being performed in the workplace. Choose appropriate PPE for each task.
7. When using PPE follow all WHO, WSBC and Pool Safety Plan procedures. 8. Each Lifeguard will have their own personal Fanny Pack.
a. Gloves b. Scissors c. Goggles
d. 2 Disposable Cloth Masks in a Zip Loc
Facility Admissions and Access
Admissions
1. At the entrance, signs are installed to inform patrons that:
a. Patrons must not enter if they suspect they have COVID-19 or if they have any of the known COVID-19 symptoms.
b. Patrons must maintain physical distance of 2 meters from other patrons and staff. c. Face Coverings are required indoors
d. On arrival, patrons must wash their hands with soap and water or use hand sanitizer. e. Avoid aquatic facilities if patrons are at high-risk of COVID-19 contraction or severe illness. f. Patrons will be screened for common symptoms of COVID-19. Entrance will only be permitted if
symptom free.
g. If patrons present any symptoms while in attendance at the aquatic center, they will be given a disposable mask and asked to vacate the facility.
2. A reservation system and swim time limitations are in place to avoid crowd gathering and wait times. 3. Admission fees and payments must be completed online through the registration system prior to your
scheduled swim.
Patron Flow
1. Patron movement through the facility will be directed by staff and clearly marked by signage and directional markers.
2. Arriving 5 min before activity will be permitted.
a. Visual markers will be spaced 2M apart to await entrance.
3. Entrance will be through the double glass doors leading from the lobby to the pool deck. a. Once patrons enter, they will be directed to a designated spot to place their belongings.
• 2-4 meters away from others’ items.
• Patrons must shower on the pool deck if they have not showered at home. 4. Exit will be through Hot Tub Door
a. Patrons will be directed to their belongings and encouraged to change then leave the facility and shower at home.
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Occupancy Limits
SPACE
DEPARTMENT
OCCUPANCY
WORKSAFE BC GUIDELINES
OCCUPANCY
NDCC PREFERED OCCUPANCYMain Floor/Administration Area Capacity ADM 40 40
Administrative Assistant’s Office ADM 1 1
Aquatic Programmer’s Office ADM 1 1
CSR 3 Office ADM 1 1
Elevator ADM 1 1
Front Desk Area ADM 3 3
Lobby ADM 17 17
Manager’s Office ADM 1 1
Staff Room ADM 2 2
Upper Multi-purpose Room (Programmer Events &
Seasonal Programs Office) ADM 10 10
Vestibule ADM 4 4
Washroom – Lobby (staff washroom) ADM 1 1
Washroom – Upper Multi-purpose Room ADM 1 1
SPACE
DEPARTMENT
OCCUPANCY
WORKSAFE BC GUIDELINES
OCCUPANCY
NDCC PREFERED OCCUPANCYAquatic Centre Total Capacity AQU 50 50
Pool Change Room – Men’s AQU 13 13
Pool Change Room – Universal AQU 17 17
Pool Change Room – Women’s AQU 16 16
Pool Guard Room/Office AQU 2 2
Pool Guard Room/Break Room AQU 4 4
Pool Lobby AQU 15 15
Pool Lobby Custodial Closet AQU 1 1
Pool Mechanical Room & Facility Operator’s Office AQU 5 5
Pool Multi-purpose Room AQU 5 5
Pool Storage Room AQU 9 9
Pool Wet Hallway AQU 7 7
*Staff spaces can have higher occupancy when a non-medical mask is worn by all within the space when 2m physical distancing cannot be maintained.
1.
Maximum Bather Load will be based on 5
m²of surface water space.
a. Hot Areas will remain closed until further notice.
Programming
General
11 | P a g e 2. Do not allow entry to anyone with symptoms or who has been in contact with someone with symptoms. 3. Encourage swimmers to bring their own PFD and training equipment.
4. Patrons must take a cleansing shower prior to entering pool. 5. Use the designated space reserved for you or your household.
6. Encourage swimmers to wash hands often, to cover a sneeze or cough and throw away tissues as soon as used.
7. Swimmers must wear a cloth or disposable face mask when on deck except for swimming in the water. 8. Programmers will organize activities to encourage physical distancing.
9. Patrons in need of physical assistance due to limitations should receive help from a family member or person within their “bubble”.
10. Patrons are encouraged to arrive no more than 5 minutes before their scheduled activity.
11. After the activity patrons are required to collect their belongings and vacate the facility immediately.
Equipment
1. Bring Your own and do not share training equipment, kickboard, pull buoy or personal flotation device (PFD).
2. The use of snorkels is prohibited.
3. Users are prohibited from spitting or blowing nose in the water. 4. Participants should not share water bottles, goggles, or towels.
a. The use of goggles is strongly encouraged to reduce mucus contamination.
Lane/Lap Swim
1. Circle Swimming Clockwise, no overtaking, maintain a distance of 2 metres between swimmers and keep ends of lanes free.
2. Three double lanes will be utilized.
Aquafit
1. Participants must always maintain 2m of physical distance.
2. Equipment used will be left in the pool water for 5 minutes after use. a. Both side will need to sit in the water.
b. Either submerge or flip over buoyant equipment. c. Leave in designated storage space to dry overnight.
d. Patrons at risk of severe illness are encouraged to stay home. • Patrons over 65
• People that live in a nursing or assisted living facility • People with underlying medical conditions
Swimming Lessons
1. Swim Lessons will progressively restart in stages 2 and 3 of RDCK’s Aquatic restart plan.
2. Parent participation may be required for all lessons. If parent participation is required, a swim assessment may be necessary.
3. Lessons will be taught by an Instructor from the pool deck unless an in-water demonstration is required. 4. Each class/lesson will have a designated zone to place their belongings with physical distance being
12 | P a g e 5. Participants will have registered through online or over the phone registration and be given specific
attendance times and days in the same way programs were arranged prior to COVID considerations. 6. Each participant will use assigned equipment. There will be no sharing.
a. After each session the equipment will be disinfected by the Lifeguard/Instructors
Aquatic Sports
1. Organizations must present a plan in accordance with ViaSport and have approval from the Manager of Recreation or designate before booking pool time. The plan should establish guidelines for the spatial, temporal and physical organization of a swimming pool, making it possible to comply with the rules of physical distancing while presenting an overall vision of the development and movement of individuals.
Cleaning and Sanitation
The risk of exposure to cleaning staff is inherently low, however cleaning staff should wear disposable gloves and appropriate PPE based on WHMIS and SDS sheets for all cleaning tasks, including handling trash. PPE should be removed carefully to avoid contamination of the wearer and surrounding area. Work uniforms should be washed after each shift.
Surfaces frequently touched by hands are most likely to be contaminated. These include doorknobs, handrails, light switches, cabinet handles, faucet handles, tables, countertops, and electronics. These areas are high priority cleaning areas within the facility.
Nelson and District Community Complex has updated a detailed cleaning and maintenance log which includes where, what, and how often cleaning is occurring. Log sheets are in fillable PDF and are signed off by employees each time cleaning occurs.
The cleaning schedule will be posted in public access space to inform patrons of the Aquatic Centers COVID-19 mitigation efforts.
Cleaning Products
1. Follow manufacturer’s instructions when using disinfectants.
2. All employees required to clean will receive the appropriate training before returning to operations with patrons in attendance.
3. Rescue Equipment (rescue tube, rescue can, rescue pole, ring buoys)
a. Clean and disinfect rescue equipment at the end of the day or during an exchange between lifeguards
b. After cleaning, leave the rescue equipment immersed in the water during disinfection 4. Training Accessories:
a. Clean and disinfect training accessories after use by a bather or daily
b. After cleaning, leave the rescue equipment immersed in the water during disinfection and store to dry overnight
5. Personal Flotation Devices (PFDs):
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Schedule
The following is the cleaning schedule for the high touch areas. All of these areas will also be cleaned once the pool is closed each evening.
Where Frequency
Bathrooms Every two hours
Door knobs Every two hours
Hand rails Every two hours
Ladders Every two hours
Slide ladders Every two hours
Light switches Every two hours
Tables Every two hours
Faucets Every two hours
Electronics Between users
Computer / work station Between users
What Frequency
Rescue
Equip Between users
Recreational Toys Between users
PFD’s Between users
Lesson Equipment Between users
FA/PP Equipment Between users
Safe Water Management
The management of safe water is imperative during viral outbreaks like COVID-19. We know through the work of the United States Centers for Disease Control and Prevention that: “There is no evidence that COVID-19 can be spread to humans through the water. Proper operation, maintenance, and disinfection (with chlorine or bromine) of pools should kill COVID-19.”
To ensure the disease is killed in swimming pool water, aquatic facility operators should ensure water testing takes place as required by regulation or more frequently if required by protocols established by the facility. Owner/operators should ensure their swimming pool water testing meets or exceeds the requirement of the Regulation or Guidelines.
Free Available Chlorine (FAC) levels should be carefully maintained at levels recommended by regulation or provincial guidelines. Operators may choose to enhance disinfection levels by raising levels above minimum until the COVID-19 virus is no longer present in the community. The control of other variables in the swimming pool water will ensure disinfection is effective. Careful monitoring of pH, Total Alkalinity, Calcium Hardness and Cyanuric Acid levels will enhance water quality.
Aquatic Staff Training
Lifeguards at the NDCC Aquatic Center will need high levels of training. Due to the high risk of physical contact enhanced PPE will be required while cleaning, lifeguarding, and performing rescues. Lifesaving Society will be supplying Trainers and Instructors with skills videos, on-line material, in-service models to ensure professional
14 | P a g e training within the entire aquatics industry. Lifeguard / Instructors will need 12-16 hours training minimum to return to operations. On-line and In-Person training with small groups will take place. Lifeguard / Instructors will work in teams, or Pods, whenever possible to decrease the amount of social contacts within the work force.
COVID-19 Updates
As new information is presented, staff will be updated regularly on new Covid-19 protocols. RDCK will work diligently to provide the most accurate and timely information on Covid-19 to patrons and staff.
Rescue Ready Assessment
All returning Lifeguards will be required to complete the Rescue Ready Assessment to have scheduled Lifeguard/Instructor shifts. After returning from an extended absence from duty Lifeguards are required to show successful performance of rescues. If unsuccessful, employees will be given the opportunity to practice skills as per the training plan, to meet the demands of operation in a timely manner agreed upon.
1. Object recovery: starting in the water, swim 15m and surface dive to recover a 20lb object; surface and carry object 5m.
2. Demonstrate anaerobic fitness: starting in the water, swim 50m head-up.
3. Demonstrate endurance and strength: starting in the water, swim to recover a submerged manikin located 25m away; carry the manikin 25m.
4. 400 Metre Swim in a time of no more than 10 minutes. *Limit person-to-person contact.
Training Plan
Team building and trust will be invaluable during this time of heightened risk and restrictions. Open lines of communication, transparency, advanced training, and increased education will be what dissipates fear within our aquatics team. When our team is strong and confident that will carry over and influence public perception in a positive way. Communicating to the public our coordinated Regional District of Central Kootenay Restart and the phased opening plan of Aquatic Facilities will ensure a safe and sustainable start to our facility. All training will be documented and signed by all involved.
1. Online Training sessions will be: a. Staff Safety (All staff)
b. Facility Admission & Access (All)
c. Updated Policy and Procedure to include COVID Changes (All) d. Aquatic Programming (All)
e. Disinfection (All)
f. Safety Education (Lifeguards)
g. Rescue-Ready Assessment (Lifeguards) h. Safety Supervision Zones (Lifeguards)
i. Lifeguard Personal Protective Equipment (Lifeguards)
j. First Aid Procedures (Lifeguards)
k. Staff Awards (Lifeguards)
15 | P a g e 2. In Person, small group settings:
a. Rescue Ready Assessment (Lifeguards) b. PPE (All)
c. First Aid Procedures (Lifeguards) d. Cleaning Procedures (All)
e. Review all new Policy and Procedures (All)
COVID-19 Decision Tree
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COVID-19 Resuscitation and First Aid from Lifesaving Society
COVID 19 – Resuscitation
In consideration of rescuer safety, many rescuer training organizations are recommending a shift in resuscitation procedures to compression-only CPR. As drowning is a hypoxic event, delay in ventilation increases the likelihood that the victim’s condition will deteriorate, or they may not survive. Drowning is considered a “special circumstance” where ventilations should be prioritized to positively affect victim outcome.
CPR for drowning victim – mitigating risk
• Lifeguards will don gloves as soon as possible in every first aid scenario • Lifeguards will not attempt in water rescue breaths
17 | P a g e • Lifeguards will use a BVM with a viral Filter during CPR. One Lifeguard will perform Compressions while
the other will seal the BVM and deliver Ventilations.
• Ventilations using a BVM are prioritized to positively affect victim outcome
CPR for drowning victim – procedure (2 Guards)
• First guard will whistle, signal and then enter the water to retrieve victim from pool basin • Second guard will initiate clearing the pool, provide backup and assist with victim removal.
• Where not needed in the water second guard will get focal point dry bags and don COVID19 PPE. Both lifeguards will need to dry off and don COVID-19 PPE before continuing with victim care
• The first lifeguard in PPE will assess the victim and yell for another facility staff member or bystander to call 911 and bring the AED to the scene
• Both guards will begin the CPR procedure for a drowning victim – starting with 2 BVM ventilations followed by 30 compressions
• Lifeguard at the head of the victim will keep the BVM sealed to the victims face throughout the procedure with the exceptions of inserting an OPA and turning the victims face to the side for drainage
• AED will be prioritized after its arrival. During AED use the victims face will be covered with a pocket mask with head strap attached
CPR for a non-drowning victim – mitigating risk
• Lifeguards will don gloves as soon as possible in every first aid scenario
• Lifeguards will use a BVM with a viral filter during CPR. One lifeguard will perform compressions while the other will seal the BVM and deliver ventilations
• When the BVM is not immediately available lifeguard compressions may begin with the victims face lightly covered by a protective covering such as clothing or a towel to reduce vapors escaping from the victim’s mouth and nose during compressions
CPR for a non-drowning victim – procedure (2 guards)
• First guard will whistle, signal and then approach the victim for assessment • Second guard will initiate clearing the pool, and get the focal point dry bags.
• First guard when finding the victim to be non-breathing will immediately begin compression only CPR with the victims face lightly covered by a towel or light clothing
• Second guard will don COVID-19 PPE before supporting the first guard with victim care.
• The second guard while dressing will yell for another facility staff member or bystander to ensure 911 is called and AED is brought to the scene.
• When the second guard is dressed in Covid-19 PPE they will take over compression only CPR and the first guard will dress in PPE
• Once both lifeguards are dressed they will start CPR with BVM ventilations
• Lifeguard at the head of the victim will keep the BVM sealed to the victims face throughout the procedure with the exceptions of inserting an OPA and turning the victims face to the side for drainage
• AED will be prioritized after its arrival. During AED use the victims face will be covered with a pocket mask with head strap attached
Mitigating Risk of Infection When Administering First Aid
18 | P a g e • Maintain physical distancing (2M) whenever possible
• Minimize number of people in direct contact with victim • Victims should be encouraged to wear a mask if tolerated
• Discard or disinfect all protective equipment after the rescue and wash hands
In-Water Rescue Procedures
Rescuers should consider the use of non-contact rescue where appropriate.
• Prior to entering water rescuers should remove any face covering being worn • Approach victim to avoid face-to-face proximity
• Minimize the number of rescuers who have direct contact with victim
• At focal point provide a dry container including hand sanitizer, PPE for two rescuers, a victim & bystander • After rescue practice hand hygiene, shower with soap, change clothes, bag clothes during rescue and
wash
• Disinfect all PPE & rescue equipment used
Assessment & Treatment
• Scene & Risk Assessment a. Ensure scene is safe
b. Minimize number of rescuers in contact with victim c. Where possible maintain 2M physical distancing
d. Don appropriate PPE for rescuers, victim, and bystander
e. Victim health history - COVID-19 infection obtain from victim, caregiver or bystanders etc. i. If history indicates positive or suspected COVID-19, call EMS
f. Mechanism of Injury • Primary Assessment
a. ABCs b. EMS
c. Treat for shock
d. Preparing for transport
• Secondary Assessment - promote self-treatment or treatment by a family member
a. Vital Signs - if possible, take vital signs from a distance (e.g. skin colour, breathing check) b. History
c. Head to Toe Exam & Treatment
Respirato
ry Hygiene Measures for Victims
• Offer facemask to all victims• Ensure all victims cover their nose and mouth with a tissue or elbow when coughing or sneezing
First Aid for Children & Minors
• Whenever possible initiate first aid for children and minors by asking parents or caregivers to provide care • Provide appropriate PPE, facemasks, gloves
Administering First Aid – procedures
Due to the nature of COVID-19 as an aerosol transmitted pathogen, first aid procedures are categorized into two categories, low risk and high risk. High risk procedures include all treatments that generate aerosols while
19 | P a g e procedures that do not generate aerosols fall under the low risk category. Lifeguards will don PPE in accordance with the level of risk they encounter.
High risk procedures are as follows:
• Chest compressions • Ventilations
• High flow 02 (over 5 lpm) • Abdominal thrusts/back blows
All lifeguards within 2 metres of a victim must don appropriate PPE for high risk procedures.
The use of high flow 02 is considered high risk because it generates aerosols. It should be reserved for: • Victims who need resuscitation
• Children and infant victims • Drowning victims
First aid procedures can further be divided into no contact and direct contact categories. Lifeguards are encouraged to practice critical thinking and effective scene assessments to decide if direct contact with the victim is necessary.
No contact procedure
• Lifeguard stays 2 metres from the victim • Visual and verbal victim assessment • Lifeguard gives first aid supplies to victim
• Victim (or caregiver) administers the first aid treatment under the lifeguards guidance • Lifeguard fills in minor form
Direct contact procedure
• Visual and verbal assessment of victim calls for direct contact • Lifeguard dons appropriate PPE
• Lifeguard completes assessment of victim • Lifeguard treats victim
• Lifeguard fills in minor form
COVID-19 Guidelines for all in water rescues (SPINAL, DNS, SEIZURE, SUBMERGED)
Lifeguards should consider the use of noncontact rescue when appropriate.
•
Lifeguards must remove any face coverings being worn before entering the water
•
Whenever possible lifeguards should approach from behind the victim to avoid face to face
proximity
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•
Lifeguard teams will minimize the number of rescuers who have direct contact with the victim
•
When possible the third guard (not wet and not providing backup to the guard in the water) will
take the lead during first aid and resuscitation as they will be the fastest to don COVID19 PPE.
•
COVID-19 PPE will be located at all focal points. COVID-19 dry bags will contain an adult BVM,
OPA’s, Gloves, Face shield, Hand Sanitizer, and an N95 mask
•
After each rescue all lifeguards will shower with soap, change their clothing and bag the clothing
that was worn during the rescue to be washed at home.
•
Equipment used during the rescue will be disinfected or disposed of.
•
The Centre for Disease Control and Prevention (CDC) recommends a 1;10 dilution ratio for
household bleach or a 1:20 ratio for commercial sodium hypochlorite to disinfect PPE and then
let air dry. 1-10-minute contact time is recommended.
Resources
Appendix A: Risk Assessment Appendix B: Job Hazard Assessment
Appendix C: Worker Review of Site Safe Work Plans Sign-off Appendix D: WSBC Selecting and Using Masks
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Appendix A – Risk Assessment
As required by WorkSafeBC (WSBC) and in accordance with orders issued by the office of the Provincial Health Officer, the Regional District Central Kootenay (RDCK) has developed a corporate COVID-19 Exposure Control Plan (ECP). As per the ECP as we start to reopen each department needs to complete their own risk assessment for activities as the RDCK starts to resume operations following work interruptions related to COVID-19.
Complete the attached document in order to develop a plan and ensure safe operations for the public and RDCK during this pandemic. The risk assessment will identify the risks related to COVID-19 and outline the protocols (or controls) that will be put in place to address those risks to RDCK employees and the public.
The hierarchy of protocols that should be followed is displayed in the following graphic (WSBC, COVID-19 Safety Plan document, 05/17/20):
Additional examples of protocols include: • Ensuring 2 meter physical distancing by:
o Limiting the number of people in an area (employees and public) o Staggered public schedules: start/end times
o Control of traffic flow
o Re-arranging room designs, tables in lobby or waiting rooms, etc. o Re-organizing work tasks
o Use of signage
o Use of alternate entries and exists
• Use of physical barriers or partitions (include cleaning of barriers in cleaning protocols) • Use of PPE
• Hand washing facilities and sanitizing supplies • CDC Cleaning and sanitizing protocols
Recreation Department: Nelson and District Aquatic Department Rec Activity: Office Use
Date: 09/24/2020
22 | P a g e Identify the potential risks related to COVID-19 that are present for your recreation activity and the protocols that will be put in place to minimize these risks.
1. Potential Risk:
Exposure through being in close proximity to other
employees Protocols to be implemented (if required):
A. Identify locations where employees gather (break rooms, meeting rooms, rest rooms, etc.):
1) Aquatic Control Room (Head Guard Office)
2) Aquatics Room (Old Lifeguard Room)
3) Hallways/Lobby
• Maximum two staff in office (2m apart) • Sanitizing/Disinfecting of all touch surfaces • Scheduling to reduce cross-over
• Minimize gathering in this area
• Sanitizing/Disinfecting of all touch surfaces • Keep to opposite sides of hallways
• Recommend installation of lines/Signs on floor
B. Identify job tasks and processes where workers are close to one another: 1) Administrative/Office Work 2) Aquafit Instructor Gathering Equipment/Supplies from Office
3) First Aid Treatment – Staff to Staff
• Maximum two staff in office (2m apart) • Sanitizing/Disinfecting of all touch surfaces • Scheduling to reduce cross-over
• Maximum two staff in office (2m apart) • Sanitizing/Disinfecting of all touch surfaces • Scheduling to reduce cross-over
• Follow WorkSafeBC Recommendations on first aid in the workplace. Attached
2. Potential Risk:
Exposure through contact with rental equipment,
supplies, tools, machinery Protocols to be implemented (if required):
A. Identify rental equipment, supplies, tools, machinery and equipment that workers share while working:
1) General Office Supplies
2) Printer/Scanner 3) First Aid Supplies
• Minimize/Eliminate the need to share by creating two separate workstations
• Sanitizing/Disinfecting of all touch surfaces • Sanitizing/Disinfecting of all touch surfaces • Supply appropriate PPE alongside first aid
equipment and supplies
• Sanitizing/Disinfecting of all touch surfaces 3. Potential Risk:
Exposure through interaction with / being in close
23 | P a g e A. Identify job functions and processes where workers are in close proximity to members of the public:
1) Interaction with public in Pool lobby; entrance; movement through facility
2) Use of Washroom Facilities 3) Providing First Aid
• Maintain physical distancing • Utilizing appropriate PPE measures • Traffic movement signage for public
• Ensure staff utilize staff washroom only • Follow Lifesaving Society guidelines attached.
B. Identify what functions may be exchanged during these job tasks and processes:
1) Possible document and/or
communication exchange •• Utilize digital formats when possible Follow RDCK mail quarantine procedures • Utilize appropriate PPE measures
4. Potential Risk:
Exposure through contact with “high-touch” surfaces Protocols to be implemented (if required):
A. Identify surfaces that people touch often (handrail, doorknobs, light switches, etc.): 1) Door Knobs/Light Switches 2) Control Panel 3) IPad 4) Computer/Desk Surfaces 5) Printer/Scanner
• Sanitizing/Disinfecting of all touch surfaces • Washing Hands Often
• Sanitizer provided at all entrances/exits • Sanitizing/Disinfecting of all touch surfaces • Washing Hands Often
• Sanitizing/Disinfecting of all touch surfaces • Washing Hands Often
5. Other Potential Risks:
___________________________________ Protocols to be implemented (if required):
1) •
Attach a drawing or floor plan showing travel directions for activities: Spacing Guide
• 2 metre minimum distance between people • 2-5 metre radius per person for active activities Access pathways, Entrances, Exits, Spaces
Administrative controls such as markings on the ground and signage can be used to remind patrons and staff to be courteous and allow for physical distancing.
24 | P a g e • If one-way direction is not possible, consider signage to emphasize that the person coming into the
space make way for the person leaving by stepping aside and turning away.
Department Manager Signature: ______________________________ Date: ____________________
25 | P a g e
APPENDIX B – Job Hazard Assessment
Aquatic Centre
Hazard Type Hazards Control R 1 Owner Date
Complete
1 COVID-19 exposure Sick unwell public members
Unclean surfaces All RDCK employees must participant in the RDCK COVID-19 training Review COVID-19 risk assessment for your worksite Keep 2 meters or 6 ft. distance from public or wear a
mask if unable to maintain distance Use hand sanitizer on-site
Wear gloves when touching high risk surface Post signage on-site RE: physical distancing Follow guidelines and training from Lifesaving Society
when performing first aid to public. See pg 45 COVID-19 Decision Tree for First Aid
M AN RDCK Start of work & Annually
2 Personal Protective Equipment
(PPE) Chemical Exposure COVID-19 Infection Injuries
Wear PPE as per SDS’s & SWP’s when performing cleaning duties
Wear PPE as per Lifesaving Society guidelines when performing first aid. See pg46 Lifeguard Personal Protective Equipment
Follow SWP’s as per training. If additional training is required on safe work procedures, it is the responsibility of staff to request it from Head Lifeguard or designate
H AN RDCK Start of work & Annually
3 Lifting and carrying heavy objects Musculoskeletal injuries Employees should be encouraged not carry more that
50lbs for any length of time without assistance Employee should adequately warm body up for up 5
minutes prior to doing any strenuous activities
M AN RDCK Start of work & Annually
4 Working alone or in Isolations Injuries No worker shall be working alone or in Isolation any
time without activating the RDCK working alone agency Nelson Fire Rescue
1-888-352-3103
H AN RDCK Start of work & Annually
5 Violence Verbal or physical assault
Personal injuries All RDCK employees must complete . violence prevention awareness training - All employee shall understand basic de-escalation skills - Employees shall report any verbal or
physical violence experienced on worksites immediately to their Supervisor
H AN RDCK Start of work & Annually
6 Sharps / Needles Puncture wounds
Overdoes Poisoning
Prior to opening Aquatic Centre, employee should walk around pool deck, change rooms, hall way and pool viewing area looking for any broken glass, sharps, or other hazards, etc.
M AN RDCK Start of work & Annually
26 | P a g e If a needle or sharp is discovered, ribbon off area until
safe removal of sharps is possible.
7 Incident Reporting Injuries to workers
Injuries to the public Seek first aid if required Report all incidents to your supervisor L AN RDCK
Start of work & Annually
8 Working near open water Falls onto open edges Employee are advised to stand back 2 meters from any
rivers or creeks without a PDF
M AN RDCK Start of work & Annually
9 Public drowning emergencies Fatalities Call 911
Do not enter the water as instructed by your employer L AN RDCK
Start of work & Annually
10 Fires Damage to building or property Call 911 M AN RDCK Start of work &
Annually
11 Cleaning garbage and litter Cuts to hands Wear gloves when picking up litter L AN RDCK Start of work &
Annually
12 Slips/trips Work environment includes working on uneven
surfaces that may be wet or covered with water – compromised footing
Workers should always plan their next step and be aware of surroundings at all times, including proper footwear to address any slippery conditions. Adequate footwear must be wear to provide toe
protections, flips flops are not acceptable
L AN RDCK Start of work & Annually
13 First Aid Equipment & Supplies Injuries All Lifeguards must hold a current NL, SFA, CPRC and
must complete AMOA fast track for lifeguards All Lifeguards must be familiarized with the first aid kit,
equipment, and PPE kit at focal point
All Lifeguards must review COIVD-19 protocol for patients
Lifeguards will required a COVID-19 PPE grab bag including face mask or N-95, a face shield, gown, gloves, viral filter on pocket mask
The street address or location should be noted for quick reference in the event of emergency situation occurs
M AN RDCK Start of work & Annually
14 Emergency Rescue Nearest hospital All Aquatic Staff must participate in staff reorientation
guidelines
There will always be back up available during all operational hours
Aquatic Staff are expected to perform rescues as per their scope of practice
M AN RDCK Start of work & Annually
15 Fatigue Fatigue may increase potential dangers during
work Workers are to: Arrive at work well rested and prepared for shift Take micro breaks when feeling fatigued off deck. Stay hydrated and eat throughout the day.
L AN RDCK Start of work & Annually
16 Fires Damage to personal property Report any fires to 911 immediately
Notify your supervisor
L AN RDCK Start of work & Annually
17 Heat / Cold stress Hypothermia potential if workers are wet and cold for
extended periods of time Workers are to: Dress in layers and bring extra clothing so that attire can be adjusted throughout the day as required.
M AN RDCK Start of work & Annually
27 | P a g e High temperature may cause heat exhaustion or
dehydration Proper hydration and nutrition are essential Any worker that shows signs of hypo/hyperthermia should immediately be given First Aid.
18 Drinking water Dehydration Employee are advise to bring their own non-glass water
bottles to work. Filling stations are available
M AN RDCK Start of work & Annually
19 Training Under qualified for task
Personal injuries Completion of the RDCK young and new worker orientation Review of any specific safe work procedure (Working
alone, violence, emergency response plans) WHMIS
All required certifications are current and up to date
M AN RDCK Start of work & Annually
20 Motor Vehicle Safety
Daily travel to and from site Transportation to site via highway
access
Travel on public roads exposes trucks to the hazards of other vehicles
Weather conditions influence road and travel conditions
Potential interaction with wildlife while driving
Vehicles should be inspected daily to ensure they are in proper working condition to travel on the roads When traveling in summer conditions, vehicles should be
properly equipped for all road hazards, including proper tires, roadside emergency kit, winter windshield washer fluid, etc.
Follow RDCK vehicle operation guidelines
H AN RDCK Start of work & Annually
28 | P a g e
APPENDIX C – Worker Review of Site Safe Work Plans Sign-off
29 | P a g e
Appendix D – WSBC Selecting and Using Masks
30 | P a g e
