Secondly, an ambulance should be called for anyone who ingests any chemicals from the unlocked cupboard.
Thirdly, anyone who falls down the stairs without the handrail should have an ambulance called for them as they may have serious head, neck, or spinal injuries.
Next, any children who get splinters from the wooden toy box should be taken to A&E immediately, as the splinter could become septic.
Then, anyone who falls over due to the magazines on the floor should be taken to A&E or have an ambulance called for them, depending on the severity of the fall.
Lastly, the people using the fabric seats should use anti-bacterial hand sanitizer to clean their hands and ensure they are not passing on any bacteria, viruses, or diseases that they may have picked up from the seats.
MAKE AREA SAFE:
To minimise the blocked fire exit hazard, the table should be moved and regularly checked by all staff that all the fire exits are unblocked by obstacles and/or clutter, and all the fire exits are clearly marked.
To reduce this risk, the cupboard should be kept shut and locked at all times when there is a possibility of children around (only opened after the waiting room is closed and the cleaners are cleaning).
To minimise the hazard of falling down the stairs, a clearly visible handrail on either side of the staircase should be put in place at an appropriate height, so that people can hold on as they walk down the stairs. The staff should also ensure that the staircase is well-lit, have slip-resistant surfaces, and are free from any obstacles that people could possibly trip over. Warning signs could also be displayed to alert people that they are approaching a staircase, and to keep the staircase clear.
To minimise the toy box hazard, the box should be varnished or painted with non-toxic paint to make the edges smooth and unable to splinter children; alternatively, the toy box could be replaced with one made from a more suitable material, such as plastic, to prevent any risk of splinters whatsoever.
To minimise the risk of the magazines, the staff should regularly check that no magazines have fallen/been left on the floor, and pick up any that have. They should also buy a magazine rack instead of having they just placed on top of a table, so that they can be stacked up and less likely to be knocked over.
To minimise the risk of contamination from the seats, the seats should be replaced with materials that you can wipe and sanitize easily, such as plastic leather-look material, then the staff could easily spray the seats with anti-bacterial sanitizer and wipe them.
TREATMENT PRIORITIES AND OUTLINE:
Firstly, the table with the magazines on should be moved as, in a fire, it would seriously slow down the evacuation of the building, possibly causing deaths. The staff that have been trained in Manual Handling Operations Regulations should do the moving, and another member of staff should supervise this to ensure no one is in the way when it is being moved and that it is being moved properly.
Secondly, an ambulance should be called for anyone who ingests any chemicals from the unlocked cupboard. Any clothing or jewellery contaminated by the chemical should be removed. If the chemical is on the skin, the skin should be rinsed under cool, running water for 10 to 20 minutes. A first aider should then cover the area with a loose, dry, sterile dressing or a clean cloth if the dressing is not available.
Thirdly, anyone who falls down the stairs without the handrail should be taken to A&E or have an ambulance called for them, depending on the severity of the fall. The person could have concussion from falling and should be taken to hospital immediately as the symptoms of concussions sometimes take a while to appear. If the person cannot easily stand up on their own, they should not be moved, in case any neck or spinal injuries are worsened, and an ambulance should be called.
Next, any children who get splinters from the wooden toy box should go to the first aider who may be able to remove the splinter if it is minor, and then the wound would be sterilised. If the splinter cannot be removed then the child should be taken to A&E immediately, as the splinter could become septic if not treated properly, where they would either remove it surgically or treat it so that the risk of infection is minimised.
Then, anyone who falls over due to the magazines on the floor should be taken to A&E or have an ambulance called for them, depending on the severity of the fall. If they are okay to stand up off of the floor and move on their own, they should be sat in a chair and put as little weight as possible on the injured areas, and have ice applied to any injuries. If necessary, they should be taken to hospital to have their injuries looked at properly. If the person cannot easily stand up on their own, they should not be moved, in case any neck or spinal injuries are worsened, and an ambulance should be called.
Lastly, the people using the fabric seats should use anti-bacterial hand sanitizer to clean their hands and ensure they are not passing on any bacteria, viruses, or diseases that they may have picked up from the seats. The seats or seat material should be changed as soon as possible to material that can be cleaned easily, and hygiene and contamination training should be given to staff as soon as possible, and posters should be put up to encourage people to use the hand sanitizer provided.
An ambulance and fire engine would be required in the event of a fire to help people out of the building past the table blocking the exit, and to treat anyone injured because of this blockage.
A first aider and an ambulance would be required for anyone who comes into contact with the chemicals in the cupboard.
An ambulance and a first aider would be required for anyone who has fallen down the stairs.
The child who has a splinter’s parents would need to come and take the child away from the toy boy and request the help of a first aider to help with the splinter, or take the child to hospital where doctors and nurses
An ambulance or first aider would be required for anyone who has fallen over on the magazines on the floor, depending on the severity of the fall/injury.
Doctor’s would be needed if there was an outbreak of a virus or bacteria in the doctor’s surgery due to the dirtiness of the fabric chairs, then the manager of the surgery would need to buy new chairs made from easily-cleanable material, e.g. plastic or leather.
WAYS TO MAINTAIN RESPECT AND DIGNITY:
The people/person who has been hurt in the fire from being prevented from exiting the building should be treated in the ambulance(s) so that people are not looking or crowding around them, and so they don’t feel embarrassed.
The person who has come into contact with the chemicals should have their dignity and respect maintained; the person treating/helping them should discourage people crowding around the patient as this could cause anxiety for the person and could be embarrassing knowing everyone is staring at them.
The person who has fallen down the stairs should not be moved in case any injuries are worsened, therefore members of staff should close the doors that are usually open and let people in the waiting room see the stairs, and tell people to use the lift, so to stop people looking at the patient and crowding around.
The child who has got the splinter should be taken to a separate room to be looked at, especially if the splinter is in a place where their clothes have to be removed, so as to maintain their dignity and respect them.
The person who has fallen over on the magazines on the floor should be covered by a blanket if their falling position has caused any of their clothing to expose their body, to preserve their dignity and privacy, and a couple of staff members should sit with them to help try and cover the person from the view of people in the waiting room until help arrives.
The people who have been infecting with any viruses or bacteria from the chairs should have their condition kept private from other people in the surgery, and taken to another room, or hospital, to be treated.
All of the staff should undergo fire safety training, and have a follow up of this training twice a year, to ensure they are all up to date. All obstacles that could cause obstruction to fire exits should be moved completely out of the way.
All the hazardous chemicals in the cupboard should have a lock placed on the cupboard and only people who need to use the chemicals should have access to this lock. A senior member of staff should regularly check this cupboard, that it is locked and safe. The staff should receive training in how to deal with minor injuries from these chemicals, for example chemical burns, and how to store these chemicals properly. This training should be repeated every year.
The person responsible for the building health and safety should be informed of the dangerousness of the lack of hand rail on the stairs, and they should hire someone immediately to come and install handrails on all the stairs in the building.
The toy box should be replaced with one of suitable material, for example non-toxic plastic and a member of staff should be appointed to regularly heck there are no cracks, breakages etc. that could cause injury to a child using the toy box.
The table with the magazines on, that the magazines keep falling off of, should have a magazine rack installed and a sign up to encourage people to put the magazines back on the rack once they have finished with them. A member of staff should also regularly check that there are no obstacles on the floor that could cause a fall.
The chairs should be replaced with chairs of suitable, cleanable material, and hand sanitizer dispensers should be placed around the whole surgery and signs up to encourage people to sanitize their hands regularly.