Company paramedic
Paramedics work primarily in large companies, on large construction sites and in factories with a special hazard potential . There they are responsible for the care of sick and injured people and carry out extended first aid measures until the rescue service or emergency doctor arrives . They are subordinate to the company security and equated with the healing assistants in mining .
Field of activity
Company paramedics are paramedics with special, extended training in order to be able to help the company doctor or the subsequent rescue service in carrying out necessary life-saving measures. You thus participate in the company medical service .
In-house paramedics should take care of minor injuries independently, clean and disinfect company rescue equipment and check that the first aid material is properly stored. You are responsible for managing first aid stations in companies and on construction sites and, in this context, also register all incidents relating to operational accidents and illnesses.
Difference between company paramedic and paramedic
Paramedics, paramedics and emergency paramedics go through a much more extensive (emergency) medical training, but the organization and deployment patterns of the rescue personnel and the company medical service are very different.
Mission pictures
In companies, internal emergency symptoms (e.g. heart attack , stroke ) are to be expected, but the deployment picture often presents itself as simple surgical assistance (e.g. wound care and eye rinsing).
organization
There are also considerable differences due to the different organization of operations. In the rescue service, there is always a qualified team of at least two people. In contrast to this, a company paramedic is usually the only qualified person at a deployment site who, in the best case scenario , is supported by company first aiders.
For this reason, the training is also a bit different. For example, operational sequences (algorithms) for rescue specialists are trained in teams of two, while in the company paramedic training the focus is on "one-helper activity".
Furthermore, there are many company-specific features that are only marginally addressed in the training of rescue specialists - if at all. In particular, cooperation with the company doctor (e.g. preventive medical check-ups) and trade association regulations (e.g. creating and forwarding accident reports) should be mentioned here.
Company paramedics in different countries
Germany
Legal basis
The Seventh Book of the Social Code authorizes the statutory accident insurance , accident prevention regulations to adopt. According to § 15 paragraph 1 number 5 SGB VII, these accident prevention regulations should also include measures taken by the company to ensure effective first aid. Since 2014, the accident prevention regulation DGUV regulation 1 "Principles of Prevention" has been gradually put into effect by the statutory accident insurance providers. It replaces the previous trade association regulation BGV A1 of 2009 and the regulation of the accident insurance fund GUV-V A 1 of 2004. The DGUV regulation 1 combines the regulations on company paramedics in its § 27.
At least one company paramedic is required in production facilities with
- more than 1500 employed insured persons present,
- more than 250 employed insured persons present, if the nature, severity and number of accidents so require,
- more than 100 employed insured persons present on construction sites.
The commercial employees are also to be included here.
The entrepreneur may only use persons as company paramedics who have been trained by a body authorized by the statutory accident insurance providers and who have taken part in basic training and advanced training. The DGUV Principle 304-002 "Training and advanced training for the company medical service" from 2016 regulates the details.
education
The training to become an in-house paramedic includes a 63-hour basic course followed by a 32-hour advanced course specifically for company medical services. There are also - depending on the training center - compact courses of 95 hours each, which combine both partial courses. Afterwards, a further training course totaling 16 hours (divisible) is required at least every three years . Education and training may only take place at specially authorized bodies. The hours indicated are minimum numbers of hours. The company paramedic is not a training occupation, but merely a qualification measure.
Basic training
Entry requirements:
- Minimum age 18 years (old regulation)
- Secondary school leaving certificate (old regulation)
- Training for first aid providers or participate in the first aid training (à nine teaching units) within the last two years
Contents of the basic training:
- Procedure in (emergency) use
- Disorders of consciousness, breathing and circulation
- revival
- Care of accidents
- Acute internal medicine emergencies, poisoning
- Thermal emergencies
- Poisoning
- Infectious diseases
- Rescue and transport
- Legal basis of the company paramedic
The course is held in accordance with the guideline of the German Social Accident Insurance "Training and further training for the company medical service" - DGUV Principle 304-002 from September 2016 (63-hour training). This course is intended to enable the participant to collect both theoretical and practical basic knowledge in the field of emergency medicine . This basic knowledge must be proven by a theoretical and practical test. According to today's legal understanding, the successful completion of this course, supplemented by a 32-hour advanced course, is adequate training for company paramedics. They are able to manage the first aid station of a company or a construction site with sole responsibility and to assist the company doctor or the emergency doctor.
Advanced course
Entry requirements:
- Minimum age 18 years (old regulation)
- Secondary school leaving certificate (old regulation)
- Basic training as a company paramedic within the last two years or regular work as a company paramedic. Equivalent training (e.g. rescue worker, paramedic, assistant, emergency paramedic, nurse, etc.) is recognized.
- Training for first aid providers or participate in the first aid training (à nine teaching units) within the last two years
Contents of the advanced course:
- Duties of the company paramedic
- Statutory accident insurance
- Legal bases
- Protective and security measures
- Accidents with hazardous substances
- Hygiene in the company
- Handling equipment and material in the company medical service
- Practical training / case studies
- Handling of special first aid material
The course is held in accordance with the guideline of the German Social Accident Insurance "Training and advanced training for company medical services" - DGUV Principle 304-002 from September 2016 (32-hour training). This course is intended to enable the participant to expand his theoretical as well as practical basic knowledge in the field of operational emergency medicine. The skills learned must be proven by a theoretical and practical test. This training enables the company paramedic to take sole responsibility for managing a first aid station in a company or a construction site and to assist the company doctor or the emergency doctor.
implementation
How a company implements these regulations depends on the one hand on the general business policy (own employees vs. "outsourcing"), on the other hand, of course, economic factors also play a role.
So it can make sense to have the company medical service / rescue service supervised by a possibly existing plant fire brigade or by your own occupational medical service, to employ your own company paramedics or to outsource such tasks from the actual operational process ("outsourcing"). A corresponding decision always depends on the individual case and cannot be answered fundamentally.
bibliography
- Principles of prevention. (BGV A1)
- Trade association rules "Principles of Prevention". (BGR A1)
- Trade association information "First aid in the company". (BGI 509)
Individual evidence
- ↑ DGUV regulation 1 , November 2013, pp. 18-19, document server of the German Statutory Accident Insurance , accessed on July 1, 2019.
- ↑ DGUV Principle 304-002 , September 2016, document server of the German Social Accident Insurance , accessed on July 1, 2019.
- ↑ BGG / GUV-G 949 (status 2011) of the DGUV ( Memento from July 24, 2015 in the Internet Archive )
- ↑ DGUV (2015): Revision of First Aid Education and Training
- ↑ DGUV Principle 304-002 , September 2016, Appendix 1, pages 23-27, document server of the German Statutory Accident Insurance , accessed on July 1, 2019.
- ↑ drk.de Retrieved January 26, 2019.
- ↑ DGUV Principle 304-002 , September 2016, Appendix 2, Pages 28-30, document server of the German Statutory Accident Insurance , accessed on July 1, 2019.