Hydraulic Fluid Injection Medical Protocol

• Conducted on

  Date

• Prepared by

• Location
  Address

• Any person (whether employee or contractor or visitor) receiving fluid injected under the skin, no matter how small, during the course of their work is required to follow the procedure listed below.

Step 1:

• The employee should, if possible, make the area safe to prevent other employees from also receiving a fluid injected injury.

• First Aid treatment given on site, would consist of gentle cleaning of the injured part.

• Immobilize and elevate the affected limb to a comfortable position.

• Rest the patient to avoid anxiety.

• The patient should NOT be given food or fluids as they must remain fasted in anticipation of anesthesia and surgery being required.

Step 2:

• Transport the Team Member to the closest Medical Facility.

• Attach/Request from your HSE Department the following documents and provide copies to the medical professionals (if applicable). This will form the INFORMATION KIT.

• 1. Dear Doctor Letter

• 2. Contact information for closest 3 hand surgeons to applicable site

• 3. Material Safety Data Sheet of the fluid involved (hydraulic oil safety data sheet.)

Step 3:

• The employees must not be left alone or allowed to drive themselves to the medical facility.

• Repeat baseline observation every 20-30 minutes, especially if suspicious of systemic infection (into blood stream).

Step 4:

• Upon arriving at the hospital, the employee should report that “I’m an employee of Terex at (location) where I received a fluid injection injury about XX minutes ago. I’m here for a medical assessment.”

Step 5:

• When the doctor arrives, the employee should hand over the INFORMATION KIT for the doctor’s information and assessment.

• A medical check of the injury will be performed. If considered necessary, the doctor may require the person to be admitted for observation or surgery if required. The medical facility should then advise the injured employee’s family of the situation.

Step 6:

• If following the medical examination and investigations, the patient is not admitted they will be driven back to work.

Step 7:

• Upon arrival back at work, the person should report to their Manager of the results of the investigation.

DEAR DOCTOR LETTER

• Dear Doctor,

• The patient (enter name below) you are assessing has a fluid injection injury.

• He/she received a fluid (oil) injection injury at:

  Date

• Terex Policy requires our employees to have a medical assessment to check for any medical complications regarding this incident

• Their baseline observations at:

  Date

• Pulse:

• Blood pressure:

• Temperature:

• He/she is escalating:

• 1. Patients employer: Terex Omagh, 6 Gillygooly Rd, Omagh BT78 5PN, UK, +44 28 8241 8700

• 2. Employer Point of Contact (Individuals Line Manager):

• 3. Contact Information for closest Accident & Emergency:

• 4. Contact Information for at least ONE Local Hand Surgeon:

• Ms Lynn Wilson - Department of Trauma & Orthopaedics, Craigavon Area Hospital. Secretary: Joanne Winter, 028 37562136

• Mr Timothy Doyle - Department of Trauma & Orthopaedics, Craigavon Area Hospital 07387 811192 / mrdoylepractice@icloud.com

• 5. HSE site management/coordinators: +44 28 8241 8700