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HOUSE OF REPRESENTATIVES             H.C.R. NO.            H.D. 1
TWENTIETH LEGISLATURE, 1999                                S.D. 1
STATE OF HAWAII                                            
                                                             
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                     HOUSE  CONCURRENT
                        RESOLUTION
REQUESTING THE DEPARTMENT OF HUMAN SERVICES TO ADOPT INFANT AND
   CHILD CARDIOPULMONARY RESUSCITATION, RESPIRATORY
   RESUSCITATION, AND FIRST AID TRAINING IN THEIR
   ADMINISTRATIVE RULES GOVERNING LICENSURE AND REGISTRATION OF
   CHILD CARE PROVIDERS. 


 1       WHEREAS, injuries are one of the leading causes of death
 2   and disability in children, and annual pediatric injuries
 3   account for approximately 25,000 deaths, 600,000 hospital
 4   admissions, and 16 million emergency department visits; and
 5   
 6       WHEREAS, even in safe environments children can get hurt,
 7   and the extent of injury can be minimized and death may be
 8   prevented by the actions of a trained caregiver; and  
 9   
10       WHEREAS, 32 states and/or territories require that child
11   care providers be trained and certified in cardiopulmonary
12   resuscitation (CPR) as a pre-service requirement or within the
13   first year of licensure, mandating a current valid certificate
14   to be maintained thereafter; and 
15   
16       WHEREAS, in cities such as Seattle, WA, and Rochester, MN,
17   early access to emergency medical services, early CPR, and
18   early defibrillation have dramatically increased survival rates
19   of cardiac arrest victims; and
20   
21       WHEREAS, unlike sudden, primary cardiac arrest, respiratory
22   or circulatory failure which progresses to cardiopulmonary
23   failure, culminating in pulseless cardiac arrest is more common
24   in young children; and
25   
26       WHEREAS, when prompt resuscitation is provided, the
27   survival rate for children suffering respiratory arrest exceeds
28   50 percent and most patients survive neurologically intact; and
29   
30       WHEREAS, training like the American Heart Association's
31   Pediatric Basic Life Support course, the American Red Cross'
32   Infant and Child CPR course, or the Queen's Medical Center's
33   Totsaver CPR classes, which take an average of six hours to
34   complete, provides caregivers with the knowledge of CPR and

 
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                                  H.C.R. NO.            H.D. 1
                                                        S.D. 1
                                                        

 
 1   other tips to provide the safest possible environment for young
 2   children; and
 3   
 4       WHEREAS, the Department of Human Services (DHS) already
 5   requires at least one person on the premises of a child care
 6   facility or care home to be trained and certified in first aid;
 7   now, therefore, 
 8   
 9       BE IT RESOLVED by the House of Representatives of the
10   Twentieth Legislature of the State of Hawaii, Regular Session
11   of 1999, the Senate concurring, that DHS is requested to
12   include infant and child CPR, respiratory resuscitation, and
13   first aid training in DHS's administrative rules governing
14   licensure and registration for all childcare providers; and
15   
16       BE IT FURTHER RESOLVED that DHS is urged to fashion its
17   administrative rules regarding infant and child CPR and first
18   aid training after the American Heart Association's curriculum;
19   and
20   
21       BE IT FURTHER RESOLVED that DHS is urged to set a ratio
22   that requires a sufficient number of persons who are trained
23   and certified in CPR, respiratory resuscitation, and first aid
24   to be on the premises of a child care facility in relation to
25   the number of children; and
26   
27       BE IT FURTHER RESOLVED that DHS is urged to submit its
28   amended administrative rules to the Legislature at least twenty
29   days prior to the convening of DHS's first scheduled public
30   hearing; and
31   
32       BE IT FURTHER RESOLVED that a certified copy of this
33   Concurrent Resolution be transmitted to the Director of Human
34   Services.