Date: 11 September 2017 Reviewed Annually

Transcription

1 FIRST AID Policy Date: 11 September 2017 Reviewed Annually A member of the Griffin Schools Trust Page 1 of 24

2 Contents 1. Introduction Responsibilities The Employer The Head of School Employees First Aid Coordinator First Aiders Selection of First Aiders Qualifications and Training Payment for First Aiders... Error! Bookmark not defined. 6. Current First Aiders When you need first aid During the school day After school, at weekends, during school holidays and on staff development days First aid equipment, materials and facilities Contents of a first aid container Travelling first aid containers Minibuses and public service vehicles First aid accommodation First Aid for off-site trips and visits Reporting Accidents and Record Keeping School s central record Statutory requirements Adrenaline Pen Management and Administration Asthma Management and Inhaler Administration Medicines in Schools Appendix A Accident report form Appendix B head injury advice sheet Appendix C Incident reporting in schools (accidents, diseases and dangerous occurrences) Appendix D Care plan for the emergency management of allergic reaction Appendix E Individual Healthcare Plan Appendix F School Asthma Card Appendix G Medicines in School Appendix H - Flow charts - Student unwell, Medical Emergency 25 A member of the Griffin Schools Trust Page 2 of 24

3 1. Introduction 1.1 This policy is designed to promote the health, safety and wellbeing of students, staff and visitors to Stantonbury Campus through the provision of trained first aiders and first aid equipment in accordance with the requirements of The Health and Safety (First Aid) Regulations First aid must be provided to any person to whom we owe a duty of care if they are injured or become ill whilst on our premises or involved in an off-site activity. There must be sufficient suitably qualified first aiders and adequate first aid facilities to ensure that assistance will be provided quickly to casualties and a call made to the emergency services when appropriate. 1.3 First aid should be provided where a person will need medical treatment until help arrives and for the treatment of minor injuries. First aid does not include giving tablets or medicines to treat illness. The only exception to this is where aspirin is used as first aid to a casualty with a suspected heart attack in accordance with currently accepted first aid practice. 1.4 First aid is provided to: Preserve life Limit the effects of the condition and Promote recovery 2. Responsibilities The Griffin Schools Trust is the employer for Stantonbury Campus. Health and safety legislation places duties on employers for the health and safety of their employees and anyone else on the premises. In schools, this includes responsibility for all staff, students and visitors (including contractors). 2.1 The Employer It is the responsibility of the employer to: establish the first aid need by risk assessment, including: o the number of trained first aiders o numbers and locations of first aid containers o arrangements for off-site activities/trips o out of school hours arrangements eg lettings, parents evenings and school performances The risk assessment should be carried out by a competent person and should be regularly reassessed (at least annually and particularly after any changes) to ensure the provision is adequate identify suitable employees who are willing to undertake first aid training, annual refresher training and requalification training provide adequate first aid equipment and facilities inform employees of how to get first aid (including ensuring new staff are told about first aid arrangements) ensure insurance arrangements provide full cover for claims arising from actions of staff acting within the scope of their employment ensure that the statutory requirements for provision of first aiders are met, that appropriate training is provided and that correct procedures are followed Page 3 of 24

4 review procedures regularly to ensure they are fit for purpose and effective ensure that any training has given staff sufficient understanding, confidence and expertise 2.2 The Head of School The Head of School is responsible for putting this policy into practice and for developing detailed procedures. Additionally they are responsible for informing all staff and students (including those with reading and language difficulties) of the first aid arrangements. This should include the location of equipment, facilities and first aid personnel, and the procedures for monitoring and reviewing the school s first aid needs. The Head of School should also ensure that parents are aware of the school s health and safety policy, including arrangements for first aid. The Head of School may delegate operational responsibility to other staff. 2.3 Employees It is the responsibility of all employees (both teaching and non-teaching) to: Read and familiarise themselves with the First Aid policy and associated documents and to follow the procedures as set out within the policy and associated documents To regularly refer to the medical information of students in their classes/extra-curricular clubs/revision sessions and any other scheduled group/meeting. This information can be found in each student s record within Bromcom. In addition, where an Individual Healthcare Plan (IHP) is in place (see appendix E), teachers and classroom based staff must familiarise themselves with the information contained within, as this information can be vital to ensure that the school is fulfilling its duty to support students with medical conditions Teachers conditions of employment do not including giving first aid, although any member of staff may volunteer to undertake these tasks. Teachers and other staff in charge of students are expected to use their best endeavours at all times, particularly in emergencies, to secure the welfare of the students at the school in the same way that parents might be expected to act towards their children. In general, the consequences of taking no action are likely to be more serious than those of trying to assist in an emergency. 2.4 First Aid Coordinator It is the responsibility of the First Aid Coordinator to: Keep an up-to-date list of qualified first aiders. Make first aiders aware of when their first aid qualifications are due to expire and provide them with information regarding requalification. Give first aiders the opportunity to attend annual refresher training. Maintain the first aid rota. Ensure that Student Services staff are aware of what to do when a request for first aid is received, and what to do if a request for an ambulance or other professional help is received. Organise annual training for staff, eg in the use of adrenaline pens. Page 4 of 24

5 2.5 First Aiders The main duties of first aiders include: Giving immediate help to casualties with common injuries or illness and those arising from specific hazards at the school When necessary, ensuring that an ambulance or other professional help is called (usually this would be via Student Services on extension 4411/radio channel 1 or 2 or call Lead First aider on 4441). Completing an accident report form and handing it in to Student Services for all instances where they have given first aid treatment or advice or hand it to the lead First aider situated in the medical room in the Progress room. (see Appendix A). If the casualty is an employee, ensuring their line manager is notified of the incident Contacting parents/carers of students who have received first aid treatment or advice. Where appropriate this can be via a note in the student s planner; however parents/carers must be contacted by phone for all head injuries, suspected fractures, burns or anything which requires onwards care. Ensuring that any casualty suffering a head injury, no matter how minor, is given a head injury advice sheet (see appendix B) and, in the case of students, ascertaining that the casualty will be accompanied all the way home and, if not, doing everything possible to ensure the student has a way of contacting the emergency services. Informing the relevant Student Support Leader or Lead First Aider if a student has been injured as a result of a fight (whether suspected or confirmed). This must be whilst the student is still with the first aider, unless the student is in need of urgent medical attention, in which case Student Support should be advised as soon as possible thereafter. Restocking first aid containers if any supplies have been used. First aid does not include giving tablets or medicines to treat illness. The only exception to this is where aspirin is used as first aid to a casualty with a suspected heart attack in accordance with currently accepted first-aid practice (please note that the Campus does not keep any stock of aspirin). 3. Selection of First Aiders We have a Lead First Aider situated in the medical room, in the Progress Centre and an on call First aid rota with associate staff. We have a first aider in Student Servicers. Unless first aid cover is part of a member of staff s contract of employment, staff who agree to become a first aider do so on a voluntary basis. When selecting first aiders, the Head of School should consider each individual s: Reliability and communication skills. Aptitude and ability to absorb new knowledge and learn new skills. Ability to cope with stressful and physically demanding emergency procedures. Normal duties; first aiders must be able to leave immediately to go to an emergency. 4. Qualifications and Training A first aider must hold a valid certificate of competence, issued by an organisation whose training and qualifications are approved by the HSE. The school s preferred First Aid training provider is St John Ambulance. Page 5 of 24

6 Any first aider included on the first aid rota or located in a specified area must hold the First Aid at Work certificate. 5. Current First Aiders The list of current first aiders can be found on SharePoint under Policies, Health and Safety, Shared Documents. 6. When you need first aid. We have two flow charts, which clearly show all staff what to do in the following situations: A student unwell Medical emergency See Appendix I If the student is able the student should go to the medical room for first aid. IF AN EMERGENCY OR THE STUDENT IS UNABLE TO GO TO THE MEDICAL ROOM, First aid can be requested on 4441 (Medical Room) or 4411(Student Services to request an on call first aider). 6.1 During the school day First aid can be requested as stated above, additionally, first aid kits are available from the following locations: Upper Level ADT between U4 and U3a. Upper Level Science Prep Room between U10/U12. Upper Level Food Prep/Cooking Area. Activities ADT Ground Floor opposite B4 Student Services (near Main Reception) G2 Staff room ground floor G1 Staff room Cooksey Staff Room P1 Staff room D1 Staff room. For incidents in PE/Sports lessons, First Aid must be provided by the Leisure Centre and requested Via Student Services on 4411 or Radio channel 1 or After school, at weekends, during school holidays and on staff development days Stantonbury Campus Leisure Centre will provide first aid for Stantonbury Campus outside of normal school hours. First aid can be requested by calling extension 4411 ( ) / extension 3542 ( ) or by going to the Leisure Centre Main Reception. 7. First aid equipment, materials and facilities Employers must provide the proper materials, equipment and facilities for first aid at all times. First aid equipment must be clearly labelled, easily accessible and appropriately refreshed. Page 6 of 24

7 Every employer should provide at least one fully stocked first aid container for each site. The assessment of a school s first aid needs should include the number of first aid containers. Additional first aid containers will be needed for split sites/levels, distant sport fields or playgrounds and other high risk areas and off-site activities. All first aid containers must be marked with a white cross on a green background. The siting of first aid containers is a crucial element in the school s policy and should be given careful consideration. If possible, first aid containers should be kept near to hand-washing facilities. All first aid containers must be: Maintained in a good condition Suitable for the purpose of keeping the items referred to below in good condition Readily available for use Prominently marked as a first aid container 7.1 Contents of a first aid container The HSE recommends that, where there is no special risk identified, a minimum provision of first aid items would be: A leaflet giving general advice on first aid Twenty individually wrapped sterile adhesive dressings (assorted sizes) Two sterile eye pads Four individually wrapped triangular bandages (preferably sterile) Six safety pins Six medium size (approx. 12cm x 12cm) individually wrapped sterile un-medicated wound dressings Two large (approx. 18cm x 18cm) individually wrapped sterile un-medicated wound dressings One pair of disposable gloves Equivalent or additional items are acceptable 7.2 Travelling first aid containers Before undertaking any off-site activities, the Head of School should ensure that the level of first aid provision is assessed. The HSE recommends that, where there is no special risk identified, a minimum stock of first aid items for travelling first aid containers is: A leaflet giving general advice on first aid Six individually wrapped sterile adhesive dressings Two individually wrapped triangular bandages (preferably sterile) Two safety pins One large (approx. 18cm x 18cm) individually wrapped sterile unmedicated wound dressings Individually wrapped moist cleansing wipes One pair of disposable gloves Equivalent or additional items are acceptable. Additional items may be necessary for specialised activities. 7.3 Minibuses and public service vehicles Transport regulations require that all minibuses and public service vehicles used either as an express carriage or contract carriage have on board a first aid container with the following items: Page 7 of 24

8 Ten antiseptic wipes, foil packaged One conforming disposable bandage (not less than 7.5cms wide) Two triangular bandages One packet of 24 assorted adhesive dressings Three large sterile un medicated ambulance dressings (not less than 15cm x 20cm) Two sterile eye pads with attachments Twelve assorted safety pins One pair of rustless blunt-ended scissors It is the responsibility of the minibus driver to ensure that the minibus first aid container is present, is fully stocked and is in a good condition. 7.4 First aid accommodation Employers must provide suitable and sufficient accommodation for first aid according to the assessment of first aid needs identified. The Education (School Premises) Regulations 1996 require every school to have a suitable room that can be used for medical or dental treatment when required and for the care of students during school hours. The area, which must contain a washbasin and be reasonably near to a WC, need not be solely used for medical purposes but it should be appropriate for that purpose and be readily available for use when needed. The school s medical room is located in the Progress Centre. 8. First Aid for off-site trips and visits The first aid requirements for all off-site trips and visits should be identified through risk assessment. This must include: - The number of first aiders required The level of first aider certification required (Emergency First Aid / First Aid at Work / other) The number and minimum size of first aid kits 9. Reporting Accidents and Record Keeping 9.1 School s central record Schools should keep a record of any first aid treatment given by first aiders and appointed persons. This should include: The date, time and place of the incident The name (and tutor group) of the injured or ill person Details of the injury/illness and what first aid was given What happened to the person immediately afterwards (eg went home, resumed normal duties, went back to class, went to hospital) Name and signature of the first aider or person dealing with the incident This information can: Help the school identify accident trends and possible areas for improvement in the control of health and safety risks Be used for reference in future first aid needs assessments Be helpful for insurance and investigative purposes Page 8 of 24

9 9.2 Statutory requirements Under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR), some accidents must be reported to the HSE. Most incidents that happen in school or on school trips do not need to be reported. The Head of School has overall responsibility for meeting the requirements listed under The employer must keep a record of any reportable injury, disease or dangerous occurrence. This record can be combined with other accident reports but must include: The date and method of reporting The date, time and place of the event Personal details of those involved A brief description of the nature of the event or disease. The following accidents must be reported to HSE if they injure either the school s employees during an activity connected with work, or self-employed people while working on premises: Accidents resulting in death or major injury (including as a result of physical violence) Accidents which prevent the injured person from doing their normal work for more than three days (including as a result of acts of physical violence) See Appendix C 10. Adrenaline Pen Management and Administration A number of our students have severe allergies, such as allergy to peanuts, and have been prescribed with adrenaline pens. This information will be recorded in the student s health background section in Bromcom. These students and their parents/carers are invited to meet with a designated member of staff to complete a care plan for the emergency management of allergic reaction (see Appendix D). The students are encouraged to carry one adrenaline pen with them at all times and to provide a second adrenaline pen for the school to look after and use in the case of an emergency. When an adrenaline pen is provided to the school, it is clearly labelled with the student s name and placed in a clearly marked container which includes the student s care plan. They are stored in an unlocked cupboard in the conference room off main reception area so that they can be accessed quickly when needed. Training is provided on an annual basis to key groups of staff including: First Aiders Teachers of students who have adrenaline pens Any other members of staff where a need has been identified The training is also open to any other members of staff who are available to attend one of the training sessions. If it is believed that a student may be suffering a severe allergic reaction, staff must stay with the student and get another member of staff or a reliable student to request a first aider urgently on r Ensure the student s name and their current location is given during this call and state they are suffering a severe allergic reaction. Until the first aider arrives, any member of staff who has in-date training in the use of adrenaline pens can administer the adrenaline pen if needed. The student might be able to administer the adrenaline pen themselves. Where a second adrenaline pen is available, ensure it is collected Page 9 of 24

10 and ready to use. When an adrenaline pen has been administered, an ambulance MUST be called and the used adrenaline pen(s) should be given to the paramedics. 11. Asthma Management and Inhaler Administration Asthma is the most common chronic condition, affecting one in eleven children. On average, there are two or three children with asthma in every classroom in the UK and there are over 25,000 children admitted to hospital each year because of their asthma. Students should carry their own asthma reliever inhaler with them and use it to treat symptoms and also in the event of an asthma attack. The school keeps a stock of spare inhalers for use in an emergency but parents have to have signed the appropriate approval form if they are happy for these to be used for their child. It is the responsibility of the parent/carer to ensure that the inhaler is in-date. Parents are invited to meet with a designated member of staff to complete an Individual Healthcare Plan / School Asthma Card (see appendices E and F). If you think a student is suffering an asthma attack, call 4441 or 4411 immediately to request a first aider. 12. Medicines in Schools 1. Parents/carers must inform the school of any medication that their child needs to take whilst in school. Medicines should only be taken into school when essential; that is where it would be detrimental to the student s health if the medicine were not administered during the school day. It is noted that medicines which need to be taken three times a day could be taken before school, after school and at bedtime. 2. Only emergency medications such as asthma reliever inhalers, adrenaline pens and insulin may be carried by students. Parents/carers should inform the school of this need by completing the form Record of Student Given Permission to Carry Own Medicine available on our website and from Student Services. 3. For any non-emergency medication such as pain relief, antibiotics, antihistamine and controlled drugs, parents/carers should come in to school with the medication and complete the form Parental agreement for school to administer or supervise selfadministration of prescribed medication. 4. Non-prescribed medicines such as paracetamol, ibuprofen and antihistamine are not allowed to be carried by students. The school is unable to administer or supervise selfadministration of non-prescribed medicines. See Appendix G APPROVAL Policy prepared by: Approved by Michelle Newman, Head of School Revision date: September Page 10 of 24

11 Appendix A Accident report form ACCIDENT REPORT FORM PLEASE RETURN TO STUDENT SERVICES (school incidents) OR LEISURE CENTRE RECEPTION (non-school incidents) ON THE SAME /NEXT DAY Section 1 Is this incident an: Accident Injury Illness Casualty s details: If accident, was this caused by a failure e.g. trip hazard / faulty equipment? Name: Yes No Date of birth: Male Female Is the casualty a: Student Tutor Group: Staff member Visitor Tel: Address: Mobile: Section 2 - complete for accidents only Postcode: Accident details: Date of accident: Time of accident: Please ensure that any hazard is removed if safe to do so, or reported urgently Where on campus did the accident occur: (room/building/area) Describe what happened: Information supplied by: Casualty Another person Name: Section 3a: First Aid Position and type of injury/illness (mark on diagram below) What first aid was given: Witness Name: Male Female Staff Student Tutor Grp: Date of Birth: If the accident was caused by a hazard, please confirm what action has been taken: The hazard has been removed The hazard has been reported Advice only Did the casualty: Continue as normal (e.g. went to class) Minor treatment Go home (parents contacted to collect if student) Major (casualty went to A&E/ Go to seek non-urgent medical advice Urgent Care Centre) Go to hospital or the urgent care centre Other (please specify): First Aider: Date and time casualty was seen: A member of the Griffin Schools Trust Page 11 of 24

12 Section 3b: Information for and action required by First Aider For students only, please read the following and initial in the box next to the actions you have taken. Parent/Carer MUST be informed of any of the following injuries: Head injury Burn / scald Suspected fracture For anything which requires onward care (either at home, GP, urgent care centre or hospital, including but not limited to the injuries listed above), I have contacted parent/carer to advise. Parent/carer has been contacted to collect student and I have made Student Services aware so that the student can be signed out. For Head Injuries: I have placed the head injury advice sheet into the planner, of if the planner is not available; I have given the head injury advice sheet to the student and asked him/her to show this to teachers and parents today. I have ascertained that the student will be accompanied all of the way home or, if not, I have done all that I can to ensure that the student has a method of contacting emergency services and have done my utmost to inform their parents / carers of the incident For burns / scalds that can remain in school: I have contacted parents/carers to advise of the injury For a suspected fracture: I have contacted parents/carers to advise of the injury For office use only Recording Reporting Preventing a recurrence Data transferred to database Date Name Form filed Date Name Reported to Business or Arts & Leisure Director Date Name Reported to insurers Date Name Reported to the Incident Contact Centre (ICC) Date Name ICC Reference No: Name Signature Page 12 of 24

13 Appendix B head injury advice sheet HEAD INJURY ADVICE SHEET Most people don t have any problems from head injuries, but you should seek medical advice (e.g. from your GP / Urgent Care Centre / NHS Choices / A&E) immediately if the patient develops: Persistent severe or worsening headache Repeated vomiting Drowsiness or confusion or become difficult to wake up Severe dizziness or feelings of faintness Blurred or double vision A fit or convulsion, or irritability A stiff neck or weak arms and/or legs A member of the Griffin Schools Trust Page 13 of 24

14 Appendix C Incident reporting in schools (accidents, diseases and dangerous occurrences) Page 14 of 24

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18 Appendix D Care plan for the emergency management of allergic reaction Page 18 of 24

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20 Appendix E Individual Healthcare Plan Individual Healthcare Plan Student Name of student (first name, last name) Tutor group Date of birth Gender Address Medical diagnosis or condition (name and brief description) Date of diagnosis Review date Family contacts Name Relationship to student Daytime phone Home phone Mobile phone Name Relationship to student Daytime phone Home phone Mobile phone Hospital/clinic contacts Name Phone GP/family doctor contacts Name Phone Page 20 of 24

21 School information Who is responsible for providing support Medical needs (symptoms, triggers, signs, treatments, facilities, equipment or devices, environmental issues etc) Medication (name, dose, method of administration, times to be taken, side effects or contra-indications, selfadministered or administered under supervision or administered by staff) Daily care requirements Specific support for educational, social and emotional needs Arrangements for physical activities e.g. PE, PA, sport, play Arrangements for school trips and visits Other relevant school information What constitutes an emergency and what action to take Who is responsible in an emergency IHP developed by IHP developed with Staff training needs (who, what, when) Form shared with Date Signature (name) Page 21 of 24

22 Appendix F School Asthma Card Page 22 of 24

23 Appendix G Medicines in School MEDICINES IN SCHOOL The health, wellbeing and safety of our students are of paramount importance. In order to keep our students safe, the following guidelines should be adhered to: 1. Parents/carers should provide full information about their child s medical needs, including details of any medicines their child takes. They should do this either by completing the medical information section on the student s application/admission form, or by completing the form Health and Wellbeing Update* (see Appendix A). 2. Medical information about students will be stored on their school file (including electronic file) and may be accessed by appropriate members of staff (for example tutors, teachers and first aiders). 3. Parents/carers must inform the school of any medication that their child needs to take whilst in school. Medicines should only be taken into school when essential, that is when it would be detrimental to the student s health if the medicine were not administered during the school day. It is noted that medicines which need to be taken three times a day could be taken before school, after school and at bedtime. 4. Only emergency medications such as asthma reliever inhalers, adrenaline pens and insulin may be carried by students. Parents/carers should inform the school of this by completing the form Record of Student Given Permission to Carry Own Medicine*. 5. For any non-emergency medication such as pain relief, antibiotics, antihistamine and controlled drugs, parents/carers should come in to school with the medication and complete the form Parental agreement for school to administer or supervise self-administration of prescribed medication^: a. The school will not accept any medicines unless they are prescribed, are in-date and are provided in the original container with the pharmacy s dispensing label including the prescriber s instruction for administration, dosage and storage. The school will not make any changes to dosages on parental instructions. b. It is the responsibility of parents/carers to note expiry dates on medications and provide replacements as necessary. The school will not inform parents of expiry dates. c. Parents/carers are responsible for ensuring that medicines that are no longer required or have expired are collected from Inclusion and disposed of safely (by returning the medicines to a pharmacy). 6. Non-prescribed medicines such as paracetamol, ibuprofen and antihistamine are not allowed to be carried by students. The school is unable to administer or supervise self-administration of non-prescribed medicines. * Forms are available from Student Services or on our website. ^ This form is available from Student Services and needs to be completed by the parent/carer in school with a member of staff. A member of the Griffin Schools Trust Page 23 of 24

24 HEALTH AND WELLBEING UPDATE Student s name: Tutor Group: Date of Birth: Medical condition Date of diagnosis Is this a new or an existing health condition? New / Existing* Please tell us the symptoms of the health condition, including any changes if it is an existing health condition (please include any information which will be helpful to staff and/or first aiders in the event that your child is unwell or injured): Does your child take regular prescribed medication? If Yes please provide full details here and advise whether it will need to be taken during the school day:- Yes / No* Would you like a member of staff to contact you to discuss your child s medical needs? Yes / No* * delete as applicable Signed: (parent/carer) Date: Name: (in BLOCK CAPITALS) Relationship to student: (e.g. mother/father) Emergency Contact Details: Please return to Student Services Page 24 of 24