Reviewed Annually FIRST AID & MEDICINE POLICY 1
FIRST AID AND MEDICINES POLICY REVIEW PROCEDURES The First Aid and Medicines Policy for Medway UTC is to be reviewed annually by the Principal. The next review of the Policy Document will be: June 2019 AMENDMENTS The Policy Document has been amended in light of updated guidance on supporting students with medical conditions, drafted by the Department of Education. It is the responsibility of the Principal to ensure that the complete amendment is incorporated into all copies of the document and recorded accordingly on the Amendment Sheet. Copies of pages made redundant by the amendment are to be disposed of immediately and not to be retained for any reason. Amdt No Date of Issue Incorporation Details Name Signature Date 1 2 3 4 5 6 7 8 1
FIRST AID AND MEDICINES POLICY DISTRIBUTION OF COPIES Master Copy Principal Copy One Safeguarding Lead/ SENCO Copy Two Healthcare professional Copy Three Appointed Person Copy Four All First Aiders Copy Five Staff Room all staff The Policy Document will be accessible to parents if requested or deemed necessary. A copy is accessible on Medway UTC website and on the staff shared area. 2
STATEMENT OF INTENT The Governors and Principal of Medway UTC believe that ensuring the health and welfare of staff, students and visitors is essential to the success of the UTC. We are committed to: Providing adequate provision for first aid for students, staff and visitors. Ensuring that students with medical needs are fully supported at the UTC. Procedures for administering medicines and providing first aid are in place and are reviewed regularly. We will ensure all staff (including supply staff) are aware of this policy and that sufficient trained staff are available to implement the policy and deliver against all individual healthcare plans, including in contingency and emergency situations. We will also make sure that the UTC is appropriately insured and that staff are aware that they are insured to support students in this way. In the event of illness, a staff member will accompany the student to the UTC office/medical room. In order to manage their medical condition effectively. The UTC also has a Control of Infections Policy which may also be relevant and staff should be aware of. Name: Signature: Date: Principal 3
Medway UTC - Healthcare Professional ARRANGEMENTS The UTC will be allocated a suitably qualified healthcare professional; this person will have the lead role in ensuring that students with medical conditions are identified and properly supported in UTCs, including supporting staff on implementing a student s Healthcare Plan. The UTC healthcare professional will work with the Safeguarding Lead/SENCO to determine the training needs of UTC staff. Suitable cover will be provided in the absence of the UTC nurse/healthcare professional. First Aid Team and Training The Vice Principal (Student Welfare and Management) has overall responsibility for First Aid in liaison with the Designated Lead First Aider and Trainer. There are at least five other members of staff who have been trained in First Aid at Work and hold current certificates who are willing and competent to administer medicines including epi pens. Where specialized medication needs to be given (eg Glucostop or Buccal Midazolam) training will be offered to all first aiders. First Aid Boxes The first boxes are co-located with the first aid points, these are listed as an Appendix to this policy. There are first Aid points on every level throughout the UTC. Medication Students medication is stored in the medical cabinet in the main reception and is accessible through the trained first aid staff. An additional emergency medication cabinet is located on the top floor in the Science Technician s room. First Aid In the case of an accident, the procedures are as follows: The member of staff on duty calls for a first aider; or if the student can walk, takes him/her to a first aid post and calls for a first aider. The first aider administers first aid and records details on a UTC accident report form. If the student has had a bump on the head, they must be given a head bump letter. Full details of the accident are recorded on the accident report form If the student has to be taken to hospital or the injury is `work related then the accident is reported to the Governing Body. If the incident is reportable under RIDDOR (Reporting of Injuries, Diseases & Dangerous Occurrences Regulations 2013), then as the employer the Principal/Health and Safety Officer will arrange for this to be done. 4
UTC Insurance Arrangements The Business Manager will advise on any insurance related issues with reference to medical cover. UTC Off-Site Activities On all Residential/Overseas visits, in the absence of the provider/residential first aider, the appointed UTC member of staff will administer First Aid. Reports will be completed in accordance with procedures at the Residential Centre. In the case of day visits a trained First Aider will carry a travel kit in case of need. Administering Medicines in Medway UTC Prescribed medicines may be administered in the UTC (by a staff member appropriately trained by a healthcare professional) where it is deemed essential. Most prescribed medicines can be taken outside of normal UTC hours. Wherever possible, the student will administer their own medicine, under the supervision of a member of staff. In cases where this is not possible, the staff member will administer the medicine. If a student refuses to take their medication, staff will accept their decision and inform the parent/carer accordingly. In all cases, the UTC must have written parental permission outlining the type of medicine, dosage and the time the medicine needs to be given. These forms are available in the UTC office. Staff will ensure that records are kept of any medication given. All medication stored on site MUST have a pharmacy label. Non Prescription drugs such as anti-histamines and pain relief medication must have a pharmacy label if parents wish the school to store these. These medications will not be given to a student before 1300 (1pm) to take precautions against overdosing. Storage/Disposal of Medicines Wherever possible, students will be allowed to carry their own medicines/ relevant devices or will be able to access their medicines from reception for self-medication, quickly and easily. Students medicine will not be locked away out of the student s access; this is especially important on offsite activities. It is the responsibility of the UTC to return medicines that are no longer required, to the parent/carer for safe disposal. Parent/ carers will be contacted regarding out of date medication and asked to come to collect/ exchange it. Asthma inhalers and Epi Pens will be held by the UTC for emergency use, as per the Department of Health s protocol. Accidents/Illnesses requiring Hospital Treatment If a student has an incident, which requires urgent hospital treatment, the UTC will be responsible for calling an ambulance in order for the student to receive treatment. When an ambulance has been arranged, a staff member will stay with the student until the parent/carer arrives, or accompany a student taken to hospital by ambulance if required. Parent/carers will then be informed and arrangements made regarding where they should 5
meet their student. It is vital therefore, that parents provide the UTC with up-to-date contact names and telephone numbers. Defibrillators At present Medway UTC does not have an AED (Automated Electronic Defibrillator) However as part of their Health & Safety Action Plan it is proposed that an AED is made available within the UTC as part of the first aid equipment. All First aiders are trained in the use of defibrillators. The local NHS ambulance service have been notified of its location. Students with Special Medical Needs Individual Healthcare Plans Some students have medical conditions that, if not properly managed, could limit their access to education. These students may be: Epileptic Asthmatic Have severe allergies, which may result in anaphylactic shock Diabetic Such students are regarded as having medical needs. Most students with medical needs are able to attend UTC regularly and, with support from the UTC, can take part in most UTC activities, unless evidence from a clinician/gp states that this is not possible. Medway UTC will consider what reasonable adjustments they might make to enable students with medical needs to participate fully and safely on UTC off site activities. A risk assessment will be used to take account of any steps needed to ensure that students with medical conditions are included. Medway UTC will not send students with medical needs home frequently or create unnecessary barriers to students participating in any aspect of UTC life. However, UTC staff may need to take extra care in supervising some activities to make sure that these students, and others, are not put at risk. An individual health care plan can help Medway UTC identify the necessary safety measures to support students with medical needs and ensure that they are not put at risk. Medway UTC appreciates that students with the same medical condition do not necessarily require the same treatment. Parents/carers have prime responsibility for their child s health and should provide the UTC with information about their child s medical condition. Parents, and the student, if they are mature enough, should give details in conjunction with their student s GP and Paediatrician. The UTC Healthcare Professional may also provide additional background information and practical training for UTC staff. Procedure that will be followed when the UTC is first notified of a Students medical condition. Arrange a meeting with the parent/carer to discuss arrangements and draw up a working healthcare plan This will be in place in time for the start of the relevant UTC term for a new student starting at 6
the UTC or no longer than two weeks after a new diagnosis or in the case of a new student moving to the UTC mid-term. Appendix 7
Forms Form 1: Form 2: Form 3: Form 4: Form 5: Form 5A: Form 6A: Form 6B: Form 7: Form 8: Form 9: Contacting Emergency Services Health Care Plan Parental agreement for UTC to administer medicine Record of regular medicine administered to an individual student Indication for administration of medication during epileptic seizures Epileptic seizure chart Emergency instruction for an allergic reaction - EpiPen Emergency Instructions for an allergic reaction - Anapen Medication given in UTC (note to parent/carer) Record of staff training First Aiders and Locations FORM 1 Contacting Emergency Services Request for an Ambulance Dial 999, ask for ambulance and be ready with the following information: 8
FORM 2 Health Care Plan 9
UTC Student Name & Address Date of Birth Class Medical Diagnosis Triggers Who Needs To Know About Students Condition & What constitutes and Emergency Action to Be Taken in Emergency and by whom Follow Up Care Family Contacts Names Telephone Numbers Clinic/Hospital Contacts Name Number GP Name Number Description of medical needs and signs and symptoms Daily Care Requirements Who is Responsible for Daily Care 10
Transport Arrangements If the student has life-threatening condition, specific transport healthcare plans will be carried on vehicles UTC Trip Support/Activities Outside UTC Hours (e.g. risk assessments, who is responsible in an emergency) Form Distributed To Date Review date This will be reviewed at least annually or earlier if the student s needs change Arrangements that will be made in relation to the student travelling to and from UTC. If the student has life-threatening condition, specific transport healthcare plans will be carried on vehicles FORM 3A Parental/Carer agreement for - Medway UTC to administer medicine (One form to be completed for each medicine) The UTC will not give your student medicine unless you complete and sign this form. 11
Name of student Date of Birth / / Medical condition or illness Medicine: To be in original container with label as dispensed by pharmacy Name/type and strength of medicine (as described on the container) Date commenced / / Dosage and method Time to be given Special precautions Are there any side effects that the UTC should know about? Self administration Yes/No (delete as appropriate) Procedures to take in an emergency Parent/Carer Contact Details: Name Daytime telephone no. Relationship to student Address I understand that I must deliver the medicine safely to UTC office The above information is, to the best of my knowledge, accurate at the time of writing and I give consent to appropriately trained UTC staff administering medicine in accordance with Medway UTC policy. I will inform the UTC immediately, in writing, if there is any change in dosage or frequency of the medication or if the medicine is stopped. Parent s signature Print Name Date FORM 4 Record of regular medicine administered to an individual student 12
Name of UTC Name of student Date of medicine provided by parent / / Group/class/form Name and strength of medicine Quantity returned home and date Dose and time medicine to be given Staff signature Signature of parent/carer 13
Form 4 (continued) Form 4 (continued) Name of student Name and strength of medicine Dose and time medicine to be given Week Beginning Mon Tue Wed Thu Fri Remarks Date Time Given Dose Given Staff Initials Week Beginning Mon Tue Wed Thu Fri Remarks Date Time Given Dose Given Staff Initials 14
Week Beginning Mon Tue Wed Thu Fri Remarks Date Time Given Dose Given Staff Initials Week Beginning Mon Tue Wed Thu Fri Remarks Date Time Given Dose Given Staff Initials 15
FORM 5 INDICATION FOR ADMINISTRATION OF MEDICATION DURING SEIZURES Name D.O.B. Initial medication prescribed: Route to be given: Usual presentation of seizures: When to give medication: Usual recovery from seizure: Action to be taken if initial dose not effective: This criterion is agreed with parents consent. Only staff trained to administer seizure medication will perform this procedure. All seizures requiring treatment in UTC will be recorded. These criteria will be reviewed annually unless a change of recommendations is instructed sooner. This information will not be locked away to ensure quick and easy access should it be required. 16
FORM 6 SEIZURE MEDICATION CHART Name: Medication type and dose: Criteria for administration: Date Time Given by Observation/evaluation of care Signed/date/time 17
FORM 6A EpiPen EMERGENCY INSTRUCTIONS FOR AN ALLERGIC REACTION Student s Name: DOB: Allergic to: ASSESS THE SITUATION Send someone to get the emergency kit, which is kept in: IT IS IMPORTANT TO REALISE THAT THE STAGES DESCRIBED BELOW MAY MERGE INTO EACH OTHER RAPIDLY AS A REACTION DEVELOPS MILD REACTION ACTION Give (Antihistamine) immediately Generalised itching Mild swelling of lips or face Feeling unwell/nausea Vomiting Monitor student until you are happy he/she has returned to normal. SEVERE REACTION Difficulty breathing/choking/coughing Severe swelling of lips/eyes/face Pale/floppy Collapsed/unconscious If symptoms worsen see ACTIONS 1. Get EpiPen out and send someone to telephone 999 and tell the operator that the student is having an 18
ANAPHYLACTIC REACTION 2. Sit or lay student on floor. 3. Take EpiPen and remove grey safety cap. 4. Hold EpiPen approximately 10cm away from outer thigh. 5. Swing and jab black tip of EpiPen firmly into outer thigh. MAKE SURE A CLICK IS HEARD AND HOLD IN PLACE FOR 10 SECONDS. 6. Remain with the student until ambulance arrives. 7. Place used EpiPen into container without touching the needle. 8. Contact parent/carer as overleaf. 19
FORM 6B Emergency Contact Numbers Mother: Father: Other: Signed Principal: Signed parent/guardian: Relationship to student: Signed Pediatrician/GP: Care Plan written by: Print Name: Print Name: Date agreed: Print Name: Print Name: Designation: Date of review: Date Time Given by (print name) Observation/evaluation of care Signed/date/time Check expiry date of EpiPen every few months 20
FORM 6C ANAPEN EMERGENCY INSTRUCTIONS FOR AN ALLERGIC REACTION Student s Name: DOB: Allergic to: ASSESS THE SITUATION Send someone to get the emergency kit, which is kept in: IT IS IMPORTANT TO REALISE THAT THE STAGES DESCRIBED BELOW MAY MERGE INTO EACH OTHER RAPIDLY AS A REACTION DEVELOPS MILD REACTION ACTION Give (Antihistiamine) immediately Generalised itching Mild swelling of lips or face Feeling unwell/nausea Vomiting Monitor student until you are happy he/she has returned to normal. SEVERE REACTION Difficulty breathing/choking/coughing Severe swelling of lips/eyes/face Pale/floppy Collapsed/unconscious If symptoms worsen see 21
ACTIONS 1. Get ANAPEN out and send someone to telephone 999 and tell the operator that the student is having an ANAPHYLACTIC REACTION 2. Sit or lay student on floor. 3. Get ANAPEN and remove black needle cap. 4. Remove black safety cap from firing button. 5. Hold ANAPEN against outer thigh and press red firing button. 6. Hold ANAPEN in position for 10 seconds. 7. Remain with the student until ambulance arrives. Accompany student to hospital in ambulance. 8. Place used ANAPEN into container without touching the needle. 9. Contact parent/carer as overleaf. 22
FORM 7 Medication given in UTC (note to parent/carer) Name of student Group/class/form Medicine given Date and time given Reason Signed by Print Name Designation 23
FORM 8 STAFF TRAINING RECORD Administration of Medicines MEDWAY UTC Name Job Title Training Date Undertaken Date Refresher Required Date Refresher Undertaken 24
Apr 18 REPORT OF ACCIDENT Form completed by: Telephone number: (Form designed for use printed) SUBJECT: INJURED PERSON REPORT (Students) 1. The injured persons name: 2. Location where injury occurred: 3. Date and time of accident: 4. Full name and address of injured person: 5. State type of injury, more than one if applicable. T Cut Abrasion Bruise Burn Eye injury Amputation Broken bone Fracture Dislocation Electrocution Gassing Poisoning 6. Where was the injured person treated? Medway UTC Hospital 7. Name of person administering First Aid: 8. State the parts of the body affected and the extent of the injury and any treatment given so far as you are able: 9. Name and address of any witnesses: 10. State briefly the circumstances surrounding the accident, as far as you are able: (Separate sheet if required) 11. Was the person treated in hospital for more than 24 hours? ANY DEFECTIVE EQUIPMENT OR PLANT MUST BE RETAINED UNALTERED All the above details are true to the best of my Knowledge. Signature: Date: 12. Site Manager/H&S Advisor Complete this box if the accident is reportable under the reporting of injuries, Diseases and Dangerous Occurences Regulations 2013 (RIDDOR) How was it reported? Signature: Date: 25
Medway UTC First Aiders are: Ground Floor Name: Miss Legge Name: Mr Bradford Location Main Office Location Sports Hall Tel: 201 Tel: 208 First Floor Name: Mrs Quye Name: Mrs Fox Location Puddle/Art Location Construction Tel: 206/233 Tel: 225 Second Floor Name: Mrs South Name: Mrs Taylor Location Exams/Staff Area Location Careers Tel: 205 Tel: 203 Third Floor Name: Mr Cave Name: Location Prep Room Location Tel: 210 Tel: The following First Aiders are also available: Capt Loughrey Mrs Irvine All First Aiders are current as of Apr 18 26
Useful Contacts Allergy UK Allergy Help Line: (01322) 619864 Website: www.allergyfoundation.com The Anaphylaxis Campaign Helpline: (01252) 542029 Website: www.anaphylaxis.org.uk and www.allergyinutcs.co.uk Association for Spina Bifida and Hydrocephalus Tel: (01733) 555988 (9am to 5pm) Website: www.asbah.org Asthma UK (formerly the National Asthma Campaign) Adviceline: 08457 01 02 03 (Mon-Fri 9am to 5pm) Website: www.asthma.org.uk Council for Disabled Studentren Tel: (020) 7843 1900 Website: www.ncb.org.uk/cdc Contact a Family Helpline: 0808 808 3555 Website: www.cafamily.org.uk Cystic Fibrosis Trust Tel: (020) 8464 7211 (Out of hours: (020) 8464 0623) Website: www.cftrust.org.uk Diabetes UK Careline: 0845 1202960 (Weekdays 9am to 5pm) Website: www.diabetes.org.uk Department for Education and Skills Tel: 0870 000 2288 Website: www.dfes.gov.uk Department of Health Tel: (020) 7210 4850 Website: www.dh.gov.uk Equality and Human Rights Commission Helpline: 0808 800 0082 Textphone: 0808 800 0084 Website: www.equalityhumanrights.com Epilepsy Action Freephone Helpline: 0808 800 5050 (Monday Thursday 9am to 4.30pm, Friday 9am to 4pm) Website: www.epilepsy.org.uk Health and Safety Executive (HSE) HSE Infoline: 08701 545500 (Mon-Fri 8am-6pm) Website: www.hse.gov.uk Health Education Trust Tel: (01789) 773915 Website: www.healthedtrust.com 27
Hyperactive Studentren s Support Group Tel: (01243) 551313 Website: www.hacsg.org.uk MENCAP Telephone: (020) 7454 0454 Website: www.mencap.org.uk National Eczema Society Helpline: 0870 241 3604 (Mon-Fri 8am to 8pm) Website: www.eczema.org National Society for Epilepsy Helpline: (01494) 601400 (Mon-Fri 10am to 4pm) Website: www.epilepsynse.org.uk Psoriasis Association Tel: 0845 676 0076 (Mon-Thurs 9.15am to 4.45pm Fri 9.15am to 16.15pm) Website: www.psoriasis-association.org.uk/ 28
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