First Aid & Administration of Medication Policy

St John s Catholic Primary School First Aid & Administration of Medication Policy I have come that you may have life and have it to the full (John 10:10) The health and safety of all children at St John s Catholic Primary School is of the highest importance to all staff. This policy explains the practices in place to address the health needs of the children which may be as a result of accidents or medical conditions. The school has four fully qualified first aiders who are responsible for dealing with any serious first aid matters and can be called upon to offer advice whenever required. In addition to these main care providers, other first aid trained members of staff include:- - Lisa Lambourne - Cathal Murtagh - Janet Hunt - Paula Cooneyhan - Katie Cable - Toshi Lean - Queen Esenwa - Kirsten Neat - Adrian Watson All Teaching Assistants and Mid Day Meal Supervisors have also undertaken emergency first aid training. All members of staff will administer to small cuts and bruises that are the normal occurrence in a school day. First aid training is carried out in line with current Health and Safety recommendations. This is every 3 years to re qualify as a first aider. First Aid kits are kept in every classroom. Cuts are cleaned using, where appropriate running water and / or alcohol wipes and if needed, plasters are available. Gloves are worn by staff when dealing with blood and these are located next to the plasters and wipes. Ice packs are kept in the fridge by the school office and can be used to reduce the swelling for bumps and suspected strains and sprains - a cold compress will be used for head injuries. If ice packs are used then these are first wrapped in a paper towel to prevent contact with the skin. All injuries during break times and class times are to be recorded in the year group log folder which is to be kept in the year leader s classroom in an accessible place. 1

These are to be regularly updated and any filled out sheets are to be collected and kept in the central first aid folder, kept in the main office. All injuries which occur during lunch times are to be recorded by the Mid Day Meals Supervisors in their own year group log. All injuries require a St John s notification to be filled out and sent home. All medical waste is disposed of in a medical disposal unit in the disabled toilet. In the event of serious injury, the class teacher should fill out a slip from the yellow accident book which is kept in the back of the Year group first aid log folder. This details the incident and should then be given to a member of the SMT who keeps it in their central folder. All children must be seen by a member of SMT and the designated first aider before being sent off-site. Dealing with bodily fluids - blood etc Aims: To administer first aid, cleaning, etc, for the individual. To protect the individual and others from further risk of infection. To protect the individual administering first aid, cleaning, etc Procedure to adopt when dealing with blood, body fluids, excreta, sputum and vomit: Isolate the area. Always use disposable gloves and apron (located in the First Aid Box) NEVER touch body fluids with your bare hands Clean the spillage area with diluted bleach in ration of 1:10 (containers for which can be located in the Cleaner s locked cupboards) Use bucket and mop located in the Cleaner s locked cupboard (inform Caretaker if used by leaving a note) Double bag all materials used and dispose of in outside dustbin. Blood loss - If possible give individual cotton pad to hold against themselves whilst you put on disposable gloves. Always wash hands after taking disposable gloves off. Off-Site Visits: It is the responsibility of the teacher in charge to take a first aid box with them on the visit. Small first aid packs are available in the first aid stock room, located by the SMT room. All teachers taking children out of school for a trip or residential visit are equipped with a first aid pack and will carry any medication needed for individual children. For those children who require a school care plan, this documentation and all stated medication must be taken and kept with the class teacher. The first aid equipment is regularly checked and managed by Mrs Lambourne and Miss Abbey. 2

All accidents are recorded in the minor accident book and these are stored in the school office. Any head bumps are recorded and parents are informed by telephone and an accident notification letter. In the event of serious injury or concerns, first aiders must complete an accident/ incident report form, sending a copy to the Local Authority and directing the child/ adult to see a doctor or visit an accident and emergency department to seek further advice. Medical information about a child is gathered through the data collection sheets, which are issued annually, as well as through information provided by parent or carer. All important medical information is provided for class teachers and kept in classrooms. Records about those children with particular medical conditions or allergies are kept in the school office. All emergency phone numbers are kept in the contact file in the school office. Medical information is located in a locked cabinet in the school office. All relevant information regarding medical conditions are passed on to the relevant teacher, also the first aiders are aware of these. Each new child that starts within the school supply information regarding health issues, these are passed on to all relevant members of staff. A list of food allergies are given to each class teacher. The school cook is notified of children with food allergies. Photographs are provided to help staff identify and therefore provide the appropriate care for specific children. St John s Catholic Primary School will not discriminate against pupils with medical needs. In certain circumstances it may be necessary to have in place an Individual Health Care Plan. This will help staff identify the necessary safety measures to help support young people with medical needs and ensure that they, and others, are not put at risk. These plans will be drawn up in consultation with parents and relevant health professionals e.g. School Nurse. They will include the following: Details of the young person condition Special requirements i.e. dietary needs, pre-activity precautions Any side effects of the medicines What constitutes an emergency? What action to take in an emergency? Who to contact in an emergency? The role staff can play Administration of medicines At St John s we have a duty to care for all of the individual needs of our pupils. In some instances this may require medication to be administered. Appendix 2 states the roles and responsibilities of the staff, parents / carers and all other care providers within the school when administering medication to children. Appendix 2 also states the policy in which St John s will follow when administering medication. Any person with a discrepancy for providing medical administration should refer to this prior. 3

Sometimes, to minimise the time pupils need to be off school, it may be necessary for a course of antibiotics, for instance, to be taken in school or for a cream or lotion to be applied. Parents are invited to the school to administer medication. Ideally it is preferable that parents, or their nominee, administer medicines to their children outside of school hours. However this may not be appropriate. In such cases a request must be made for medicine to be administered to the young person at school using the appropriate form. Appendix 1. This must contain clear instructions regarding dosage. These are kept in a folder in the school office. All medication should be brought into the school office and not stored in the child s bag. The medication should be measured out into a child friendly syringe, where they can be monitored taking the medicine by an adult if arranged to do so. Each request for medicine to be administered to a young person in school will be considered on its merits and agreed by the Head teacher. Requirements for staff administering medication :- Staff should read the label carefully, ensuring the correct pupil name is stated. They should make sure that they understand the instructions, including written instructions from the parents/carers or doctor and check the prescribed dosage and expiry date. Staff who receive the medication need to be satisfied with the container and labelling. All medication MUST have the pupil s name and dosage clearly labelled on it. Medication is stored securely in a lockable cupboard and in cases displaying the pupil s name, date of birth, photograph and enclosed medication. If there is any doubt, staff should check with parents/carers or a health professional before taking further action. It is good practice for staff to complete and sign record register each time they administer or supervise the taking of medication, and to have the dosage and administration witnessed by a second adult. Staff should ensure that the pupil has actually taken the medication. These records are kept in a folder with the school medical leader. Medicines Medicines that have been prescribed by a doctor, dentist or nurse prescriber should always be provided in the original container as dispensed by a pharmacist and include the prescribers instructions for administration. We will not accept medicines that have been taken out of the container as originally dispensed nor make changes to dosage on parent s instructions. Ideally if medicines are prescribed in dose frequencies which enable it to be taken outside school hours, parents should be encouraged to ask their prescriber about this. 4

In some instances we will administer medicines that have been bought over the counter such as Piriton and Calpol however staff will never give a non-prescribed medicine to a young person unless there is a specific prior written agreement from parents. A young person under 16 should never be given aspirin or medicines containing ibuprofen unless prescribed by a doctor. Medicines brought into school are kept in a lockable tin in the fridge or in the lockable cupboard located in the kitchen area outside the school office. Medicines are stored strictly in accordance with the product instructions and in the original container in which dispensed. Staff will ensure that the supplied container is clearly labelled with the name of the young person, dosage of the medicine and the frequency of administration. All Medicines, including controlled drugs, will be returned to the parent when no longer required, for them to arrange for safe disposal. They should also collect medicines held at the end of each term. If parents do not collect all medicines they should be taken to a local pharmacy for safe disposal. Educational Visits Prior to any residential visit taking place medical forms will be completed by the parents/carer of all pupils. This will allow the school to consider what reasonable adjustments may need to made to enable young people with medical needs to participate fully and safely on visits. Arrangements for taking any necessary medicines will need to be taken into consideration. Staff supervising excursions will always be aware of the medical needs and relevant emergency procedures of pupils in their care. Copies of medical forms will be taken on the visit and relevant information also stored in school. If staff are concerned about whether they can provide for a young person s safety or the safety of others on a visit, the school will seek parental views and medical advice from the school health service and/or the young person s GP, Specialist Nurse or Hospital Consultant. Prior to the visit, medication should be handed to the first aider by parents/ carers. Following the visit, the first aider will hand back any medication to the child s parent. Medication should not be handed back to the child. Asthma Parents of asthmatic children are asked to complete an asthma care plan form and to ensure that their child is equipped with a labelled inhaler. Inhalers are stored in the classrooms and the child has access to them at all times. Inhalers must be taken to each PE lesson by the child requiring this medication. We encourage children with asthma to participate in all aspects of the curriculum including PE. The school does all that it can to ensure that the environment is favourable to pupils with asthma. The person responsible for this Policy is Laura Abbey Date of review: January 2016 Date of next review: January 2017 5

St John s Catholic Primary School MEDICAL FORM (Please complete if your child has a medical condition or allergy) APPENDIX 1 Pupil s Name Date of Birth Male/Female Class Medical condition (asthma, eczema, allergy, epilepsy etc.) NHS No. This MUST be completed in the event of your child being taken to hospital GP Telephone No. Name of medication Dosage/method Timing Describe condition and give details of pupil s individual symptoms Self-administration Yes/No All medication kept in school must be clearly labelled with pupils name and dosage Describe what constitutes an emergency for the pupil, and the action to be taken Contact Details - Mother / Father / Carer Name Telephone No. 6

APPENDIX 2 Administration of Medication Policy Roles and Responsibilities Parents/Carers Have prime responsibility for their child s health Are responsible for ensuring their child is well enough to attend school Should, where possible, arrange with their doctor for medication to be administered outside of school hours. Should be encouraged to provide the school with details of their child s medical condition, whether this is before the child starts school or if a condition develops whilst the child is attending school Should liaise with the Headteacher to agree the school s role in helping to meet their child s medical needs Are responsible for supplying written information about the medication and the possible side effects their child needs to take in school and letting the school know in writing of any changes to the prescription or its administration or to the support required Should, where possible, arrange for a separate supply of medication for use in school Are responsible for the disposal of all medication Where parents/carers have difficulty supporting or understanding their child s medical conditions, assistance can be sought from the School Health Service. Similarly, if a member of staff develops concerns about a child s medical condition, they should share those concerns with the Headteacher, so the parents/careers can be informed. The Employer (generally the LA or school Governing Body); Ensures the school s Health and Safety Policy is in place, including procedures for managing medication and effective management systems. Ensures staff are aware of the policy and their responsibilities within it Ensures insurance fully covers staff acting within the scope of their employment Ensures correct procedures are followed Has responsibility for ensuring staff receive appropriate training to support pupils with medical needs. This may be arranged through the Senior Manager, Children s Services or through the Primary Care Trust. The Headteacher Works with the Governing Body to develop the school s policy Implements policy and develops detailed procedures Ensures staff receive proper support and training Will make daily decisions about the administration of medication Ensures medication is stored safely Ensures parents/carers are aware of the school s policy and procedures 7

Liaises with the consultant in Communicable Disease Control following the outbreak of an infectious disease Agrees with parents/carers what support the school can provide Ensures emergency procedures are in place Obtains agreement from parents/carer to share information about their child s medical condition/health with other staff members In cases where the Headteacher feels concern about meeting the child s medical needs or where the expectations of parents/carers appear unreasonable, they can seek advice from the School Health Adviser (School Nurse), School Doctor, GP of other medical advisers. Staff If/when staff volunteer to support a pupil with medical needs, they need to receive information about the condition and the likelihood, or not, of an emergency arising Tasks should be clearly identified with training provided before they are asked to administer medication Support and/or cover for absence or unavailability will be required Should ensure appropriate records are kept Should be aware of any possible side-effects Should bring to the attention of the Headteacher any concerns they have about a pupil s medical condition. The School Health Advisor / Doctor & School Nurse Can help schools to draw up an individual Health Care Plan for pupils with medical needs Can supplement information given by parents/carers and GP s Can advise on training for school staff who have volunteered to administer medication May be prepared to attend school open days/evening to give advice to parents/carers and school staff. General Practitioner (GP) Will give information about a child s medical condition to school staff, providing the pupil s consent is obtained (if he/she has the capacity) or otherwise that of the parents/carers. Other Health Professionals The Community Paediatrician may give advice to schools on individual pupils or on health problems generally Community Service pharmacist can provide pharmaceutical advice to school Health Services. They can advise on storage, handling and disposal of medicines. Community Paediatric Nurses or Specialist Nurses work as part of the NHS Acute or Community Trust. They can provide advice on the medical needs of a pupil, particularly when a medical condition has just been diagnosed and the pupil is adjusting to new routines. 8

Developing a Policy and Procedures A clear written policy on supporting individual pupils with medical needs should be developed, understood and accepted by staff, parents/carers and pupils. It should provide a sound bases for ensuring pupils receive proper care and support in school. Formal procedures and systems, drawn up in partnership with parents/carers and staff, should complement the policy. The policy should be included in the school prospectus or in other information to parents/carers and should as a minimum identify:- Whether the Headteacher accepts responsibility, in principle, for staff administering or supervising pupils taking prescribed medication during the school day Whether there are circumstances in which pupils may take non-prescription medication, e.g. pain killers (analgesics) The policy on supporting pupils with long term or complex medical needs The need for prior written agreement from parents/carers for any medication, prescription or non-prescription, to be administered to their child Staff training in dealing with medical needs Record keeping arrangements Storage of, access to and disposal of medication Emergency procedures, i.e. a) What to do, if a pupil needs to be taken home, requires hospital treatment or the attention of a doctor b) Action to be taken, if agreed procedures fail or there is an accident Policy review arrangements General Issues I. Non-prescription medication generally, school staff should NOT administer nonprescription medication, such as paracetamol. NO PUPIL UNDER 16 SHOULD BE GIVEN ASPIRIN UNLESS PRESCRIBED BY A DOCTOR Parents/Carers can authorise and supply appropriate pain killers for their child s use, but they would need to provide written instructions, detailing when their child last took the medication, what dosage is required and when they should take the next dose. Staff supervising the taking of such medication should notify parents/carers by telephone, to confirm the child may have the medication. This will be recorded in the medication record register, detailing time and dosage taken. Particular care should be taken, as staff may not be aware if the pupil has previously taken non-prescription medication and the effects this may have if the pupil is already taking other prescribed medication. 9

II. Self-Management/Administration - It is good practice to encourage pupils, where appropriate, to manage their own medication from a relatively early age e.g. use of asthma inhalers. If pupils are able to self-administer, school staff may only need to supervise. The school policy should say whether pupils can administer, but all medication MUST be recorded and stored in the school office to ensure pupil and staff safety. III. Short Term Needs - Where possible, parents/carers should be encouraged to ask doctors to prescribe medication in dose frequencies which can be taken outside of school hours. Medication should only be taken in school when absolutely essential. Sometimes, to minimise the time pupils need to be off school, it may be necessary for a course of antibiotics, for instance, to be taken in school or for a cream or lotion to be applied. Parents are invited to the school to administer medication. Staff should read the label carefully, ensuring the correct pupil name is stated. They should make sure that they understand the instructions, including written instructions from the parents/carers or doctor and check the prescribed dosage and expiry date. Staff who receive the medication need to be satisfied with the container and labelling. All medication MUST have the pupil s name and dosage clearly labelled on it. Medication is stored securely in a lockable cupboard and in cases displaying the pupil s name, date of birth, photograph and enclosed medication. If there is any doubt, staff should check with parents/carers or a health professional before taking further action. It is good practice for staff to complete and sign record register each time they administer or supervise the taking of medication, and to have the dosage and administration witnessed by a second adult. Staff should ensure that the pupil has actually taken the medication. These records are kept in the school office. IV. Long Term Needs - It is very important for the school to have sufficient information about the medical condition of any pupil with long term medical needs. The school should know about the pupil s medical needs before they start school or when a pupil develops a condition. An Individual Health Care Plan should be written, involving the parents/carers, health professionals and the pupil (where appropriate). This should include:- Details about the pupils and their condition Name and details of medication, including any side effects Special requirements, e.g. dietary needs, pre-activity precautions 10

Emergency procedures, e.g. what to do, who to contact Role of the school NO PUPILS UNDER 16 SHOULD BE GIVEN MEDICATION WITHOUT THE PARENTS/CARERS WRITTEN CONSENT It is parents/carers responsibility to ensure medication is in a suitable container, dated and labelled with their child s name, the name and strength of the medication, instructions for use, the quantity to be taken and the timing of dosages. Staff should read the label carefully, ensuring the correct pupil name is stated. They should make sure that they understand the instructions, including written instructions from the parents/carers or doctor, and check the prescribed dosage and expiry date. Staff who receive the medication need to be satisfied with the container and labelling. V. Refusing Medication - If a pupil refuses their medication, school staff should not force them to take it. The school should inform the pupil s parents/carers as a matter of urgency. If necessary, the emergency services should be called. Appropriate recording of the refusal should be undertaken, identifying the subsequent action taken, by whom and at what time. VI. Recording Keeping - It is good practice, but not a legal requirement, for schools to keep a record of medication given to pupils and of the staff involved. Records offer protection to staff and provide proof they have followed the agreed procedures. It is recommended that schools keep a record of all medication received, even if they do not subsequently administer it. This allows for an audit trail to be constructed. It is the responsibility of parents/carers to supply written information about the medication their child needs to take in school and to let the school know in writing of any changes to the prescription or its administration or to the support required. Schools should record any changes to dosage by updating the Request for School to Administer Medication form (sample form ii) Parents/carers or a doctor provide the following details as a minimum:- Name and strength of medication Dosage Time, frequency and method of administration Length of treatment Date of issue 11

Expiry date Possible side-effects Storage details Other treatment VII. School Trips - It is good practice for schools to encourage pupils with medical needs to participate in school trips. Reasonable adjustments should be considered to ensure the inclusion of all pupils. It is expected, particularly in light of the Disability Discrimination Act, that schools will encourage and support the participation of pupils with medical needs in school trips. Sometimes it may be necessary to undertake a risk assessment or to take additional safety measures, particularly for outdoor visits or activities. Staff on school trips should be made fully aware of the medical needs of pupils, the procedures for administration of medication and the relevant emergency procedures. Staff who remain concerned, about whether they can ensure the pupil s safety or the safety of others on the trip should seek medical advice from the Schools Health Service. For further information on school trips see DFE circular 22/94 Safety in Outdoor Activity Centres: Guidance. For further information relating to disability discrimination see Disability Discrimination Act 1995 and The Disability Rights Commission Code of Practice for Schools July 2002. VIII. Sporting Activities - Some pupils may need to take precautionary measures before or during exercise and/or need to have immediate access to their medications. Staff supervising sporting activities should be aware of the relevant medical conditions, medication requirements and emergency procedures. Most pupils with medical conditions can participate in the PE curriculum or sports that are sufficiently flexible for all pupils to follow in way appropriate to their own abilities/needs. Any restrictions should be appropriately recorded in their Individual Health Care Plan. IX. Home/School Transport - Parents/carers should alert the LA, if it is felt a pupil requires or may require supervision on home/school transport. Dealing with Medicines Safely Some medicines may be harmful to anyone for whom they are not prescribed. Where schools agree to administer this type of medicine the employer has a duty to ensure the risks to the health of others are properly controlled. This duty derives from the Control of Substances Hazardous to Health Regulations (COSHH) 1994. 12

A pupil should not take medication that has been prescribed for another pupil. Staff should be aware of the procedures to follow in the event of a theft or burglary. Storing Medication All medication stored in the school is recorded and a register is available, detailing pupils names, medication, dose and expiring date. The Headteacher is responsible for making sure medication is stored safely. Usually, this will be in a labelled, airtight container, under lock and key. Some medicines need to be refrigerated. Medication can be kept in a refrigerator containing food, but MUST be in an airtight container and clearly labelled. It is advisable that all medication is stored where temperatures are not excessive or it is likely to be extremely humid. Large amounts of medication should not be stored. Parents/Carers should be encouraged to bring the required dose to school on a daily/weekly basis. Where this is not possible, no more than one week s supply should be stored in school. Staff should ensure that medication is supplied to the school in the original dispensed container and not re-packed in another container. It should be labelled with the name of the pupil, the name and strength of the medication, the dosage, the time, frequency and method of administration, the length of treatment, the date of issue and the expiry date. The medication should have been dispensed within the previous three months. Where pupils have more than one prescribed medicine, each should be in a separate container. Pupils should know where their own medication is stored and who holds the key. A few medicines, such as asthma inhalers, must be readily available to pupils and therefore NOT locked away. Some schools allow pupils to carry their own inhalers. Other medicines should be kept in a secure place, not accessible to pupils. All staff should know where to obtain keys to the medicine cabinet or refrigerator for emergency purposes. Local pharmacists may give advice to schools about correct storage of medicines. NB Non-health care staff should not transfer medicines from their original container under any circumstances. 13

Access to Medication Pupils need access to their medication, when required, but it is also important to make sure the medication is only accessible to the pupil for whom it is prescribed. This should be considered as part of the school s policy on selfmanagement/administration. Schools should consider access arrangements for emergency medication. Disposal of Medication - School staff should NOT dispose of medication. This is the responsibility of Parents/Carers and any date of expired medication or any no longer required by the pupil should be returned to the Parents/Carers. Parents/Carers should seek the advice of their local community service pharmacist about suitable disposal methods. If Parents/Carers do not collect unused or date-expired medication within a reasonable time of being requested to do so, the medication should be taken to the local pharmacist for disposal. A record should be kept of when Parents/Carers were asked to collect the medication, the date of disposal and who took the medication to which pharmacist. Emergency Procedures All staff should know how to call the emergency services. They should also know who, in school, has responsibility for carrying out emergency procedures. Any pupil taken to hospital by ambulance should be accompanied by a member of staff, who should remain until a parent/carer arrives. Generally, staff should NOT take pupils to hospital in their own car. However, in an emergency it may be the only course of action. Another member of staff should accompany the driver. The driver should have public liability insurance. Hygiene / Infection Control All staff should be aware of basic hygiene precautions for avoiding infection, such as washing of hands before and after the administration of medication. Staff should have access to protective, disposable gloves and take extra care when dealing with spillages of blood or other bodily fluids and when disposing of dressings or equipment. Where needles are used, a sharps container and adequate arrangement for collection and incineration should be in place. Health Authority staff will be able to provide further informative/advice about procedures and further guidance can be found in the DFEE publication HIV and Aids: A Guide for the Education Service. 14