Cygnet Schools. First Aid Policy

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Cygnet Schools First Aid Policy Table 1 Related Policies CARDIAC ARREST (CP 12) DFE GUIDANCE ON SUPPORTING PUPILS WITH MEDICAL CONDITIONS (2014) GUIDANCE ON FIRST AID IN SCHOOLS (2014) HEALTH AND SAFETY POLICY (HS 01) POLICY FOR PATIENT SAFETY INCIDENT REPORTING AND MANAGEMENT (CPF 4) PROCEDURE & GUIDELINES FOR COMPLYING WITH COSHH (HS 26) PROMOTING SAFE AND THERAPEUTIC SERVICES IN THE PREVENTION & MANAGEMENT OF VIOLENCE AND AGGRESSION (HS 27 / CPF 2.01) RESUSCITATION (CP 38) RIDDOR GUIDANCE (HS 20) THE EQUALITY ACT (2010) THE SCHOOL PREMISES REGULATIONS (ENGLAND) (2012) Contents: 1. Scope 2. Aims and Objectives 3. Responsibilities of staff 4. Procedures 5. Pre-existing medical conditions and allergies 6. Equipment 7. Reporting 1. Scope This policy outlines Cygnet School s responsibility to provide adequate and appropriate first aid to pupils, staff, parents and visitors, and the procedures in place to meet that responsibility. First Aid is the initial help a person gives a casualty for treatment of any sudden injury or illness, until professional help from external agencies like the paramedic service arrives, or the casualty can be given over to the care of a responsible adult who is entrusted with taking further medical advice where necessary. This policy is in line with, and comply with, the Management of Health and Safety at Work Regulations (1992 and 1999), Control of Substances Hazardous to Health regulations (2002), The Equality Act (2010), The School Premises Regulations

(England) (2012), The Children and families Act (2014), Managing medicines on School Premises (2014), Guidance on First Aid in Schools (2014), and DFE guidance on Supporting pupils with Medical Conditions (2014). 2. Aims and Objectives To make First Aid provision based on the school's internal risk assessment processes. To ensure that First Aid provision is available at all times while students and staff are on school premises, and also off the school premises whilst on school tips and extra curricula activities. To appoint the appropriate number of suitably trained people as Appointed Person and First Aiders to meet the needs of the School. To provide relevant training and ensure monitoring of the training needs of staff. To provide sufficient and appropriate resources and facilities. To make the School s First Aid and administering medicines arrangements available for staff and parents via the school website and staff network drive. To keep accident records and to report to the HSE as required under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995. 3. Responsibilities of staff The Governing Body - Where the governing body is the employer it has responsibility for health and safety matters within the school, with managers and staff also having responsibilities. The governing body are required to develop policies to cover their own school. This should be based on a suitable and sufficient risk assessment carried out by a competent person. The governing body has general responsibility for all the school's policies, even when it is not the employer. In county and controlled schools the governing body should follow the health and safety policies and procedures produced by the LEA as the employer. In practice, most of the day to day functions of managing health and safety are delegated to the head teacher. The Head Teacher - The head teacher is responsible for putting the governing body's policy into practice and for developing detailed procedures. The head teacher should also make sure that parents are aware of the school's health and safety policy, including arrangements for first aid. At Cygnet Schools, the Health and Safety

Policy, including guidance around First Aid, is published on the website and accessible to parents. Teachers and Support Staff As part of their induction to Cygnet Hospital, all staff are provided with basic First Aid training (including CPR). All staff in charge of pupils are expected to use their best endeavours at all times, particularly in emergencies, to secure the welfare of the pupils at the school in the same way that parents might be expected to act towards their children. In addition, teachers and support staff may volunteer to be nominated First Aiders and attend a 1 day or 3 day training course. Hospital Staff Due to the nature of the environment of the school (hospital school within a Tier 4 CAMHS provision), all hospital staff are trained in basic First Aid. On each ward, there are staff trained to provide medical support and medication if needed. There are clinical rooms available to act as First Aid rooms and access to advanced life support equipment if necessary. Named First Aiders It is the named First Aiders responsibility to access students who present as feeling unwell and take appropriate action, which shall be recorded appropriately in accordance with the hospital s own policy (e.g. Rio, Clinical Notes). They will take charge when someone is injured or becomes ill, and call the student to the attention of the Nurse in Charge on the ward to do further assessments if required. First aiders are not qualified to dispense medications this must be done only by Qualified Nurses or Ward Doctors. Finally, the named first aiders are responsible for ensuring that the First Aid Boxes within the school are fully stocked. The Names First Aiders are responsible for ensuring that they remain up to date with their training, and notify their line managers in a timely manner when their training is due for renewal. Students - It is individual student s responsibility that where possible, each person will manage their own indicators of health, ensuring that they report to an adult in the school if they feel unwell. 4. Procedures 4.1. Risk Assessment Reviews are required to be carried out at least annually. Recommendations on measures needed to prevent or control identified risks are forwarded to the Governors or the Senior Leadership Team. This must include a re-assessment of the first aid provision 4.2. The school is low-risk environment, but SLT will consider the needs of specific times, places and activities in deciding on First Aid provision. In particular they should consider: 4.2.1. Off-site PE

4.2.2. School trips 4.3. Sun Protection 4.4. Access to fluids 4.5. Hygiene / Infection Control - Basic hygiene procedures must be followed by First Aiders. Single issue disposable gloves must be worn when treatment involves blood or other body fluids. Care should be taken when disposing of dressings or equipment. 5. Pre-existing medical conditions and allergies Asthma - Asthma is caused by the narrowing of the airways, the bronchi, in the lungs, making it difficult to breath. An asthmatic attack is the sudden narrowing of bronchi. Symptoms include attacks of breathlessness, coughing and tightness in the chest. Individuals with asthma have airways which may be continually inflamed. They are often sensitive to a number of common irritants, including grass pollen, tobacco fumes, smoke, glue, deodorant, paint and fumes for science experiments. Animals, such as guinea pigs, hamsters, rabbits or birds can also trigger attacks. Students are asked to have their inhalers with them at all times and especially when they are doing PE, and when they are on trips out of school. WHAT TO DO IN THE EVENT OF ASTHMA ATTACK 1. Keep calm it is treatable 2. Let student child sit down: do not make them lie down. 3. Let the child take their usual treatment normally a blue inhaler if they have their medication with them 4. Call the Nurse in Charge and support the student back to the ward (if appropriate) Epilepsy - Epilepsy is a tendency to have seizures (convulsions or fits) There are many different types of seizures; however a person s first seizure is not always diagnostic of epilepsy. WHAT TO DO IF A CHILD HAS A SEIZURE 1. DO NOT PANIC. Ensure the child is not in any danger from hot or sharp objects or electrical appliances. Preferably move the danger from the child or if this is not possible, move the child to safety. 2. Let the seizure run its course 3. Do not try to restrain convulsive movements 4. Do not put anything in the child s mouth, especially your fingers 5. Do not give anything to eat or drink 6. Loosen tight clothing especially round the neck

7. Do not leave the child alone 8. Removal all students from the area 9. Contact the Nurse in Charge Allergies During a student s induction to Cygnet Schools, they are asked about their allergies. This is to ensure that staff can reduce the risk of an allergic reaction during school-related activities. A student s allergy status is recorded on their Progress Tracker and shared with the members of staff. If a student does have an allergic reaction during school, staff should contact the Nurse in Charge. Anaphylactic shock - Anaphylaxis is an acute; severe reaction needing immediate medical attention. It can be triggered by a variety of allergens, the most common of which are foods (peanuts, nuts, cow s milk, kiwi fruit and shellfish) certain drugs such as penicillin, and the venom of stinging insects (such as bees, wasps and hornets). In its most severe form the condition is life threatening. Symptoms Itching or strange metallic taste in the mouth Hives / skin rash anywhere on the body, causing intense itching Angioedema swelling of lips/eyes/face Swelling of throat and tongue causing breathing difficulties / coughing / chocking Abdominal cramps and vomiting Low blood pressure child will become pale / floppy Collapse and unconsciousness Not all of these symptoms need to be present at the same time. WHAT TO DO IN THE EVENT OF AN ANAPHYLACTIC REACTION 1. DO NOT PANIC 2. Stay with the child at all times and send someone to the school office / First Aid Room. 3. Treat the child according to their own protocol which will be found with their allergy kit. IF YOU FOLLOW THE CHILD S OWN PROTOCOL YOU WILL NOT GO WRONG. 4. Contact the Nurse in Charge Diabetes mellitus - Diabetes mellitus is a condition where there is a disturbance in the way the body regulates the sugar concentration in the blood. Children with diabetes are nearly always insulin dependent. WHAT TO DO IN THE EVENT OF A HYPOGLYCAEMIC ATTACK (LOW BLOOD SUGAR LEVELS) 1. DO NOT PANIC 2. Contact the Nurse in Charge 3. If the child is a known diabetic and they know their sugar level is going low, help them to increase their sugar intake. Glucose sweets, sugary drink, chocolate or anything that has good concentration of sugar. 4. Get the child to Clinical Room to test the blood sugar

Head injury - Any student who reports a blow to the head will be asked the following set questions: How did it happen? When did it happen? Where did it happen? How do you feel? The student will be monitored in the Clinical room for 20 minutes minimum for any signs of concussion. Nausea/vomiting /diarrhoea - Students who report nausea or vomiting or diarrhoea will be assessed in the Clinical room for a minimum of 20 minutes. If no further symptoms occur they will be returned to normal lessons, and told to come back if they feel unwell again during the school day. It is the school policy that when a child has either been physically sick or has had a temperature, he or she must be kept at on the ward for 48 hours following either the end of the sickness or the return to a normal temperature. 6. Equipment The First Aid Officer must ensure that the appropriate number of first-aid containers according to the risk assessment of the site are available. All First Aid containers must be marked with a white cross on a green background. The school mini - bus must carry a First Aid container. First Aid containers must accompany any staff leading school related activities offsite. Responsibility for checking and re-stocking the first aid containers is that of the First Aid Officer. Signs detailing location of the nearest defibrillator must be displayed, and staff have been appropriately trained in the use of this item. Spare stock should be kept in school. Yellow SHARPS boxes are kept, clearly labelled, in clinical rooms, for individual students for safe disposal of needles and other sharps. 7. Reporting Reporting Accidents Statutory requirements are followed under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR), some accidents must be reported to the HSE. For definitions, see HSC/E guidance on RIDDOR 1995. The following accidents must be reported to the HSE:-

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. If the incident is related to premises or the environment, the Business Manager is responsible for investigating and ensuring that the RIDDOR Form is completed; but if it is related to people causing the incident, then the investigation of the incident and the completion of the forms is the responsibility of the Head Teacher. The form must be emailed / faxed. It can also be completed on-line. To report an incident over the telephone call 0845 300 99 23 (Monday to Friday 8.30am to 5.00pm). The Governors must ensure that the school keeps a record of any reportable injury, disease or dangerous occurrence. This must include: the date and method of reporting; the date, time and place of the event; personal details of those involved and a brief description of the nature of the event or disease. This record can be combined with other accident records. On site record keeping should be completed by any First Aider administering treatment or support to students in the school s care. This should include: The date, time and place of accident / incident The name (and class) of the injured or ill person Details of their injury / illness and what first aid was given What happened to the person immediately afterwards Name and signature of the first aider or person dealing with the incident. Whether or not and to whom the incident has been referred. The Governors must ensure that the school has in place procedures for ensuring that parents are informed of significant incidents. Parent/ carers will not be informed if the student has a minor complaint: Cuts and grazes that does not require professional attention. A sprain/ strain to ligaments muscles where the student confirms that that initially reported pain has stopped and physical movement is not visibly hampered. A headache that goes away. Parent/carers will always be contacted, or the secondary contacts supplied on SIMs will be contacted, and every effort made to speak with them personally should a student: Need to attend hospital. If an ambulance is called.

Has a suspected contagious rash Has an injury to the head of any kind. Appear to be unfit to continue their day at school If the injury is deemed not accidental.

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