Updated: October 2015

First Aid Policy

Review date: October 2016

Moyles Court School First Aid Policy and Procedures This policy outlines the 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. The policy is reviewed annually.

AIMS 

To identify the first aid needs of the School in line with the Management of Health and Safety at Work Regulations 1992 and 1999. Been updated by Riddor in October 2013.



To ensure that first aid provision from a qualified person is available at all times while people are on school premises, and also off the premises whilst on school visits.

OBJECTIVES 

To ensure an appropriate number of suitably trained First Aiders are available on the site.



To provide relevant training and ensure monitoring of training needs



To provide sufficient and appropriate resources and facilities



To inform staff and parents of the School’s First Aid arrangements



To keep accident records and to report to the HSE as required under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995.

First Aiders The recommended number of certified first-aiders is one per 100 pupils/staff. Each First Aider must hold a current HSE recognised First Aid certificate. For a list of the school's qualified First Aiders please see Appendix A. All members of staff have the option to become First Aid trained, but no member of staff is obliged to become a qualified First Aider.

Appointed Person An appointed person is someone who is trained to take charge when someone is injured or becomes ill. They ensure appropriate medical help is summoned. They need not be First Aiders and will not necessarily administer First Aid. Any member of staff can assume the role of appointed person until a more qualified member of staff is available.

First Aid Facilities The school has a First Aid room located in the DUTY ROOM on the first floor of main house. This is where the majority of treatment is provided. First Aid boxes are available in various locations around the school. For a list of locations please see Appendix B AED available in school – located in entrance lobby by Head’s P.A.’s office. Staff members trained – see Appendix F.

Updated: October 2015

First Aid Policy

Review date: October 2016

Treatment of injuries/Illness Administering First Aid First Aiders are not obliged to treat injuries. They should only treat injuries for which they are trained and they feel comfortable treating.

Minor injuries All First Aid treatment should normally be given by a qualified First Aider. If a First Aider is not immediately available, members of staff are advised to use their best judgement about immediate treatment. During break times, children who are injured will normally be taken to the Duty Room. However, an assessment of the injuries and treatment can be carried out in other locations with appropriate equipment. The teacher on duty should not normally take the child to the Duty Room to see the nurse, another member of staff, duty prefect or another child should do this. If a child becomes ill or is injured during a lesson, the teacher should assess the situation and either summon appropriate First Aid assistance, usually the school nurse, or send the child to the Duty Room. Children should be accompanied to the Duty Room to see the nurse. Junior children below Year 4 will be accompanied by a member of staff if they are in the Junior building. A mobile telephone has been issued to the Nurse on duty (School telephone 07703727950). If a child is injured or becomes ill on the school field, the teacher should make a decision about appropriate action. The child can be sent to the Duty Room to see the nurse (accompanied) or First Aid assistance can be called to the field. All members of staff on the field should have the ability to call for assistance, through the use of a mobile phone. If a member of staff is injured or becomes ill, they should inform the school nurse first,or a First Aider if the nurse is not available, who will assess the situation and take appropriate action.

Waspeze and insect bites Waspeze can be applied to a child by a First Aider if we have parental consent.

More serious injuries More serious injuries should initially be treated “on site” and the injured person should not be moved until they are assessed by a nurse or qualified First Aider. They MUST not be moved if a spinal injury is suspected. If an ambulance is required, the office or a member of staff near with a phone, should normally call 999, but in an emergency any member of staff can call for an ambulance. If a First Aider is unsure about how to treat an injury, they should call another First Aider for support. The Leading First Aider can be called away from other duties whenever they are needed as First Aid takes priority over other tasks. If a child has vomited, the area should be cleaned thoroughly by a responsible adult. The children should remove any clothing that has vomit on. They can change into their PE kit or other suitable clothes. Cleaning of bodily fluids policy attached as Appendix H. To wear protective equipment whilst dealing with any bodily fluids.

Updated: October 2015

First Aid Policy

Review date: October 2016

Transport to Hospital It may be appropriate to transport a child to A&E without using the ambulance service. Staff transporting a child to A&E should do so on a voluntary basis. The school will always attempt to contact parents to inform them the child is going to A & E.

Head injury If a child receives a bump to the head in school, we will attempt to contact parents on the same day and outline what treatment they received. If a child is collected by someone other than their parent, then the person collecting the child should be asked to pass on the relevant information. Children may also be given a “I bumped my head today” wrist band and advice letter.

Medicine There is no legal obligation upon the school to administer medicine and the school has the right to withdraw this service. The school nurse or member of staff will administer medication prescribed by a doctor. Non-prescription medicine will be administered as deemed necessary. Any requests for medication to be administered must come from a parent in writing. See appendix C for a parental permission to administer medication form. Wherever possible, the children should only have sufficient medication in school for one day, but it MUST be in the actual medical container containing the child’s name and the stated dosage. During the day medication will be kept in the medical cupboard or fridge as necessary in the Duty Room unless special circumstances require it to be kept in another location. Any medicine brought in by overseas boarders must come with English instructions of dose, administration, cautions, etc. and be checked with the school doctor.

Paracetamol A small supply of children’s and adult’s Ibuprofen, Paracetamol and Calpol is stored in the school. Authorisation to give this medicine should be obtained from parents/guardians as required. First Aiders and the School Nurse only should administer Paracetamol and Calpol to pupils, and it should only be given if the First Aider/School Nurse considers it absolutely necessary. Ibuprofen should only be administered to pupils by the School Nurse if she deems it absolutely necessary. Before administering the above medicine to a child, the First Aider/School Nurse should check to see if the child has taken other medication in the past 4 hours. A record must be kept of all Paracetamol and Ibuprofen given to children. If any cause for concern is noticed in the records, the leading First Aider or Head Master should be contacted. See Homely Remedy Younger children will be given “I had paracetamol at…….” wrist band and a letter to take home to their parents.

Contacting parents If a child is injured or becomes ill during the day, the office staff or school nurse will contact the parents on the same day and outline what treatment they received. When possible for junior children, the child’s class teacher should be informed before parents are contacted as the teacher may have more information about the illness/ incident. If a member of staff or other adult is injured or taken ill, the school may need to contact their “appointed person”.

Updated: October 2015

First Aid Policy

Review date: October 2016

Allergies and special medical needs A record of children with allergies and special medical needs is kept in the school office, duty room, boarding houses and kitchen and all staff must make themselves aware of the needs of the children they teach. A list of children with allergies and special medical needs will be given to staff towards the beginning of each school year and updated as required. If information about such children is given to a class teacher by a parent, the information must be passed to the school office as soon as possible and the school nurse. Asthma inhalers should be kept in classrooms for immediate access. Children are responsible for their inhalers and they should be taken with the child when they go around the school. An additional inhaler should be kept in the medical cupboard in the duty room.

Allergies/Anaphylaxis 

Staff should be aware of which children have any allergies that could lead to a severe allergic reaction or anaphylaxis.



Notice from parents will need to be taken of any dietary requirement of any particular child and adequate supervision is required to ensure they don’t come into contact with food they are allergic to.



Training must be provided to staff as appropriate to deal with specific emergencies.



Sufficient Epi pens must be provided by parents based on an assessment of risk by the school. Up to 5 Epi Pens may be required. (Junior Classroom, office, PE, Dining Room, boarding house/school bus) Epi pens/Jext Pen should be located wherever the child is likely to come into contact with the source of their allergy as the need to be administered quickly. A minimum of one pen should always be with the child and one pen in the school office.



Each Epi Pen/Jext Pen must be clearly named and parents are responsible for ensuring the Epi Pens/Jext Pens are in date.

Plasters Before applying plasters, First Aiders should try to make sure the child is not allergic to plasters and that we have parental consent. The school publishes a medical register each term to alert staff to pupils with specific medical needs or allergies. Copies are kept in the school office, kitchen, boarding houses and duty room. We have an obligation to treat all wounds and if parental consent is not given, other forms of dressing should be used.

Specific medical needs Some children may have specific medical needs and relevant staff will need specific information about treatment for these children. First Aiders (or other staff if specifically trained) may, on a voluntary basis, administer medication (including applying creams) to these children only if a letter from the parents specifies the exact procedure. Parents must demonstrate, or arrange training for any treatment which requires the use of injections (other than epi pens/Jext pens). Pupils may have specific medical conditions such as asthma or diabetes which may require some urgent care. See specific policies for both. All pupils will have a Health Care Plan for their specific conditions. See appendix I for Diabetes Policy

School Trips First aid provision should form part of the risk assessment of all school trips (including away sports fixtures). A First Aider will normally accompany all school trips. This may not be necessary for all sports fixtures as the organisation hosting the

Updated: October 2015

First Aid Policy

Review date: October 2016

event will normally have first aid provision. School trips to take box containing Paracetamol and Piriton which is to be taken and administered appropriately if necessary by a teacher. There is always a first aid trained member of staff attending away fixtures. The school uses the host team's first aid procedures for any incidents during away fixtures.

Record keeping Statutory accident records: The school must ensure that readily accessible accident records, written or electronic, are kept for a minimum of Three Years. All injuries requiring emergency hospital treatment should be recorded in the accident book in the office or medical book in the duty room. All First Aid treatment should be recorded on a central file/DR Book kept in the Duty Room. This should include:     

the date, time and place of incident details of their injury/illness and what first aid was given what happened to the person immediately afterwards name of the person(s) dealing with the incident. A record of which parent has been informed by telephone and followed up with letter of medication/injury: - Medication: parent informed if medication given after midday. - Injury: parent informed if serious incident or head injury.

.

Reporting incidents Under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations October 2013 (RIDDOR) some accidents must be reported to the HSE. 0 The school must keep 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 and is to be kept in the School Office.

Accidents the school need to report0 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 the premises: 0  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 acts of physical violence). 0 For definitions of major injuries, dangerous occurrences and reportable diseases see HSC/E guidance on RIDDOR 2013, and information on Reporting School Accidents. HSE must be notified of fatal and major injuries and dangerous occurrences without delay (eg by telephone). This must be followed up within ten days with a written report on Form 2508. Other reportable accidents do not need immediate notification, but they must be reported to HSE within ten days on Form 2508. An accident that happens to pupils or visitors must be reported to the HSE on Form 2508 if: 0  the person involved is killed or is taken from the site of the accident to hospital; and 0 the accident arises out of or in connection with work. 0 Like fatal and major injuries to employees or dangerous occurrences, these accidents must be notified to HSE without delay and followed up in writing within ten days on Form 2508. In HSE's view an accident must be reported if it relates to:

Updated: October 2015

First Aid Policy

Review date: October 2016



any school activity, both on or off the premises;



the way a school activity has been organised and managed (eg the supervision of a field trip);



equipment, machinery or substances;



the design or condition of the premises.

All injuries to staff, or injuries to pupils which result in emergency hospital treatment must be recorded on an accident report form, kept in the school office or logged in daily record book in duty room. This form must then be passed to the bursar and stored in a secure location for a minimum of three years.

Updated: October 2015

First Aid Policy

Review date: October 2016

APPENDIX A Qualified Nurses: Mrs. Claire Sarel, RGN,RM Mrs. Suzy White, RN MOYLES COURT EMERGENCY FIRST AID IN SCHOOL QUALIFIED AND TRAINED FIRST AIDERS EMERGENCY FIRST AID AT WORK - CERTIFICATE EXPIRY DATES Updated 28 August 2015 July 2015 September 2015 8 March 2016 July 2016 October 2016 January 2017 Chloe Gaudion Christopher Hosking Sarah James Rosie Lidstone-Scott Kevin Bromage Sarah Cunningham Andrea Saunders Claire Morrison 16 hour Forest Gary Moore Emma Pragnell Colly Ullah Schools First Aid Raphaelle Ranchin-Meakin Michelle Theobald Wyn Williams Course (ITC First Aid Sally Spark First Aid in the Ltd) Paul Towler Work Place: Josie Young Terry Farrant Paediatric First Aid Chris Young Sarah Chant Emma Christopher Claire Sarel Suzie White February 2018 August 2018 Jennifer Witney Sam Benham (Paediatric First Nicola Corlett Aid) Clare Morrison Phillip James Nick Penrose Vanessa Roche Andrea Saunders Michelle Theobald Serina Waller Tracy Waller Roy Winspear Paediatric First Aid Sarah Chant Emma Christopher First Aid in the Work Place: Terry Farrant

Updated: October 2015

First Aid Policy

Review date: October 2016

APPENDIX B FIRST AID BOXES AND THEIR LOCATIONS The first aid boxes will be located and re-supplied regularly by the School nurses. All staff should know where the first aid boxes are kept. The boxes must contain a ‘sufficient quantity’ of first aid material and nothing else. The school requires the following items to be in the box as a minimum.

Guidance card Individually wrapped sterile adhesive dressings Sterile eye pads, with attachment Triangular bandages Sterile coverings for serious wounds (where applicable) Safety pins Medium size, sterile unmedicated dressings Large, sterile unmedicated dressings Extra large, sterile unmedicated dressings. Gloves

1 20 2 4 6 6 6 12 x 12 0 2 18 x 18

LOCATION OF FIRST AID BOXES: Minibuses (1, 2, 3, 4 and 5) Medical Cupboard x 2 Science Laboratory x 1 + eye wash Design Technology Room x 2 + eye wash Sports Hall: 2 in filing cabinet in PE office, 1 in Sports Hall Foyer School Office x 1 Nursery x 1 Kitchen x 1 + eye wash Girls Boarding House

Updated: October 2015

First Aid Policy

Review date: October 2016

APPENDIX C Moyles Court School Permission form for the administration of non-prescription medicines and first aid.

Name of child ………………………………………………………………. 1. I do give permission for paracetamol and First Aid to be Administered to the above child by the School Nurse or Trained member of Staff. ……………………………… I do not give permission …………………………………

2. I do give permission for the School Nurse or Trained member Of Staff to administer other non-prescription medication eg: antihistamines, cough linctus, throat lozenges, alternative pain relief and the like to the above child …………………

I do not give permission…………………………………… In some instances, prescribed medication may need to be administered in school. It must be handed in to the Nurse or Reception, clearly labelled and all instructions in English.

Signed ......................................... Parent/Guardian

Updated: October 2015

Date:…………………

First Aid Policy

Review date: October 2016

APPENDIX D

HOMELY REMEDY PROTOCOL – IBUPROFEN Protocol for administration of IBUPROFEN to pupils/staff at Moyles Court School by School Nurses and Housemothers. Ibuprofen is available over-the-counter to relive pain, stiffness and inflammation that may accompany a number of disorders. It acts as an analgesic as well as an anti-inflammatory. It is an effective treatment for the symptoms of arthritis, and relives mild to moderate headache, menstrual pain and soft tissue injury. Ibuprofen has fewer side effects than many of the other non-steroidal anti-inflammatory drugs (NSAIDS). Ibuprofen can also be applied as a gel for localised musculoskeletal conditions. Follow up treatment  Monitor and review child  If symptoms persist inform parents  Verbal consent from parent/legal guardian (LG) must be obtained before a second dose can be given 4-6 hours later (except Boarding Matron)  Medical advice should be sought from School Doctor if symptoms persist or deteriorate and parents/LG informed. Pupil/staff advice  Inform pupil/staff of medication being administered under homely remedy policy.  Under 16s: give letter to take home to parents/LG advising of dose/date/time of Ibuprofen  Over 16s: advise when next dose can be taken and remind that initially up to 400 mg 6 hourly can only be taken in a 24 hour period, max x 3 doses in 24 hours. If not competent then send letter home with medication instructions.  Consent Ibuprofen will only be administered to pupils in the presence of a written and signed consent form from parents or legal guardians permitting the administration of Ibuprofen to their child. WRITTEN CONSENT must be obtained from a parent or Legal Guardian if a child suffers from ASTHMA as NSAIDs are contra-indicated in patients with a history of asthma. Record keeping: record details in Daily Record book and Boarding/Day medication book. Update pupil’s medical record Complete and issue letter to under 16s.

Updated: October 2015

First Aid Policy

Review date: October 2016

QUICK CHECKLISTS Pre-administration  Check identity and age of the pupil  Check condition appropriate to be treated with Ibuprofen  Check consent form is dated and signed by parent or legal guardian  Check for medical conditions and allergies (NO ASTHMA, KIDNEY DISEASE, RAISED B.P., ALLERGIC TO ASPIRIN, PREGNANCY)  Check how much Ibuprofen has been taken in the last 24 hours. Clarify with parent or LG if in any doubt  Check if the pupil is taking any other medication, and confirm that it is compatible with Ibuprofen and does not contain Ibuprofen  Before dispensing, check drug name, dose and expiry date.  Check that pupil or staff have not had any allergic reaction to Aspirin or other non-steroidal anti-inflammatory drugs before.  Check that the pupil or staff does not have any underlying gastric disease or suffers from indigestion. POST ADMINISTRATION  Record details in Daily Record book and Medication record, sign and date and time. Update pupil’s medical record  Under 16s – letter issued for pupil to take home to parent or LG advising of dose/date/time of Ibuprofen  Over 16s – advise when next dose can be taken and remind of any 4 doses can be taken in any 24 hour period. If not competent then letter to be sent home.  Follow-up Dose (all age groups) may be required 4-6 hours later if symptoms persist.  Contact parent/LG by phone (not required for boarders), if this is unsuccessful and second dose needed. Contact School Nurse or School Doctor. Drug Errors  Action Drug Error – Contact School Doctor/A & E for advice  Overdose – low danger rating. An occasional unintentional extra dose is unlikely to be cause for concern, but if you notice unusual symptoms, or if a large overdose has been taken, notify School Doctor/A & E or seek advice from NHS Direct.  Inform Parents/LG/Headmaster and record in Daily Record book and in child’s records.

Updated: October 2015

First Aid Policy

Review date: October 2016

APPENDIX E

AED POLICY Purpose: To provide guidance in the management or administration of a school-based AED program. Sudden Cardiac Arrest (SCA) is a condition that occurs when the electrical impulses of the human heart malfunction causing a disturbance in the heart’s electrical rhythm called ventricular fibrillation (VF). This erratic and ineffective electrical heart rhythm causes complete cessation of the heart’s normal function of pumping blood resulting in sudden death. The most effective treatment for this condition is the administration of an electrical current to the heart by a defibrillator, delivered within a short time of the onset of VF. An AED is used to treat victims who experience SCA. It is only to be applied to victims who are unconscious, without pulse, signs of circulation and normal breathing. The AED will analyse the heart rhythm and advise the operator if a shockable rhythm is detected. If a shockable rhythm is detected, the AED will charge to the appropriate energy level and advise the operator to deliver a shock. System owner: School Nurse Responsibilities: Training of staff and students in the use of the AED. Maintenance of equipment Authorised AED users According to the Resuscitation Council “An AED can be used safely and effectively without previous training. Therefore, the use of an AED should not be restricted to trained rescuers. However, training should be encouraged to help improve the time to shock delivery and correct pad placement.” During school opening hours there is always at least one first aider on site. Responsibilities of school office: The school office staff or member of staff present are responsible for - Ensuring the 999 call has been placed - Ensuring adequate direction to casualty can be given to emergency response team and that someone is assigned to meet the team. - Contacting patients NOK - Contacting a first aider/ school nurse to attend casualty.

Updated: October 2015

First Aid Policy

Review date: October 2016

Equipment: The AED is kept in the lobby area next to the Heads PA’S office. The door to this area is labelled with the UK sign for a defibrillator. The defibrillator is kept in an alarmed cabinet which is checked by the school nurse or delegated staff member on a weekly basis. The AED should be used on any person using the correct pads according to age. The AED will be placed only after the following symptoms are confirmed: Victim is unresponsive Victim is not breathing normally. A telephone to contact Ambulance service is available in Heads PA’s office next to defibrillator and in Main Reception area. Instructions for how to contact emergency services is next to both telephones. Policy to be reviewed in October 2016 with the First Aid Policy Written by Suzy White

Updated: October 2015

First Aid Policy

Review date: October 2016

APPENDIX F

STAFF TRAINED TO USE THE AED

Training completed by: September 2013: Terry Farrant Fiona Joiner Roy Curchin Lianne Robinson Rosie Lidstone-Scott Emma Christopher Chris Hosking Greg Meakin Chris Young Sarah Blake-Watkins Richard Milner-Smith Jo Coulthard

Jamal Babur Paul Towler Andrea Saunders Bev Sharp Raphaelle Ranchin-Meakin Giles Crist Ruth Butterfield Trevor Batchelder Geraldine Smith Claire Morrison Claire Sarel

6 January 2014: Linda Brown Jo Coulthard Sarah Cunningham Kym Hyde Gary Moore Raphaelle Ranchin Meakin Sally Spark Paul Towler Josie Young 30 August 2015 Sam Benham Nicola Corlett Clare Morrison Nick Penrose Vanessa Roche Andrea Saunders Michelle Theobald Serina Waller Tracy Waller Roy Winspear Sarah Chant Emma Christopher Terry Farrant

Updated: October 2015

First Aid Policy

Review date: October 2016

Appendix G

Moyles Court School Staff taking medication policy

Statement of intent We wish staff taking medication to be able to work with children, provided it does not impair their ability to perform at the required levels. The safety of our children is our priority and staff should be aware of this.        

Staff working at Moyles Court must not be under the influence of alcohol, or any other substance which may affect their ability to care for children. Staff taking medication must seek medical advice as to their ability to care for children. Staff should not be present at work if they are not medically fit, including taking medication or substances which impair their ability to care for children. Staff who drive minibuses must ensure that any medication, or substance taken, does not interfere with their ability to drive. The Bursar and Headmaster are to be informed of the medical advice given by a doctor, if a member of staff is working whilst taking medication. The Headmaster also requires staff to report any instances where they are unfit to care for children due to any other substance they have taken. Staff taking medication on the school premises are required to keep all medication stored securely and out of reach of children at all times. The medication should be stored in the staff room and in a secure locked cupboard or in the Medical cupboard in the Duty room where a child cannot reach it.

This policy is subject to annual review.

Updated: October 2015

First Aid Policy

Review date: October 2016

Moyles Court School Early Years Foundation Stage First Aid Policy (Including procedure for reporting to HSE, RIDDOR) Policy statement We follow the guidelines of Reporting Injuries, Dangerous Occurrences (RIDDOR) for the reporting of accidents and incidents. Child protection matters or behavioural incidents between children are NOT regarded as incidents and there are separate procedures for this. Procedures Please refer to the main school policy and procedure. Our accident book:  is kept safe and accessible  is accessible to all staff and volunteers, who know how to complete it  is reviewed at least half termly to identify any potential or actual hazards In our setting staff are able to take action to apply first aid treatment in the event of an accident involving a child or adult. All staff hold a valid first aid certificate and there is at least one member of staff on duty in the setting or on outings at all times with a Paediatric first aid certificate. When first aid is given, this is recorded in the accident book held in the Nursery, and parents are asked to sign it at the end of the day. Our first aid kit is kept in the cleaning cupboard in the messy room, which is easily accessible to adults but out of the reach of children. It is regularly checked by the school Nurse and restocked as necessary. Whenever we leave the school on an outing the first aid kit comes with us. Ofsted is notified of any injury requiring treatment by a general practitioner or hospital doctor, or the death of a child or adult. When there is injury requiring general practitioner or hospital treatment to a child, parent, volunteer or visitor or where there is a death of a child or adult on the premises, we make a report to the Health and Safety Executive using the format for the Reporting of Injuries, Diseases and Dangerous Occurrences.

Dealing with incidents:

Updated: October 2015

First Aid Policy

Review date: October 2016

We meet our legal requirements for the safety of our employees by complying with RIDDOR (THE Reporting of Injury, Disease and Dangerous Occurrences). We report to the Health and Safety Executive: 

any accident to a member of staff requiring treatment by a general practitioner or hospital



dangerous occurrences. This may be an event that causes injury or fatalities or an event that does not cause an accident but could have done, such as a gas leak

Any dangerous occurrence is recorded in our incident book. See below. Our incident book is kept in the school office. We have ready access to telephone numbers for emergency services, including local police. We keep an incident book for recording incidents including those that are reportable to the Health and Safety Executive as above. These incidents include:  break in, burglary, theft of personal or of the settings property  an intruder gaining unauthorised access to the premises  fire, flood, gas leak or electrical failure  attack on member of staff or parent on the premises or nearby  any racist incident involving staff or family on the setting premises  death of a child, and a terrorist attack, or the threat of one. In the incident book we record the date and time of the incident, nature of the event, who was affected, what was done about it – or if it was reported to the police, and if so a crime number. Any follow up, or insurance claim made, should also be recorded. In the unlikely event of a terrorist attack we follow the advice of the emergency services with regard to evacuation, medical aid and contacting children’s families. Our standard Fire Safety Policy will be followed and staff will take charge of their key children. The incident is recorded when the threat is averted. In the unlikely event of a child dying on the premises, the emergency services are called, and the advice of these services are followed. The incident book is not for recording issues of concern involving a child. This is recorded in the child’s own file. Legal framework Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR 1995)

Updated: October 2015

First Aid Policy

Review date: October 2016

Moyles Court School Early Years Foundation Stage Administration of Medicines Policy Policy Statement While it is not our policy to care for sick children, who should be at home until they are well enough to return to the setting, we will agree to administer medication as part of maintaining their health and well-being or when they are recovering from an illness. Parents should keep their child at home for the first 48 hours to ensure no adverse effect, as well as to give time for the medication to take effect. The child’s key person is responsible for storing the medication correctly and notifying the school nurse that there is medication to be administered. In the absence of the child’s key person, the setting coordinator takes this responsibility. The School Nurse is responsible for the correct administration of medication to all children and that records are kept regarding this administration. Medicines containing aspirin should only be given if prescribed by a doctor. When the school nurse is not available a dedicated early years’ teacher/practitioner can also administer medicines as long as they are provided by parents/carers in accordance with our policy. Procedure Children taking prescribed medication must be well enough to attend the setting. All medications are to be stored strictly in accordance with their product instructions and in their original container in which it is dispensed. The product must have the child’s name clearly on the label and also be in date. Non-prescription medicine e.g. pain and fever relief may be administered, but only with prior written consent of the parent and only when there is a health reason to do so. This is to minimise possible loss of medication and to ensure the safety of other children. Inhalers should always be labelled with the child’s name. Parents must give prior written permission for the setting to administer any medication stating the following information. No medication will be given without these details being provided:     

full name of child and date of birth; name of medication and strength; who prescribed it; dosage to be given in the setting; how the medication should be stored and the expiry date

Updated: October 2015

First Aid Policy

Review date: October 2016

 any possible side effects that may be expected should be noted; and  Signature, printed name of parent and date. Parents must sign a medication record given by the school nurse to acknowledge the administration of medicines. This will be issued to the parent when they come to collect their child. It is the responsibility of the child’s key person, to ensure that the medication is handed back to parents/carers at the end of the day. Parents/carers with children with inhalers or other emergency life saving equipment i.e. Epipens are asked to be placed in a medication box or bag with instructions attached. This will be kept in a position that is easily accessible to adults, but out of the reach of children. If the administration of prescribed medication requires medical knowledge, individual training is provided for the relevant member of staff by a health professional. Where children are capable of understanding when they need medication, for example with asthma, they should be encouraged to tell any member of staff of what they need. However, this does not replace staff vigilance in knowing and responding when a child requires medication. Children who have long term medical conditions and who may require ongoing medication A risk assessment is carried out for each child with long term medical conditions that require ongoing medication. This is the responsibility of the School Nurse and Head of Early Years alongside the key person. Other outside agencies and the SENCO may need to be involved in the risk assessment. Parents will also be required to contribute to a risk assessment. They will be shown around the setting, have the opportunity to understand the routines and activities and point out anything which they think may be a risk factor for their child. For some medical conditions key staff will need to have training in a basic understanding of the condition as well as how the medication is to be administered correctly. The training needs for staff members are part of the risk assessment. The risk assessment includes vigorous activities and any other preschool activity that may give cause for concern regarding an individual child’s health needs. The risk assessment includes arrangements for taking medicines on outings and the child’s GP’s advice is sought if necessary where there are concerns. A health care plan for the child is drawn up with the parent; outlining the key person’s role and what information must be shared with other staff who care for the child. The health care plan should include the measures to be taken in an emergency. The health care plan is reviewed at the beginning of every half term or more frequently if necessary. This includes reviewing the medication, e.g. changes to the medication or the dosage, any side effects noted etc.

Updated: October 2015

First Aid Policy

Review date: October 2016

Parents receive a copy of the health care plan and each contributor, including the parent, signs it.

Managing medicines on trips and outings If children are going on outings, staff accompanying the children must include the key person for the child with a risk assessment, or another member of staff who is fully informed about the child’s needs and/or medication. Medication for a child is taken in a sealed plastic box/bag clearly labelled with the child’s name, and photo for easy identification. Inside the box/bag is a copy of the signed consent form and a record of when it has been given, with the details as given above. This box/bag would also be taken with the child to hospital if emergency treatment was required. On returning to the setting the medicine record is to be signed by the parent. We monitor and review our policy annually. Paediatric First Aid Staff Sarah Chant Emma Christopher Jenny Witney Sarah Cunningham

Updated: October 2015

First Aid Policy

Review date: October 2016

Moyles Court School Permission for the administering of medicine in the EYFS Child’s name: Date of birth: Name of medication and strength: Who prescribed the medicine: Dosage to be given in the setting: How the medication should be stored and the expiry date: Does your child have any known allergies to any medication: Any possible side effects that may be expected should be noted: Time it should be given:

I give permission for a school nurse or early years’ practitioner to give my child the above medicine: Signature: Printed name: Date:

Updated: October 2015

First Aid Policy

Review date: October 2016

Moyles Court School Asthma Policy June 2015 PURPOSE To provide care, understanding and correct management of Pupils with Asthma in school, ensuring that they are provided with the same standards and opportunities as other pupils.

THE SCHOOL RECOGNISES: Asthma is a serious but easily controlled condition its severity varies considerably; all pupils with asthma are welcome. Pupils with asthma should be able to participate in all aspects of school life. Pupils with asthma need immediate access to reliever inhalers at all times and they carry an inhaler on themselves at all times. This is not practical for younger children, so a system for staff to have easy access to these inhalers should be in place. Records should be kept of all children with asthma and details completed on an asthma card. All staff (including supply and support) should know what to do for an asthma attack. The school must work in partnership with all interested parties, including school governors, nurses, parents, carers community staff e.g. GP and practice nurses, to ensure that the policy is planned, implemented and maintained successfully. ASTHMA SYMPTONS These arise as a result of the narrowing of airways as the muscles tighten and the airways can become inflamed. . Coughing, . Shortness of breath . Wheezing . Chest tightness . A child may become unusually quiet . Difficulty speaking . Younger children express it often as tummy ache. These symptoms are rapidly reversible with the correct treatment. There are 2 main types of treatment-: Relievers and Preventers. PREVENTORS- these meds are taken daily normally morning and evening and so are therefore not normally needed in school. RELIEVERS- THIS IS COMMONLY BLUE AND EVERY CHILD IN SCHOOL DIAGNOSED WITH ASTHMA SHOULD HAVE ONE. It is the parents’ responsibility to provide them. These give immediate relief by relaxing the muscles of the airway allowing them to open. Some younger children may need to use a spacer device and these should be readily available. Records of any relievers used should be written clearly and parents informed by email. Asthma can be triggered by environmental changes. Eg grass pollen and dusty materials, staff should be aware of this. At the start of each school year pupils should bring in a new asthma device clearly labelled with that child’s name. TREATMENT OF AN ASTHMA ATTACK 1. If a child becomes breathless, wheezy or starts to cough2. Keep calm reassure the child 3. Sit the child in a comfortable position (upright) 4. Advise the child to have 2 puffs of their reliever 5. Stay with the child, this should work within 5-10 minutes 6. If symptoms go, the pupil can return to school after another 10 minutes. Updated: October 2015

First Aid Policy

Review date: October 2016

If symptom have improved but not gone, give 1 puff from inhaler every minute for 5 minutes If symptoms worsen e.g. Reliever has no effect, child unable to speak, is exhausted and you have any doubts about the child’s condition , call 999 or send someone to do this, REPEAT GIVING CHILD ONE PUFF FROM INHALER VIA SPACER EVERY MINUTE UNTIL AMBULANCE ARRIVES. Ask someone to inform parents of that child. If at all unsure re child’s breathing condition treat as for asthma. All children with asthma will have their own asthma card with important relevant details on it. Parents can have access to this as a good form of school parental liaison . SPACERS should be washed in warm soapy water, rinsed and left to dry after use. There should always be a member of Staff trained in First aid and how to handle an asthma attack on site at school. Be aware that poorly controlled asthma can affect a child’s ability in school, this high lights the importance of good communication with parents. Asthma policy for Moyles Court School to be reviewed annually by Nurses and Head teacher.

Signature…………………………………………………………………

Updated: October 2015

First Aid Policy

Review date: October 2016

Spillage of Bodily Fluids Policy Before dealing with any body-fluid spillage you must put on a pair of rubber or disposable gloves. If you are clearing a large spillage you must also wear a disposable plastic apron. If your gloves or apron become cut or torn, dispose of them safely and put on new ones at the earliest opportunity. If you are in the middle of clearing up a spillage, STOP, wash and dry your hands before putting on a new pair of gloves. Spillages On A Flat Surface  Cover the spillage completely with a layer of absorbent material (newspaper, kitchen roll, toilet paper, floor cloth, paper towels).  Using a suitable disinfectant (if necessary, diluted with water) and clean the area of the spillage.  Remember to add the disinfectant to the water, not the water to the disinfectant (to avoid splashes).  If you get disinfectant on your skin, wash it off at once with plenty of fresh running water.  If the disinfectant is likely to damage the surface, use hot water with plenty of soap or detergent lather and clean as above.  Dispose of cloths/material used as infected waste.  If the spillage is very extensive, as for example in a toilet with a lot of urine on the floor, the entire area should be mopped with plenty of very hot water containing soap or detergent.  Mop up as much of the liquid as possible then clean the area with a suitable disinfectant solution if available. Surfaces That Are Not Flat  Dip a handful of absorbent material in the disinfectant solution and wipe up the spillage.  Dispose of materials used as infected waste.

Dealing With Dried Vomit  Dried vomit should be soaked with hot water and soap/detergent, left to soften, and disposed of as for infected waste.  Then the surface should be washed clean as above. Dealing With Human Faeces  Where possible faeces may be scraped up (e.g. using a dustpan or shovel) and put down a toilet.  Diarrhoea should be dealt with as for dried vomit or as a normal spillage. Splashes Of Bodily Fluids  If you do get splashed with another person’s body-fluid on an area of unbroken skin, wash it off immediately.  If you can, use hot soapy running water for three to five minutes and rinse and dry well. If you are allergic to soap use plenty of plain water.  REMEMBER - tears are not a problem but saliva and phlegm may be. Infected waste  Infected waste must be disposed of as “clinical waste‟ in a proper clinical waste sack or container provided for the disposal of infected waste.  When clinical waste sacks or containers are two thirds full they should be carefully sealed and kept in a safe and secure location until they can be collected.  Clinical waste sacks are available through Ringwood Medical Centre. Updated: October 2015

First Aid Policy

Review date: October 2016

 Remember: infected waste must never be put into an ordinary dustbin, or disposed of with other waste. Disinfecting Equipment  Thoroughly wash any equipment you have used to clear up body fluids, such as a dustpan or shovel, with hot soapy water.  If you use a cloth or handful of absorbent material to wash and/or dry your equipment, dispose of them as for infected waste. Disinfecting Floors, Furniture, Etc.  After you have disinfected and removed the spillage, you must make safe the surfaces that were covered by the spillage.  All surfaces should be washed with plenty of hot water and soap/detergent, or approved disinfectant in order to remove any traces of germs which might remain.  Any floor areas that become wet during cleaning should be clearly marked to warn people of the slipping hazard.  After cleaning floors and steps must be left dry. Disinfecting Clothing  If your clothing becomes soiled with body-fluids, washable items should be washed in a washing machine if available, on as hot a wash and rinse cycle as possible for the fabric.  If the item is heavily soiled, as much as possible of the spillage should be removed first by sluicing with soapy water while wearing gloves and a disposable apron. Disposal Of Protective Clothing  If you have been wearing an apron, take it off whilst still wearing your gloves, and dispose of it, as infected waste.  Then wash your hands in hot soapy water with your gloves still on, dry with absorbent material available and remove the gloves by peeling them off from inside to out. They should also be disposed of as infected waste.

Written: November 2015

Updated: October 2015

Review date: November 2016

First Aid Policy

Review date: October 2016

Diabetes Policy Diabetes is a long term medical condition where the amount of glucose in the blood is too high. This happens because the pancreas does not make any or enough insulin or the body is resistant to the effects of the insulin. Insulin is the hormone produced by the pancreas that helps to regulate glucose levels. The body’s cells need glucose for energy and it is the insulin that acts as the key to unlock the cells to allow the glucose in. When insulin is not present or the body does not recognise it the glucose builds up in the blood. Glucose comes from the digestion of starchy foods, these foods are high in carbohydrate and include the following: bread, rice, potatoes, chapattis, pasta sugar and other sweet foods. Type 1 Diabetes develops if the body is unable to produce any insulin. This is the lost common cause in children and young people. They will need to replace the missing insulin for the rest of their lives. Type 1 usually manifests before the age of 40, most school pupils will have this type. Type 2 Diabetes develops when the body can still make some insulin but not enough or when the body become resistant to the little insulin they do make. Most of the time this is linked with being overweight. This mostly begins in people over the age of 40 but has begun to be seen in adolescents. Signs and Symptoms Hypoglycaemia occurs when the level of glucose in the blood falls to low (usually below 4 mmol/l) When this happens, a pupil with diabetes will often experience warning signs, which occur as the body tries to raise the levels. Signs vary from person to person but can include: Hunger Trembling Rapid heartbeat Tingling of lips Mood change Vagueness

Sweating Blurred vision Drowsiness

Anxiety/ irritability Paleness Difficulty concentrating

A hypo may occur if the pupil has taken too much insulin, delayed or missed a meal/snack, not eaten enough carbohydrate, taken part in an unplanned or strenuous activity or been drinking alcohol. Sometimes there is no obvious cause. Hypos are usually unexpected, sudden, rapid and without warning. Hyperglycaemia is the term used when the level of glucose in the blood rises above 10mmol/l and stays high. The symptoms do not appear suddenly but build over a period of time. They may include the following: Thirst Dry skin Updated: October 2015

Frequent urination Nausea First Aid Policy

Tiredness Blurred vision Review date: October 2016

If a pupil begins to develop these signs it means that their body is beginning to use its fat stores as an alternative source of energy, producing acidic by-products called ketones. This is due to the lack of insulin causing the blood glucose to rise. Ketones are very harmful and the body tries to get rid of them via the urine. Some children can become unwell with hypoglycaemia but show no symptoms. If left untreated hyperglycaemia can cause the level of ketones to rise and cause ketoacidosis, this can be recognised by vomiting, deep rapid breathing and breath smelling of nail polish remover/pear drops. Eventually they may develop a Diabetic Ketoacidosis (DKA) and will eventually become unconscious. This is life threatening. Damage can be limited in the intermediate stages by the administration of insulin. If in doubt call 999 for assistance. Insulin administration during school hours. Regimes vary from person to person with many different administration plans available. Some pupils will inject regularly some may have an insulin pump but will need to be able to maintain the site. It is important that the pupil has somewhere private they can be to check their sugar levels and administer their insulin in private. Exercise and physical activity All pupils with diabetes should be able to enjoy all kinds of physical activity. However pupils with diabetes need to prepare more carefully for any activity as it may use up their glucose levels. Before activity the pupil should: Have time to check their blood glucose levels Make sure that any insulin given has time to be effective and their blood glucose levels are stable. Have a snack to prevent their blood glucose levels dropping too low to cause a hypo. They should not be singled out for special attention although they should be monitored during the session. They should have access to glucose tablets and sugary drinks in case the glucose level drops during the activity. The pupil may need to retest their sugar during the activity and should act according to the results. After the activity they may need to eat some starchy foods depending on the tiome of the activity and whether a meal is due. Emergency procedures Hyperglycaemia: If the pupils blood glucose level is higher that 10mmol/l and stays high. Call parents if the pupil does not feel confident to give more insulin by themselves. Hypoglycaemia: blood glucose below 4 mmol/l Immediately give something sugary such as a glass of juice or three glucose tablets or glucogel. Updated: October 2015

First Aid Policy

Review date: October 2016

This may be sufficient for a pump user but those who inject long acting insulin may need to eat some fruit, a sandwich, cereal bar, two biscuits or a meal if it is due. This will prevent the blood glucose level dropping again. If the pupil is unconscious do not give them anything to eat or drink, place in the recovery position and call the emergency service on 999. Hypostop gel can be rubbed or squeezed into the side of the mouth whilst waiting for help. It is important that all staff in school are aware of which pupils have diabetes in school they should all have an awareness of the signs and symptoms of hypoglycaemia. Further information available from the Nurse. Pupils should not be left alone during a hypoglycaemic episode. Pupils with diabetes should be encouraged to take part in all school activities. All pupils should be allowed to eat a snack at the appropriate time for them which may not coincide with a natural break in the school timetable. They should carry emergency glucose tablets, drink and food at all times. Parents should be encouraged to communicate with school staff regularly any changes in the pupils’ medication regime or condition. Any boarders with diabetes should be seen regularly by the Gp to ensure their condition remains stable.

Written: November 2015

Updated: October 2015

Review date: November 2016

First Aid Policy

Review date: October 2016