Policy for first aid

1) Introduction
The health and safety of all pupils at New Life Christian Academy 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.

2) Senior First Aiders
• Mrs J Bickerton – Headteacher (FAW)
• Mrs N Seager – Class Teacher/Supervisor (Paediatric First Aid)

3) Other Staff with First Aid Training
• Miss N Correra – Support Staff (Paediatric First Aid)

(The list is also on the Welcome Board outside reception and on Notice Board in the Staffroom, which indicates all current staff, including volunteers).

4) First Aid Area
The First Aid area, along with a first aid kit for administering First Aid is in Reception. The lockable medical cupboard including file of children’s information, accident book, along with additional first aid supplies are in the disabled toilet room.

5) General Procedures
• Plastic gloves are to be worn when dealing with all incidents.
• Cuts are cleaned using, where appropriate running water and/ or alcohol wipes and if needed, plasters are available.
• Bloods/soiled dressing and used gloves should be disposed of in the appropriate bin (yellow bag) in the disabled toilet.
• Minor incidents and accidents should be dealt with, wounds cleaned etc and the child returned to the playground when possible and practical.
• An up-to-date list of child medical conditions, asthma etc is kept in the file in the medical cupboard and the key information is also on the board in the staffroom.
• Any incident that has required First Aid treatment by a qualified First Aider should be recorded in the Accident Record book and parents informed if necessary. The class teacher should be informed. If the injury involves the head and requires medical attention a bumped head letter must be given and the parents must be informed at least at the end of the day.
• Ice packs are available to be used to reduce the swelling for bumps and suspected strains and sprains or alternatively a cold compress. If ice packs are used then these are first wrapped in a paper towel to prevent contact with the skin.
• Injured/poorly pupils must never be left alone or sent alone for help.
• The first aid equipment is regularly checked and managed by Mrs Huart.
• If taking part in any kitchen activity a blue plaster must be used to cover any cut. Blue plasters are in the folder in the kitchen.

6) Head Injuries
Parents to be informed either by letter at the end of the day or by telephone. A head injury must be dealt with by a Senior First Aider who is responsible for making the decision to ring parents depending on the seriousness of the injury or the effect to the child. A bumped head letter must be given and the child must keep the letter visible at all times so that teachers and assistants know of the injury. If a parent has been contacted by telephone they will be encouraged to collect their child from school and seek further advice either from a doctor or accident and emergency department. Details are recorded in the Accident book. The class teacher should always be informed.

7) Accidents at Playtime/Lunchtime
Staff on duty at playtimes/lunchtimes will have immediate access (in green playground bag) to gloves, antiseptic wipes, and plasters and will deal with minor accidents on site and will always seek support from a first aider. More serious cases will be brought to the First Aid treatment area.

8) Accidents in the Classroom
If an accident happens in the classroom, the child will be dealt with by being referred to a First Aider for treatment.

9) Precautions for Offsite Activities
Classes leaving the school premises will take a First Aid box, and a sick bucket containing essential cleaning aids. A person trained in First Aid should accompany the children on the visit. First Aid should also be an essential element of informing the risk assessment for the visit.

It is the responsibility of the teacher in charge to take a first aid box with them on the visit and they will also carry any medication needed for individual children. 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 for children with specific needs will be taken on the visit. Other information can be obtained by contacting the school. Teachers will always carry mobile phones for emergency use. 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 a 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).

10) Hospital Treatment
If a child needs hospital treatment in a non urgent situation, the parent will be contacted to accompany the child to hospital. If the parent cannot be contacted, then permission must be given by a Senior First Aider to ring for a taxi and a first aider accompany the child in the back of a taxi. A Senior First Aider must always be left in school. Every attempt to contact the parents will be made by the school. Should parents be unable to be contacted the relevant member of staff, usually the Headteacher, or in her absence the other Senior First Aider, will act on the parents behalf, providing parents have signed consent forms to this effect. Consent forms will be signed prior to a child’s admission to the school.

11) Ambulance Emergency
In an emergency a Senior First Aider must be informed, a person trained in first aid must attend to the casualty and an ambulance called for without delay. The parents/carers will then be contacted. A member of staff must then accompany the child to hospital and wait for the parents to arrive. A Senior First Aider must always be left in school. Every attempt to contact the parents will be made by the school. Should parents be unable to be contacted the relevant member of staff, usually the Headteacher, or in her absence the other Senior First Aider, will act on the parents behalf, providing parents have signed consent forms to this effect. Consent forms will be signed prior to a child’s admission to the school.

12) Hygiene Control Guidelines
It is advisable to follow the Hygiene Control Guidelines recommended by the DfE listed below in all instances to provide protection against a range of infections to which staff in schools may be exposed. The following is a basic hygiene procedure which should be put into operation in all instances against a range of infections which members of the school community may be exposed to:

13) Personal Hygiene
Toothbrushes or other implements which could become contaminated with blood must not be shared

Minor cuts, open or weeping skin lesions and abrasions should be covered with a suitable dressing.

Sanitary towels and tampons should be placed in the disposal bins provided.
Hands are to be washed with soap after going to the toilet and before food.
Hand sanitizers will be provided for use by all members of the school community.
Separate cleaning equipment is to be used for toilets.

14) Accidents Involving External Bleeding/Bodily Fluids
Normal First Aid procedures should be followed, which should include the use of disposable gloves.

Wash the wound immediately and copiously with water. Apply a suitable sterile dressing and pressure pad if needed.

Cotton Wool should not be used in cleaning wounds since it is not sterile and could cause infection.

As soon as possible seek medical advice should the bleeding continue.

Splashes of blood

• Splashes of blood on the skin should be washed off immediately with soap and water.
• Splashes of blood into the eyes or mouth should be washed out immediately with copious amounts of water.

After accidents resulting in bleeding, contaminated surfaces, eg tables or furniture should be disinfected. Separate cleaning equipment is to be used.

All bloods/soiled dressing and used gloves should be disposed of in the appropriate bin (yellow bag) in the disabled toilet.

15) Staff Precautions
As general policy, if staff giving care to infected children have cuts and abrasions, these should be covered with waterproof or other suitable dressings.

16) Waste Disposal
Urine and faeces should be eliminated or discarded into the toilet in the normal manner.
Soiled Waste and Bloods should be disposed of in the appropriate bin (yellow bag) in the disabled toilet. These are collected regularly and the contents disposed of by an outside contractor.

17) Administration of Medicines
Ideally it is preferable that parents, or their nominee, administer medicines to their children, this could be effected by the young person going home during a suitable break or the parent visiting the school. 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. This must contain clear instructions regarding dosage. Completed forms are kept in the folder in the medical cupboard.

Each request for medicine to be administered to a young person in school will be considered on its merits. 2 members of staff, one of whom must be a Senior first aider, must be present when medicine is administered. A log of the administration of the medicine is also kept in the front of the first aid file.

18) 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 could be encouraged to ask their prescriber about this. 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 clearly labelled in the fridge (kitchen door is locked at all times and only staff are allowed access) or in the lockable medical cupboard. They 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, name and dosage of the medicine and the frequency of administration. All Medicines, including controlled drugs, will be returned to the parent at the end of the school day or for longer term medical needs, when no longer required. They should also collect any 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.
In specific cases, the school will adhere to guidance given by the School Nursing team.

19) Asthma Inhalers
Asthma can be a life threatening disease and attacks can start very rapidly. It is therefore vital that the asthmatic pupils have instant access to their inhalers. It is entirely reasonable to allow pupils to keep their inhalers on their person, in their own offices/drawers, in their classroom, or their school bag. Parents of asthmatic children are asked to ensure that this is clearly stated on their medical record form and to ensure that their child is equipped with a labelled inhaler. We also request that school is provided with a spare inhaler. Students will be expected to administer this to themselves. If this is not possible, a form can be filled out by parents to reuest it to be administered.

A list of children in school with asthma is kept on the notice board in the staff room and is updated regularly. 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.

20) Analgesics (Pain Killers)
Staff should never administer analgesics in school unless they are prescribed for specific conditions such as dysmenorrhoea (period pains) or migraine and relevant forms have been completed by the parents.

21) Health and Safety Responsibilities
The Health and Safety Executive take the view that provided the school management and staff act in accordance with the health and safety policy and guidelines issued by the Department of Education, asking advice when in doubt, then there should be no difficulty in meeting Health and Safety obligations. This approach, will also ensure that Headteacher, Governors and staff remain within the protection of relevant insurance policies.

22) Children with Special Medical Conditions
Children with specific conditions and treatment are photographed and their details are placed on the staffroom wall. All other medical conditions are kept on a list by the class teacher and this information is kept in the teacher’s file. Records are also kept in the first aid file and the school office.

New Life Christian Academy 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. They will include the following:- Details of the young person’ condition, special requirements i.e. dietary needs, pre-activity precautions, any side affects of the medicines, what constitutes an emergency, what action to take in an emergency, who to contact in an emergency and the role staff can play.

23) Medical Information
Medical information about a child is gathered through the medical part of the admission form – parents are asked to update this if information changes. All important medical information is provided for class teachers and kept in the office, first aid cupboard and classrooms. Records about those children with particular medical conditions or allergies are also kept on the notice board in the staff room.

All emergency phone numbers are kept in the contact file in the office.
All relevant information regarding medical conditions are passed on to the relevant teacher and also the first aiders are aware of these. This includes information on allergies. Each new child that starts within the school supply information regarding health issues, these are passed on to all relevant members of staff.

Photographs are provided to help staff identify and therefore provide the appropriate care for children with specific needs.

24) Monitoring and Review
The Headteacher will be responsible for monitoring this policy.

This policy will be reviewed every two years unless a change in legislation requires an earlier review.

This policy has links to:

• Health and Safety Policy
• Educational Visits Policy
• CPD Policy