Moor Park Early Years Medical Aid Policy

Transcription

1 Moor Park Early Years Medical Aid Policy Registered Person: Mr P Gosling Head of Early Years: Mrs N Marshall Health and Safety Officer: Sarah Jones Firs Aid Co-ordinator: Jayne Roberts This policy has been written with the guidance of our School Doctor, and should be read in conjunction with the Moor Park Medical Aid Policy. Moor Park Early Years places the child s well being at the very core of the ethos of the setting. Aim It is our aim to safeguard and maintain the well being of all children within the setting and the staff who look after them. Moor Park Early Years works in partnership with parents and carers and information sharing in this area is vital so that staff respect and are aware of cultural, ethical or religious reasons, which may relate directly to the administration of medication. Contents 1. Administration of Medicine Policy a. Procedure if a child falls ill whilst at Moor Park b. High Fever Protocol c. Rash Protocol d. Exclusion periods 2. Allergies and Allergic Reaction Policy a. Allergies Signs/Symptoms of an Allergic Reaction b. Treatment Guidelines for mild allergic reactions c. Symptoms of Severe Reaction/Anaphylaxis d. Treatment Guidelines for Anaphylaxis (Severe Allergic Reaction) e. Recording and Reporting 3. First Aid Policy

2 a. Staff Training b. First Aid Boxes c. Procedure d. Dissemination and Implementation e. Recording and Reporting Dissemination and Implementation All Early Years staff will be required to read this policy on their induction and to comply with the contents of the policy. The policy will be kept in the operational plan and is available to parents on the website. All Early Years staff will monitor the implementation of the policy on a day-to-day basis. Administration of Medicine Policy Staff authorised to administer medication within Tick Tock: Nicola Marshall, Magali Collin, Ellie Bevan, Sophia Baker, Alexandra Powell & Georgina Parker. Medicine for children from Kindergarten and Reception is administered by the Sick Bay team. Appropriate training is provided to any staff for administration of medicine, which requires medical or technical knowledge. (EYFS 3.45) Parents are required to fill out a written medication consent form which clearly states the name of medication, the illness being treated, the dose required and at what times and the expiry date. The Doctor s label on the medication must state the child s name. If the medication has not been prescribed for the child, we will NOT administer it. We only administer medication that has been prescribed by a Doctor, dentist, nurse or pharmacist. (medicines that contain aspirin will only be given if prescribed by a doctor). See Appendix 1 for minor conditions that do not require a visit to the GP for prescribed medication. A written record is kept each time a medicine is administered to a child, and the parents will be informed on the same day. (EYFS ) Procedure if a child falls ill whilst at Moor Park Staff at Moor Park are constantly monitoring the behaviour and wellbeing of the children in their care. Should we have concerns over a child s health at any point during the day, we will investigate and if necessary contact the parents. Where medicine is administered to a child, parents must be informed the same day, or as soon as reasonably practicable. On collection of the child parents are required to sign all relevant medication forms. (EYFS ) The information is then put into the medication book and signed forms are put into each child s file.

3 The Head of Early Years will monitor staff to ensure the procedures are being carried out, and that they are clear to all. Staff will be asked to feedback at staff meetings any areas of concern or to identify training needs that they may feel they need. What constitutes a temperature? An aural temperature (taken in the ear) of 37.7 and above almost always indicates the presence of acute infection, usually a viral (contagious) illness. If your child has a temperature of s/he should not be at nursery/school. When a child has a high temperature at school: 1. Parents will be contacted when a child registers a temperature of 37.7 or above, in order to confirm that the child will need to be collected, and to seek permission to administer Calpol. Should the child s temperature be above 38, then Calpol will be administered immediately. If this falls within the first four hours of the school day, then contact with parents will always be sought to confirm whether Calpol or Calprufen had already been administered that morning. If the temperature after 20 minutes of administering Calpol has not dropped to below 38.5 the nursery/matron will contact the school Dr at Station Drive Surgery ( ) for advice. 2. Calpol dosage: 5ml QDS for children under 2 years, 7.5ml QDS for children aged over 2 years. 3. There is a 24 hour exclusion for all high fevers. 4. All children with a high fever will be checked for a rash. 5. Staff will note any other symptoms that may develop with the high temperature (for example, rash or vomiting). 6. Staff will attempt to reduce a child s fever by the following: Encouraging the child to drink plenty of water unless there are reasons why the child is only allowed limited fluids. Removing excessive clothing Sponging lukewarm water on the child s forehead, back of neck and exposed areas of skin, such as arms and legs. If requested by a parent or if Calpol is given by an authorised carer in an attempt to bring the temperature down, a medication form must be completed detailing the child s name, temperature, time, date, dosage, staff members name of who administered it and a witness. Rash Protocol It is the understanding of Moor Park Early Years that all parents will have checked their children for a rash prior to dropping off. If the child has a rash present it is the responsibility of the parent to inform staff and an injury on arrival form will be completed.

4 If staff find a rash on the child during the day they will do the following: Immediately contact the parents to clarify. If the rash has any of the following features- pinprick rashes, rash that doesn t fade on pressure (glass test), and a rash with a high temperature, the staff will seek GP advice and isolate the child. Any child with a rash will have an incident form completed and handed to parents to sign on collection. If a child has a normal rash on day 1 and goes home and the rash on day 2 is still present, it would be an expectation that the parents have sought medical advice and have a diagnosis for the rash to ensure infectious disease protocols are being adhered to. For example, we need to know that it is not Measles, Chicken Pox, Parvo Virus (slapped cheek). Exclusions In order to protect the wider community at Moor Park, exclusion periods are in place. We would ask parents to respect these and only return their child once the exclusion period is completed. For all children in Early Years, the exclusion period for vomiting and diarrhoea is 48 hours after the cessation of symptoms. For all other exclusion periods, please refer to the Guidance on Infection Control in Schools and other Childcare Settings, displayed in the setting and on the website. Allergies and Allergic Reaction Policy At Moor Park Early Years we are aware that children may have allergies, which may cause allergic reactions. We will follow this policy to ensure allergic reactions are prevented and staff are fully aware of how to support a child who may be having an allergic reaction. As part of the induction process, parents will inform us of any medical issues relating to their child, including details of any allergies. It is the responsibility of Nicola Marshall (Head of Early Years) and the Sick Bay team in the main school to ensure that this information is correctly disseminated to all staff involved with the child. A chart with the child s photograph and his/her allergy or intolerance and the appropriate treatment, is displayed in each room. All staff in MPEY have the appropriate level of first aid training, which most staff holding the Paediatric First Aid qualification. In addition, Nicola Marshall, Becky Minogue and Jayne Roberts (First Aid Co-ordinator) have the First Aid at Work qualification. Epipen training is included in all staff training. If additional levels of training are required for a specific medical condition, then training will be provided. Allergies Signs/Symptoms of an Allergic Reaction Allergic reactions vary and are usually mild.

5 Ear/Nose/Throat Symptoms: runny or blocked nose, itchy nose, sneezing, painful sinuses, headaches, post nasal drip, loss of sense of smell/taste, sore throat/swollen larynx (voice box), itchy mouth and/or throat, blocked ears. Eye Symptoms: watery, itchy, prickly, red, swollen eyes; allergic shiners (dark areas under the eyes due to blocked sinuses). Airway Symptoms: wheezy breathing, difficulty in breathing and or coughing (especially at night time). Digestion: swollen lips, tongue, itchy tongue, stomachache, feeling sick, vomiting, constipation and or diarrhoea. Skin: urticaria wheals or hives-bumpy, itchy raised areas and or rashes; eczema cracked, dry, weepy or broken skin; red cheeks; angiodema painful swelling of the deep layers of the skin. Treatment Guidelines for mild allergic reactions: Depending on the type of reaction, treat accordingly. Antihistamine liquid is kept available in the Medical Treatment Room, and at Tick Tock. We also stock topical antihistamine if the reaction (mild) appears on the skin. In the event of any allergic reaction, the parent must be contacted, and ideally in advance of any treatment being given. Any child with an allergic reaction must be monitored carefully in case the reaction worsens. Symptoms of Severe Reaction/Anaphylaxis: Anaphylaxis is a severe allergic reaction and needs to be treated quickly with adrenaline. Symptoms could include any of the above together with: Difficulty in swallowing or speaking Difficulty in breathing severe asthma or throat swelling Swelling of the throat and mouth Hives anywhere on the body or generalized flushing of the skin Abdominal cramps, nausea and vomiting Sudden feeling of weakness (drop in blood pressure) Alterations in heart rate (fast pulse) Sense of impending doom (anxiety/panic) Collapse and unconsciousness. If you are in any doubt about the severity of any symptoms always seek urgent

6 medical attention (call 999 for an ambulance and state anaphylaxis ). The first line treatment of anaphylaxis is adrenaline (epinephrine) given by injection. Children will only be given an epipen that has been prescribed to them by their doctor. People who are allergic to foods often notice the effect in seconds, and their life may be in jeopardy within a few minutes. Sometimes a reaction takes much longer to start, an hour or so, but can still be extremely serious. A few people go on to have a second wave of anaphylaxis, so a second epipen should be on hand and the individual should be monitored closely. In the event of a severe allergic reaction the child s parents must be informed immediately. The emergency contact details should be used if the parent cannot be contacted. Treatment Guidelines for Anaphylaxis (Severe Allergic Reaction) 1. Call 112/999 immediately. 2. Remove epipen injector from packaging, remove grey safety cap. 3. Hold black tip near outer thigh, jab firmly into outer thigh at a right angle to the leg. 4. Press firmly into the thigh until the pen works (should hear a click) and hold in place for 10 seconds. 5. Withdraw the injection and massage the injection area. 6. Replace injector in packaging and give to paramedic to dispose of. 7. Record the time the epipen was given. 8. If there is no improvement, give second epipen minutes later. 9. Place patient in the recovery position until help arrives. If in doubt, give epipen cannot have an adverse effect. Remember, a secondary reaction may occur so monitor the patient carefully. 10. The manager or deputy manager must accompany the child to hospital, taking with them the child s registration forms, relevant medication sheets, medication and the child s comforter. Staff must remain calm at times; children who witness an allergic reaction may well be affected by it and may need lots of reassurance.

7 Recording and Reporting All parents who register their child at Moor Park are asked to complete a registration form detailing any medical needs. Children who have an allergy or intolerance are given a care plan, which details their particular needs. Parents will be asked to provide the appropriate medicine for treating their child, should they have a reaction. They are asked to sign a Medication form giving details of how the treatment is to be administered. All instances of allergic reaction in a child, however severe, are reported to the parent. If medication is given it is recorded on the Medication form, which is signed by the parent and filed in the Medication Book and on the child s file. If a child experiences an allergic reaction for the first time, an incident form will be completed along side the medication form record of any treatment given. Parents will then be asked to update their child s medical records so that a care plan can be drawn up. All accidents, incidents and medication are uploaded on to the Tick Tock and School digital day book. This information is collated so recommended corrective actions can be identified. It is the responsibility of the form teachers to return the slips daily to sick bay. The matron on duty is responsible for uploading, Kindergarten and Reception forms on to the digital daybook. The Head of Early Years is responsible for uploading the Tick Tock information on to the Tick Tock digital daybook. The form is then put in to the child s personal file. First Aid Policy Staff Training First aid Moor Park Early Years believes in ensuring that appropriate systems are in place to deal promptly and appropriately with emergencies such as accidents and injuries. Moor Park Early Years ensures that staff are appropriately qualified to administer First Aid. If a child becomes seriously ill or injured during his/her attendance at Tick Tock/Moor Park, Moor Park reserves the right to call emergency assistance so that the appropriate medical emergency treatment can be given. All staff hold a Paediatric First Aid qualification. All newly qualified staff who have completed a level 2 and/or level 3 qualification on or after the 30 th June 2016, will also have either a full PFA or an emergency PFA first aid certificate within 3 months of starting at Moor Park, in order to be included in the required staff: child ratios at level 2 or level 3 in our Early Years setting. All staff PFA certificates are available to view by parents. The full PFA and emergency PFA course content can be viewed in Annex A of the DFE Statutory Framework for The Early Years April Nicola Marshall, Jayne Roberts (First Aid Co-ordinator) Lesley Browne and Becky Minogue hold a First Aid at Work qualification. Prior to admission parents sign a consent form allowing staff to take their child to the nearest Accident and Emergency unit to be examined, treated or admitted as necessary on the understanding that

8 parents have been informed and are on their way to hospital. A vehicle from main school will be used and covered by the correct insurance. In an emergency, an ambulance will be called. Please refer to Moor Park School First Aid Policy for more information. (EYFS 3.25) (EYFS ) Head of Early Years is responsible for ensuring all staff understand and follow these procedures and for ensuring that procedures are followed in Kindergarten and Reception. First Aid Boxes First Aid boxes are easily accessible at all times and with appropriate content for use with children. (EYFS ) Responsibility for First Aid Kits: Magali Collin (Tick Tock) Jayne Roberts (Kindergarten and Reception) Location: Baby Room: On the wall behind the door Caterpillar Room: cabinet on the wall next to the sleep room Butterfly Room: On the wall by the playground door. Kindergarten: Cabinet on the wall in the Kindergarten toilets Reception: Cabinet on the wall at the door to the playground Procedure The First Aid boxes are easily accessible to adults and are kept out of reach of children. Prescribed medicine is only given to the child for whom it has been prescribed. At the time of acceptance to the nursery, parents sign and date their written approval for emergency medical advice or treatment. Parents sign a section on their child s registration form allowing staff to take their child to Accident and Emergency to be examined, treated or admitted as necessary on the understanding that parents have been informed and are on their way. All staff cars are insured under the school insurance policy to take an injured child/ visitor to hospital. In the event that additional or professional help is necessary an ambulance must always be called. Recording and Reporting A written record is kept of incidents or injuries and the first aid treatment given. Parents will be informed of any accident or injury sustained by the child on the same day and will be made aware of any treatment given. The parent/ carer will be asked to

9 sign the form upon collection. This information will then be put into the accident / incident book. (EYFS ) In the event of an accident, incident or illness, which requires First Aid intervention, this will be undertaken by a member of staff qualified to do so and the details will be recorded on the correct form. (EYFS ) Serious accidents or incidents, which occur on the premises, will be reported to the Health and Safety Officer (Sarah Jones). When an accident is required to be reported under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR), this will be carried out by the Health Manager or Health and Safety Officer. Guidance from the Health and Safety Executive Education Sheet Number 1 Reporting School Accidents will be sought when such a situation arises. In addition, Ofsted must be notified of any serious accident, illness or injury to, or death of, any child while in their care, and of the action taken. Notification must be made as soon as is reasonably practicable, but in any event within 14 days of the incident occurring. A registered provider, who, without reasonable excuse, fails to comply with this requirement, commits an offence. Providers must notify local child protection agencies of any serious accident or injury to, or the death of, any child while in their care, and must act on any advice given. (EYFS 3.51) Appendix 1 Coughs and colds with nasal congestion if they temperature is greater than 37.7 Dry eyes/sore eyes Dandruff Dry skin (mild) Eczema (mild) Nappy rash Mild irritant dermatitis Minor burns and scalds Mouth Ulcer Indigestion and heartburn Hay fever Head lice Skin rash Sun protection Eye Infection, conjunctivitis- if child is aged over 2 years.