Injury, Incident & Illness Procedure
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- Steven Melton
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1 Injury, Incident & Illness Prcedure Injury / Incident Includes any child, adult, r emplyee injured n site. A first aid kit will be available at all times. It will be maintained in accrdance with criterin PF28 (appendix 1) and checked termly t replace used items r items past their use-by-date. Teachers will have current first aid training. Teachers will administer first aid treatment and/r assess the cnditin f any child r adult wh requires attentin, either as a result f an accident r illness, and in cnsultatin with ther teachers decide the mst sensible curse f actin depending n the severity f the accident/illness. Teachers shuld nt hesitate t phne Emergency Services n 111. Fllwing a critical event, health and safety plicy and prcedures will be reviewed as necessary. Child Injury Teachers will assess and apply first aid if required. Fr serius accidents, which teachers cannt manage at kindergarten, medical help will be sught by calling 111. Teachers will attempt t cntact parents immediately fllwing a serius child injury. Fr any bld r bdy fluid injuries fllw the safe guidelines in the hygiene and infectin cntrl prcedure. All incidents and injuries must be recrded n the DK Sharepint Injury and incident frm by the attending teacher. Parents must be ntified when an injury ccurs and sign the injury and incident frm. If an injury r incident requires an external investigatin this will be carried ut by the general manager. All injury and incident frms must be filed. Fr children file with the child s enrlment card. Fr adults file in staff flder. If fllw up treatment is required, please dcument this n the DK Sharepint Investigatin and further medical treatment frm. Cntact DK General Manager r Senir Teacher immediately fllwing any injury/incident whereby yu: ask parents t cme and cllect the child due t injury/incident advise parents t seek further treatment, such as dctr/dentist/hspital phne 111 fr emergency services r yu suspect it culd be a ntifiable event/injury/incident If a teacher is required t accmpany a child t a dctrs r emergency clinic, cntact an adult frm yur emergency relievers list and infrm DK. When a Ntifiable event (Injury/Illness/Incident) ccurs, the general manager must ntify Wrksafe NZ , as sn as pssible and a written reprt is sent within seven days. (Refer t Ntifiable event definitins). The Ministry f Educatin must als be ntified by the General Manager. If an identified hazard has caused an injury, check if the cntrls are adequate. Fr a new hazard add t the hazard register and fllw prcedure fr hazard management.
2 Emplyee Injury The prcess fr Child Injury will be fllwed. If a teacher r ther emplyee ges hme as a result f an injury cntact Dunedin Kindergartens t infrm them. The DK Sharepint Injury and incident frm will be used t dcument the injury. If an injury r incident requires an external investigatin this will be carried ut by the general manager. Any injury t an emplyee shuld be managed by cntacting the general manager and using the Injury management flw chart (appendix 2). Als refer t the Return t Wrk prcedure. When a Ntifiable event (Injury/Illness/Incident) ccurs t an emplyee, cntractr r any member f the public, the general manager must ntify Wrksafe NZ , as sn as pssible and a written reprt is sent within seven days. If an identified hazard has caused an injury, check if the cntrls are adequate. Fr a new hazard add t the hazard register and fllw prcedure fr hazard management. Illness Sudden Illness When a child attending kindergarten develps any illness, all practicable steps must be taken t islate the child frm the thers attending kindergarten and return the child t the care f a parent, guardian, r whānau member withut delay. Fr serius illnesses which teachers cannt manage at kindergarten, medical help will be sught by calling 111. There must be an area where unwell children can lie dwn away frm ther children Unwell children will be cared fr and supervised at all times. The DK Sharepint Injury and incident frm will be used t dcument illness. Parents must be ntified and sign the injury and incident frm. In the event f pisning r suspected pisning, phne the Pisns centre fr advice. Infectius Illness Any child wh is suffering frm an ailment r illness may be excluded frm attending at the discretin f the Head Teacher if they believe they may cnstitute a risk t the health f thers. (Secnd Schedule f the Health (Infectius and Ntifiable Diseases) Regulatins 1966) The Infectius Disease fr Criteria HS26 (appendix 1 Licensing Criteria fr Early Childhd Educatin and Care Centres 2008) will be referred t as a basis fr infrmed decisin. Cntact yur public health nurse if yu are cncerned abut any infectius disease (including vmiting and diarrhea), particularly if a large number f peple appear t have the same symptms, r if yu ntice anything ut f the rdinary. A guide fr ut f the rdinary is arund 20% f children absent with similar symptms/cnditins. The kindergarten cmmunity shuld be infrmed f the utbreak f infectius diseases that have been diagnsed in children enrlled at kindergarten. The recmmendatin f absence frm kindergarten fllwing a vmiting and diarrhea (Gastrenteritis) episde is 48 hurs. Fllw the Hygiene and Infectin cntrl prcedure fr vmiting r diarrhea incidents and fr any bld r bdy fluid incidents.
3 It is recmmended yu step up yur daily cleaning by cleaning mre ften and mre thrughly if yu have an utbreak f illness. Emplyee Illness If a teacher r ther emplyee ges hme unwell, cntact Dunedin Kindergartens t infrm them. The DK Sharepint Injury and incident frm will be used t dcument illness. Adult Exclusin The Head teacher may, at their discretin, exclude frm the kindergarten any persn wh is suffering frm an ailment r illness that may cnstitute a risk t the health f thers. Escape Cntact DK General Manager r Senir Teacher immediately fllwing an escape incident. All incidents f escapes must be recrded n the DK Sharepint Injury and incident frm by the attending teacher. These must then be signed by the parent. Fr escapes, please als dcument this n the DK Sharepint Investigatin and further treatment frm after the event. If an incident requires an external investigatin this will be carried ut by the General Manager. The Ministry f Educatin must als be ntified f all escapes by the General Manager. All incident frms must be filed. Fr children file with the child s enrlment card. Check if the cntrls are adequate. Fr a new hazard add t the hazard register and fllw prcedure fr hazard management. Near miss All incidents f near misses must be recrded n the DK Sharepint Injury and incident frm by the attending teacher. These must then be signed by the parent. All incident frms must be filed. Fr children file with the child s enrlment card. Check if the cntrls are adequate. Fr a new hazard add t the hazard register and fllw prcedure fr hazard management. Please als refer t: Hygiene and Infectin Cntrl Prcedure Cleaning Prcedure Return t Wrk Prcedure Reissue: Octber 2017 Reissue: Octber 2015 Reissue: May2014 Issue: September 2013 Review Date: Octber 2019
4 Appendix 1: First aid requirements fr Criterin PF28 First aid kits shuld include the fllwing: dispsable glves sterile saline slutin (r sme ther means f cleansing wunds) safety pins, bandage clips r tape (r sme ther means f hlding dressings in place) sterile wund dressings, including sticking plasters rlls f stretchable bandage triangular bandage (r sme ther means f immbilising an upper limb injury) scissrs tweezers cld pack first aid manual Natinal Pisns Centre phne number POISON / Healthline phne number The first aid kit may als cntain any Categry (i) medicines the service chses t use, prviding the apprpriate written authrity has been gained frm parents (see Criterin HS28). Ensure used items are replaced, and any perishable items are nt past their use-by-date.
5 Appendix 2: Injury Management Flw Chart 1. Emplyee reprts an injury and seeks first aid and/r treatment 2. Activate injury management 5. Will the emplyee be ff wrk fr mre than seven calendar days? 3. Recrd n the injury and incident frm 4.Cmplete investigatin If ntifiable event, GM t ntify Wrksafe and MOE YES NO 6. The General Manager maintains cntact with the emplyee and discusses return t wrk ptins. Written recrd maintained. 8. The emplyee returns t full duties 7. Is the emplyee expected t return t their pre-injury jb? NO YES partially YES fully Light duties 11. With the emplyee s cnsent cntact case manager t discuss vcatinal rehabilitatin and lng-term ptins 10. Has the injured persn recvered as expected? NO YES 9. Emplyer supprts emplyee and reinfrces medical prviders recmmendatins 12. Emplyee returns t wrk (with medical clearance if required) 13. Mnitring
6 Appendix 3: Infectius diseases fr criterin HS26 Nte: Cnditins marked with an asterisk (*) are ntifiable diseases. Disease Time between expsure and sickness This disease is spread by... Early signs Infectius perid Actin t be taken Chicken Px Days * Hepatitis A days (average days). * Hepatitis B 6 weeks - 6 mnths (usually 2-3 mnths). * Measles (immunisatin usually prevents this illness) * Meningitis (Meningcccal) * Mumps (immunisatin usually prevents this illness) Usually 10 days t nset, 14 days t rash days (usually 3-4 days). Usually days. Ringwrm days * Salmnella 6-72 hurs (usually hurs). Streptcccal Sre Thrat * Whping Cugh (immunisatin usually prevents this illness) Cughing and sneezing. Als direct cntact with weeping blisters. Frm fd r water cntaminated with faeces frm an infected persn; r by direct spread frm an infected persn. Clse physical cntact with the bld r bdy fluids f an infected persn. Cughing and sneezing. Als direct cntact with the nse / thrat secretins f an infected persn. Clse physical cntact such as sharing fd and drinks, kissing, sleeping in the same rm. Cntact with infected saliva - cughing, sneezing, kissing and sharing fd r drink. Cntact with infected persn's skin r with their clthes r persnal items. Als thrugh cntaminated flrs and shwer stalls. Under-cked fd like chicken, eggs and meat; fd r water cntaminated with faeces frm an infected persn r animal; r direct spread frm an infected persn r animal. 1-5 days Usually cntact with the secretins f a strep sre thrat days (usually 7-10 days) Cughing. Adults and lder children may pass n the infectin t babies. Fever and spts with a blister n tp f each spt Nausea, stmach pains, general sickness. Jaundice a few days later. Similar t Hepatitis A. Running nse and eyes, cugh, fever and a rash. Generally unwell, fever, headache, vmiting, smetimes a rash. Urgent treatment is imprtant! Pain in jaw, then swelling in frnt f ear, and fever. Flat spreading ringshaped lesins. Stmach pain, fever and diarrhea. Headache, vmiting, sre thrat. Running nse, persistent cugh fllwed by "whp", vmiting r breathlessness. Frm up t 5 days befre appearance f rash until lesins have crusted (usually abut 5 days). Frm abut 2 weeks befre signs appear until 1 week after jaundice starts. The bld and bdy fluids may be infectius several weeks befre signs appear and until weeks r mnths later. A few are infectius fr years. Frm the first day f illness until 4 days after the rash begins. Until 24 hurs after starting treatment with antibitics. Fr ne week befre swelling appears until 9 days after. While lesins are present, and while fungus persists n cntaminated material. Until well, and pssibly weeks r mnths after. Fr hurs after treatment with antibitics is started. Fr 3 weeks frm the first signs if nt treated with antibitics. If the child has had antibitics, until 5 days f the antibitic treatment. service fr ne week frm date f appearance f rash. service fr 7 days frm nset f jaundice. service until well r as advised by GP. service fr at least 5 days frm nset f rash. service until well enugh t return. service until 9 days after swelling develps, r until child is well, whichever is sner. Restrict cntact activities e.g. gym and swimming until lesins clear. service until well with n further diarrhea. service until 24 hurs after antibitics started. service until 21 days frm nset f cughing r after 5 days antibitics.
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