Download Illness, Injury and 1st Aid Policy

Illness, Injury and 1st Aid Policy
Timberscombe Pre School will:▪ Notify OFSTED of any accident requiring treatment by a GP or hospital, any serious illnes or
death of any child whilst in our care, and of the action taken in respect of it. Notification will be
made as soon as is reasonably practicable, but in any event within 14 days of the incident
occurring. A list of events that must be notified to OFSTED accompanies this policy.
▪Comply with RIDDOR (the Reporting of Injury, Disease and Dangerous Occurrences Regulations). We
report to the Health and Safety Executive any accident requiring treatment by a general practitioner or
hospital and any dangerous occurrences. Following any such event details of what needs to be reported
and how to report can be found at http://www.hse.gov.uk/riddor .
▪ Notify local Child Protection Agencies of any serious accident or injury to, or the death of, any
child whilst in our care and act on any advice given by them.
▪ Inform OFSTED if they believe that any child is suffering from a notifiable disease, act on any
advice given by the Health Protection Agency and inform OFSTED of any action taken. The
setting has a list of excludable diseases (See Appendix). A current list is obtainable from
www.hpa.org.uk and includes common childhood illnesses such as measles. Notifiable diseases
must also be reported to the Local Authority Proper Officers at West Somerset Council 01643
703704.
▪ At the time of admission to the Pre-school, parents will sign and date their written approval for
emergency medical advice or treatment.
▪ Discuss with parents the procedure for children who are ill and exclude any child who is ill or
infectious. (See below)
▪ Have at least one person who has a current paediatric First Aid certificate on the premises at all
times when children are present. One qualified person will also accompany the children on any
outing. First Aid training will be approved by the local authority and consistent with guidance set
out in the Practice Guidance for the Early Years Foundation Stage.
▪ Have a First Aid box with appropriate content to meet the needs of children (see below). It will
be regularly checked by the Supervisor and re-stocked as necessary; easily accessible to adults;
and kept out of the reach of children.
▪ Keep a record of accidents and First Aid treatment. Our Accident Book is kept safely and
accessibly; all staff and volunteers know where it is kept and how to complete it; it is reviewed
regularly to identify any potential or actual hazards.
▪ Inform parents of any accidents or injuries sustained by the child whilst in our care and of any
First Aid treatment that was given. This will be done when the child is collected or as soon as is
practicable following the event. (See below for events requiring further treatment). Parents may
be shown the record of the accident but in line with the Data Protection rules, they may not view
any information other than that relating to their own child.
▪ Administer hypoallergenic plasters if the need arises. Parents who are aware of an allergy to this
type of plaster should advise the Pre-school when completing their child’s registration form.
Procedures for children who are sick, infectious or require further treatment.
▪
If a child has an injury requiring further treatment or appears unwell during the day (has a
temperature, sickness, diarrhoea or pains, particularly in the head or stomach) the supervisor
will call the parents and ask them to collect the child, or send a known carer to do so. Where
the child is collected by a person other than the parent, the notifying of this person rather than
the parent is acceptable practice.
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In cases of an emergency the child should be taken to the nearest hospital and the parent
informed.
If a child has a temperature, they are kept cool by removing top clothing, sponging their heads
with cool water and kept away from draughts.
Temperature is taken using a thermometer from the First Aid box.
Parents are asked to take their child to the doctor before returning them to Pre School. The
Pre School will refuse admittance to children who have a temperature, sickness and diarrhoea
or a contagious infection or disease.
Where children have been prescribed antibiotics, parents are asked to keep them at home for
48 hours before returning to the setting.
After diarrhoea, parents are asked to keep children home for 48 hours or until a formed stool
is passed.
If the event of a serious injury or sudden death of a child or adult the following steps will be
taken:▪Every effort will be made to treat/revive the casualty by a trained First Aider
▪Emergency services will be contacted immediately by staff
▪Any children in the area will be moved away to a safe distance by staff to minimise any trauma.
▪The setting leader will notify the parents or next of kin informing them that the individual has
been taken to hospital.
▪Counsellors will be contacted to reduce the shock for all involved
▪The setting leader will inform other parents and the necessary authorities listed above.
HIV/AIDS/Hepatitis procedure
HIV virus, like other viruses such as Hepatitis, (A, B and C) are spread through body fluids.
Hygiene precautions for dealing with body fluids are the same for all children and adults.
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Single use vinyl gloves and aprons are worn when changing children’s nappies, pants and
clothing that are soiled with blood, urine, faeces or vomit.
Protective rubber gloves are used for cleaning/sluicing clothing after changing.
Soiled clothing is bagged for parents to collect.
Spills of blood, urine, faeces or vomit are cleared using mild disinfectant solution and mops;
cloths are bagged and disposed of.
Tables and other furniture, furnishings or toys affected by blood, urine, faeces or vomit are
cleaned using a disinfectant.
Our First Aid Kit
Our First Aid kit complies with the Health and Safety (First Aid) Regulations and contains the
following items.
 Triangular bandages (ideally at least one should be sterile)  Sterile dressings: a) Small b) Medium c) Large.
Composite pack containing assorted (individually-wrapped) plasters
 Sterile eye pads (with bandage or attachment)
 Safety pins.
 Guidance card as recommended by HSE .
In addition to the First Aid equipment, each box will be supplied with:
 Disposable plastic (PVC or vinyl) gloves.
 Plastic disposable aprons.
 A children’s forehead ‘strip’ thermometer.
The village defibrillator is kept outside the Lion Inn
Signature of Chairperson ……………………… Adopted by the committee …………..….
Created: Dec 2010 Review Date: 2011 2012
What you must notify to OFSTED
You must notify OFSTED about:
●The death of a child while on the premises, or later, as the result of something that
happened while the child was in your care
●Death or serious accident or serious injury to any other person on your premises
(Childcare Register only)
●Serious injuries (please see the section below for the definition of serious injuries)
●Where a child in your care is taken to hospital (to an Accident and Emergency
Department for more than 24 hours), either directly from your provision, or later, as the
result of something that happened while the child was in your care
●Any significant event which is likely to affect the suitability to care for children.
OFSTED define serious injuries as:
●broken bones or a fracture
●Loss of consciousness
●Pain that is not relieved by simple pain killers
●Acute confused state
●Persistent, severe chest pain or breathing difficulties
●Amputation
●Dislocation of any major joint including the shoulder, hip, knee, elbow or spine
●Loss of sight (temporary or permanent)
●Chemical or hot metal burn to the eye or any penetrating injury to the eye
●Injury resulting from an electric shock or electrical burn leading to unconsciousness, or
requiring resuscitation or admittance to hospital for more than 24 hours
●Any other injury leading to hypothermia, heat-induced illness or unconsciousness; or
requiring resuscitation; or requiring admittance to hospital for more than 24 hours
●Unconsciousness caused by asphyxia or exposure to harmful substance or biological
agent
●Medical treatment or loss of consciousness arising from absorption of any substance
by inhalation, ingestion or through the skin
●Medical treatment where there is reason to believe that this resulted from exposure to
a biological agent, or its toxins, or infected material.
You are not required to inform OFSTED of minor injuries, but you must keep a record of
these incidents .You are also not required to inform OFSTED of general appointments to
hospital or routine treatment by a doctor, such as the child's general practitioner, that is
not linked to, or is a consequence of, a serious accident or injury.
When contacting OFSTED you will be asked some questions about the incident
including when and where it happened, and the details of what happened. OFSTED
will also ask for personal details (for example the name and age of the child or
children involved; details of any other people involved). They may ask you to put the
information in writing. OFSTED keep a record of all information given to them,
whether this is given by telephone or in writing and may need to share this
information with other agencies that have duties in relation to the incident, such as
local authority environmental health departments. If you are on the Early Years
Register you are committing an offence by not notifying OFSTED within 14 days,
unless you have a reasonable excuse.
Appendix 1
List of notifiable diseases
Diseases notifiable under the Health Protection (Notification) Regulations 2010:
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Acute encephalitis
Acute meningitis
Acute poliomyelitis
Acute infectious hepatitis
Anthrax
Botulism
Brucellosis
Cholera
Diphtheria
Enteric fever (typhoid or paratyphoid fever)
Food poisoning
Haemolytic uraemic syndrome (HUS)
Infectious bloody diarrhoea
Invasive group A streptococcal disease and scarlet fever
Legionnaires’ Disease
Leprosy
Malaria
Measles
Meningococcal septicaemia
Mumps
Plague
Rabies
Rubella
SARS
Smallpox
Tetanus
Tuberculosis
Typhus
Viral haemorrhagic fever (VHF)
Whooping cough
Yellow fever
As of April 2010, it is no longer a requirement to notify the following diseases: dysentery,
ophthalmia neonatorum, leptospirosis, and relapsing fever.
Notification must be given to the Local Authority Proper Officers at West Somerset Council
01643 703704 .