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First Aid Policy

Rationale

It is a statutory requirement for an employer to make adequate First Aid provision for all

employees. At King’s College it is recognized that the provision should cover all staff, pupils and

visitors. It is the aim of the College to provide First Aid treatment and where necessary,

secondary aid as well as to treat all casualties, relatives and others involved with care,

compassion and courtesy.

Aims

To support the King’s College Health and Safety Policy

To ensure the safe administration of First Aid when appropriate at King’s College

To outline the responsibilities of King’s College staff with regards to the safe

administration of first aid when required

Linked Policies

Health and Safety Policy

SENDA policy

Medication policy

Risk Assessment Policy

Crisis Management policy

Fire safety and prevention policy

King’s College Trips policy

Accidents and Near Misses Policy

Provision of First Aid Personnel

The Nurse’s room is situated within the school and provides a professional medical service for

all pupils from 09:00 to 17:00, Monday to Friday and is staffed by a qualified nurse (ext.

12328). In addition to the nurse who is fully qualified to deliver first aid, many members of

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teaching and support staff have received basic first aid training, which also ensures cover

during school vacations when the Nurse is not present.

The College considers this first aid provision is adequate and appropriate for the number of

staff, pupils and visitors on the College site at any time. The College’s policy is to ensure that

the advanced trained first aiders are re-trained every three years. See Appendix One for those

who currently hold a qualification.

It is important that all staff are made aware of who the first aiders are in their area, in order

that a first aider can respond in the event of an accident, especially out of school hours when

the Nurse may not be on campus.

A First Aider should be summoned immediately in the case of a minor accident. Use the First

Aid box located nearest to the accident, a list of First Aid box locations follows this document.

Secondary aid from the Nurse should be sought if necessary. In the event of a serious accident,

call and summon an ambulance (dial 112) before contacting the Nurse. In the case of injury to

a pupil, their parent / guardian (or other appropriate adult) should be contacted as soon as it is

convenient to do so. If the pupil is taken to hospital, he/she should be accompanied by their

parent / guardian.

Record Keeping and Administration

Within the ISAMS System, pupils with specific medical conditions are identified and an

individual care plan has been produced. Members of staff should make themselves aware of

pupils in their care who have such a plan, particularly when escorting trips away from the

College.

Reporting Accidents and Record Keeping

All members of the school community should report any accident or incident, however minor,

as soon as possible after it has occurred. When an injured person is unable to complete their

own details of the accident, then the First Aider and/or witness should do it on their behalf.

The School’s accident book is held in the School Medical Room

Pupils/Staff/Visitors’ accidents should be reported. The completed form should then be sent to

the Nurse as soon as possible with copies to the Health and Safety Officer.

The original is kept in the School Medical Room.

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Accident reports must contain:

● The date, time and place of the event;

● Details of those involved;

● A brief description of the accident/illness and any first aid treatment given;

● Details of what happened to the casualty immediately afterwards – for example went to

hospital, went home, resumed normal activities, returned to class.

The Head teacher, and Heads of School should be informed about any incident if it is at all

serious or particularly sensitive – for example when a pupil has had to go to hospital or if one

pupil has caused deliberate damage to another or where negligence might be suggested.

If, as the result of an accident, an employee is taken to hospital, is unable to work or

subsequently becomes absent from work, they must inform either the line manager or Head

teacher should be notified immediately. All staff are expected to use their best endeavours in

the event of a first aid emergency. H&S Specialist should report all serious accidents to

FREMAP.

Location of First Aid Boxes (other than the Nurse’s Office)

COCINA/KITCHEN

COMEDOR/DINING ROOM

Infants bathroom (KS1 playground)

- Prenursery building (first floor and second floor)

- Laboratory (B1A)

- Dinning room

- Swimming pool

- Kitchen staff toilets

- Early years patio

- Infants- Janice´s class

- Infants - Jo´s class

MAINTENANCE ROOM

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SWIMMING POOL

P.E. OFFICE – NEW BUILDING

PREP. ROOM – NEW BUILDING

TENBURY HOUSE (KITCHEN)

TENBURY HOUSE (CLEANERS ROOM)

1ST FLOOR TENBURY HOUSE

(Please inform the Nurse if a First Aid box has been used so that necessary items may be

replenished). The first aid boxes will be review quarterly by the nurse.

Procedures in the Case of Minor Accidents

A First Aider should be summoned immediately in the case of a minor accident.

Use the First Aid box located nearest to the accident. A list of First Aid box locations is

shown above in this document.

Gloves should be worn when tending to an open wound.

Clean the wound with alcohol-free wipes before applying a dressing. Blood-stained

wipes should be placed in a plastic bag and sealed before disposal.

Chemical burns should be treated with cold water, and the injured person taken to the

Nurse together with the name of the chemical (if known).

Disposal of Bodily Fluids

Blood, diarrhoea, urine and vomit spillages should be removed, wearing plastic gloves and

aprons, with paper tissues or disposable cloths and placed in a sealed plastic bag. The bag will

then be stored in the Nurse’s office until it is collected by the Waste Disposal Contractor.

Clinical waste bags are available and stock can be replenished from the Nurse. Stains should be

cleaned with diluted disinfectant, and stain remover on carpets. Any washable soiled items

should be washed in temperatures in excess of 60’C in the washing machines located in

Tenbury House.

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Procedures for PE/Games/Activities Staff In The Event Of Injury to Pupils

For all match and/or practice sessions, the following is a list of guidelines to document what is

believed to be the appropriate procedure:

1. Attend to the student as soon as you recognise he/she is in distress. (Do not

necessarily wait for the game to be stopped).

2. Make an immediate assessment as to whether the distressed student needs a) medical

attention or b) some basic recovery time.

3. If the event of (a), decide whether the situation is an emergency or whether he/she is

simply in need of basic treatment.

4. If an emergency, call for Ambulance (dial 112) and contact the Nurse for help.

5. If basic treatment is required, either treat the student if you have the confidence and

training, contact a College-recognised First Aider, or contact the Nurse.

In case of and activity out of the site there is a portable first aid box in the nurse´s room to

take.

N.B. IF YOU HAVE ANY DOUBTS OVER THE EXTENT OF THE INJURY, DO NOT MOVE THE PUPIL –

WAIT FOR A QUALIFIED MEMBER OF THE MEDICAL PROFESSION TO ARRIVE.

Nurse

If you need the services of the Nurse, summon her by phone, take the pupil directly to her

office yourself, or instruct a responsible student or adult to take the injured party to her. Do

not allow a student to “change” his/her mind en route. The member of staff should endeavour

to give clear information about the type of injury to the Nurse or attending medic. This is

particularly important in head injuries when the pupil may not always remember exactly what

happened.

Important phone numbers

Nurse (Ext.12328) Mobile: 650 090 239

Emergency Paramedic Care 112

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Annex A: First Aid Certificate Holders

Silvia Pérez (Nurse)

Primary Department

Paula Parkinson

Janice Kelly

Ailie Cortabarría

Karen Klameth

Jodie Furlong

Laura Levy

Annelouise Jordan

Linda Booth

Luke Tamblyn

Sally-Anne Banks

Amanda Nichols

Dawn Sutherland

Joanne Weale

Sue Lincoln

Mo Purdue

Patricia Carrasco

Ana Gutierrez

Sofía Arquero

Ana Castellano

Amanda Mclean

Nadejzda Peche

Mar Vallejo

Silvia San Román

Carolina Vivas

Sira García Gutiérrez

Morgane Follett

Naomi Richards

Lynsey Greig

Claire Armitt

Ana Delgado

Patricia García

Sara López

Rebecca Radoslav

Isabel Suañez

Lorena Malvarez

Alejandro Fraile

Javier Sancho

Secondary Department

Ana Molinete

Lea Gabbitas

Sarah Garrison

Iratxe Zarraga

José Espinosa

Katherine Britton

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Defibrillator training

Silvia Pérez

Tom Parkinson

SARAH Garrison

Michael Stearman

Jose Espinosa

Jodie Furlong

Janice Kelly

Daniel Pear

Iraxte Zarraga

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Annex B:

Basic First Aid Knowing what to do in an emergency is vitally important. Consider getting some

first aid training and a first aid kit, and familiarize yourself with how to deal with some of the

more common situations below. If someone is injured, the following steps will keep them as

safe as possible until professional help arrives:

● Keep calm.

● If people are seriously injured call (112) immediately; contact the First Aider.

● Make sure you and the injured person are not in danger.

● Assess the injured person carefully and act on your findings using the basic first aid

steps below.

● Keep an eye on the injured person’s condition until the emergency services arrive.

Heads of Departments are responsible for notifying the Nurse of any special first aid

requirements that they might need for their particular department.

Unconsciousness

If the person is unconscious with no obvious

sign of life, call (112) and ask for an

ambulance. If you or any bystander has the

necessary skills, given them mouth-to-mouth

resuscitation while you wait for the

emergency services.

Bleeding

Control severe bleeding by applying firm

pressure to the wound using a clean, dry

dressing and raise it above the level of the

heart. Lay the person down, reassure them,

keep them warm and loosen tight clothing.

Burns

For all burns, cool with water for at least 10

minutes. Do not apply dry dressings, keep the

patient warm and call an ambulance.

Broken Bones

Try to avoid as much movement as possible.

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Annex C: Anaphylaxis

1. What is Anaphylaxis?

Anaphylaxis is an acute allergic reaction requiring urgent medical attention. It can be triggered

by a variety of allergies, the most common of which are contained in food (e.g. dairy products,

nuts, peanuts, shellfish), certain drugs and the venom of stinging insects (e.g. bees, wasps,

hornets). In its most severe form the condition can be life-threatening.

Symptoms of anaphylaxis usually occur after exposure to the causative agent and may include

itching, swelling of the throat and tongue, difficulty in swallowing, rashes appearing anywhere

on the body, abdominal cramps and nausea, increased heart rate, difficulty in breathing,

collapse and unconsciousness. No pupil would necessarily experience all of these symptoms at

the same time.

2. Medication and control

Medication to treat anaphylactic reactions includes antihistamines, an adrenaline inhaler,

or an adrenaline injection. The adrenaline injections most commonly prescribed are

administered by an Epipen, a device which looks like a fountain pen and which is pre-

loaded with the correct dose of adrenaline. The injections are easy to administer, usually

into the fleshy part of the thigh either directly or through light clothing.

Medication for an individual pupil must be kept in a safe location which is readily

accessible. If a pupil has an Epi-Pen it is particularly important that this is easily accessible

throughout the school day. Medication must be clearly marked with the pupil's name and

should be updated on a regular basis.

It is the parents' responsibility to ensure that any medication retained at the school is

within its expiry date. It is important that key staff in the School are aware of the pupil’s

condition and of where the pupil’s medication is kept, as it is likely to be needed urgently.

It is not possible to overdose using an Epi-Pen as it only contains a single dose. In cases of

doubt, it is better to give a pupil experiencing an allergic reaction an injection rather than

hold back. All pupils who have anaphylaxis will require an individual health care plan. The

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health care plan should indicate whether in some circumstances the pupil should be

allowed to carry medication on his/her person around the School.

3. Managing Pupils with Anaphylaxis

● Staff should be aware of those pupils under their supervision who have a severe

allergy resulting in anaphylaxis.

● Staff should ensure that all pupils who have an epi-pen prescribed to them take

their medication on trips/matches at all times.

● Staff should ensure that they have some knowledge of what to do if a pupil has

an anaphylactic reaction. (Staff to seek advice from Nurse.)

● If a pupil feels unwell, the Nurse should be contacted for advice.

● A pupil should always be accompanied to the Medical Room if sent by a member

of staff.

4. Away Trips:

● Staff should ensure that all pupils who carry inhalers epi-pens going on away

trips excursions carry their medication with them (only if age appropriate).

● Staff members trained in the administration of medication must be identified

and meet with the Nurse before a trip.

● Staff must give consideration to the safe storage of medication.

● Staff supervising the trip must be aware of the pupil's condition and of any

relevant emergency procedures.

5. Issues which may affect learning

Pupils with anaphylaxis should be encouraged to participate as fully as possible in all

aspects of school life. It is not possible to ensure that a pupil will not come into contact

with an allergen during the school day but schools should bear in mind the potential risk to

such pupils in the following circumstances and seek to minimize risk whenever possible.

6. . What are the main symptoms?

● Itching or presence of a rash

● Swelling of the throat

● Difficulty in swallowing

● Difficulty in breathing

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● Increased heart rate

● Unconsciousness

What to do if a pupil has an anaphylactic reaction

● Ensure that a paramedic ambulance has been called in accordance with Spanish law.

● Stay calm and reassure the pupil.

● Encourage the pupil to administer their own medication if able, or administered by

member of staff.

● Summon assistance immediately from the School Nurse.

● Contact parents

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Annex D: Asthma

1. What is Asthma?

Pupils with asthma have airways which narrow as a reaction to various triggers. The

triggers vary between individuals but common ones include viral infections, cold air, grass

pollen, animal fur, house dust mites and passive smoking. Exercise and stress can also

precipitate asthma attacks in susceptible cases. The narrowing or obstruction of the

airways causes difficulty in breathing and can be alleviated with treatment.

Asthma attacks are characterised by coughing, wheeziness, an inability to speak properly, and

difficulty in breathing, especially breathing out. The pupil may become distressed and anxious

and in very severe attacks the pupil's skin and lips may turn blue.

2. Medication and control

Medication to treat the symptoms of asthma usually comes in the form of inhalers which

in most cases are colour coded. Instructions will be given on the medication as to which

colour coding is relevant to inhaler use in different circumstances.

Most pupils with asthma will take charge of and use their inhaler from an early age and it

is good practice to allow pupils to carry their inhalers with them at all times, particularly

during PE lessons. If a pupil is too young or immature to take responsibility for the inhaler,

staff should ensure that the inhaler is kept in a safe but readily accessible place and is

clearly marked with the pupil's name, if a child does not have an inhaler the school will

provide a spare.

Pupils with asthma must have immediate access to their inhalers when they need them.

It would be helpful for parents to provide the School with a spare inhaler for use in case

the original inhaler is left at home or runs out. Spare inhalers must be clearly labelled with

the pupil's name and stored in a cabinet in the Nurse’s Office. It is the parents'

responsibility to ensure that any medication retained at the school is within its expiry

date.

Where pupils are unable to use an inhaler by themselves or where a pupil requires

additional medication, eg a nebuliser, a health care plan must be completed. Inhalers of

these children will be kept in the nurses office clearly marked with the child’s name

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Note that it is difficult to "overdose" on the use of an inhaler. If a pupil tries out another

pupil's inhaler there are unlikely to be serious side effects, although clearly pupils should

never take medication which has not been prescribed for their own personal use.

● Make sure that any medicines and /or inhalers are used promptly

● Help the pupil to breathe by encouraging the pupil to breathe slowly and deeply

and relax,

● Help the pupil to sit fairly upright or to lean forward slightly rather than lying

flat on his/her back.

● If the child does not respond to medication or his/her condition deteriorates call

a paramedic ambulance.

Liaise with the Nurse about contacting parents/guardians.

The issue of close communication between parents and the School is fundamental to the

care of pupils with diabetes, as many aspects of growth and development will have an

impact on their diabetes control. It is the parents' responsibility to ensure that any

medication retained at the School is within its expiry date.

Following discussion with the pupil and his/her parents individual decisions should be

made as to whether to provide basic information on a pupil's condition to his/her peer

group so that they are aware of their classmate's needs.

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Annex E: Diabetes

1. Managing pupils with diabetes

● Staff should be aware of those pupils under their supervision who have

diabetes.

● Games staff should ensure that pupils with diabetes have a glucose snack/drink

(and their emergency medication and blood glucose monitoring kit) prior to

commencement of a session.

● Staff should ensure that they have some knowledge of what to do if a pupil has

a hypoglycaemic episode or a hyperglycaemic episode. (Staff to seek advice from

the School Nurse for training)

● If a pupil feels unwell, the Nurse should be contacted for advice.

● A pupil should always be accompanied to the Medical Room if sent by a

member of staff.

2. Off-site Excursions

● Staff should ensure that all pupils going on away trips carry their medication

with them. ● Staff members trained in the administration of medication must be

identified and meet with the Nurse before the trip.

● Staff must give consideration to the safe storage of medication.

● Staff supervising the trip must be aware of the pupil's condition and of any

relevant emergency procedures.

3. . Issues which may affect learning

Pupils with diabetes should have no difficulties in accessing all areas of the curriculum

including sporting activities which are energetic. However, as all forms of strenuous

activity use up glucose there are some simple precautions to follow in order to assist a

pupil with diabetes in maintaining an adequate blood glucose level:

● Encourage the pupil to eat or drink some extra sugary food before the activity:

● Have glucose tablets or a sugary drink readily available in case the pupil displays

symptoms of hypoglycaemia;

● After the activity is concluded, encourage the pupil to eat some more food and

take extra fluid these additional snacks should not affect normal dietary intake.

4. What to do in an emergency if a pupil has a hypoglycaemic (low blood sugar) episode

Common causes:

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A missed or delayed meal or snack

Extra exercise

Too much insulin during unstable periods

The pupil is unwell

The pupil has experienced an episode of vomiting.

Common symptoms:

Hunger

Drowsiness

Glazed eyes

Disorientation

Shaking

Lack of concentration

i. Get someone to stay with the pupil - call for Nurse/first Aider (if they are hypo, do

not send them out of class on their own), their blood sugar may drop further and

they may collapse.

ii. Give fast acting sugar immediately (the pupil should have this), e.g.:

a. ●Lucozade

b. Fresh orange juice ● Sugary drink, eg coke, Fanta

c. Glucose tablets

d. Honey or jam

Recovery usually takes ten to fifteen minutes.

iii. Upon recovery give the pupil some starchy food, e.g. couple of biscuits, a

sandwich.

iv. Inform Nurse/parents of the hypoglycaemic episode.

v. In some instances it may be appropriate for the pupil to be taken home from

school.

NB. In the unlikely event of a pupil losing consciousness, call an ambulance on 112 (and

then contact the Nurse).

5. - A hyperglycaemic episode (high blood sugar)

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Hyperglycaemic episodes occur when the blood glucose level is too high. Pupils may display

the following symptoms:

Excessive thirst

Passing urine frequently

A change of behaviour

Vomiting

Abdominal pain

Care of pupils in a hyperglycaemic episode

Do not restrict fluid intake or access to the toilet

Contact the School Medical Room and/or parents if concerned.

In both episodes, staff and Nurse should liaise about contacting parents/guardians.

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Annex F: Steps in First Aid to Students

1. Survey the Scene Take a brief moment to look around and make sure the scene is safe. Find out who is involved and what happened.

2. Hands-off Check As you approach the student, look at appearance, breathing, and circulation to decide if someone should call 112 – this should take less than 30 seconds.

3. Supervise Make sure other students near the scene are supervised and safe.

4. Hands-on Check Check the student’s condition. Decide if someone should call 112 and what first aid is needed.

5. First Aid Care Provide first aid that is appropriate for the injury or illness.

6. Notify As soon as possible have someone notify a parent or legal guardian. Also have someone notify the school nurse, if available.

7. Debrief If possible, talk to the student about any concerns. Talk with other students who witnessed what happened and how you and others responded.

8. Document Complete a written report of what happened.

Created and Reviewed by : MT

October 2016

Policy Category: Health and Safety

Approved by EB

October 2016

Next Review Due:

October 2017