First Aid Policy
The First Aid Policy at Sunningdale School is in operation to ensure that every pupil, member of staff and visitor will be well looked after in the event of an accident, no matter how minor or major.
It is emphasised that the team consists of qualified First Aiders and not trained doctors or nurses.
In the event of an accident all members of the school community should be aware of the support available and the procedures available to activate this. If there is any doubt at all as to the seriousness of an accident / injury an ambulance must be called to attend using 999 or 112 (from a mobile)
The purpose of the policy is therefore:
NB The term First Aider refers to those members of the school who are in possession of a valid First Aid at work certificate or equivalent.
First Aiders will:
In all three minibuses
In both pavilions, Sports Hall and Swimming Pool
In both the outside and the inside Classrooms areas, DT, Science and Art Rooms
In the staff room, Kitchen and Front office
In the medical dispensary
The Headmaster will:
Office staff will:
Recording of medication and injuries
There is a Medication dispensed folder kept in the dispensary for the purpose of recording all those children and adults who come in needing medication to be dispensed. Each pupil has their own individual sheet onto which the date is recorded, the time the person was seen, what was wrong and what was given or done written down and signed. When any medication is given out, the name of what is given will be written down and if the is a specific amount given out that will be recorded as well. All the children have their own separate medical and welfare sheet and these are updated/filed weekly. If any child sees the doctor, has any vaccinations, goes hospital or to see a physio then this too will be recorded on their individual welfare form. If in the event of an accident occurring that is more that requires qualified medical attention, then an accident report will be filled in and then handed to the Headmaster to be signed. On the back of the accident report form however the person who administered the first aid will also write an account of what they did and what they gave out. Once the form has been signed off, if it involved one of the children then it will be photocopied and put with their file for reference, the original form will be placed in the accident file.
In the event of a rugby or a serious accident happening then a RIDDOR form will be filled out (this can be done online). In the case of; (a) death; (b) major injuries; (c) over-three-day injuries; (d) an accident causing injury to pupils, members of the public or other people not at work; (e) a specified dangerous occurrence, where something has happened which did not result in an injury but could have done a report must be made to the Health and Safety Executive (0845 300 99 23)
In the event of an accident around school, or on the games pitches, if the member of staff in charge is in any doubt of the condition of a child, he should call an ambulance.
The Head Matron & Deputy Head Matron are responsible for the dispensing of medications and administering of first aid with the Senior House Matron acting as deputy in the case that both are off duty or unavailable.
Only the Head Matron, Deputy Head Matron and the Senior House Matron hold the keys to the medicine cupboard and by having only three main providers of medicine there should be little chance of giving out too much in the way of medicine and also less chance of someone being overlooked when they have an illness. There may however be a time when the assistant matron/matrons will need to disturb the off duty Head/Deputy Matron because they feel that a boy needs more than first aid, such as if a boy has a high temperature or is in lots of pain.
When dispensing any medicines from the medicine cupboard only give out the correct dosage as the instructions on the bottle/packet/tube etc state, if however the child is almost adult size then give out the adult dose, if in any doubt give out the children’s dose. Before you give out anything always check what they have already had that day, as if they may have already had something earlier and not told you and if they are allergic to anything, there is a list in the cupboard of known allergies.
All medication given out must be recorded stating how much was dispensed, to whom and why it was given this must then be signed with a full signature. For liquid medicines use the small plastic medicine spoons, once used these are then sterilised before being washed up to use again. To give out creams please apply using a cotton bud to prevent cross contamination. If however there is a large area for cream to be applied then there are gloves in the cupboard where the plasters are kept, this is to protect to you from the effects of the cream as much as to prevent infection spreading.
NEVER give out named medication to anyone other than the person it is labelled for.
All boys who are seen in the surgery for any reason and by any matron it will all be recorded in the day book, with a time, why the boy was there and what was done. This will then be signed by the matron who dealt with the boy.
Any boy coming to the Matron team in need of first aid having received a minor injury will be recorded in the welfare folder but an email will be sent immediately after to firstname.lastname@example.org to alert the rest of the team that that child had been seen, the nature of the injury and the treatment given.
It is the responsibility of the Deputy Head Matron (overseen by the Head Matron) to:
Temperature: There are 'in the ear thermometers in the medicine cupboard. A normal temperature is around 37 C, (however this varies from person to person but normally the temperature is at its lowest point first thing in the morning) if they do have a temperature then give Calpol/Paracetamol, dosage according to instructions on the packet/bottle and repeat the process every four hours, taking the temperature beforehand. Encourage them to have liquids as this will also help to bring the temperature down. The thermometers MUST BE used with a plastic probe cover for hygiene purposes which is disposed of after each use.
Sore throats: If it is a bad sore throat then give paracetamol (either liquid or tablets) and some throat lozenges. Hot honey and lemon is good as a soother too. If it is a mild sore throat then treat with just honey and lemon and some lozenges. If they come to you in the morning complaining of a sore throat then always tell them to come back for something after breakfast as sometimes the sore throat ‘disappears’ after breakfast.
Coughs: Give some Benelynn either chesty or tickly cough syrup. Between 5 and 10 mls depending on the age of the boy, steam inhalation and hot drinks (hot honey and lemon)
Colds: Paracetamol and vicks/olbas oil (on a tissue) this helps them at night as well as during the day.
Earache: Give some pain relief. If they still have pain after a couple of day they will need to see a doctor.
Toothache/braces: Pain relief such as Nurofen or Ibuprofen. Anbesol gel helps also to numb the area.
Headaches: Ask what they have had to drink so far that day as sometimes they will not have had enough and be dehydrated. If you think that this is the case then ask them to go and have something to drink and to come back in at least an hour if their headache is still there. If however they have had plenty to drink or have come back again give Paracetamol (liquid or tablets)
Migraines: Give Ibuprofen/Nurofen, if however they are being sick give Paracetamol instead. Never give them Ibuprofen if they are Asthmatic
Stomach ache: Ask when they last passed a stool, as they could be constipated, if they haven’t gone in the last week then you need to give them a big dose of Milk of Magnesia. If it has only been a couple of days then encourage fluids, fruit, fibre and exercise should help get things moving again. If they are feeling sick give them 5-10 mls of Milk of Magnesia (depending on age), this will either settle things down or bring them up. Either way they will feel better!
Heartburn: Give some Milk of magnesia, between 5-10 mls (depending on age)
Bruises: Do the usual ice and elevation. Then apply some arnica cream and maybe give some Ibuprofen if it is really painful. (However if they are Asthmatic then DO NOT give Ibuprofen)
Stiff/sore muscles: Deep Heat rub, a small amount, is usually enough, occasionally it may be necessary to give some pain relief and Ibuprofen is probably the best thing. If they have stiff muscles from exercise however tell them that the best thing for it is EXERCISE.
Rashes: Apply E45 cream, if you suspect it is an allergic reaction then put a thin layer of Hydrocortisone cream on or if widespread a dose of oral antihistamine can be useful.
If any of the above symptoms persist for more than 48 hours then the person involved will need to see a doctor.
Insect bites: Apply antihistamine cream, thinly.
Cuts and grazes: Clean the wound with either clean water or the cleansing wipes, in necessary apply some savlon or other antiseptic cream and cover with a plaster, this will need to be changed daily. If the cut starts to look like it is becoming infected then it may need to be seen by a nurse or doctor
Medicines and what they are to be used for
Ibuprofen: A good pain relief medication especially useful for joint pain and toothache. Tablets give one/two tablets depending on the size and age of the child. The liquid Ibuprofen give out between 10/15 mls again depending on the size/age of the child. Not more than every four hours
Do not give to the same child for more than 48 hours without consulting a doctor.
N.B. DO NOT give out Ibuprofen to any asthmatics or to anyone who has a stomach upset/complaint.
Paracetamol: A good general pain relief medication. Again give according to the age/size of the child, most of the boys can have 10mls. Read the box/packet if unsure what dose to give, if in any doubt give the child’s dosage. Do not give to the same child for more than 48 hours without consulting a doctor. Not more than every four hours.
Children's Chesty/tickly Benylin: To be given out only to those boys who have a persistent cough, if in any doubt consult the doctor
Simple Linctus: Given out for mild coughs between 5mls not more than 4 times a day.
Milk of Magnesia: For upset stomachs and general stomach ache. Can also be given as a laxative. Give between 5/10mls depending on size of child.
Magnesium Sulphate: Used for drawing out splinters, if they are embedded. Can also be used for in-growing toe nails and infected fingernail beds. (Unless you have been shown what to do with Magnesium Sulphate then leave this for the Head Matron to use)
Piriton Liquid and Tablets (Loratadine or Cetirizine): An Antihistamine, give for allergic reactions. Either give One tablet a day OR 5mls of liquid every four hours. Piriton/cetirizine will make them sleepy
Honey and Lemon: Given for sore throats and coughs.
Anbesol gel: Used for mouth ulcers and also good if braces are hurting as it numbs the gum.
Throat Lozenge : Given out for sore throats, not to be handed out like sweets or to be handed out at night as there is always a risk of choking.
Deep Heat: For stiff/sore muscles.
Aqueous cream: To be used for very dry skin/rashes
Arnica Cream: To be used for bruises to the skin Do Not use on broken skin.
Sudocrem: To be used for small grazes, spots, sore skin and rashes.
Hydrocortisone cream: for skin inflammation, insect bites, skin irritations and itching.
Disposal of medication.
Any out of date medications, partly used medications that are no longer required and any medications that have been left behind by former pupils will be taken to Blackburn Pharmacy for disposal. If it is ever necessary for the matrons to give out any medications that need to be injected, only after we have been given training to do so and the School Doctor is happy for us to do so, a sharps box will be kept for the express purpose of the disposal of used needles. At this present time there is no need for the department to have a sharps box on site as only the doctor from Kings Corner Surgery gives injections to the boys and staff when required.
Disposal of human waste material
This is to include all bloodied dressings, urine, faecal waste and vomit. There is a bin in the surgery, with yellow bags, for the disposal of human waste material. There is a verbal agreement in place with Kings Corner Surgery for us to take down our yellow bags to put in their human waste bin at the surgery.
The execution of this policy will be monitored by both the first aid team, the Head Matron,the Head of Boarding, the Deputy Head and the Headmaster.
Updated ACD 30/01/2018