NURSE STATION PROTOCOL

MEDICAL EMERGENCIES DURING SCHOOL HOURS

MARY OKEKE

BFIS NURSE

REGISTRATION No. 08-052228

• Nurse Station hours:
• Monday to Friday 8:30am – 4:30pm
• Important: up-to-date parent* contact numbers
• Parents informed by Nurse in the event of serious accidents or health problems (fever, vomiting, diarrhea, headaches, etc.…)
• Students should not attend school with a fever or feeling unwell
• Nurse equipped to:
• Deliver first aid (dressing materials, digital splints, etc.)
• Carry out physical explorations
• Administer over the counter medication:
• Common illness (pain killers, antithermic medication, anti-inflammatory medication)
• Other situations (creams, iodine, saline solution)

​

General Information

*Throughout this document, wherever it says ‘parent’ it refers to both parents and legal tutors

• Covered risks:
• On school grounds
• Due to classes
• Patio time and common games at school
• Field trips and excursions organized by the school, museum visits, laboratories, or other educational centers

(always accompanied by teachers or other adults in charge)

• School sports
• Competitions BFIS partakes in
• En route from home to school and vice versa

(any method of transportation except scooter/motorbike)

School Insurance: Ferma

Vital Emergencies

Vital Emergencies Protocol

(Patient requires IMMEDIATE medical assistance/urgent transfer to hospital):

​

• Administer first aid
• Activate SEM* (Medical Emergency System) dialing 112, to request an ambulance
• Inform parents about emergency and which medical center student is at for them to go ASAP
• If immediate telephone contact with parents not possible, school director/principals assess which two staff members accompany student to medical center. Once there, staff members stay with student until parents are located and have arrived
• Extraordinary expenses, which are not covered by the school insurance, will be requested from the parents after being duly informed

​

​

​

Vital emergencies:

​

• Cardio-respiratory arrest
• Convulsions

(with/without loss of consciousness)

• Moderate to severe head injury
• Open fractures
• Bleeding, incise-contuse injuries
• Asthma attacks, allergic reactions, blocked airways
• Presence of blood in vomit
• Acute abdomen
• Otorrhage

​

*Please see slide titled Medical Emergencies System (SEM)

Protocol in the event of accidents at school:

1. Nurse assesses the injury
2. Parents are informed
3. Student is administered first aid at Nurse Station
4. If parents cannot be reached within 30 minutes, school follows same procedure as in Vital Emergencies (see slide)

Accidents at school may include:

• Diverse sprains on extremities or other body parts where X-rays may be necessary to discard the possibility of any fractures
• Incise-contuse injuries, which require stitches
• Hits to the mouth with partial fracture or total loss of a tooth; where a dental exploration is required
• Foreign object in the eye

Accidents at School

Conditions which generally require medical evaluation at student’s doctor’s office:

• Vomiting
• Diarrhea
• Fever
• Flu and cold symptoms
• Ear inflammation
• Abdominal pain

Although an initial evaluation will take place at the Nurse’s Station, it will of course be the parents who take students to their doctor for further evaluation and treatment. Parents will be contacted in order to pick up the student as soon as possible at the Nurse’s Station, where the student will wait until he/she is picked up.

​

In cases such as headaches or throat aches, after phone approval from parents, student may be given pain killers, antithermic or anti-inflammatory medication at the Nurse’s Station and return to class. Nevertheless, the student will remain under observation and, in the event of no improvement, parents will be contacted to pick the student up.

Students sent home for evaluation by doctor

During student outings, such as field trips or other school trips, a first aid kit will be available along with the following document to be handed to the hospital that treats any injured students. Teachers will simply fill out the student’s full name, grade, date and type of lesion. The document includes:

​

• Policy number and name of insurance company
• Name of hospital / medical center / clinic
• Name, last name and grade of injured student
• Type of lesion
• Date, director’s signature and BFIS stamp

Field & Overnight Trips

Medical Emergencies System (SEM)

• Small accidents, which can be treated by the Nurse, will not require any formalities
• In all cases, the Nurse will administer first aid and contact parents following the protocol
• Finally, Mary Okeke would like to request the collaboration of all parts involved, especially that of parents, as the final objective of this protocol is to keep students safe as well as guarantee their physical and psychological wellbeing

Additional Information