First Aid & Injury Policy – KORU Independent AP Academy

CONTENTS

Introduction
Aims
References
Trained First Aid Staff
Location of First Aid Boxes
Contents of First Aid Boxes
Hygiene Procedures
First Aid Procedure
Medical Emergencies
Reporting of Accidents and Incidences
Reporting to RIDDOR
Following an accident when a child goes directly to hospital
Maintaining and Monitoring of Accident Reports
Minor Injuries

Appendices

Body Fluid Spillage Policy
Ambulance Information Sheet
Koru Serious Accident/Incident Form (for significant injuries)
Introduction

This policy is to ensure that there is adequate First Aid provision for students, staff, and visitors of Koru Independent AP Academy under Health and Safety legislation. [U.K. Guidance].

First Aid is the emergency care given to an injured person before professional medical care or an ambulance is available. All staff are aware of and use the school procedures for First Aid.

Aims

Clear identification of staff who are First Aid Trained.
Clear First Aid procedure
Understanding of the statutory regulations regarding accident reporting in relation to the RIDDOR guidelines. [U.K. Guidance]

References

This document is to be used in conjunction with the other KORU policies which are listed below. Referrals will be made to them throughout the document.

Body Spillage policy – included in this policy
KORU Health and Safety policy.
Consent for urgent medical treatment.
Documentation kept for accidents.

Trained First Aid Staff

It is considered best practice that relevant staff have a current First Aid certificate that adheres to Ofsted Guidelines. [U.K. Guidance]

Ensure that there are the correct number of appropriately First Aid trained staff.
Staff who take children off site are responsible for ensuring that they have the correct number of First Aid staff to child ratio.
A list of all current First Aid trained staff to be maintained and displayed. Also there should be access to an electronic list. (Office Manager maintains a training matrix).
First Aid training to be undertaken every three years. [U.K .Guidance]
A senior staff member should hold a ‘Three Day at Work’ First Aid Certificate.

This involves:

Maintaining an up-to-date First Aid staff training list.
Organisation of staff to go on the relevant training sessions.
Overseeing the maintenance of the First Aid Boxes.
Maintaining a list of all the First Aid Boxes held at the school. [U.K. Guidance]
Location of First Aid Boxes

A wall mounted First Aid box is located in the Kitchen area and an additional first aid kit is located in the school office. A list of the location of all First Aid boxes is maintained and displayed around the school
For any off site trips First Aid bag must be taken.

Contents of First Aid Boxes

Contents of the boxes are checked every 3 months.
Ideally when they have been used the key person in charge of stocking up should be notified.
Staff to inform the office if any supplies are running out or needed.

Hygiene Procedures

Staff must wear gloves when dealing with accidents involving spillage of bodily fluids. (Refer to Appendix 1 Body Fluid Spillage Policy)

First Aid Procedure

All injuries are normally treated by a staff member who holds a current First Aid certificate. They will need to:

Assess the injury and take appropriate action.
All injuries that are treated must be recorded with all details, on a standard Accident Form. This will need to be signed by the member of staff who dealt with the accident and a witness if applicable, then Parents notified.
Gloves must be worn at all times when treating injuries
Parents must be informed when a child has sustained a head injury.
Parents must be informed of any injury that their child may have had whilst at School on the same day or as soon as is reasonably practical.

Medical Emergencies

This is when an injury/illness requires immediate medical help or further assessment by doctor

. · When a child requires further hospital treatment but it is not an emergency, the parents will be contacted to come and collect the child.

In circumstances when parents have not been able to be contacted and the child requires further hospital treatment two members of staff will need to escort the child to hospital, one to drive and one to look after the child. The Nursery Principle will need to assess whether that is possible.
In exceptional circumstances when the staff ratios would not be able to sustain the above point then an ambulance would need to be contacted and the situation clearly explained to them. [U.K. Guidance]
When an ambulance has to be called other people also need to be informed:

Ideally the person who is at the scene of the accident should contact 999 /112 so clear accurate information can be given. (See Ambulance Information Sheet Appendix 3).
Parents to be alerted.
Appointed First Aider and Principle to be aware.
Site Manager and Office Manager to be alerted.

The accidents/incidences warranting emergency care are situations such as:

Head injuries where there is a loss of or suspected loss of consciousness.
Sudden collapse.
Major wounds needing medical attention.
Suspected fractures.
Spinal injuries.
Use of an Epipen
Major Asthma, Diabetic, Epileptic event.

The above list is not exhaustive.

In the event of the emergency services being contacted the below must be considered:

Parents must be contacted to ascertain when they can join their child and their wishes with regard to treatment should they be delayed.
As per the Schools consent forms, the Principle may have to agree to emergency medical treatment if the parent/guardians cannot be contacted. [U.K. Guidance]
A member of staff must accompany and stay with the child until the parent(s)/guardian arrives.
Contact details about the injured child must be taken to the hospital.
Once at the hospital, and the child is registered it is then the hospitals responsibility for further medical contact with the parents. [U.K. Guidance]
Reporting of Accidents and Incidents

A Koru Serious Accident form (Appendix 4) and entry in the accident book (for significant injuries) should be filled out for the following events:

When a child has a significant injury that requires further medical/dental intervention.
When a child has sustained a head injury.
When a child has been injured by an item of equipment, machinery or substances.
When a child has been injured by the design or condition of the premises.
When an accident occurs during an activity when off site.
When a visiting child sustains an injury.
When a behavioural incident has happened and another child has been injured.

Reporting To RIDDOR

(Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995). General Guidance

O General Guidance is that any child who goes directly from School to hospital and receives medical treatment for an injury is reported to RIDDOR. [U.K. Guidance]

O Principle / Senior First Aider (or member of staff with 3 day at Work First Aid Course) needs to assess whether the accident needs to be reported. [U.K. Guidance]

O If the accident/incident is not clear whether to report, it is better to register a report with RIDDOR.

O Copies of this documentation to be kept with the accident form.

O A list of all reportable accidents to be maintained for Governance purposes. [U.K. Guidance]

Following an Accident When a Child Goes Directly to Hospital

Reporting To RIDDOR (Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995). · Any child who is taken directly to hospital and receives treatment then the injury will need to be reported to RIDDOR using the following link: https://extranet.hse.gov.uk/lfserver/external/F2508IE

If the Nominated First Aider is NOT on site the following staff need to be informed by E mail that a child has been taken to Hospital and that there is a possibility that this may need to be reported to RIDDOR:

Shona Anderson – Head teacher
Sara Hunwick – Office Manager

Andy Flack – Facilities Manager

Julie Fearon – Deputy Safeguarding Lead

The above needs to be done at the time of the accident.
Contact needs to be made with the family post the hospital visit to find out the treatment that the child received – if no treatment then no further action apart from updating the staff informed earlier by Email.
If the child received treatment then the parents need to be made aware that as part of the school policy a report will be made to RIDDOR and that the child’s name and address details are used on the form. Reassure the family that this is routine and that it would be highly unlikely that they would be contacted by this third party.
If the parents question this and are unsure then refer on to Senior Management.
The reporting of this in the first instance would be done by the Principle or Office Manager.

Maintaining and Monitoring of Accident Reports

All accidents that have an accident form filled out need to be filed, numbered and signed off by the Principle or Office Manager.
A termly risk assessment needs to be undertaken to pinpoint any additional monitoring that needs to be instigated.

Minor Injury’s

The key points to consider in the management of these injuries are:

To give the child plenty of reassurance.
To clean and get a cut covered as quickly as possible.
Staff to complete an Accident Form (See Appendix 5)
Staff to inform parents as soon as is reasonably practical, dependent on injury

Staff Contact

The Facilities Manager or cleaner are to be contacted initially so that he can arrange to clean the area appropriately. This applies when it is a large spillage and NOT just a minor incident.
The initial clean-up of the situation should be carried out by the person(s) who is at the scene of the incident and follow the ‘Initial Clean up Procedure’ – see below

. · In the event of a member of cleaning staff not being available to, then all staff should be aware of where the disposable clean up kits are kept.

Initial Clean Up Procedure

The staff need to:

Get some disposable gloves from the first aid box.
Place absorbent towels over the affected area and allow the spill to absorb. Wipe up the spill using these and then place in a bin (which has a bin liner).
Put more absorbent towels over the affected area and then contact the Facilities Manager (if necessary) for further help.
The bin that has had the soiled paper towels put in needs to be tied up and ideally placed in the yellow bin [U.K. Guidance] or double bagged and put in the main bins.
Any article of clothing that has got contaminated with the spill should be wiped cleaned and then put in a plastic bag and tied up for the parents to take home.
The area then needs to be cordoned off until cleaned.
If a cleaner is not immediately available then a disposable cleaning kit will need to be used.
If the spillage has been quite extensive then the area may need to be closed off until the area can be cleaned correctly.

Procedure for Blood and Other Body fluid Spillage

Gloves to be worn at all times
Any soiled wipes, tissues, plasters, dressings etc. must ideally be disposed of in the ‘Yellow’ waste bin (Yellow bag) [U.K. Guidance]. If not available then the glove being used needs to be taken off inside out so that the soiled item is contained within and placed in a bin which is regularly emptied.
When dealing with a spillage, absorbent paper hand towels need to be place on the affected area so absorbing the spill.
If a disposable spillage kit is available then the instructions for use should be followed.
If not then contaminated paper towels need to be placed in a bin with a bin liner and tied up and then taken ideally to a yellow bin.
The area must be cleaned with disinfectant following the manufacturer’s instructions.
A ‘Wet Floor Hazard’ sign then needs to be put by the affected area. [U.K. Guidance].
The area should then be ventilated well and left to dry.
All reusable cleaning up equipment then needs to be appropriately disinfected according to the manufacturer’s instructions.
Wash hands.
All yellow bags to be disposed of in Yellow bins as the Nursery could potentially be fined if not adhered to. [U.K Guidance]

Management of Accidental Exposure to Blood

Accidental exposure to blood and other body fluids can occur by:

Percutaneous injury e.g. from needles, significant bites that break the skin).
Exposure to broken skin e.g. abrasions and grazes.
Exposure of mucous membranes, including the eyes and mouth.

Action to take

If broken skin then encourage bleeding of the wound by applying pressure – do not suck. Refer to Needle stick Injury Policy.
Wash thoroughly under running water.
Dry and apply a waterproof dressing.
If blood and body fluids splash into your mouth – do not swallow. · Rinse out mouth several times. · Report the incident to the Nursery Manager.
If necessary take further medical advice.
An accident form will need to be completed and it may need to be reported to RIDDOR. [U.K. Guidance]

Needle stick Injury Aims of this Policy

The recommendations outlined in this policy aim to minimise the risks of Blood Borne Viruses (BBVs) following accidental exposure to contaminated or potentially contaminated fluids or substances. As it is not possible to always know who may have / be carrying an infection, a standardised proactive approach to all patients and situations is therefore required. The main group of workers at risk from needle stick injuries are those within the healthcare sector, who may acquire a BBV infection if they are exposed to infected blood or body fluids. This could be either: · Via the mucous membranes (eyes, inside of the mouth and nose); · Through broken skin or through an inoculation injury route; Or · Where the skin is punctured or scratched by a needle or sharp device that has been used in a medical procedure - this final route of transmission is commonly referred to as a “Needle stick or Sharps” injury.

999 Emergency

111 National Non-emergency medical number

112 Emergency medical number will work on any mobile phone anywhere in the world

101 Non-emergency number for Police

POINTS TO REMEMBER

Get help if called for an ambulance then inform:
Main Reception and give CLEAR details of where the Ambulance is coming to. Each room has printed directions by the phone for easy reference.
Inform the office staff.
Inform the Facilities Manager and give details and they will meet the ambulance crew

. · Any witnesses to the accident need to stay, be reassured and available to give details to the ambulance crew or to the member of staff managing the accident.

A Koru Serious Accident Form must be filled in and informing RIDDOR must be considered. [U.K. Guidance]

Needle stick Injury

Aims of this Policy

Via the mucous membranes (eyes, inside of the mouth and nose);
Through broken skin or through an inoculation injury route; or
Where the skin is punctured or scratched by a needle or sharp device that has been used in a medical procedure - this final route of transmission is commonly referred to as a “Needle stick or Sharps” injury. Managing Needle stick Injuries:

Make the wound bleed if possible
Clean well with copious amounts of soap and running water
Apply occlusive dressing
Identify the source of the sharp
Refer initially to Doctor’s practice
Contact Occupational Health
Record In accident book.

For splashes onto non-intact skin (e.g. abrasions, cuts, and eczema): Wash liberally with water. For splashes into the eyes, mouth or other mucous membranes: Irrigate with copious amounts of clean water. If contact lenses are worn, eye irrigation should take place before and after removing the lenses.

Appendix 1

Body Fluid Spillage Policy Blood and body fluids (e.g. faeces, vomit, saliva, urine, nasal and eye discharge) may contain viruses or bacteria capable of causing disease. It is therefore vital to protect both yourself and others from the risk of cross infection. In order to minimize the risk of transmission of infection both staff and children should practice good personal hygiene and be aware of the procedure for dealing with body spillages.

Appendix 2

Ambulance Information Sheet:

Give your name
Give name of child and a brief description of the child’s symptoms. If ANAPHYLATIC SHOCK state this immediately, as this will be given priority.
Give any medical history and known medications that the child may have. Refer to the Medical Handover Form
If you are unsure of how to manage the casualty you can keep the Ambulance Operator on the telephone and get them to talk you through what you should be doing. OR you can ring them back at any time.

REMEMBER TO SPEAK CLEARLY AND SLOWLY AND BE READY TO REPEAT INFORMATION IF ASKED

Appendix 3

KORU SERIOUS ACCIDENT/INCIDENT FORM

About Victim/Injured Person:

Full Name:
Home address and post code:
Personal Telephone Number:
Job Title (If Employee):
Gender:
Age:

About Other Person Involved in Incident (if more than one, include detail in text box):

Full Name:
Home address and post code:
Personal Telephone Number:
Job Title (If Employee):
Gender:
Age:

1. Date of Incident:

2. Time of Incident:

3. Location of Incident:

4. Address of Incident: Taunton Hall, Taunton Road, Harold Hill, Romford, Essex RM3 7SU

Would you classify the as an accident or incident – please specify below:

Accident

Incident

Near Miss

Safeguarding

Which of the following best describes what happened? (Please tick as appropriate):

INCIDENT TYPE

Major Incident		Fatality
Minor Incident		Dangerous Occurrence
Injury to member of public		Reportable Disease
Injury to member of staff		Injury to a Student

CARE AND WELLBEING

Challenging Behaviour		Mental Health Concerns
Drug or Alcohol Abuse		Self-Harm
Attempted Suicide		Missing Episodes
Medication Management Error

SAFEGUARDING ALERTS (Alleged/Suspected/Witnesses)

Discriminatory Abuse		Emotional Abuse
Financial/Material Abuse		Medication Abuse
Theft		Neglect
Physical Abuse		Sexual Abuse Child Exploitation

ASB – Physical or Verbal Threats

Physical Assault		Verbal Abuse by Student to Staff
Threatening Behaviour		Verbal Abuse by Staff to Student
Student Dispute		Verbal Abuse – Student to Student
Staff/Student Dispute		Verbal Abuse by Visitor/Member of Public

SECURITY

Security of Property		Trespass
Damage to Property		Anti-Social Behaviour

HEALTH AND SAFETY REPORTING (Slips/Trips/Falls)

Staff – slip/trip/fall		Staff – fall from height
Student – slip/trip/fall		Student – fall from height
Visitor – slip/trip/fall		Visitor – Fall from height
Contractor – slip/trip/fall		Contractor – fall from height
Object – thrown from height

MOVING AND HANDLING

Injured while handling, lifting or carrying – people
Injured while handling, lifting or carrying – other
Contact with moving machinery or material being machined
Trapped by something collapsing
Exposed to, or in contact with a harmful substance
Hit by a moving, flying or falling object
Hit by something fixed or stationary
Hit by a moving vehicle
Contact with electricity or an electrical discharge
Drowned or asphyxiated

FIRE/PROPERTY SAFETY

Exposed to fire		Fire in property
Exposed to an explosion		False fire alarm
Injured by an animal		Other property safety issues (gas, structural, etc.)
Another kind of accident? (Please describe):

DEFINITIONS:

Accident - An unplanned or unintended event that caused or could cause sudden

Injury or illness, property damage or unintended environmental impact.

Incident - An occurrence or event that interrupts normal procedure or precipitates

A crisis.

Safeguarding Alert - An occurrence that impacts on or puts a vulnerable adult or child as risk

of abuse or where safeguards need to be put in place for their

protection, safety and wellbeing.

Near Miss - A near miss is an unplanned event that did not result in injury, illness or

damage – but had the potential to do so.

Staff	Employee	Service provider/contractor
Parent/Carer	Adult	Agency Staff
Member of Public	Adult	Governorate
Disruption to Business	Group Wide

About You: (This is the person completing the form):

Your full name:

Your job title:

Contact Telephone Number: 01708204560

THIS SECTION TO BE COMPLETED BY THE PERSON REPORTING THE INCIDENT/ACCIDENT/ SAFEGUARDING ISSUE:

Describing what happened (please give as much factual detail as possible).

Where possible this section should be completed by the person witnessing, given first aid or involved in the incident.

If you are reporting a safeguarding issue please use the wording used by the person making the disclosure:

Did the injured person/victim sustain an injury: YES NO

If YES, please complete this section and the following table.

Did the injured person:

Become unconscious?		Need resuscitation?
Attended by ambulance/paramedic?		Attend hospital A&E? (How did they attend, by car? Ambulance? Taxi?
Consultant with parent/carer?		Stay in hospital for longer than 24 hours?
Receive first aid?

INJURY: LOCATION:

Abrasion/graze		Head
Cut		Eyes
Burn/scald		Neck
Bruise		Arm(s)
Ache		Wrist(s)
Strain		Finger(s)
Skin rash		Hips
Swelling		Abdomen
Shock		Groin
Fainting/unconscious		Genitals
Puncture/bite		Leg(s)
Tenderness		Knee(s)
Irritation		Ankle(s)
Pain		Foot/feet
Psychological		Toe(s)
Emotional		Back
Other – please specify:		Whole Body

TO BE COMPLETED BY LINE MANAGER OR ABOVE

Action taken by management to deal with the incident and avoid a repeat occurrence

Does the risk assessment need up dating: YES NO

Have the relevant people (Local Authority/parents/schools/social care) been informed?

Please provide details:

Has an investigation been completed to find the root cause (if applicable):

YES NO

Investigation report attached:

YES NO

Have change to plans been disseminated to staff:

YES NO

Date:

Completed by: Date:

(Responsible Managers Signature)

Have relevant statutory agencies and parent/carers been informed about the incident?

Manager to confirm – Please tick

Parent/Carer:

Name of person spoken to :

Responsible person to be notified of misappropriation of funds or theft or misuse of KORU property:

STATUTORY AGENCIES:

Local Authority
School
Police
MISPER
Social Care
Safeguarding Team
Other – please specify:

YES NO

Is there a factor of staff negligence
Did they follow procedure?
Were they suitably trained to undertake the task?
Will disciplinary procedures follow?

Explain in detail if ‘Yes’ has been selected for any of the above:

RIDDOR: YES NO

(Refer to the Accident and Incident Reporting Procedure)

If ‘Yes’, RIDDOR Number:

Health and Safety Manager Signature:

Major incidents to staff must be notified to the Registered Manager immediately to fall under RIDDOR

Where appropriate please ensure that if a crime has been committed that evidence is protected.

Please see Safeguarding Policy and Procedures guidance for more information

Has an insurance claim been made in relation to this incident?

YES

Insurance Claim Reference Number:

Incident:

OPEN

CLOSED

Managers Comment:

Lessons Learned:

NB: Safeguarding issue should be reported to the DSL, following the Safeguarding Policy and procedures. You will be advised by your manager if you are required to complete any further safeguarding reporting forms for internal investigations.

Please ensure that you agree with the relevant safeguarding authority if you are required to complete their safeguarding documentation.

Manager Sign: Date:

Governor (If necessary) Sign: Date: