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First Aid Policy

This policy is to ensure that there is adequate First Aid provision for children, staff, and visitors to the Nursery.
 First Aid is the emergency care given to an injured person before professional medical care or an ambulance is available.
• Clear identification of staff who are First Aid Trained.
• Clear First Aid procedure
Hygiene Procedures
Staff must wear gloves when dealing with accidents involving spillage of bodily fluids.
Information for staff
Þ The First Aid box is located in the Medical Office
Þ If you are not sure what to do—ASK! Or pass the child on to someone else
Þ Who to ask—The Nurse, The Head
Þ As  soon as possible afterwards, put all details in the Incident book
Þ If something is missing from the first aid box or you are using the last one—inform the office
    Know how to contact (021)112 for ambulance
• All medicine is to be kept in the medical room in the safe and lockable cupboard.
• The nurse and the GP is responsible for checking and replacing any missing items from the first aid kit.
• First aid kits are available for all staff to use for minor injuries.
• The First aid kit must be collected from the medical room to take on trips off site.

 Administration of medicine
• Non-prescribed medication, including creams and lotions, cannot be administered to children by any member of staff other than the school nurse with parents’ written consent.
• Prescribed medication can only be administered by the school nurse and if the parent has filled out and signed ‘The Request for Medication Form’
• If a child informs the teacher he/she has been given medicine by their parents to take in school or the teacher finds medicine in a child’s bag and they haven’t been informed about it by the parents, they must send the medicine to the medical room. The school nurse or the Head of School will contact the parents to inform them that the medicine cannot be administered without their written consent or doctor’s prescription.
• Over the counter medication may be administered by the school nurse with parent’s verbal consent if need be.
• Any emergency medication (Epipen etc) must be provided by the parents and accompanied by a letter stating exactly how and when they are to be administered and include the doctor’s prescription. Parents are also asked to come to school to instruct the nurse what to do in certain circumstances. Emergency medication will be labelled with the student’s name and be kept in the lockable cupboard.

Student refusal to take medication
• In the case of child refusing to take the medication, the parents should be advised by phone immediately by the school nurse, office manager or head of school and confirmation in writing sent home that day.
• A signed and dated entry should be made in the accident book.
• If a student feels ill, a member of staff takes them to the nurse.
• The temperature will be taken, parents called and if the student is too unwell to stay in school, then the parents are called to collect them.
• If the parents are unable to pick up the student early, they can rest in the medical room supervised by a member of the staff or Head Teacher.
• Should the illness be contagious, the school will require a confirmation note from a doctor stating they are no longer contagious and can attend school. The Head of School and the school nurse are to follow up any missing medical notes.
• If children have sickness and diarrhea they are required to stay at home for 24 hours after symptoms have cleared, to ensure the system is clear of bacteria.

Small accidents (cuts and bruises)
• All small cuts and bruises should be cleaned with water or disinfectant by the teacher or nurse. In most cases where bleeding is absent, cleaning with water will be sufficient.
• Individually wrapped sterile plasters will be used only in case of bleeding. In this case, use disinfectant on a sterile dressing to clean the wound from the centre outwards. Only apply the plaster when no more traces of dirt are visible in the wound.
• Do not apply the plaster if there is a known allergy to such products; use a wrapped sterile bandage instead.
• In the case of a head injury, a phone call will be made by teacher or nurse to inform the parents. As a concussion can reveal itself later, all bumps to the head should be communicated to the parents.
• In case of small accidents, the teacher has to inform the parents during pick up time or by telephone.

Serious Accidents or emergency
• In case of serious accidents, the nurse or the GP will be contacted immediately and go to the place of accident and offer first aid.
• A member of staff needs to inform the office immediately to call the ambulance or call themselves.
The parents will be asked to meet the ambulance at the hospital, the teacher who witnessed serious accident and the nurse.
• A member of staff will stay at the hospital until the parent/guardian arrives.
• An entry in the Incident Book is completed as soon as possible.
• for serious injury and how to administer basic first aid.
Knowing what to do in an emergency is vitally important. If someone is injured, the following steps will keep them safe as possible until professional help arrives:
• Keep calm.
• If people are seriously injured call for an ambulance immediately, contact the nurse.
• Make sure that 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 nurse or emergency services
Head Injury
If the person is unconscious with no obvious sign of life, call for an ambulance 112 then the nurse. If you or any bystander has the necessary skills, give them mouth-to-mouth resuscitation while you wait for the nurse.
If any of these symptoms occur after a head injury, all staff is trained to immediately call for 112 and the ambulance
What to look out for
Signs of a brain injury after a head injury include:
· unconsciousness – either brief (concussion) or for a longer period of time
· fits or seizures
· problems with the senses – such as hearing loss or double vision
· repeated vomiting
· blood or clear fluid coming from the ears or nose
· memory loss (amnesia)

First aid for burns
· Stop the burning process as soon as possible. This may mean removing the person from the area, dousing flames with water, or smothering flames with a blanket. Don't put yourself at risk of getting burnt as well.
 For all burns, cool with water for at least 15 minutes. Do not apply dry dressings, keep the patient warm.

The school policy for burns is as follows:
- minor burns when only the superficial layer of the skin is affected. The skin is red, swollen and painful (example of minor burning is sun burns). First aid is limited to exposing the affected area under a cold water jet (20 minutes) after which it is bundled with sterile compresses. Parents will be informed and the Incident/Accident book will be filled in as soon as possible.
- major burns: in the case of a serious burning all staff is trained to call 112 and the ambulance. Parents will be informed and the Incident/Accident book will be filled in as soon as possible. There are a few steps that can be done while waiting for the ambulance:  lying on the ground and covering them with a blanket or coat. It will prevent the victim from running (this is the natural reaction) because the air currents keep the fire. Do not strip the victim of the clothes from the burned skin. Spray with cold water and apply cold water compresses to damaged areas. Do not break the flicks and do not apply creams or other substances to the lesions.
 Monitor for signs of shock
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
Broken bones
Try to avoid movement as much as possible.
Allergic reaction
• Anaphylaxis is a life-threatening allergic reaction to different triggers like food, medicine, pollen animals etc.
• If a parent knows student suffers from anaphylaxis, it should be stated in the Child’s Personal Data Form
• Office and Head Teacher has to inform nurse and GP and the nurse to inform and update the allergy lists that are found in the dining room, classrooms and medical room.
• Any emergency medication (Epipen, Ana Pen) must be provided by the parents with the child’s name written on it and accompanied by doctor’s prescription.
Anaphylaxis reactions can involve more than one system of the body.
Respiratory system: itchy, watery eyes, difficulty breathing, difficulty swallowing, tightness in the throat or feeling like the throat or airways are closing, change of voice, hoarseness or trouble speaking, sneezes to the triggering of asthma with coughing and wheezing.
Cardiovascular system: lightheaded or faint (loss of consciousness), fast heartbeat or pulse, weak pulse.
Gastrointestinal system: abdominal pain, nausea, vomiting, a metallic taste in the mouth.
Skin reactions: warmth, itchy, red, bumpy rashes (hives).
What to do if a child has an anaphylactic reaction? Call the nurse/GP and contact the office to call an ambulance. Prepare to administer EpiPen
Contagious health problems/diseases
In case of contagious disease, the office informs the school nurse/GP and Head of School. The Head of School informs the maintenance team to arrange the classroom and dining room disinfection. In case of an epidemic, more that 5% of class or building, the Head has to inform the office to organize a proper disinfection by specialized firm.
The cases have to be confirmed by a doctor and sent by email or message to the school, by the parent. Once there is a case of contagious diseases such as Scarlet Fever, Rubella, Impetigo, Scabies and Hand, foot and mouth disease, Strep Throat or Pneumonia, Conjunctivitis, Chicken Pox the class and dining room will be disinfected. After two cases, the parents from that class will be informed. If another confirmed case will be in another class, all parents will be informed.
Diarrhoea, vomiting, fever in school
• If a child has diarrhoea, vomiting or a temperature higher than 37,5°C in school, the parents will be contacted by the school nurse and asked to collect them.
• If one isolated episode occurs, the student will be kept at home for 24 hours after the last episode
Updated on April 2019 to be reviewed on August 2020.

Annex to First Aid Policy
                     Inside Training
Date: August 27th 2018
Ana Claudia Lates
Alexandra Grama-February 28th 2019
Hannah Heiser Foleanu +Canada First Aid Training (03/2017)
Rozalia Dobre
Dana Boyer-February 29th 2019
Irine Bolma
Katia Babia
Sabrina Powell Paige +US First Aid Training (07/2016)
Dana Backus
Ana Maria Negoi
Patricia Pantella
Alina Dumitru
Sian Davies
Nicoleta Poiana
Alexandra Deaconu

First Aid Training to be updated: August 2019