17 EMERGENCY PROCEDURES, FIRST AID AND by vev19514

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									Child Care Unit                 Department of Education                         Licensing Standards




17       EMERGENCY    PROCEDURES,     FIRST                                       AID       AND
         ADMINISTRATION OF MEDICATION

17.1     STANDARD
         In the event of an emergency, or a child becoming ill or having an accident,
         the staff shall take appropriate action.

         Rationale
         In order to respond appropriately and quickly in emergencies, including accidents
         and illness, staff must have current first aid and CPR, and well-practised emergency
         procedures.


17.1.1 Records
         For all emergencies, the service shall maintain the following:
         a)     parental authorisation for emergency medical/hospital/ambulance services
                (refer to Standard 15.1.4 d) );
         b)     accident and injury (refer to Standard 15.1.4 f) );
         c)     authorisation and administration of medication (refer to Standard 15.1.4 e) );
                and
         d)     illness/cases of any notifiable disease (refer to Standard 15.1.4 i) ).

17.1.2 First aid equipment and qualified first aiders
         The service shall:
         a)    have at least one staff member on the premises at all times who holds current
               first aid and CPR certificates (refer to Standard 2.1.4); and
         b)    maintain a safely located, appropriately equipped first aid kit (refer to
               Standard 11.1.3).

17.1.3 Medical/emergency treatment
         a)       If a child has an accident/injury or becomes ill while attending the service, the
                  child shall be kept under adult supervision until the child’s parent/s, or a
                  person nominated by the parent/s, or emergency services personnel takes
                  responsibility for the child.
         b)       If a child requires immediate medical aid, the service will take all necessary
                  steps to secure that attention.
         c)       If emergency treatment/medical aid is sought, the child’s parent/s should be
                  notified as soon as possible.
         d)       If medical treatment is sought off the premises, relevant information should be
                  taken with the child.
         e)       In an emergency where the child requires medication and the service does
                  not have the parent/s’ prior authorisation, every attempt shall be made to
                  secure the parent/s’ authorisation, or the authorisation of a registered medical
                  practitioner previously nominated by the parent/s.




Outside School Hours Care, 5–12 years.
Standard 17: Emergency Procedures, First Aid and Administration of Medication              July 2004
Child Care Unit                 Department of Education                         Licensing Standards




17.1.4 Medication
         a)       The service shall:
                  i)   store all medications safely (refer to Standard 11.1.4); and
                  ii) administer medication only with parental authorisation, and in
                       accordance with doctor’s/pharmacist’s instructions, and keep records as
                       per Standard 15.1.4. e), or
                       by the implementation of the service’s policy on emergency
                       administration    of   medication       and   keep     records  as    per
                       Standard 15.1.4 e).
         b)       Where a child self-administers medicine there shall be written instructions
                  from a medical practitioner or from the parent/s, including the expected level
                  of supervision.

17.1.5 Notification of serious accident or death
         If a child has a serious accident at the service resulting in the child’s hospitalisation
         or death, the Secretary, Department of Education, shall be:
         a)     notified no later than the next working day of the circumstances of the injury
                or death; and
         b)     provided with a written report within three working days.

17.1.6 Emergency and evacuation procedures
         a)       The service provider must ensure that the building they occupy complies with
                  the General Fire Regulations 2000 and that:
                  i)   there is a fire evacuation plan, approved in writing by the Chief Officer,
                       Tasmania Fire Service;
                  ii) the evacuation plan is prominently displayed in each functional area of
                       the service;
                       (Note: The ‘Quick Action Guide’, ie the crucial, emergency steps to
                       evacuation, must be displayed in each functional area of the service—it
                       is not necessary to display the complete evacuation plan.)
                  iii) all staff and children are familiar with the evacuation plan and emergency
                       procedures;
                  iv) evacuation practices are conducted at least twice a year; and
                  v) a record of the practices is retained at the service for five years.
         b)       For all emergencies, the service provider shall ensure that:
                  i)   telephone numbers for emergency services are prominently displayed at
                       each telephone;
                  ii) there are documented emergency procedures (refer to Standard 16.1.1
                       a)).

17.1.7 Provisions when one staff member is on the premises
         When there is one staff member only on the premises, there shall be:
         a)   a documented protocol which:
              i)   clearly displays (with the other emergency contacts) the name and
                   telephone number of a nominated person who is on call and available
                   when the service is operating; and
              ii) ensures that the children and staff are familiar with and regularly practise
                   the evacuation plan and other emergency procedures.
         b)   an operating mobile telephone OR cordless telephone if the staff member is
              unable to readily access the fixed telephone.




Outside School Hours Care, 5–12 years.
Standard 17: Emergency Procedures, First Aid and Administration of Medication              July 2004
Child Care Unit                Department of Education                          Licensing Standards



              It is important in an emergency to have appropriate, well-practised procedures




                                                                                                       Explanatory Notes: Standard 17
              in place. Staff must be able to quickly assess the situation, and have the
              knowledge and training to act immediately to minimise any danger to children
              and adults.


Where can staff gain first aid training?
              Staff can obtain appropriate first aid training from a nationally recognised
              training provider which is a full member of the Australian Resuscitation Council,
              eg St John Ambulance, Red Cross, etc. The minimal is an accredited first aid
              course of at least 10 hours nominal duration.
              Although licensing requires one staff member with current first aid/CPR
              certificates to be present at all times, some services require all staff to have a
              current first aid qualification which makes rostering of staff, excursions and
              outings much easier. See Standard 2 Qualifications for further information on
              first aid requirements.


What do we need in the first aid kit?
              First aid training providers will supply up-to-date information about items
              needed for the first aid kit. A belt bag is a convenient way to carry a modified
              first aid kit for routine excursions and outside play.
              It is recommended that the service obtain advice about including an
              antihistamine which could assist with immediate first aid if a child were to have
              an allergic reaction to an insect bite etc.
              The service should ensure that individual children’s medical requirements, such
              as asthma medication, are taken on excursions.


What should we do to guarantee that our service can respond to
emergencies?
    The service should
              •      provide in-service training for staff on relevant policies and procedures;
              •      familiarise children and staff with evacuation and emergency procedures;
              •      clearly display telephone numbers of emergency services in each area
                     and/or by each telephone;
              •      have a minimum of two practices of evacuation procedures each year,
                     and keep a record of these practices; and
              •      clearly display evacuation procedures in each area, for the information of
                     parents, visitors, students etc as well as for staff.


How should we deal with a child who is suddenly ill?
              Arrangements should be made to obtain medical assistance if required, or for
              the child to be collected as soon as possible. Staff should note the number of
              calls made to the parent/s/emergency contacts; and also note any changes to
              the child’s condition. A child who appears to be suffering from an infectious
              condition should, where possible, be isolated from the other children, in an
              easily supervised quiet area.
              If a parent advises that their child has a notifiable disease, the service should
              notify the Tasmanian Public and Environmental Health Service on 1800 671
              738. A public health officer will advise the service of any necessary further
              action.
              If there is any doubt about an exclusion period, it is recommended that the
              service contact the Public and Environmental Health Service for advice.




Outside School Hours Care, 5–12 years.
Standard 17: Emergency Procedures, First Aid and Administration of Medication              July 2004
Child Care Unit                Department of Education                          Licensing Standards



What information should accompany a child who requires medical/




                                                                                                       Explanatory Notes: Standard 17
emergency treatment off the premises?
              This will depend on the nature of the illness or emergency – for example,
              symptoms and when these were noted; or time and details of accident or injury;
              time the child last had food and drink. A helpful reference is the Australian
              Government publication Staying Healthy in Child Care which contains sample
              report forms and advice on procedures.


Why must we keep records of the administration of medication?
              A record of administration of medication is necessary to ensure there is no risk
              of giving a child duplicate dosages, and to protect the interests of staff.


Why do we need to notify the Department of Education (Child Care Unit)
of a serious accident, or the death of a child?
              The occurrence of a serious accident or death of a child causes much distress
              for all parties, and the service must consider the needs of families and staff.
              The Child Care Unit will consider any issues relating to licensing and standards,
              and can give advice on appropriate counselling.


The fire evacuation plan.
              The Tasmanian General Fire Regulations 2000 classify schools and child care
              centres as ‘specified buildings’, which are required to have a fire evacuation
              plan, approved in writing by the Chief Officer of the Tasmania Fire Service.
              Approval must be obtained every five years, or on each occasion that there are
              renovations/alterations to the building which impact on the evacuation plan.
              An evacuation plan refers to the evacuation procedure rather than to a
              diagram of the building – however, a floor plan (with the exits, the designated
              meeting place, and fire protection equipment eg extinguishers, marked on it)
              may be lodged in support of the plan. Final approval is subject to a practice
              evacuation being successfully conducted in the presence of an officer of the
              Tasmania Fire Service.
              To assist services to develop their evacuation plan, the Tasmania Fire Service
              has developed a generic set of procedures; however, the service would need to
              modify these to suit their particular location and circumstances.
              If the service is linked to a school, it may be appropriate to adopt the school’s
              fire evacuation plan – however, it is then necessary to amend the school’s fire
              plan to incorporate the outside school hours care program.
              The Tasmania Fire Service is able to advise on other emergency evacuation
              procedures but is responsible only for the approval of the service’s fire
              evacuation plan.


Displaying the fire evacuation plan
              Display a ‘Quick Action Plan’, ie the crucial, emergency steps to evacuation, in
              all significant areas.
              It is not necessary to display the complete evacuation plan.


              Further information may be obtained from the Building Safety
              Unit of the Tasmania Fire Service on 1800 000 699 or
              www.fire.tas.gov.au.




Outside School Hours Care, 5–12 years.
Standard 17: Emergency Procedures, First Aid and Administration of Medication              July 2004

								
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