Amberley O.S.H.C.

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4.15 Asthma Management

Amberley OSHC strives to provide a safe and suitable environment for all children attending Amberley OSHC.  Children with particular health needs, such as Asthma will be supported through the creation of an Asthma friendly environment in accordance with the recommendations of the Asthma Foundation of Queensland.

Relevant Laws and other Provisions

The laws and other provisions affecting this policy include:

  • Education and Care Services National Law Act, 2010 and Regulation 2011
  • Duty of Care
  • Work Health and Safety Act 2011
  • Health (Drugs and Poisons) Regulation 1996
  • NQS Area: 1.1, 2.1.4; 2.2.2; 2.3.2, 2.3.3; 4.2.1;  6.1.1, 6.1.3; 6.2.1; 7.1.2; 7.3.1, 7.3.2, 7.3.5.
  • Policies: 1 – General Health and Safety, 4.4 – Preventative Health and Wellbeing, 4.6 – Medication, 4.11 – Emergency Health and Medical Procedure Management, 9.2 – Enrolment.

Procedures

Amberley OSHC will ensure that at least one educator with a current first-aid and CPR qualification, anaphylaxis management and emergency asthma management training as required by the Education and Care Services National Regulations 2011, is in attendance at any place children are being cared for, and immediately available in an emergency, at all times that children are being cared for by Amberley OSHC.

Amberley OSHC shall provide opportunities for all educators to participate in and receive regular education on asthma and appropriate management strategies.  As per the Health (Drugs and Poisons) Regulation 1996, a person is considered to have appropriate asthma management training if they have completed a training course, of at least one hour, and are issued with a certificate identifying the successful completion of training in the specific learning outcomes.

Families of a child identified with Asthma through Amberley OSHC enrolment process shall complete a service Asthma Form, which includes the following information:

  • Individual asthma triggers;
  • Types of medications used;
  • Administering of medication (e.g. self-administering under supervision).

All children diagnosed with asthma must have a medical management plan outlining what to do in an emergency and developed in consultation with families, educators and the child’s medical practitioner.  Each plan shall be displayed in a clearly accessible area and be approved by the child’s family/guardian.

A medical conditions risk minimisation plan must be developed in consultation with the parent/guardian of a child with specific health care needs, allergies or other relevant medical conditions to identify the possible exposure to allergens and how these will be managed and monitored within the service.

The service will ensure all families of children identified with asthma, and the educators at Amberley OSHC receive a copy of the Medical Conditions Policy and Asthma Policy as part of their orientation/induction to the service

Educators will be made aware of children who suffer from Asthma and provided with training to recognise the relevant triggers, and to follow the risk minimisation strategies and specific management plans to manage the condition.

Amberley OSHC will display a poster for asthma first aid management in prominent locations to alert educators and other participants in Amberley OSHC’s activities.

If the procedure outlined in the child’s medical management plan does not alleviate the asthma symptoms, or the child does not have a medical conditions management plan, an educator will provide first aid, which may include the steps outlined by Asthma Australia as follows:

  • Sit the child upright. The educator will stay with the child and be calm and reassuring;
  • Give four (4) puffs of blue reliever medication, using a spacer if there is one;
  • Wait four (4) minutes. If there is no improvement, give four (4) more puffs as above;
  • If there is still no improvement, call emergency services;
  • Keep giving four (4) puffs every four (4) minutes until the emergency service arrive.

The service will ensure that an emergency asthma first aid kit is stored in a location that is known to all educators, easily accessible to adults but inaccessible to children.   The emergency asthma first aid kit should contain:

  • An emergency supply of blue or grey reliever puffer;
  • A spacer device that is compatible with the puffer.

Expiry dates of al puffers used will be closely monitored and replaced when expired.

Puffers and spacers from the emergency asthma first aid kit must be thoroughly cleaned after each use to prevent cross contamination

All asthma medication provided by families and administered by educators must be in accordance with the Medication Policy (see Policy 4.6) of this service.

Risk minimisation practices will be carried out to ensure that the service is, to the best of our ability, providing an environment that will not trigger an asthmatic attack.  These practices will be documented, discussed at team meetings and potential risks reduced, if possible.

Please note:  This policy has been developed in accordance with the recommendations of the Asthma Foundation of Queensland.  Further information can be accessed from http://www.asthmaqld.org.au  Services are encouraged to access this information directly.

Any reference to the content from this site should be dated in the policy at the time it was accessed.  The resource papers available from http://www.asthmaqld.org.au  provide support to Amberley OSHC in determining its own commitment to the criteria for becoming Asthma friendly.

References

Victoria, A. F. (n.d.). Asthma and the Child in Care Model Policy. Retrieved from Asthma foundation: http://www.asthma.org.au/Portals/0/doc/Resources/2013%20Child%20in%20Care%20Model%20Policy%20%28Version%202%29.pdf

Reviewed 16 March 2015, Updated 12 May 2015, Updated 30 May 2017


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