Amberley O.S.H.C.

Children are our future, We are dedicated to their success!

4.5 Illness and Injury

Amberley OSHC proactively strives to avoid injuries occurring at the Service, and to minimise the impact of injuries and illnesses by responding appropriately and as quickly as possible, to all injuries and illnesses.  The rights and responsibilities of parents with respect to injuries to and illnesses of their children is acknowledged and will be taken in to account in administering all procedures.

Relevant Laws and other Provisions

The laws and other provisions affecting this policy include:

  • Education and Care Services National Law Act, 2010 and Regulations 2011
  • Child Protection Act 1999 and Regulations 2000
  • QLD Community Ambulance Cover Act 2003
  • Duty of Care
  • First Aid Code of Practice 2004
  • NQS Area: 2.1.1, 2.1.2, 2.1.4; 2.3.3; 4.2.1; 6.1.1; 6.2.1; 7.1.2; 7.2.3; 7.3.1,7.3.2, 7.3.3, 7.3.5.
  • Policies: 3.10 – Observational Recording, 4.6 – Medication, 4.10 – Anaphylaxis Management, 4.11 – Emergency Health and Medical Procedure Management, 4.13 – First Aid Waste Management, 4.14 – Infectious Diseases Response Strategy, 4.15 – Asthma, 9.2 – Enrolment, 10.8 – Information Handling (Privacy and Confidentiality).

Procedures

Under the Community Ambulance Cover Act 2003, all Queensland residents are covered for ambulance transport services anytime, anywhere across Australia.  Families who are not Queensland residents must seek cover at their own cost.

Parental Permission

Written consent from the child’s parent/guardian will be sought through the enrolment process for the Nominated/Certified Supervisor (or, in absence of the Nominated/Certified Supervisor, a staff member qualified in first aid) to obtain medical attention, in keeping with the Policies and Procedures of Amberley OSHC, if required.

On occasion, it may be necessary for a child to have an Individual Medical Action Plan.  Individual illness management plans will be developed if necessary in conjunction with the Coordinator or a qualified first aid educator, parent/guardian, child and other health/educational professionals if required. Information contained may relate to management plans surrounding conditions such as anaphylaxis, asthma or epilepsy. Permission will be obtained from the parent/guardian to display this where staff can easily familiarise themselves with the health issue.

Written consent will also be obtained from the parent/guardian for the use of all health and other personal information which Amberley OSHC has relating to the child, for the purpose of enabling Amberley OSHC to:

  • administer care and assistance to the child, including by obtaining emergency or other medical assistance or care for the child in accordance with this policy; and
  • Report any injury or illness as required by law.

First Aid

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, will be in attendance at any place children are being cared for , and immediately available in an emergency, at all times children are being cared for by Amberley OSHC.

Educators will wash hands, apply hand sanitiser and wear disposable gloves prior to administering first-aid.

After administering first-aid gloves will be removed and disposed of in a way that they are reasonably secure from children and others, hands washed and hand sanitiser applied.

The Nominated/Certified Supervisor will, or delegate a qualified educator to, ensure that the following are kept at Amberley OSHC at all times, and are accessible to the educators but not to children:

  • a fully maintained and equipped first aid kit, adequate for the number of children attending Amberley OSHC;
  • a recognised and current first-aid manual; and
  • a cold pack and ice ready for use in the administering of first aid;
  • a store of disposable gloves;
  • current emergency contact telephone numbers.

Immediate procedure upon injury or illness

If a child becomes ill or injured while attending Amberley OSHC-:

  • staff will comfort and calm the child;
  • all head injuries and injuries deemed serious by the Nominated/Certified Supervisor will be reported to the parent/guardian via phone, notifying of the circumstances including:-
    • the treatment administered; and
    • whether the child has returned to normal activities as deemed appropriate by Coordinator or first aid qualified educator.
  • an educator, qualified in first aid, will administer appropriate first aid and assess the child’s condition in conjunction with the Nominated/Certified Supervisor;
  • in the case of a child requiring emergency medication (Epipen, Ventoin etc.), steps as per individual medical management plans will be immediately followed;
  • non-prescribed oral medications will not be administered to any child;
  • if necessary, the Nominated/Certified Supervisor, or qualified educator, will ensure that the child is separated from the other children and made as comfortable as possible in a quiet, well-ventilated area;
  • if necessary, the Nominated/Certified Supervisor, or qualified educator, will contact the parents/guardians to collect their child as soon as possible;
  • the child will be kept under adult supervision and their condition monitored until the parent’s arrival.

In general a child is classified sick and requires to be taken home when they display one or more of the following:

  • Sleeps at unusual times;
  • Has a fever of 38oC or above;
  • Is crying constantly as a result of discomfort due to illness;
  • Is reacting badly to medications;
  • In need of constant one to one care;
  • Has two loose bowel motions through the course of the day;
  • Is vomiting;
  • Has green runny nose – indicates infection;
  • Has an unknown skin rash.

If the child’s condition is assessed as serious or deteriorates and emergency medical attention is necessary:

  • if a child requires emergency medication (epipen, ventolin etc), the Nominated/Certified Supervisor will attempt to obtain verbal consent from the parent/guardian, prior to calling for an Ambulance;
  • the Nominated/Certified Supervisor, or qualified educator, will call an ambulance;
  • all attempts will be made to notify the parents; and
  • if parents are unable to accompany the child to the hospital, the Nominated/Certified Supervisor, or qualified educator who administered the first aid, will accompany the child provided that they leave at least one educator who is qualified in first aid at Amberley OSHC and that Amberley OSHC ratios are still met.

All costs incurred in obtaining medical attention for a child will be met by the parents/guardians.

Recording and Reporting Injuries and Illness

An accident/incident report must be completed, as soon as reasonably possible after a child suffers an injury or illness, by the educator who administered care or first aid to the child.

The information which must be entered into the record book after a child suffers an injury or illness at Amberley OSHC, is:

  • the child’s name;
  • date and time of accident/incident;
  • details of accident/incident;
  • parents/guardians contacted;
  • treatment and outcome of accident/incident;
  • staff signature and witness signature; and
  • parent’s signature confirming knowledge of accident.

The information contained in the accident/incident report forms must not be used for any purpose except strictly in accordance with this Policy, the Privacy Policy (see 10.8 – Information Handling (Privacy and Confidentiality)) and any other relevant policies of Amberley OSHC.

The Nominated/Certified Supervisor will ensure that the parent of a child who is injured or ill at Amberley OSHC is informed of the situation, and the treatment given, on collection of the child or by telephone before Amberley OSHC closes.

The Nominated/Certified Supervisor is responsible for the obligation under section 174 (4) of the Education and Care Services National Law Act 2010 to report to the relevant Regulatory Authority if a child dies, or suffers an injury at the Service for which treatment from a medical practitioner was obtained, or ought reasonably to have been sought.

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


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QLD Education