Health
Needs
Response
Booklet
Your Paediatric First Aiders are:
First Aid at Work :
Your school nurse is
You can contact her on
E-mail Address
Parent Responsibilities:
 Inform the school or school nurse of changes in
the Child’s Health or Treatment.
 Supply the school with medical letters &
medication within date and with a prescription
label (Child’s name, amount of medication and
method of administration).
School Responsibilities:
 Annual training for identified staff.
 Inform School nursing services of Child’s health
needs or changes.
 Update Booklet when informed of child’s health
needs or changes.
 Follow protocol for storage of medications on
school site and during events off site.
 Ensure staff aware of and have access to
Booklet
School Nursing Service:
 Facilitate production of Booklet
 Liaise with parents and schools
 Review of medical information with parents and
child as required.
 Provide annual training for schools
Children with Asthma
ANAPHYLAXIS
Mild to Moderate Reaction
Hives & Flushes
ACTION
Stay with child & CALL for help
GIVE ANTI HISTAMINE AS
Per PROTOCOL from consultant
Contact parent/carer
SEVERE ALLERGIC
REACTION
Swelling of face or lips
Abdominal pain
Nausea, vomiting
Difficulty / noisy breathing
swollen tongue
tightnessauto
of throat
GiveSwelling
ADRENALINE
injector
Difficultyimmediately
talking / hoarse voice
(as prescribed for that individual)
If difficulty in breathing SIT.
Give ADRENALINE
auto injector
If collapsed
raise legs,
IMMEDIATELY
DO NOT STAND
If difficulty
SIT
DIALbreathing
999 state
ANAPHYLAXIS
If collapsed
raise
legs
If no improvement in 5 minutes give
DO NOT STAND
Second Adrenaline
Dial 999 state ANAPHYLAXIS
If no improvement in 5 minutes give
SECOND ADRENALINE
Watch for signs of
anaphylaxis
Anaphylaxis Campaign
ASTHMA
Children with Allergies/Anaphylaxis
Symptoms







Coughing
Shortness of breath
Wheezing
Feeling tight in the chest
Being unusually quiet
Difficulty speaking in full sentences
Tummy ache (sometimes in younger
children)
Give reliever (BLUE) Inhaler
Repeat up to 4 puffs (use spacer if prescribed)
Reassure child / adult to remain with child
SYMPTOMS RELIEVED
Yes
Return to school
activities
Parent/Carer
informed
No
Child/young person too breathless to
talk
Lips blue
Distressed, gasping, struggling for
breath
Unable to use inhaler
Decreased level of consciousness
CALL 999
If possible give reliever inhaler 1 puff/minute for 10
minutes
Encourage to sit upright / lean forward
Loosen clothing
Contact parents/carers
Asthma UK
Children with Sickle Cell
SEIZURE MANAGEMENT
Focal
Absences
Repetitive
Movements
Unresponsive
Tonic / Clonic
Jerking & Rigidity
Unconscious
Incontinence
Atonic
Sudden drop
Maintain safe environment
Ensure safe position to prevent injury
If vomiting/ excessive saliva place
head to side
Stay with child & observe
Inform Parent/ Carer
If 1st Seizure or showing
signs of distress
i.e breathing problems.
CALL 999
Inform
Parent/
Carer
Seizure lasts longer
than 5 minutes
YES
Any concerns call 999
If prescribed
Administer Buccal
Midazalom as per
protocol
As seizure stops
put on side or into
recovery position
Children with Seizures
SICKLE CELL
Daily Considerations
Access to water
Child kept warm and dry
Participation in PE determined by temperature
extremes, individual tolerance and pain
If tired allow rest
Frequent Access to toilet
Guide for mild to moderate
Pain / Tiredness
Urgent Medical Response
required if:
Pain relief if prescribed
Breathless
Rest and fluids
Chest Pain
Keep child warm &
comfortable
Abdominal pain
Drowsy
Inform parent / carer
Severe headache
Call 999
Inform parents
Children with Diabetes
Treatment for Hypoglycaemia (Low Blood Sugar)
WATCH FOR:
Hunger Trembling/ shakiness Sweating
Anxiety irritability Mood change Aggression
Lack of concentration
Vagueness Drowsiness
Pallor
Glazed eyes
DO NOT MOVE CHILD BRING TREATMENT TO
THEM
*ACTION if CONSCIOUS
Immediately GIVE SOMETHING
SUGARY
(child should have emergency snack pack)
Lucozade, coke or non diet drink
Glucose tablets
Fruit juice
Or Glucogel
If UNCONSCIOUS
Do not give anything
to eat/drink
Remain with child
Place in recovery
position
CALL 999
Inform parent/carer
Give longer acting carbohydrate
Meal if due
Portion of fruit, sandwich, biscuits, cereal bar
Blood glucose
> 4mmol
Inform Parent/Carer
for further action
Check
blood glucose
after 15 minutes
If Conscious REPEAT ACTION from BOX
IMMEDIATELY GIVE
SOMETHING SUGARY
Blood glucose
less than
4mmol
*