West Hill Primary School
Policy for
Managing medicines and
supporting children with
medical needs
Contents
Introduction
Page Number
Aims
3
1. Managing medicines during the school day
4
2. Roles and responsibilities of staff supervising the administration of medicines
5
3. Managing medicines on trips and outings
6
4. Children’s medical needs - Parental responsibilities
6
5. Parents’ written agreement
7
6. Supporting children with complex or long-term health needs
7
7. Policy on children taking and carrying their own medicines
7
8. Advice and Guidance to staff
8
9. Record keeping
8
10. Storing medicines
8
11. Emergency procedures
9
12. Risk assessment and arrangement procedures (care plans)
9
Appendices:
Appendix A – West Hill Primary School Medical Care Plan - blank format
Appendix B - West Hill Primary School Parental agreement form for school to
administer medicines
Appendix C – West Hill Primary School Record of medicines administered in school
Appendix D – West Hill Primary School Asthma inhalers in school – consent form
Appendix E – West Hill Primary School Use of asthma inhalers in class – pupil record
Appendix F – West Hill Primary School EpiPens in school
Appendix G – West Hill Primary School EpiPen consent form
Appendix H – West Hill Primary School Guidance for the Administration of Pre-loaded
Adrenalin Injections for Children with Anaphylactic Reactions
Appendix I – West Hill Primary School Emergency Guidelines on the Treatment of Anaphylactic
Reactions
Appendix J – West Hill Primary School Record of Advice, Awareness Raising and Training
in school
Appendix K - West Hill Primary School Register of those attending Medical Training
Appendix L – West Hill Primary School Risk Assessment Form
Appendix M – West Hill Primary School Contacting Emergency Services
Appendix N – West Hill Primary School Guidance on Infection Control
Appendix O – West Hill Primary School Guidance on the safe retrieval of used needles
and syringes
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Introduction
This policy is based on the revised guidance, “Managing Medicines in Schools and Early
Years Settings” provided by the Department for Education and Skills and the Department of
Health issued in March 2005 and updated in September 2011. The statutory guidance for
supporting pupils at school with medical conditions has also been considered following the
Children and Families Act 2014.
The school will seek parents’ agreement about sharing medical information with people
outside the school. However, in cases of confidentiality the Health & Safety of the child must
take precedence.
Information from this policy is included in the school’s prospectus and in the Health and
Safety policy. There are also clear links with various other policies e.g. DDA, SEND,
Inclusion.
While the school will assist in administering medicines, the primary responsibility for a child’s
health rests with the parents.
There is no statutory responsibility that requires school staff to administer medication.
However, many staff are prepared to assist pupils provided there is adequate training and an
assurance about personal safety and liability.
Currently Mrs J. Blake is coordinating the day to day management of medicines in school
under the direction of the Inclusion Manager and Headteacher. The office staff also
undertake daily responsibilities linked to this policy. Most teaching assistants have received
some form of training linked to particular aspects covered in this policy.
Aims
The aims of the policy are

that pupils at school with medical conditions should be properly supported so that
they have full access to education, including school trips and physical education

to enable regular attendance at school
3

to ensure that all school staff are clear about what to do in the event of a medical
emergency

to ensure that everyone, including parents, are clear about their respective roles

to put in place effective management systems to help support individual children with
medical needs

1.
to make sure that medicines are handled responsibly.
Managing medicines during the school day
Prescription medicines should only be taken during the school day when essential. They
must be in the original container including prescriber’s instructions. School staff
should not make changes to the dosages on parental instructions only.
Parents should be encouraged to look at dose frequencies and timing so that if possible
medicines can be taken out of school hours. Parents can ask doctors if a timed-release
medication is available to reduce the need for medication to be taken during school hours.
Medicines fall into two types: Prescription medicines and Non-prescription medicines
Prescription medicines

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Named members of staff may administer prescribed drugs, according to the
instructions, to the child named on the prescriber’s label.
If agreed with the parents the school will look after the drug on behalf of the child,
except asthma inhalers for KS2.
The school will keep the drug safely locked up with access only by named staff and
record keeping for audit and safety (except asthma inhalers and epipens for which
separate storage arrangements apply).
Prescription drugs should be returned to the parents when no longer required.
Ritalin, a prescription drug known as a “controlled drug” needs to be kept in a secure
environment e.g. in a cupboard attached to a structural wall.
Medicines must be provided in their original container/ packaging with the dispenser’s
label and current directions.
It is the parents’ responsibility to know the expiry date of medicines stored in school
and provide replacements before they become out of date.
Injections may be given by a member of staff specifically trained and authorised by a
doctor or nurse, in very specific, life threatening situations when the child is too young
or unwell to self administer and the parents cannot reach the child in time. The
ambulance would already have been called and the above action assumes that the
ambulance has not reached the child in time. This exceptional situation would be
detailed in a medical care plan.
In some cases (eg diabetes) children are encouraged to undertake their own
injections under supervision. However, if they are unable to do this a member of staff
having received the appropriate training and guidance would administer the injection
4
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
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watched by a second staff member who has also received appropriate training and
guidance.’
The person administering the medicine should check the child’s name, the required
dose, the expiry date and the written instructions provided by the prescriber on the
label or detailed separately in the child’s Individual Health/Medical Care Plan. Needs
to stay as Individual Health Care Pan
The person administering the medicine should keep records each time medication is
given (Appendix …).
If the child refuses to take the medicine, staff should not force them. In this event, a
note should be entered on the record sheet and parents contacted.
Non-prescription medicines
The school does not administer paracetamol, aspirin, ibuprofen, herbal or other nonprescription medicines. The exception to this may be during residential visits. Even in this
situation, medicines can only be given to children when parents have given written
permission. The child should be able to self-administer the medication under supervision.
There may be occasions when a child might need to self-administer non-prescription
medicines.
2.
Roles and responsibilities of staff managing or supervising the
administration of medicines
The school acknowledges the common law ‘duty of care’ to act like any prudent parent. This
extends to the administration of medicines and taking action in an emergency, according to
the care plan.
Advice and guidance will be provided by the Schools Nursing Service, when needed, to carry
out the actions in a care plan. Where a condition is potentially life-threatening all staff will
need to be aware what action to take.
Specific advice and support from the Schools Nursing Service will be given to staff who
agree to accept responsibility, as delegated by the Headteacher, for administering medicines
and carrying out procedures.
When all planning to manage a condition has taken place, schools can consult their insurer
directly to check that their employees are covered. The administration of medication should
be specifically mentioned in the job descriptions of named staff.
Guidance about Risk Management and Insurance is contained in KCC document ‘Insurance
Provision for Medical Treatment/Procedures’.
In the event of legal action over an allegation of negligence, the employer rather than the
employee is likely to be held responsible. It is the employer’s responsibility to ensure that the
correct procedures are followed; keeping an accurate record in school is helpful in such
cases. Teachers and other staff are expected to use their best endeavour at all times
particularly in emergencies. In general, the consequences of taking no action are likely to be
more serious than those of trying to assist in an emergency.
The Headteacher is responsible for day-to-day decisions, such as:
5
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Ensuring staff receive advice, support and awareness raising training
Ensuring all relevant information about pupil needs is shared
Liaising with parents about agreement of care plans
Ensuring that emergency plans are in place when conditions may be life-threatening
Ensuring staff are aware of their common law duty of care to act as a prudent parent.
Teaching staff and other staff should:

Be aware of emergency plans where children have life-threatening conditions and
 Receive appropriate documented training and support from health professionals,
where they are willing to administer medicines.
3.
Managing medicines on trips and outings
Children with medical needs will be encouraged to take part in visits. The responsible
member of staff will carry out a specific and additional risk assessment and a care plan will
be drawn up considering parental and medical advice. This will allow reasonable
adjustments to be made.
All staff will be briefed about any emergency procedures needed with reference to pupils
where needs are known, and copies of care plans (where they exist) will be taken by the
responsible person.
For staff with medical conditions for whom a medical plan is in place, these details are
placed in a sealed envelope to be opened by a medical professions. Refer to DDA
procedures.
PE / Sports/Swimming
Any restriction to PE / sports activities must be noted in the care plan. Flexibility will be
planned to allow pupils to benefit in ways appropriate to them (this constitutes differentiation
of the curriculum).
4.
Children’s medical needs – parental responsibilities
The school will liaise closely with parents, carers or those who hold this responsibility (such
as in the case of Looked after Children) so that information is shared and the care plan
reflects all information.
The care plan will be agreed jointly by the school and parents, and agreed with the advice of
health professionals.
The school will seek parents’ written agreement about sharing information on their children’s
needs where information needs to be shared outside of school. However, in cases of
emergency the health and safety needs of the child and the people affected must take
precedence.
6
Parents should provide the school with information about their child’s condition and be part
of the health care plan arrangements. They should sign the appropriate agreement forms for
the administration of medicines. The Headteacher should seek their agreement before
passing information to other school staff.
5.
Parents’ written agreement
The school “administration of medicines” form needs to be completed and signed by the
parent before the administration of medicines can take place. It is the responsibility of the
parent to provide the school with enough information about their child’s medical condition
and treatment.
It is the responsibility of parents to ensure that medicines sent to school are ‘in date’. All
medicines should be collected by parents as and when requested by school. If new supplies
are needed it is the responsibility of the parents to supply medication as needed.
6.
Supporting children with complex or long-term health needs
The school will aim to minimise any disruption to the child’s education as far as possible,
calling on the Health Needs Education Service for support and advice as needed, on the
impact on learning and supportive strategies.
The school will carry out risk assessments and provide care plans if required, with the
agreement of parents, and advice from health professionals.
Individual Health Care Plans (appendix A)
These will be developed in conjunction with the Healthcare professional, parents and the
school to ensure that the school effectively supports children with medical conditions. The
IHCP will initially be completed by the Inclusion Manager and the flow chart in appendix B
(NEW)
IHCPs will be reviewed at least annually and earlier should a change be required following a
medical review. They should be drawn up with the best interests of the child’s education,
health and social well-being and minimise disruption.
7.
Policy on children taking and carrying their own medicines
Primary age children should not carry medicines other than asthma inhalers to and from
school themselves.
When administered by staff, drugs will be kept in a locked secure place and only named staff
will have access. When drugs are administered, the school will keep records.
EpiPens need to be kept with or near the pupils who need them.
Asthma medication is stored in the medical room for KS1 children. Children will come to the
office for the asthma medication and the office staff/first aiders will help them. If they are not
able to do this the medication will be taken to them. In KS2 the children store their asthma
7
pumps in their desks and will use them as and when needed. It must be taken on school
trips.
It is good practice to support and encourage children, who are able, to take responsibility for
the management of their own medicines. Health professionals need to assess with parents
and children the appropriate time to take on this increased responsibility.
8
Advice and Guidance to Staff
The school will arrange and facilitate staff training for children with complex health needs,
calling on the following professions where appropriate
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The School Nursing Service
Community Children’s Nurses
Paediatric Diabetes Nurse Specialists
Paediatric Epilepsy Nurse Specialists
Eleanor Nurses – Local Hospice nurses
The Health Needs Education Service
The Specialist Teaching Service (about potential impact of medical / physical
conditions and the implications on teaching and learning)
GOSH – Great Ormond Street Hospital
Record keeping
The agreed set of forms used by our school are found in the appendices. Risk assessments
should be updated to ensure that they remain current and relevant.
All medical care plans should be updated at least annually or when needed by a change in a
pupil’s condition
A copy of relevant documentation should be held centrally in the child’s file however; copies
of risk assessments and care plans need to be available to key staff on a daily basis. Copies
of care plans are also kept in the office or medical cupboard along with the child’s
medication.
10.
Storing medicines
The school has now added a door opened via a security keypad to the Medical Room to
improve the safe storage of medicines. The Medical Room contains a fridge with the sole
function of storing medical equipment and supplies.
Some medicines and care plans are kept in the School Office (those not requiring
refrigeration) where access is also controlled by a security keypad.
However some medicines like asthma inhalers or EpiPens are kept within easy access to the
pupils. Written parental permission is sought when Key Stage 2 pupils look after their own
asthma inhalers.
Large volumes of medicines should not be brought into school
8
11.
Emergency procedures
The school will agree any procedures with parents and health care partners and the plan will
be signed by all parties.
All staff will be made aware of the plans in order to discharge their common law ‘duty of care’
should the need arise.
12.
Risk assessment and arrangement procedures (Care Plans)
Where a pupil has a complex health need or requires long-term medication, risk
assessments and/or care plans will be drawn up and signed by the parents and the
Headteacher.
A few pupils may have a condition which could require emergency intervention (eg
anaphylaxis, epilepsy.) In these circumstances special consideration will be given to the
following points:
What emergency could arise? (indicate possible symptoms)
What action could be needed? (include any strategies to avoid an emergency from
developing eg foods to be avoided)
What tasks could staff be permitted to do?
Which staff are trained to give assistance?
What training has been received?
What could untrained staff do to help? (eg call a trained colleague.)
What arrangements have been agreed for reviewing procedures?
What arrangements are in place for school trips?
In what circumstances should an ambulance be called?
How and when should parents be notified?
It is important to establish from the outset what can and cannot be done so that staff and
parents understand and accept the level of risk and so that named staff are satisfied and
confident about the role which they might be asked to undertake. The arrangements should
be written down and signed by the school and the parents. The care plan will not be altered
without the involvement of medical professionals even at the request of the parents. This is
to ensure the safety of the child and school staff.
9
Complaints
Should parents be dissatisfied with the support provided they should discuss their concerns
directly with the school. If for whatever reason this does not resolve the issue, they may
make a formal complaint via the complaints procedure.
Written by:
Mrs L. Clement
Ratified by FGB:
24 November 2014
Next Review Date:
November 2016
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APPENDIX A
WEST HILL PRIMARY SCHOOL
MEDICAL CARE PLAN
Photo
Pupil details
Name of child
DOB
Class
Medical condition
Medical Contact details
School Nurse
Phone number
GP
Address
Phone No
Hospital Contacts
Family Contact details
Name of Parent / Carer
Relationship to child
Address:
Phone No: (Daytime)
(Mobile)
Emergency contact number
11
Medical condition/diagnosis
Description of condition, including pupil’s likely symptoms
Daily care/treatment required whilst in the care of school
Medical requirements
Details of medicines and their administration
Details of doses
Storage of medicines
Additional requirements
 dietary needs such as snacks or supplements
 suitable room for blood glucose testing to ensure privacy (diabetes)
 pre-activity precautions, restrictions regarding PE/ school outings
Description of what constitutes an emergency and action to be taken
Parent’s role & responsibilities
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Advise school regarding their child’s / young person’s condition/treatment/care required and any changes as
they occur in writing.
Supply medication, suitable snacks or supplements to school clearly labelled with child’s / young person’s
details.
Ensure medication is available, in date and usable at all times.
Agree access to health care plan.
Ensure their child/young person is encouraged to self manage their health care as appropriate.
School’s role & responsibilities
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Store medication safely.
Store snacks or supplements with easy access if needed
Inform staff of medical condition as appropriate.
Record administration of medication/snacks/supplements.
To keep original care plan in school and give copies to Parent and School Nurse do we have a school nurse?
There are school nurses but now not a named one
Health care professionals role & responsibilities
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Advise, support and train school staff (where appropriate) in managing this medical condition in school.
Support in drawing up health care plan in partnership with Parents, School and young person, as appropriate.
12
Parental consent for school to administer medication
I consent to medication being administered to my child by staff who have received appropriate training and are willing to
do so, as agreed in this care plan and the accompanying medical consent form.
Print name of Parent /Carer ___________________________________________
Signature
___________________________________________
Date
___________________________________________
Relationship to pupil
___________________________________________
Medical Care Plan Agreement
School Staff, who have received appropriate training, will be covered by indemnity as set out in KCC guidance
(section 10 Paragraph 2:1 & 5:2 Supporting pupils with medical needs).
We, the undersigned, agree to this Medical Care Plan
HEADTEACHER
Signature
___________________________________________
Print name
___________________________________________
Date
___________________________________________
PARENT
Signature
___________________________________________
Print name
__________________________________________
Date
__________________________________________
Medical Care Plan Review Date ________________________________
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APPENDIX B
WEST HILL PRIMARY SCHOOL - PARENTAL AGREEMENT TO ADMINISTER MEDICINES
The school will not supervise the administration of your child’s medicine unless you complete and sign this form in line
with the school‘s policy. Please note that medicines must be in the original container as dispensed by the pharmacy. If
more than one medicine is to be given a separate form should be completed for each one.
Name of Child and Class: _________________________________________________________
Date of Birth:
_________________________________________________________
Medical condition/illness: _________________________________________________________
Medicine
Name of Medicine:
_________________________________________________________
Date dispensed:
_________________________________________________________
Expiry date:
_________________________________________________________
To be administered for what length of time?
______________________________________
Dosage and method:
_________________________________________________________
Timing:
_________________________________________________________
Special Precautions:
_________________________________________________________
Possible side effects:
_________________________________________________________
Self Administration ?
Yes/No (delete as appropriate)
Procedures to take in an Emergency:
__________________________________________
Contact Details
Name:
________________________________________________________
Daytime Telephone No:
________________________________________________________
Relationship to Child:
________________________________________________________
Address:
________________________________________________________
I understand that I must deliver the medicine personally to the school office and accept that this is a service that the
school is not obliged to undertake. All staff are acting voluntarily in supervising medications. The above information is, to
the best of my knowledge, accurate at the time of writing and I give consent to school staff administering medicine in
accordance with the school policy. I will inform the school immediately, in writing, if there is any change in dosage or
frequency of the medication or if the medicine is stopped. The school cannot guarantee to monitor the use of inhalers
carried by children. The school is not responsible for the loss of or damage to any medication. Staff will not supervise the
administration of medicines that have passed their expiry date. It is the parent’s responsibility to ensure that medicines
are in date.
Date:
__________________________________________________
Signature(s):
__________________________________________________
Confirmation of the School’s agreement to administer this medicine
The school will supervise the administration of the above medicine as detailed above.
Date:
________________________________________________
Signed by the named member of staff ________________________________________________
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APPENDIX C
WEST HILL PRIMARY SCHOOL
RECORD OF MEDICINES ADMINISTERED IN SCHOOL
CHILD’S NAME
______________________________________________________
NAME OF MEDICINE ____________________________________________________
DATE
TIME
DOSE GIVEN
NAME OF STAFF
(PRINT)
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INITIALS
REACTIONS
APPENDIX D
WEST HILL PRIMARY SCHOOL
ASTHMA INHALERS IN SCHOOL
Child’s name and Class _____________________________________
This document is to inform you about the School’s guidelines with regard to asthma inhalers in school.
1. All asthma inhalers for children in Key Stage 1 will be kept in a box stored in the medical room. Key Stage
1 children will ask at the office when they need to use their inhaler. Office staff will supervise the child
and record the use of the inhaler on a record form. But we’ve said earlier that inhalers will be kept in or
near the child’s classroom. (Changed) Also, the child may not be in a fit state to come to the office and
ask for their inhaler so what would happen then? If the child cannot come to the office the inhaler would
be taken to them
2. Key Stage 2 children are encouraged to keep their asthma inhalers with them in class, usually stored in
their desk, having first received parental permission for this to happen. Class Teachers will be given a copy
of the permission form signed by the parents stating how the inhaler should be used. It is good practice
for the child to record when they use their inhaler so that if the child appears to need their inhaler rather
too frequently, then the parent can be informed.
3. All asthma inhalers should be named.
4. When your child firsts starts to use a inhaler in school you will be asked to complete the form entitled
“Parental Agreement for School to Administer Medicines” which gives details of vital information
regarding the medicine and its use.
5. We strongly encourage independence so your child will not be restricted from using their inhaler during
the course of the school day, but it is considered courteous to make the normal requests of the teacher
first.
6. If the child needs their inhaler during break times, a request to a member of staff must be made first
before entering the building. Should they not take it on the playground with them – this is when they’re
most likely to need it. They are likely to be lost very easily and this is impractical to administer. OKAY
7. It is essential that parents ensure the asthma inhaler is kept in date. The school will not supervise the
administration of out of date medicines – what about in an emergency situation?.I think guidance would
be sought from medical professional at this point. During Epipen training this is discussed. OKAYChildren
will not be able to undertake out of school trips and swimming sessions if their asthma inhaler is out of
date or if the child has forgotten to bring it to school.
Please sign and return the slip below.
Yours sincerely
Headteacher
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Asthma Inhalers in School
Child’s name and Class ______________________________________________
I agree and accept the above guidelines regarding asthma inhalers in school.
I confirm that I am willing for my child to keep his/her inhaler in their desk
(Key Stage 2 children only)
Signed _______________________________________________ Parent/Guardian
Signed _______________________________________________ Child (for KS2 - important that the child is
aware of all of this and takes responsibility too)
Date _______________
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APPENDIX E
WEST HILL PRIMARY SCHOOL
USE OF ASTHMA INHALERS IN CLASS
(Record to be kept by the pupil)
Child’s name and Class
My asthma inhaler expires on
DATE
_____________________________________
_____________________________________
TIME
NUMBER OF PUFFS
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APPENDIX F
WEST HILL PRIMARY SCHOOL
EPIPENS IN SCHOOL
INDIVIDUAL PUPIL DETAILS
Name of pupil and class
______________________________________________
Date of birth
______________________________________________
MEDICAL INFORMATION
Make and dose of pre-loaded adrenaline injection, e.g. EpiPen or Anapen to be used for anaphylactic reaction.
________________________________________________________________________
Expiry date of current pre-loaded adrenaline injection. __________________________
Details of known cause of anaphylactic reaction.
_________________________________________________________________________________________
_________________________________________________________________________________________
Are any foods to be avoided? (If so, how is this to be achieved? e.g. by packed lunches)
_________________________________________________________________________________________
_________________________________________________________________________________________
Details of any less severe reactions, and treatment recommended for them.
_________________________________________________________________________________________
_________________________________________________________________________________________
Any other relevant information.
_________________________________________________________________________________________
_________________________________________________________________________________________
Doctor’s name, address and contact details
_________________________________________________________________________________________
_________________________________________________________________________________________
Storage of pre-loaded adrenaline injection
The pre-loaded adrenaline injections should be stored so that they are prominent and easily identifiable
within the secure storage area –should be with or near the child They have to be in a secure storage area so
can’t be with the child. The staff are all aware of their location. They are taken to the canteen on a daily basis
so that they are much closer to the children.OKAY All staff should know where they are kept.
If the child is to participate in school visits, these will need to be accompanied by a member of staff who has
received training in the use of the adrenaline ‘pen’ (which will need to be available during the visit).
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APPENDIX G
WEST HILL PRIMARY SCHOOL
EPIPENS IN SCHOOL
CONSENT FORM
Name of pupil and class
______________________________________________
Date of birth
______________________________________________
Address
_______________________________________________
_______________________________________________
_______________________________________________
Home phone number
_______________________________________________
Mobile phone number 1
______________________________________________
Mobile phone number 2
______________________________________________
I CONSENT TO THE ADMINISTRATION OF ADRENALINE BY PRE-LOADED SYRINGE BY MEMBERS OF THE
SCHOOL STAFF IN AN EMERGENCY.
I UNDERSTAND THAT THERE ARE MEMBERS OF STAFF WHO HAVE RECEIVED TRAINING, ARE WILLING TO
ADMINISTER THIS MEDICATION, AND WILL USE THEIR BEST ENDEAVOURS TO DO SO IN AN EMERGENCY.
I UNDERSTAND THAT IT IS MY RESPONSIBILITY TO ENSURE THAT THE PRE-LOADED SYRINGE REMAINS IN
DATE AND THAT THERE IS ONE AVAILABLE FOR MY CHILD WHILST IN SCHOOL.
PRINT NAME
__________________________________________________
SIGNATURE
__________________________________________________
DATE
__________________________________________________
RELATIONSHIP TO CHILD
___________________________________________________
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APPENDIX H
WEST HILL PRIMARY SCHOOL
GUIDELINES FOR THE ADMINISTRATION OF PRE-LOADED ADRENALINE INJECTIONS FOR CHILDREN
WITH ANAPHYLACTIC REACTIONS
About Anaphylactic reactions
Anaphylactic shock is a very severe form of allergic reaction, leading to collapse or breathing difficulties which
may be life threatening.
It may be preceded by itching, nettle rash and swollen lips. Some children become restless, others floppy and
semi-rousable. There may be changes in voice or in face colour. Choking or loss of consciousness are serious
symptoms.
Anaphylactic reaction can result from allergy to certain types of food (peanuts or white of an egg for
example), to plants, bee and wasp stings or from allergy to a variety of other causes.
School Arrangements
When a child either has recently developed this condition, or enters a new school with a history of
anaphylactic reactions it is the parents responsibility to draw the attention to the school of the condition.
The parents need to complete the relevant medical information and consent forms provided by the school.
The treatment of anaphylactic reaction is adrenaline, which is given by injection. Special pre-loaded
adrenaline ‘pens’ designed for use by lay people, make the injection straightforward to give.
Training does not take long and is available from the school health service. Staff who are willing to be trained
will have the opportunity to learn the indications for and methods of use of these injections. All staff should
be made aware of the names of staff who have undergone training to administer the emergency treatments.
A sufficient number of staff need to be trained so that cover can be maintained.
A copy of this advice sheet, the individual pupil’s details, parents consent and the attached summary
guidelines for treatment should be kept with the pre-loaded adrenaline syringe.
Parents should obtain an additional pre-loaded adrenaline syringe from their general practitioner to be kept
at the school. As with other medication, the syringe should be clearly labelled with the child’s name and
should only be used for that child.
Parents should be reminded they are responsible for supplying the school with a new syringe before the
expiry date of the present one, and for notifying the school of any change of treatment.
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APPENDIX I
WEST HILL PRIMARY SCHOOL
EMERGENCY GUIDELINES-TREATMENT OF ANAPHYLACTIC REACTIONS
Check symptoms first
Only give adrenaline injection if:

Child known to be at risk of anaphylactic reactions

Child has rapidly become very unwell and one or more of the following are present:
Difficulty in breathing
Difficulty in swallowing
Collapse
Then take action

Stay calm

Stay with child

Lie child flat, ideally on his/her side

Send others to:
Obtain child’s adrenaline injection urgently
Call 999 ambulance (state ‘violent allergic reaction’)
Summon first aider

Check correct child’s name is on the adrenaline pack, check expiry date and then give adrenaline
injection (Epipen or Anapen) in outer thigh, following instructions in pack. (The pre-loaded adrenaline
syringe has been designed for use by a lay person)

Note time given

Confirm ambulance on its way and remain with child (child must go to hospital even if now
recovered).

Give used syringe to ambulance staff

Inform parents if not already notified

Make a record of what has occurred.
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APPENDIX J
WEST HILL PRIMARY SCHOOL
RECORD OF ADVICE, AWARENESS RAISING AND TRAINING IN SCHOOL
Type of training received _______________________________________________
Date of Session
_______________________________________________
Training provided by
_______________________________________________
Profession / title
______________________________________________
I confirm that those listed on the register overleaf have received awareness training detailed above
and are competent to carry out the appropriate procedures
I recommend that the training is updated __________________________________
(State frequency)
Signature of health professional
_________________________________
Date
_________________________________
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APPENDIX K
WEST HILL PRIMARY SCHOOL
REGISTER OF THOSE ATTENDING MEDICAL TRAINING
DATE OF TRAINING _____________________________________________
TYPE OF TRAINING _____________________________________________
NAME
(IN CAPITALS)
SIGNATURE
24
APPENDIX L
WEST HILL PRIMARY SCHOOL
RISK ASSESSMENT FORM
Name of person completing the form ______________________________________________
Child’s Name and Class
______________________________________________
Medical Condition
______________________________________________
List significant
hazards, risks or
concerns
Existing
procedures in
place
List additional
procedures / actions
required
25
Name of person
to complete
action
Date when
actions
completed
APPENDIX M
WEST HILL PRIMARY SCHOOL
(This form is to be kept by the telephone)
CONTACTING EMERGENCY
SERVICES
To request an ambulance:
Dial 999 and be ready with the following information:
1.
School telephone number – 01322 226019
2.
School Location – Dartford Road, Dartford
3.
School postcode – DA1 3DZ
4.
School Location – corner of Dartford Road and
Lawrence Hill road
5.
Your name
6.
Child’s name and brief description
7.
The best entrance for ambulance crew and advise
crew will be met and taken to child
(a) Car park in Lawrence Hill Road
(b) Emergency gates in Lawrence Hill Road
(c) Canteen area Lawrence Hill Gardens
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APPENDIX N
WEST HILL PRIMARY SCHOOL
GUIDANCE ON INFECTION CONTROL
Hands – Washing and Good Hygiene Procedures
Effective hand-washing is an important method of controlling the spread of infections especially those that
cause diarrhoea and vomiting.






Always wash hands after using a toilet and before eating or handling food using warm, running water
and a mild, preferably liquid soap.
Rub hands together vigorously until a soapy lather appears and continue for at least 15 seconds ensuring
all surfaces of the hands are covered.
Rinse hands under warm running water and dry hands with a hand dryer or paper towel.
Discard disposable towels in a bin. Bins with foot-pedal operated lids are preferable.
Encourage use of handkerchiefs or tissues when coughing or sneezing.
If a food handler has diarrhoea or vomiting advice should be sought urgently.
Cleaning Up Body Fluid Spills – Universal Precautions
Spills of body fluids: Blood, Faeces, Nasal and Eye Discharges, Saliva and Vomit must be cleaned up
immediately.





Wear disposable gloves. Be careful not to get any of the fluid you are cleaning up in your eyes, nose,
mouth or any open sores you may have.
Clean and disinfect any surfaces on which body fluids have been spilled.
Discard fluid-contaminated material in a plastic bag along with the disposable gloves. The bag must be
securely sealed and placed in the correct bin in the medical room where it will be disposed of according
to local guidance.
Mops used to clean up body fluids should be cleaned in a ‘cleaning equipment sink’ not a kitchen sink,
rinsed with a disinfecting solution and dried. Such mops should only be used for cleaning up body fluids.
Staff should be advised to ensure that they wash any contaminated clothing at a hot temperature
(minimum 60°C)
Checklist








Always ensure that the child is in a safe position and surroundings.
Cover any exposed cuts and abrasions, especially on hands and fingers with waterproof dressings.
Wear disposable gloves when in direct contact with blood, body fluids or contaminated articles.
When dealing with blood spillages use a cleaning agent and wipe away with disposable towels.
Place all contaminated dressings, tissues and other articles in a plastic bag and ensure a proper waste
disposal procedure is followed using the correctly labelled containers.
Dispose of all needles and syringes in a sharps box. Do not attempt to disconnect them from each other.
Always wash your hands before and after attending a child.
Make a written record of any action taken.
APPENDIX 0
WEST HILL PRIMARY SCHOOL
THE SAFE RETRIEVAL AND DISPOSAL OF USED NEEDLES AND SYRINGES
1. Risk Assessment
It is important to assess the risk of removal of any found objects when considering what action is to be
taken.
Decide if it is safe for you to attempt removal. There should be a sharps disposal kit kept in school. You must
not take avoidable risks. If unsure, discuss what action to take with your Line Manager or Headteacher.
The area where the object is found must be safeguarded to protect others from injury. If the discovery is
made when you are alone and children / young people or others are nearby, summon help by asking
someone to get the sharps disposal kit, while you ‘stand guard’. The incident must be recorded in the
appropriate Health and Safety incident or record book. For KCC schools the Accident/Incident Report Form
H5157 should be used.
2. Removal Procedure
Close and safeguard the area until the sharps disposal kit is collected from the First Aid room. Follow the
procedure as outlined in the sharps disposal kit. If the sharps kit is unavailable, never place a needle in a bin
without it first being placed in a hard protective container to avoid injury. Report the discovery to the local
Police Youth Crime Reduction Officer.
In the event of discovering isolated needles or syringes, the surrounding area must also be checked carefully.
In attempting to do so DO NOT COMB GRASS BY HAND.
Neither children nor adults should be permitted to enter an area where syringes or needles have been found
repeatedly, unless that area has been fully checked before its use.
3. First Aid Treatment
If an accident occurs where a needle or other sharp object has punctured the skin, then the following advice
is recommended.
The injured person should:







Encourage the wound to bleed gently.
Wash well with soap under cold running water.
Cover the wound with a waterproof dressing
Seek medical attention as soon as possible, e.g. from his or her own doctor or an Accident and
Emergency department at hospital.
Inform your Line Manager.
Complete the accident/incident form.
Inform the Occupational Health Unit (01622 605518)
An immediate response by the injured person can help reduce the risk of infections occurring. Please refer
also to the ‘KCC Framework for Health and Safety’, page 10.19. A copy should be kept in schools and in
Youth Service premises.
28