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PEN-Y-CWM SCHOOL

POLICY DOCUMENTFOR HEALTH & SAFETY

Headteacher: Mrs D Brill-WilliamsAssistant Head: Mrs C Buck

Assistant Head: Miss S BlackmoreTel: 01495 357755

Email: [email protected]

Pen-y-Cwm School Health and Safety Policy

General Health & Safety Aims/Consultation/Monitoring Organisation of Health & Safety Arrangements for general Health & Safety Arrangements for ensuring the Safety and Welfare of pupils Arrangements for meeting pupils Health Needs

Specific Procedures General Health & Safety

Action in the event of a fire Controlling Infection Manual handling School equipment Display Screen Equipment

Ensuring the Safety and Welfare of Pupils Safe Transport Use of reasonable force

Meeting the Health Needs of pupils Individual Health Care Plans Administration and recording of medication When a pupil becomes unwell at school Dealing with an epileptic fit Pupil stops breathing at school Accident resulting in pupil injury at school Basic life support Preventing choking Summoning help in school Managing inoculation injuries If a pupil is unwell while out on a school visit Toileting pupils

Proformas Risk Assessment form Parental Consent form - out of school Health Care Plan Proforma


Policy Statement The Governing Body of Pen-y-Cwm recognises its corporate responsibility as an employer to provide a safe and healthy environment for teaching and non-teaching staff, for professionals from other agencies, for pupils, carers and visitors to the school. The governors will take all reasonably practical steps within their power to fulfil this responsibility.

The school adopts the Health and Safety guidelines produced by Blaenau Gwent County Council. This school policy document should be read alongside the Education Department document. Where, because of the very special needs of its pupils, the school needs to specify health and safety arrangements which are additional to or different from those set out in the Education Department document, these are made clear in this document.

These documents are available to all staff, governors and parents/guardians. Copies are located in the Staff Room, the Headteacher's Office, and the General Office. Relevant sections of the document will also be in the Staff Brochure.

Signed Date: .................................................................

Mr W Evans Chair of Governors

Signed Date: ................................................................

Darya Brill-WilliamsHeadteacher


THE POLICY This policy document is intended to be a blueprint for good practice in health and safety at Pen-y-Cwm School and to ensure as far as reasonably practical that there is adequate protection for both pupils and staff.

Principles General Health and Safety Regulation 3 (1) of the Management of Health and Safety at Work Regulations, 1992 requires employers to make a suitable and sufficient assessment of the risks to the health and safety of their employees while at work, therefore:

The Governing Body will endeavour to ensure that there is a safe working environment and safe working practices for all those who use the school.

The safety and welfare of pupils Teachers have a particular duty of care as they act in loco parentis. Under the Children Act (1989), "any person who has care of a child has to do all that is reasonable in all the circumstances to safeguard or promote the child's welfare ". Therefore:

It is the responsibility of ALL members of staff to ensure that every pupil is in a safe environment.

Supervision is part of a teacher's common law duty of care and is a statutory duty. The Teachers' Employment Contract (Section 2) stipulates that teachers must maintain good order and discipline amongst pupils in order to safeguard their health and safety.

Therefore:

Teachers must take all reasonable steps to see that pupils under their control are not exposed to unacceptable risks.

Meeting pupils' health needs It is essential that parents have confidence in the school's ability to care for their children's medical needs, therefore:

The roles and responsibilities of staff in relation to pupils with medical needs should be clearly understood and agreed by all those involved including parents and other professionals.


Aims This Health & Safety Policy Document aims:

to minimise so far as is reasonably practicable ALL accidents through a process of

risk assessment which ensures that: hazards are identified and eliminated wherever possible risks are assessed appropriate action is agreed precautions are put in place risks are re-assessed annually or as a specific need for change is required to create a culture in which all are aware of their responsibility to report hazards and to

participate fully in controlling risks. To ensure that the safety and welfare of pupils is always paramount To ensure that pupils' medical needs are appropriately identified and met

Consultation process This policy has been produced with the involvement of the Governing Body and staff who work in the school, including: Teachers Learning Support Assistants School Nurse and School Doctor Paediatric Physiotherapist Occupational Therapist Speech and Language Therapist

In addition, comments were received and discussion undertaken with the following: • Blaenau Gwent County Council Health and Safety officer • Blaenau Gwent LEA, SEN Adviser

Monitoring Monitoring of Health and Safety within Pen-y-Cwm School is both proactive and reactive, and is carried out by the nominated person and senior management. It is intended that this ongoing process, in conjunction with an annual audit, will promote improvements in the operation of the policy. The school will also seek the advice and support of the LEA'S Health and Safety Officer in monitoring the operation of the policy. The policy and the specific procedures which materialise from the monitoring will be regularly reviewed by the Senior Management Team. Modifications will be made in response to issues identified and any new information and/or legislation. Any addition or modification will be appropriately brought to the attention of staff, the Governing Body and others affected by it.

Pen-y-Cwm School Health and Safety PolicyORGANISATION OF HEALTH AND SAFETY Specific roles and responsibilities for health and safety are set out in Guidelines from Blaenau Gwent Education Authority. The day-to-day management of the policy rests with the Headteacher, whilst ultimate responsibility lies with the Governing Body and the Local Education Authority (LEA).

It should be noted that responsibility for health and safety is written into every job description in the school, and that this responsibility is regularly brought to the attention of staff.

Specific Responsibilities for Health and Safety in Pen-y-Cwm School:- Nominated Person At present this is the headteacher.

The Health and Safety at Work Act, 1974 established a range of duties for the employer and employees.

The Nominated Person will ensure that the following are effectively carried out: The investigation of potential hazards and dangerous occurrences in the

workplace, taking into account the precautions already taken; Accident Investigation; The investigation of employee complaints about health and safety; Regular inspections, including fire equipment; To carry out a formal safety inspection in order to identify hazards in the

school, and to evaluate the extent of the risks they present; Liaison with designated Governor for Health and Safety.

As part of the requirement to consult on matters of Health and Safety, the school has two staff meetings a year to discuss Health and Safety issues.

The agenda discusses the followings:- Risk assessments and the establishment of safe systems at work; Accident and incident reporting; Fire precautions and procedures; Provision of welfare facilities; Medical issues/First Aid Provision of information about health and safety; Training; Monitoring of general safety within the school; Liaison with other agencies. Manual Handling

The Headteacher will report on the above formally to the Governing Body through the Headteacher's report.

Pen-y-Cwm School Health and Safety PolicyARRANGEMENTS FOR GENERAL HEALTH AND SAFETY

Instruction and Training The school seeks to ensure that all staff receive appropriate training at induction, on a regular basis thereafter, and on transfer to any new situation/position which involves taking on new responsibilities. In doing so, the school makes full use of available training provided by the LEA.

Risk assessment Provision in school complies with the Health and Safety (Young Persons) Regulations 1997 and the Children's (Protection at Work) Regulations 1998 which require that adequate risk assessments should be carried out.

Risk assessments undertaken in school are recorded and significant findings and conclusions are collated on an Annual Fire Risk Assessment Sheet. Risk assessments are carried out in consultation with the LEA'S Health and Safety Officer.

Accident Reporting and Investigation All accidents relating to school personnel or visiting professionals, pupils, or other visitors are recorded in detail on the school's accident/incident form. Those which are significant are reported on the appropriate Local Authority Accident Report Forms. Recording is the responsibility of all adults involved. Copies of all Accident Report Forms are kept in the school office and are monitored and signed by the Headteacher who ensures that all hazards are reported, and further accidents minimised. Further monitoring is carried out by the LEA s Health and safety officer.

Under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR), some accidents must be reported to the Health and Safety Executive (HSE). Fatal and major injuries and dangerous occurrences should be reported without delay to the HSE. In such cases, a written report on Form 2508 (provided by the HSE) must be completed by the Headteacher and returned within 10 days.

Pen-y-Cwm School Health

and Safety Policy

Fire Precautions The school aims to ensure that all staff, volunteers, students and other professionals working in the school are aware of the importance of taking adequate precautions against fire. Staff are made aware through induction, and are reminded regularly of the location of alarms, safe exit routes and assembly points together with specific action to be taken in the event of fire. The school buildings are designated as a 'no-smoking area and smoke detectors are in situ throughout the building.

Fire drills are undertaken termly under the supervision of the Headteacher and involve all on the school premises, (including staff, pupils and visiting professionals). Records of these drills are kept in the Fire log in the site managers office. Emergency procedures are reviewed annually and revised as necessary (as part of the annual health and safety audit). A record is kept of those in the building, and all visitors are required to sign a visitors book. Staff taking pupils out of school are required to complete a risk assessment and accompanied by a class list so that it is clear at all times which staff and pupils are not in the building.

Fire equipment is checked monthly by school caretaker and is annually maintained in good order by the LEA. Records of checks are made in the Fire Precautions Logbook which is kept in school. The appropriate types of fire extinguishers are sited throughout the school, particularly where electrical appliances are used.

Specific Procedure: See Action in the event of a fire

Security There is a need to provide adequate security for the premises, pupils and staff. The premises are protected by a burglar alarm system which has infra-red/motion detectors and CCTV cameras throughout the school and exterior. The General Office is situated adjacent to the main entrance giving the school secretary an opportunity to monitor visitors. Doors are automatically locked and access can only be gained on approval. ALL visitors sign a Visitors Book on arrival and departure. They are also issued with a visitor's badge.


Contractors Whenever possible, the school uses contractors approved by the LEA Premises Department. If outside contractors are employed directly by the school then the procedures stated in the Blaenau Gwent guidance will be followed.

Hazardous Substances (COSHH) Since even combinations of ordinary household cleaning liquids, such as Cif and Domestos, can produce a lethal gas, it is important that staff have an awareness of the hazards associated with irritant, corrosive, or toxic substances. Information about potentially hazardous substances is recorded on the Substance Assessment Record and data sheets are displayed in appropriate places. Oxygen stored on school premises (oxygen only on site when required by individual pupils) becomes hazardous when exposed to naked flame, grease or oils, including vaseline. Staff trained in the use of oxygen should therefore ensure that they do not wear handcream when administering oxygen. They must also ensure the pupil's lips are free of vaseline and that massage oils/cream have not been applied to the pupil's skin. Naked flames must be extinguished and an adequate flow of ventilation should be secured when oxygen is administered.

Personal Protective Equipment Protective clothing and safety equipment will be provided where there is a statutory requirement, for instance in the school kitchen, or where the necessity is identified by risk assessment. See also specific procedures: Controlling infection

Health and Safety in the school kitchen The school complies with Regulations and Acts relating to safety in the kitchen set out in Safety in Technology - Food and Textiles (NATHE). Assured Safe Catering - Critical Control Points (DOH, August 1996) which is located in the kitchen details safe practice, including steps, hazards and action to be taken.


First Aid The Governing Body follows all principles and procedures included in the Blaenau Gwent LEA guidance document which is available in the staff room. The following elements are supplementary to the above guidance.

First Aid training First Aid in School training, is open to all staff and is organised for designated persons by the Headteacher. Records of those trained, including the dates of training are kept by the Headteacher and a list is kept on display in the office. Names and dates are also logged in the Staff's own Personal Development File. The number of trained first aiders (as at January 2012) is 1.

First Aid Boxes and Kits The main offices have a designated first aid box and each class has a mini "out of school first aid pack". It is class teacher's responsibility for checking and restocking First Aid out of school packs, supported by a designated First-Aider Miss Jackie Watkins who also checks and restocks the office and minibus packs. Mini first aid packs are carried in 'out of school backpacks' carried by all school groups on out of school visits and excursions.

Medical Room Pen-y-Cwm School has a dedicated medical room located on the ground floor. First Aid Records Any First Aid treatment is recorded on either an incident or accident form, giving an account of the circumstances and parents are notified. Where first aid treatment is given to pupils, a copy will be placed in the pupils file.

Occupational Health and Welfare The Governing Body will endeavour to ensure that adequate arrangements are made to safeguard the occupational health and welfare of staff working within the school.

Pen-y-Cwm School Health and Safety PolicyARRANGEMENTS FOR ENSURING THE SAFETY AND WELFARE OF PUPILS

Child Protection The School takes very seriously its responsibility for ensuring at all times the safety and welfare of pupils. This includes taking appropriate action in the event of suspected child abuse or neglect. The school has adopted and follows the procedures laid out in the Area Child Protection Committee Guidelines (ACPC). In 2002 updated guidelines were produced by Blaenau Gwent LEA and ACPC specifically for schools, this document: Child Protection Information and Guidance for Schools, is retained in the office. It is available to all staff, parents/guardians and professionals who work with pupils in the school. The guidelines are regularly brought to the attention of staff through training and are part of the school induction process for new permanent staff. Relief and temporary staff are given access to procedures through their own induction process. In addition to the procedures set out in the documents above, the school can call upon support from the LEA through the Pupil Support Unit.

Use of Reasonable Force There are occasions when it may be necessary to control or restrain an individual pupil to ensure their health and welfare or to avoid them injuring others. The Governing Body has adopted the authority's Policy on the Use of Reasonable Force (which should be read in conjunction with Welsh Assembly Publication 2011). The principles, definitions and guidance adopted within the school are as set out in these documents. Further information is also included in the school's Positive handling/Restraint Policy and is available for parents if requested.

The WAG guidance document states that any policy in this area should detail those staff within the school who are authorised to use reasonable force and the training they should of received. In Pen-y-Cwm School authorised staff will include teachers, support staff, and dinner supervisors. Staff from other agencies who form part of the multi-disciplinary team will not be required to, and are not authorised to assist in restraint.

All procedures and planned interventions relating to the use of reasonable force will be based on training provided by Team Teach. The principle of this training is the use of a 'low arousal' management approach which aims to avoid the use of force as far as possible.

Specific procedure: The use of reasonable force to control or restrain a pupil.


School buildings The temperature throughout the school must be kept at a reasonable temperature as many pupils are immobile. The Code of Practice recommends a minimum of 16 degrees centigrade, though it may be necessary in Pen-y-Cwm school for the temperature to be at least 18 degrees centigrade.

The use of Aromatherapy Oils Aromatherapy oils can be toxic if applied to the skin without a carrier oil. Some oils may have dramatic side effects, particularly with children who suffer from epilepsy. Therefore the blending and use of essential oils for massage must only be undertaken by a suitably trained and qualified member of staff and/or practitioner. Only pure grapeseed oil is to be used for massage. Essential oils are ONLY to be used on burners as part of the multi-sensory programme except where there are pupils with oxygen. Guidelines for aromatherapy treatment are available from Child Safe Wales.

Pen-y-Cwm School Health and Safety PolicyARRANGEMENTS FOR MEETING PUPILS HEALTH NEEDS

Individual Health Care Plans The Welsh Office Circular Supporting Pupils with Medical Needs in Schools (WOC34/97/WHC (97) 31) makes it clear that planning for the medical needs of pupils is an important element of health and safety policy, as these pupils "may be more at risk than their classmates". The school follows guidance in the Welsh Office document Supporting Pupils with Medical Needs - A Good Practice Guide and the LEA'S Policy on the Administration of Medicines in schools. This is available to all staff and parents in the Staff Room. In the Guide, 'pupils with medical needs' are defined as being those who "have medical conditions that, if not properly managed, could limit their access to education". This applies to many of the pupils in Pen-y-Cwm School.

The Good Practice Guide states that: • "An individual health care plan can help schools to identify the necessary

safety measures to support pupils with medical needs and ensure that they and others are not put at risk";

• The health care plan is a written agreement between the parents and the school which clarifies for all concerned: "the help that the school can provide and receive";

• "each plan will contain different levels of detail according to the needs of the individual pupil". The policy of the school is that all pupils will have an Individual Health Care Plan.

Specific procedure: Individual Health Care Plans Managing Medication Staff who give medication, with the exception of the School Nurse, do so on a voluntary basis and are covered by the LEA'S insurance. The Headteacher is responsible for ensuring that staff who are willing to give medication are provided with training to do so. The Headteacher also has responsibility for ensuring that parents are made aware of the school's arrangements in relation to medication and for ensuring appropriate record keeping and safe storage and transit of medication. Class teachers will ensure that appropriate records are kept of when medication is given. It should be noted that parents/carers have prime responsibility for their child's health and should provide the Headteacher with information about their child's medical condition, needs and medication.

Specific procedure: The administration and recording of medication Training for the medical needs of pupils The majority of staff are trained to administer medication. There is a member of staff in each class trained on 1 day First Aid course or between 2 classes where we are awaiting for staff to be trained.

Pen-y-Cwm School Health and Safety PolicySpecific procedure: Basic Life Support Designated staff throughout school have been trained in the administration of Rectal Valium. Training for the use of oxygen therapy is provided by British Oxygen (BOC) as required. Staff are trained in gastrostomy feeding and care by the School Nurse. Further training has also been provided by a specialist nurse.

THE RISK OF ACQUIRING OCCUPATIONAL HEPITITIS Occupationally acquired Hepititis is very rare. In terms of blood bourne viruses the level of risk depends upon the exposure to blood, blood products, and body fluids, the greater the exposure, the higher the risk of acquiring a blood bourne virus. A risk assessment on the procedures/processes performed by Social Services staff, in most areas indicate that there is very low risk of occupational exposure, providing the following recommendations for safe practice are adhered to rigorously .

RECOMMENDATIONS FOR SAFE PRACTICE

UNIVERSAL PRECAUTIONS Introduced by the Centre for Disease Control in Atlanta, in 1985. "Since it is impossible to identify all those who are zero-positive to Hepititis B, or any other strain, it is suggested that every client be regarded as being a potential biohazard. Therefore all staff members should, as a matter of good practice, use ROUTINELY, appropriate barrier methods which will prevent contamination by blood/body fluids." RCN 1995

The following measures will help minimise the risk of exposure to blood bourne viruses, and are appropriate for all settings:

Wear Gloves when in contact with blood or body fluids. Wash hands before and after contact with each client and before putting

on and after removing gloves. Change gloves and thoroughly wash hands and dry between clients. Dispose

of gloves. Cover existing wounds, skin lesions and all breaks in exposed skin with

waterproof dressings. Where sharps usage is essential, exercise particular care in handling and

disposal (see inoculation procedure). Follow safe procedures for the disposal of contaminated waste.

Pen-y-Cwm School Health and Safety PolicyProcedure for General health and safety

Action in the event of a fire - Pen-y-Cwm School

Purpose To ensure the rapid and ordered evacuation of the premises in the event of fire or other life threatening situation.

The following action should be taken in the event of a fire breaking out during school time.

Emergency Procedure 1. If anyone discovers an outbreak of fire they should, without hesitation,

sound the nearest alarm. 2. The Headteacher, or in her absence the Deputy Head, will telephone the

Fire Service informing them of the outbreak of fire and if appropriate that oxygen cylinders are kept in school together with their location. All outbreaks of fire, however small, or any suspected fire will be reported immediately to the Fire Service.

On hearing the fire alarm 3. All teachers and pupils should leave the building by the nearest exit. This

should be done in an orderly manner. Class teachers are responsible for ascertaining whether all pupils and staff in their team are present and checking the immediate vicinity ie. toilets, taking their class register with them if in class.

4. Pupils who are unable to walk out should be assisted wherever possible by hoisting into wheelchairs. However where the risk of life is great and therefore time does not permit the pupil to be hoisted staff should use approved manual handling techniques and equipment such as two people or more using the child's sling to move the pupil to the exit and then into wheelchair.

5. Fire Marshalls check their designated areas. All marshalls to meet at designated fire assembly points.

6. The collection of bags, coats and other personal property should not be allowed to delay exit from the building.

7. The person in charge of each room within the school should without delaying their exit ensure that wherever possible all windows and doors are closed.

8. Once outside, the children should be lined up in class groups within the designated area Once assembled in the designated area, each teacher and the school secretary are responsible for reporting to the Headteacher or, in her absence, the Assistant Heads if anyone is missing. This information will also be passed on to the Senior Fire Officer. All staff and any other people must be accounted for. Where the risk of injury is great all staff and pupils should be moved to a greater distance from the school.

9. The school's headteacher health and safety officer or caretaking staff will be on hand to direct fire crews to the area of the supposed cause of the alarm. The Headteacher will report if anyone is missing.

10. No-one is allowed to re-enter the school or switch off the alarm until told to do so by the Senior Fire Officer present.


General Health and Safety Controlling Infection To ensure that appropriate action is taken to minimise the risk of spreading

infection.

Where necessary further advice will be sought from the Public Health Department.

Toilets and Changing Areas

Appropriate hygiene is the responsibility of every staff member. Each time pupils are toileted changed or showered, it is imperative that surfaces are wiped with an antibacterial spray cleaner. Effective hygiene for the pupil and member of staff is essential in eliminating the risk of transmitting disease.

Before changing a pupil, staff must:

Ensure that open cuts are covered Wear a fresh pair of disposable latex gloves Wear a fresh disposable apron.

It should be noted that some people may develop an allergy to latex. Where this is the case it should be brought immediately to the attention of the Headteacher so that an alternative can be provided.

When using ointments and cream from pots, wooden spatulas are to be used to prevent cross- infection.

Sanitary towels are to be placed in sanitised bins in female toilets.

Procedure for

Purpose


Procedure for General Health and SafetyManual Handling

Purpose To provide a system for assessing and minimising the risks from manual handling

The school complies with the Manual Handling Operations Regulations as set out by Blaenau Gwent LEA.

Manual handling is defined in this document as the "transporting or supporting of loads by hand or by bodily force".

The Manual Handling Regulations came into effect on January 1st 1993. The main principle is that: • Staff are required to "avoid hazardous manual handling so far as

reasonably practicable".

This can be particularly difficult when working with pupils with complex physical difficulties who are totally dependent upon staff. Therefore, to minimise the risk of injury to themselves or pupils: • Staff should evaluate each physical activity, and plan the best possible

strategy to avoid any risk. This will include utilising where possible appropriate handling equipment together with appropriate techniques derived from training.

Wherever possible, these evaluations will be recorded on the "Consistent Handling Form" for pupils to indicate the most appropriate method of moving and handling for each individual. Where necessary, advice should be sought from the physiotherapist or Occupational Therapist to complete the forms. • All pupils who use wheelchairs/walkers should have a risk assessment

related to manual handling which is reviewed regularly as the needs of pupils change.

Training for all staff on manual handling assessment, techniques, equipment and methods is provided by the LEA and is carried out on professional training days at the school. A record of staff who have attended training is kept by the Inset co-ordinator. • Supply staff, students and volunteers are not to move or handle pupils

unless they have had specific training.

It is important that staff prepare themselves and pupils prior to any handling taking place. This can be done verbally or through touch; especially where a pupil has visual or hearing impairments.

It should be explained to pupils that they are going to be moved or handled prior to this taking place.

If any faults occurs with the equipment used to assist the moving or transfer

of pupils it must be reported at once to Headteacher or Secretary.

Faulty handling equipment must NOT be used and an "Out of Order" notice placed on it.

(The Staff Brochure and individual job descriptions also serve to make staff aware of their personal responsibilities in respect of manual handling).


Procedure for General Health and SafetySchool Equipment

Purpose To ensure the safe use of School equipment so far as is reasonably practicable.

The school seeks to comply with the Provision and Use of Work Equipment Regulations (1998) which are intended to ensure the provision of safe work equipment and its safe use. No work equipment in the school should give rise to risks to health and safety, irrespective of its age or place of origin. "Work equipment" includes any machinery, appliance, apparatus or tool that carries out a function at work.

• Equipment must be suitable for the use for which it is intended, taking into account the location in which it is to be used. Staff has a responsibility to ensure that this is complied with. The age and level of ability of pupils must be considered at all times.

• Equipment must be maintained in efficient working order and in good repair. A Maintenance file is kept in the Office where staff can report any equipment needing repair. All electrical equipment is PAT tested checked regularly by the LEA. However, it is the responsibility of all staff to report to the Headteacher any equipment which is not working correctly.

• Equipment should be stored correctly. This is particularly important with foam-filled mattresses.

• All staff should receive adequate training in the use and purpose of equipment for which they are responsible. This should include methods of use, risks that might arise, and precautions to be taken. The school will, in liaison with the LEA and other agencies, seek to ensure that such training is provided in all cases.


Procedure for General Health and SafetyDisplay Screen Equipment

Purpose To ensure that Display Screen Equipment is used in a way which minimises the risk of injury or ill health

All staff should be aware of the following minimum requirements when using computer equipment: • The Display Screen should be clear, with a stable image, and free of reflective

glare. • The Keyboard should be separate from the screen and have sufficient space

to provide support for hands and arms (unless using a laptop). • The Work Desk should be large enough to allow a flexible arrangement of the

hardware. • Seating should be at an appropriate height and adjustable. • Staff using a computer for lengthy periods (in excess of 2 hrs) also need to

take account of the following: • There must be sufficient breaks away from the screen. • Seating should be appropriate so as to reduce the possibility of Repetitive

Strain Injury. • Eyes should be tested prior to employment, and thereafter every 2 years. • Room lighting should provide satisfactory lighting conditions. Poor

lighting can cause users to experience visual fatigue, red or sore eyes and headaches.

• Electronic equipment is a source of dry heat. Therefore ventilation and humidity should be maintained to prevent discomfort and the problem of sore eyes.

• Noise should be kept to a level which does not impair concentration or prevent

• normal conversation. • Some staff may have a photosensitive epilepsy. An appropriate screen

should be used. • Risk assessments should be undertaken in relation to the use of

computer equipment as with any other area of health and safety.

Eyesight Test Form

Department.............................................................................................................

Reimbursement of Fees for Eye and Eyesight Testing, and Corrective Appliances (where applicable)

Part A

Mr/Mrs/Ms.........................................................................

Employee No...........................................................

of my Department satisfies the criteria as a display screen user as defined and is authorised to have a sight test.

Date...................................................................................

Authorising Officer..................................................

Designation............................................................

Part B

(to be completed by Employee as Information for Optometrist) (please make this information available before the sight test)

Brief details of the type of display screen equipment used and nature and extent of use, eg. word processing, high speed data entry, continuous work with CAD.

Distance between eye and VDU at normal operating position

.....................................................................

Part C

(to be completed by Optometrist)

(i) I have examined the above named person and would confirm my fees for a sight test as follows

£..........................................

Complete (ii) or (iii) below as appropriate)

(ii) The special corrective appliances identified below are needed to meet the requirements of the Health & Safety (Display Screen Equipment) Regulations 1992 and will correct vision defects at the viewing distance or distances used specifically for the display screen work concerned.

Description Cost

Suggested Date for Re examination.

Signed and Stamped...

If the total cost exceeds :- Single Vision Lenses £48.00 Bifocals £62.00 Eye and Eyesight Test £12.00 Varifocal Spectacles £95.00

is the extra cost due to the complexity of the prescription? YES / NO

If YES, please supply details

.......................................................................................................................

......

.......................................................................................................................

......

(iii) Special corrective appliances are not required for the display screen work concerned.

Suggested Date for Re-examination...........................................

Signed and Stamped........................................... ...........................................

Part D

(to be completed by Employee)

I confirm that this claim relates to eye and eyesight testing / corrective appliances for use by me specifically for my work within this employment at Display Screen

Equipment and claim total cost as follows:

£.......................................................................

Signature................................................................................ Date.........................

Part E

(to be completed by authorising officer and sent to Exchequer Services for payment)

I certify the sum of £........................................................is to be paid to

Mr/Mrs/Ms.....................................................................................................................

Expenditure Code......................................................................

Employee No................................................

Signature......................................................................................

Designation..................................................................................

Pen-y-Cwm School Health and Safety PolicyProcedure For Ensuring the safety and welfare of pupils

Safe TransportPurpose To ensure that the risks involved in the use of transport are

minimised

The school aims to ensure that all pupils are carried safely and comfortably. It does this in liaison with Blaenau Gwent County Council's School Transport Section. The school seeks to ensure that the following procedures operate whenever pupils are transported during the school day.

All pupils are to be transported in a safe manner 1) The condition and safety of the vehicle is ultimately the responsibility of the

driver. 2) The driver must undertake a visual safety check of the vehicle prior to

setting out. This includes ensuring that there is sufficient fuel, that all lights are working, check for leaks and that the tyres are in a safe condition. If any significant fault is identified, this should be communicated immediately to the transport department and the vehicle should not be used.

3) The correct seat belt, harness, mould and/or safety seat should always be used in accordance with each pupil's needs (see chart below). These needs are carefully assessed on a regular basis.

4) Pupils are NOT allowed to be transported on anyone's lap. 5) Any concerns should be reported to the Headteacher.

All pupils must be seated comfortably This means that clothing, seat belts, harnesses, etc. should be fitted properly.

All pupils should be conveyed in a caring manner It is important to remember that all pupils need to have actions explained to

them prior to that action taking place. For example, a pupil who is visually impaired

will need to be prepared verbally, and assurance given prior to any change or sudden movement.

Communication between adults and the pupils may be one-way given the complex and challenging needs of our pupils. It is important that adults communicate with pupils, even if there is minimal response, eg. Facial expression.

One Escort should always sit in the back with pupils. They should be aware of their needs and should take the opportunity to talk to them during the journey.

All staff to follow driver responsibilities

Drivers should ensure that they are fit to drive and that the minibus is in a safe condition before every journey.

Drivers should never drink and drive and be aware that alcohol can remain in the body for up to 24 hours.

Drivers must not drive if ill, or affected by medicines. Drivers must not drive if under the influence of drugs. Drivers should never use a mobile phone while driving. Drivers should ensure they are well rested before driving. Passengers should be adequately supervised.

Types and standards of appropriate child restraintsType Weight Approx Age

Combination SeatGroup 0+ - 1

0-18kgs (20-40lbs)Birth – 4yrs

Forward Facing child Seat

Group 1

9-18kgs (20-40lbs)9mths – 4yrs

Booster SeatGroup 2

15-25kgs (33-55lbs)4-6yrs

Booster SeatGroup 2 & 3

15-36kgs (33-79lbs)4-11yrs

Booster SeatGroup 1,2 &3

9-36kgs (20-79lbs)9mths- 11yrs

Booster CushionGroup 3

22-36kgs (48-79lbs)6-11yrs

Group 0 (0-10kg) baby seats are no longer produced.

Booster seats that only fit into Group 2 or only into Group 3 are no longer produced. All now fit into either Group 2 and 3 (15-36kg) or Groups 1 to 3 (9-36 kg).


General Safety of the Vehicles The Local education Authority is responsible for maintaining daily and checking on the vehicles which are loaned to school during the school day. School staff may be approved as drivers, at the discretion of the Headteacher, if they: • passed their car driving test before 1st January 1997; • have passed a PCV driving test; • From 12.1.98 any diabetic who uses insulin is not allowed to drive a school

mini-bus or private car if a pupil is being transported.

The following points must be strictly observed: 1. Smoking is not allowed in the vehicle at any time. 2. All exits must remain clear at all times. 3. Aisles and doors must not be obstructed. 4. Doors must not be locked from the outside, as in an emergency they cannot

be opened. 5. Pupils who are likely to open doors should be seated away from all exits. Child

locks, where fitted, should be activated. 6. Do not overload or exceed the statutory seating capacity of the vehicle. 7. All bucket seats should be appropriately secured. 8. Loose safety belts should be secured.

Pupils Travelling in Wheelchairs/Buggies Changes in Seat Belt Regulations (1996) require that:

All mini-buses are required to have seat belts fitted for each pupil from 10th February 1998. All school mini-buses comply with these regulations.

Pupils must not travel in a wheelchair, mould or seat, unless there is a separate facility which is anchored to the vehicle. This must be in addition to the ordinary seat belt.

All wheelchairs must be securely clamped in the vehicle, usually with the clamps fixed in a central position, so that the chair will not tip forwards/backwards. However some wheelchairs, e.g. Shadow, require a specialised clamping system such as Unwin webbing clamps.

An inertia belt must then be fitted around the pupil correctly, and attached to the floor anchorage.

No pupils should travel in a buggy, unless the chassis has been approved for clamping, and has appropriate clamping equipment.

Spare clamps and belt fixtures, etc. should be securely stored prior to the journey commencing.

Pen-y-Cwm School Health and Safety Policy Use of Tail lifts • Tail lifts should only be operated by trained members of the school staff. • Staff must ensure that no pupils are in the vicinity of the tail lift when it is

being used. • Both brakes should be applied on pupils' wheelchairs prior to operation of the

lift. • A member of staff should accompany pupils on the tail lift, except where the

wheelchair is too big to allow this, in such cases, the member of staff should stand behind the lift and steady the wheelchair.

• Brakes should not be removed until the tail lift has stopped moving. • Any faults with tail lifts should be reported immediately to the Headteacher

and reported to the LEA Transport Officer.

Contract Transport This is used to convey pupils between home and school on a daily basis, and vehicles are monitored by the LEA Transport Officer.

Safe delivery and collection of pupils: 1. Drivers park their vehicles outside the school. 2. The Escort brings each pupil into school. Any information/medication from

home is then relayed/handed to the Transport coordinator. 3. At 3.30 pm, the pupils will be collected from the lobby by Escorts/Drivers.

Support staff will prepare pupils for the arrival of the bus/taxi, collecting the pupils' personal belongings, home-school book, and any letters for parents/guardians.

4. If any vehicle fails to arrive, it is the school Senior Management Team's responsibility to contact the LEA Transport officer and parents for other means of transporting the pupil's home.

Use of Private Cars It is important that each driver has adequate car insurance to include "the use by the insured person for the business of his employer". It is the responsibility of each employee to satisfy him/herself that he/she has full cover. Staff are to also provide a copy of their MOT certificate (if car is more the 3 years old) and a photocopy of their driving license. All other normal rules, regulations and laws apply, e.g. the use of rear seat belts. This should also include the safe condition of the vehicle.

Use of Hired Transport Care has to be taken when hiring additional vehicles, although these vehicles should now have seat belts as standard fittings.

Defect checks and reporting must be completed by the driver prior to departure.


Procedure for Ensuring the safety and welfare of pupils

Use of Reasonable Force to control or restrain pupils

Purpose To outline the actions to be adopted and the basis on which decisions will be taken in the event of an incident which might require the use of force.

In any incident, the class teacher will take the lead role A whole class management approach will be adopted under the direction of

the class teacher Any use of reasonable force will be the final option tried and the minimum

necessary Any period of restraint will be time-limited with opportunities for the pupil

to choose to reduce or stop the behaviour Praise will be given for appropriate behaviour during and at the end of the

period of restraint There will be close supervision of the pupil immediately after the incident The Headteacher will be informed as soon as is practicable The teacher will write a report as soon as possible on the incident form The Headteacher will inform the pupil's parent/guardian


Procedure for Meeting Pupils' Health NeedsIndividual Health Care plans

Purpose To define the actions to be taken to ensure that pupils' medical needs are identified and planned for

Process When drawing up Health Care Plans, the following people should be involved in the process: • The Headteacher • The parent or guardian • The class teacher • The Learning Support Assistant where appropriate • The School Nurse • Health Care professionals - the School Doctor •At the school admissions meeting, many of the key people listed above will generally be present. At this meeting it will be explained to the parent/guardian that a Health Care Plan is required and its purpose will be outlined. The School Nurse will then meet the parent or guardian in order to complete the Health Care Plan proforma. If the school nurse is not available the Headteacher will discuss the proforma and the parents will complete the information with the Secretary. In many cases, this can happen immediately after the admissions meeting. The school doctor makes an appointment to see the pupil and will discuss the pupils health needs with the parents. When the health care plan is completed it will be signed by the Headteacher, the class teacher and the parent/guardian. In addition, where the pupil requires the administration of buccal midazolam rectal valium or other medication, detailed guidelines will be drawn up with the parent/guardian for its administration. (See attached proforma).

All Individual Health Care Plans will remain as draft documents until signed by the School Doctor. Any agreed procedures, once finalised, will be recorded, signed and copied to all parties involved in their production.

The Health care plan is reviewed annually unless there are changes to the child's medical needs in which case the plan is amended as soon as information is provided by the parents. The Secretary monitors the review process. The review usually takes place at the child's annual review of the statement . All alterations to plans will be recorded and signed as above.

A copy of the child's health care plan is kept with the class teacher and a copy in the child's main file. This document is treated as confidential but will accompany the child on all outside of school visits and if an emergency occurs to the hospital.

The production of an Individual Health Care Plan may reveal the need for:

School staff to have further information about a medical condition or specific training in administering a particular type of medication or dealing with emergencies.

It is the responsibility of the School Nurse to: Advise the Headteacher of the need for additional training for particular

individuals or for specific procedures;

It is the role of the Inset Co-Ordinator to: Maintain staff training records. Organise an ongoing programme of training in liaison with the Headteacher

and relevant Health Care professionals.


Procedure for Meeting Pupil's Health NeedsThe administration and recording of medication

Purpose To define the control of medication

The information detailed below is based upon the issues identified in the Welsh Office document "Supporting Pupils with medical needs: A good practice Guide", December 1997 and the LEA guidance for the Administration of medicines in Educational Establishments.

Parental consent Medication, including non-prescription medication, can only be administered with the written consent of parents/guardians. It is the responsibility of the parents to provide the school with clear and up-to-date instructions in regard to the administration of medication. The consent form used by the school is appended to this procedure and is included in the pupils health care plan. The form provides written details of the name of the medication, the doseage, the method of administration, the time and frequency of administration, other treatment and any side effects. Forms should always be signed by the parent or guardian. Parents are responsible for notifying the school of any changes in medication details - dosage, time to be given etc.

Transfer Medication is to be transferred to school via the escort/parent. All medication should be marked with a pharmacy label which includes the child's name, the name and dosage of the drug, the frequency of administration, and the expiry date. Under NO circumstances should ANY medication be given to children to carry, neither should it be placed in their bags. In exceptional circumstances where pupils administer their own medication then these pupils will carry their own medication as agreed with parents.

Storage Medication is to be handed to the Class teacher on arrival at school. It should be in its original container and appropriately labelled. In school, it will be stored in a lockable facility close to classrooms.

Access to Medication Medication and records relating to the administration of medicines are kept locked in the Medical Cabinet. The classteacher is the designated key holder during the day. In their absence a designated member of Support Staff will hold the key for each class.

Staff other than the School Nurse cannot be required to give medication. However, they can volunteer to do so. Where staff are willing to give medication, the Headteacher will seek to ensure that they are provided with appropriate training to do so. At the present time of writing Pen-y-Cwm has the service of a specialist school nurse for 22 hours per week. This time is not wholly spent on the premises.

Medication is currently administered mainly by school staff.

Pen-y-Cwm School Health and Safety PolicyRecording of medication Although there is no legal requirement for schools to keep records of medicines given to pupils, in Pen-y-Cwm School, it is considered good practice for staff to complete and sign individual records. The recording of medication is primarily the esponsibility of the designated member of staff in each class. Where administered by a member of staff other than the nurse, a second member of staff should witness, taking particular note that the dosage given is correct. When recording the administration of medication, a note should be made on the appropriate form of the time and dosage given and both members of staff should sign. If there has been any change to the time of the dose for any reason this should be reported to parents in the Home School Book.

Educational Visits The school follows procedures which comply with LEA guidance on educational visits. The following additional measures are also taken:

Each class has an emergency 'out-of-school pack' consistent of a small rucksack containing:

A mini first-aid kit, Risk Assessment, Pupil's Health Care Plans.

Before going out of school the following action will also be undertaken:

Parental permission agreed Any medication (in an appropriate marked container) required by

individual pupils will be collected from the Medical Cabinet and will accompany them on the visit (these should be added to the out-of-school pack).

Any portable equipment and/or accessories which may be required (for instance oxygen, disposable gloves) will also be collected and taken with the pupil.

A mobile phone will be collected from the office and added to the out-of-school pack-its number noted on the risk assessment form given to the Headteacher. Identified members of staff, who have received appropriate first-aid training, are responsible for accidents and emergencies. Administration of gastro-feeding for the duration of any educational visit is the responsibility of appropriately trained staff.

Disposal of Medicines The designated member of staff in each class is responsible for sending all medicines back to parents at the end of the Summer Term via the escort or parent. Medicines should be checked for date so that there is always appropriate medication available for a pupil. Out of date medication should also be sent home in the same way.


Procedure for Meeting Pupil's Health NeedsWhen a pupil becomes unwell in school

Purpose To define the action to be taken when the pupil becomes unwell

1. Any member of staff who notices that a pupil appears to be unwell, should inform the class teacher.

2. The Class teacher should send a member of staff to contact the first-aider or School Nurse if on site.

3. The School Nurse or first-aider will decide on the course of action to be followed with the Class teacher.

(See procedure for deciding on appropriate action in the event of a medical incident/emergency)


Procedure for Meeting Pupil's Health NeedsDealing with an Epileptic Fit in school

Purpose To define the actions to be taken when a pupil has an epileptic fit in school

If a pupil has an epileptic fit, the following procedure should be followed:

Ensure the pupils safety, Maintain the pupil's airway, Place in the recovery position, Cushion the pupil's head, Be quietly reassuring.

Where a pupil is known to have epilepsy and the pupil requires rectal diazepam, or buccal medazilan then guidelines for their administration will be set out in the pupils individual Health Care Plan. This will be known to staff. In such cases the agreed guidelines should be initiated.

If staff are in any way concerned that the fit is outside the norm for that pupil and in every case where the fit has lasted for three minutes, then the procedure for summoning help in school should be initiated. This procedure should also be followed for any pupil whose Health Care Plan states that help should be summond immediately.

Where rectal diazepam or buccal medazilan has been or is considered to be required a member of staff should dial 999 and follow the procedure stated under action in an emergency.


Procedure for Meeting Pupil's Health NeedsPupils stop breathing in school

Purpose To define the actions to be taken when a pupil stops breathing in school

If a pupil stops breathing in school, then the following procedure is to be followed:

1. The procedure for basic life support should be initiated and continued until the pupil is breathing independently.

2. The procedure for summoning help in school should be actioned, 3. When help arrives, the procedure for deciding on appropriate action in an

event of medical incident/emergency in school will be followed.


Procedure for Meeting Pupil's Health NeedsAction in the event of a medical incident/emergency in school

Purpose To define the options available and the actions to be taken in each case

Follow the procedure for Summoning Help

On arrival at the scene, the first-aider or the school nurse will take over responsibility for the medical procedure and basic life support. The Headteacher will be informed, and in her absence the Assistant Head Teachers. The situation will be assessed and a decision taken as to what further action is needed.

If the First Aider or School Nurse decides that the pupil should go to hospital:

1. A member of staff will be assigned to telephone the emergency services.

The designated person will: Phone 999 and ask for paramedics Give relevant information concerning the nature of the pupils condition Give the address and telephone number of the school, as well as the

location of the emergency within the school (Location and other relevant details about the school are posted beside all

phones)

2. The Headteacher, or a member of staff assigned by her, will telephone the pupils parent or carer.

If the First-Aider or School Nurse decides that the pupil should go to casualty to be checked:

The Headteacher, Assistant Heads, caretaker or class teacher (insured to

carry pupils in their car or the school minibus if available) will drive the pupil with the member of the class team who is able to recount the incident. The staff member will sit in the rear of the car with the pupil with seatbelts secured. - See Safe Transport guidance. A pupil who is unable to be transported in this way will require an ambulance.

The Pupil's Health Care Plan and any medication should be taken by the staff to the casualty department

Appropriate cover must be made for the remaining class group The Headteacher, or member of staff assigned by her, will telephone

the pupils parent or carer

If the first-aider or nurse decides that the pupil should go home

The parents will be contacted immediately and arrangements will be made for the pupil to be collected as soon as possible.


If the first-aider or school nurse decides that the pupil should go home and the parent/carer can not be contacted

The pupil is to be kept as comfortable as possible and away from other pupils as far as is practicable.

Further attempts should be made at intervals to make contact with the parent or carer.

If at any stage staff become increasingly concerned about the pupils condition, then the Headteacher or School Nurse will arrange for the pupil to be taken to hospital.


Procedure for Meeting Pupil's Health NeedsInjury or collapse in the hydrotherapy pool

Purpose To define the options available and the actions to be taken in each case To define the actions to be taken should a pupil show signs of distress, injury or collapse in the hydrotherapy pool

1. Summon assistance using the alarm call system and by contacting reception, reception notified to call for ambulance.

2. If the pupil is not breathing. Follow the procedure for basic life support. (it may be more appropriate to use mouth-to-nose resuscitation in the water, as this provides a more effective seal)

3. Procedure for getting a child out of the pool for a medical emergency is to put the large foam mat under them and pull them to the side where they would be treated. In other cases, a pupil will be lifted out of the water using the hoist. (Ensure there are sufficient number of trained staff available to ensure the safe removal of all pupils from the pool, lifeguard on pool side at all times)

4. If he/she is still not breathing voluntarily, basic life support is to continue.

5. The first-aider will remain with the casualty until medical help arrives and will implement first aid techniques (e.g. recovery position, or application of pressure for bleeding as appropriate).

6. When help arrives, the procedure for deciding on appropriate action in the event of a medical incident/emergency in school will be followed.


Procedure for Meeting Pupil's Health NeedsBasic Life Support

Purpose To define the actions to be taken in the event of respiratory arrest

In all cases, the following procedure should be followed.

1. Ensure the safety of all parties. 2. Stimulate and check for response, e.g. Shake and shout name - No

response 3. Shout for help. Once help arrives, send for first-aider and follow action

in emergency procedure. 4. Open the pupil's airway, using the 'sniffing position'. 5. Look, listen and feel for breathing - for 10 seconds. 6. If no breathing, give up to 5 rescue breaths (2 of which must be

effective) 7. Assess for signs of circulation for up to 10 seconds (look for movement,

swallowing, coughing, breathing, pulse [carotid feel the neck]). 8. If there are no signs of circulation or you are unsure, start chest

compressions: Combine rescue breathing and chest compressions - 2 breath to 30 compressions.

9. Continue resuscitation until either: The pupil shows signs of life (spontaneous respirations, signs of

movement, swallowing, breathing, or Qualified help arrives:

Where there is a known risk for a particular pupil, the Individual Health Care Plan will contain detailed information about additional treatment and action to be taken.

Copies of the above procedure are on display in every classroom, the Jacuzzi and the dining hall.

Only those staff who are trained and authorised should use the procedure. If you are untrained, you should shout for help immediately, but remain with the pupil.

Pen-y-Cwm School Health and Safety PolicyProcedure for Meeting Pupil's Health Needs

Procedure for when a child chokes

Purpose To define the actions to be taken in the event of a pupil choking

If a child coughs and splutters: Bring him/her forwards, chin down. Talk to him/her calmly.

Do not hit the child on the back at this stage

If a child chokes and has difficulty breathing: Get help quickly Carry on with this procedure until First Aider help arrives

FOR A SMALL CHILD (1-7 years approx) Remove tray and chest straps Lean child forward Check mouth for obstruction (do not sweep mouth with finger if

no obstruction can be seen) If obstruction is not removed, deliver 5 sharp blows between shoulder blades

OR if child is small enough to be managed on your lap, place child with head lower than body face down on your lap and deliver 5 sharp blows between shoulder blades

Perform up to 5 abdominal thrusts with child still in chair or sitting upright on lap and facing away from you:

Make a fist with one hand and place the thumb side of the fist against the child's abdomen, in the mid-line between the belly button and the lower end of the breastbone

Grasp the fist in the other hand Press the fist of the first hand into the child's abdomen with a

quick inward-upward thrust Each new thrust should be a separate and distinct movement

If obstruction is now removed, repeat the cycle of back blows and abdominal thrusts 3 times If unsuccessful get help to dial 999

If the child becomes unconscious, lay child on floor, open airway by tilting chin up, check for breathing. Give 2 rescue breaths (from up to 5 attempts)

Use finger and thumb to pinch child's nose shut Take a full breath. Place your lips over the child's mouth and

make a good seal Blow into the mouth until the chest rises

If unsuccessful, give 5 chest compressions (one hand) to each breath. Ratio 5:1 Continue until help arrives, checking the mouth each time.

Chest compressions: Place the middle finger of your lower hand on the point where

the lowermost ribs meet the breastbone Place your index finger above it on the breastbone Put the heel of that hand in the identified spot Push down sharply to a third of the depth of the chest Do this 5 times at a rate of about 100 per minute

See below for procedure for an OLDER CHILD or ADULT

N.B. If the obstruction is successfully dislodged and abdominal thrusts have been used the casualty should be seen by a doctor for a check-up

FOR A LARGER CHILD OR ADULT For partial airway obstruction, the older child or adult may be capable of coughing and should be reassured and encouraged to cough

With completed airway obstruction the child or adult cannot speak, cough or breathe. In that case: Deliver 5 sharp blows to the back between the shoulder blades.

If in supportive seating: Remove tray and chest straps Lean child forward Check mouth for obstruction. (Do not sweep mouth with finger if

no obstruction can be seen)

Give up to 5 back slaps and up to 5 abdominal thrusts. Continue for 3 cycles Get helper to ring 999 for an ambulance

If child becomes unconscious, lay on floor, ring 999 Open airway by tilting chin up Check for breathing Give 2 rescue breaths (from 5 attempts) Commence chest compressions, two hands, 15 compressions to two breaths.

Ratio 2:15 Continue until help arrives

N.B. If the obstruction is successfully dislodged and abdominal thrusts have been used, the casualty should be seen by a doctor for a check up.


Procedure for Meeting Pupil's Health NeedsSummoning Help in School

Purpose To define the actions to be taken in the event that help is required in an emergency other than where a pupil has stopped breathing

The procedure for basic life support defines how help should be sought when a pupil has stopped breathing. This procedure applies in other cases.

A. If in the hydrotherapy pool Use the alarm call system to summon help. The Headteacher (or in her absence the Assistant Heads) will ensure that the First Aider or School Nurse (if available) is also summoned.

B. If alone with an injured pupil, the following procedure is to be followed for summoning help:

1. Shout for help 2. Do not move pupil, unless they are at risk if you do not do so. 3. If there is no response to you shouting, then run for help, returning

as soon as possible. 4. When another adult arrives at the scene, follow procedure C below.

C. If there is more than one member of staff in the room when the incident occurs, the following procedure is to be followed:

1. One adult will remain with the pupil(s), whilst the second member of staff goes to fetch the First Aider or School Nurse (if on site)

2. If the School Nurse is not available, the Headteacher should be fetched.

3. As soon as the First Aider or School Nurse has been located, the Headteacher should be informed by the same member of staff.

4. If the Headteacher is not available, the Deputy Head should be informed. (If neither can be located, the senior teachers should be made aware).

5. Any additional staff should assist in relocating any other pupils who are present to an alternative room. When the person who has been summoning help returns to the room, they should also assist in this.

6. When the First Aider or School Nurse arrives (or in her absence the Headteacher), they will assume responsibility for decision-making - see procedure for Action in an emergency.


Procedure for General Health & SafetyPrevention and Management of Inoculation Injuries

Purpose To ensure that appropriate action is taken to prevent and manage inoculation injuries

Inoculation injuries are defined as the following a) Sharps injury. These may be caused through needles, scalpels, razor

blades, broken glass or any contaminated sharp implement that penetrates any layer of the skin.

b) Human bites or scratches that penetrate the skin c) Contamination or splashing of the conjunctiva and mucous membranes

( eyes, nose, mouth) with blood or body fluids.

PREVENTION a) Always wear protective clothing as appropriate ie. Gloves, aprons, face

and eye protection, where there is a risk of exposure to body fluids. b) Cover all open wounds and skin leasions when in work, with waterproof

dressings and change as necessary. c) Always anticipate danger when handling sharps and treat them with

great care. In establishments where needles are used, sharp boxes will be provided to facilitate immediate disposal of used sharps.

d) Needles must never be reused, re-sheathed, cut or bent. Needle and syringe must be disposed of as a single unit after use in to a sharps box.

e) Sharps containers must be assembled as per manufacturers instructions and should be sealed when two thirds full. Never overfill sharps boxes and never try to retrieve items from them.

FIRST AID To be performed immediately:

a) In the event of a contaminated needle stick or sharps injury 1)Encourage bleeding from the puncture wound. DO NOT SUCK 2) Wash the area thoroughly with soap and water 3) Cover with waterproof dressing if necessary

b) If bitten or scratched wash the area with soap and water and cover with a waterproof dressing if necessary

c) If skin lesions or wounds become contaminated with blood or body fluids wash the area thoroughly with soap and water and cover with a dressing

d) If contamination of the conjunctivia or mucous membranes occurs immediately irrigate the area thoroughly with water

e) Contact your GP or A&E Department.

REPORTING PROCEDURE

All such incidents must be reported immediately: a) Report the incident to your class teacher or the Headteacher b) Fill in an Incident or Accident Form. c) Inform the Headteacher of the outcome of your contact with

the GP or A&E Department.


Procedure for Meeting Pupils Health NeedsPupil becomes unwell / is injured and / or stops breathing while out of school

Purpose To define the actions to be taken in the event of a medical incident whilst on an out of school visit

Ensure school visit procedure is followed including carrying a mobile phone.

Staff should be aware at all times that there may be a need to summon help, therefore the staff team on any out-of-school activity should take appropriate steps to ensure that they can support each other.

a. If a pupil becomes unwell while on an educational visit, the teacher should bring all pupils back to school and seek the advice of the school nurse or First Aider.

b. In all cases, where the pupil has stopped breathing the procedure for Basic Life Support will be initiated and continued until the pupil breathes normally or until the paramedics arrive.

c. In all cases, the teacher should immediately phone, or direct another member of staff to phone 999 and ask for the paramedics. Relevant information concerning the nature of the pupil's condition and the location of the emergency should be clearly communicated, (mobile phones are carried on all out of school visits)

d. If there is a member of staff who has a current First Aid qualification, they should begin appropriate first aid procedures whilst awaiting help.

e. The teacher will decide who is to accompany the pupil to hospital and who will take the remaining members of the group back to school. The teacher will phone, or direct another member of staff to phone the school to communicate this information to the Headteacher or Asssitant Heads, together with details of the casualty's condition. The school will contact the pupils parents.

f. The pupil's Health Care Plan and any medication should be taken from the out-of-school pack and given to the paramedics to accompany the child to hospital.

g. When the paramedics arrive, the designated member of the school staff will travel with the injured pupil ensuring that the relevant forms are also taken.


Procedure for General Health & SafetyToileting Pupils

Purpose To ensure tha appropriate action is taken

Toilets and Changing Areas

Appropriate hygiene is the responsibility of every staff member. Each time pupils are toileted, changed or showered it is imperative that surfaces are wiped with an antibacterial spray cleaner. Effective hygiene for the pupil and member of staff is essential in eliminating the risk of transmitting disease.

It is important that for pupils where one member of staff accompanies a child to the toilet to help with toilet skills training that the door is left open. This enables another member of staff to hear events if required. If the pupil is able to deal with their own toilet needs the door to the toilets should be shut wherever possible. This does not mean it should always be locked.

No male member of staff should accompany female pupils to the toilet. If possible two staff should accompany pupils to the toilet if they are involved

in close supervision of this activity and have to physically aid dressing, undressing and cleaning of pupils

Before changing a pupil, staff must:

Ensure that open cuts are covered Wear a fresh pair of disposable latex gloves Wear a fresh disposable apron

It should be noted that some people may develop an allergy to latex. Where this is the case it should be brought immediately to the attention of the headteacher so that an alternative can be provided.

When using ointment and cream from pots, wooden spatulas are to be used to prevent cross - infection.

Sanitary towels are to be placed in sanitised bins in female toilets.

Dear Parents,

RE: CONSENT TO PARTICIPATE IN OUT OF SCHOOL ACTIVITIES AND TRAVEL ON SCHOOL MINIBUS

Throughout the school year, your child will be taking part in out of school activities such as swimming, Riding for the Disabled, educational visits to local places of interest, the fair, shops and supermarkets etc.

To ensure that your child can participate fully in these out of school activities, I would be grateful if you would sign the consent form below and return it to school as soon as possible.

Yours sincerely

Mrs D Brill-Williams Headteacher

I hereby give consent for my child ______________________( child's full name) to take part in various out of school activities throughout the school year and to travel on the school minibuses escorted by teaching and support staff.

Signed .. Date ..

PLEASE RETURN COMPLETED FORM AS SOON AS POSSIBLE.

RISK ASSESSMENT

School Phone No: 01495 357755 - School Emergency No: Visit to: ___________________________ Date of visit: _____________Time: ___________

Address: _____________________________________________________________________

Team leader: _______________________

Reason/Curriculum area: _____________________________________________________

Travel arrangements: School Bus Walking Hired Bus/Coach Pupil/staff sheet attached Adequate staff pupil ratio for visit Mobile phones carried: No's: ... Team member's responsibilities allocated First Aid bag carried Medication/Health Care plans carried Recognisance visit made: YES NO If no how have risks been identified: . Permission slips for all pupils Bus driver - Midas trained Weather risk assessment carried out Wind Ensure safe to open minibus doors/venue doors

- Abandon trip if too windySun Ensure appropriate shade/suncream/hat/clothing/footwearCold Ensure appropriate clothing - hat/gloves/coat/footwearSnow Abandon trip. Do not travel if predicted. Return to school at first sign.

HAZARDS TICK RISK MANAGEMET – ADEQUATE CONTROLS TICKTraffic Plan, prepare and practice road and footpath safety

with pupils. Ensure appropriate adult/pupil ratio. Hold pupil hand/arm

Hazardous walking surfaces Suitable FootwearStairs Lifts Plan, prepare, practice stairway safetyLifts Medication with adult in liftEscalators Plan, prepare brief staff/pupils on safety procedureUnguarded drops, banks, edges

AvoidEnsure safety restraints in placePrepare pupilsEnsure adequate supervisionHold pupil hand/arm

Hygiene hazards- no toilet facilities- no hand washing facilities

Prepare pupils - toilet use before leaveAntibacterial wipes/ gloves/paper apron/change ofclothes carried, carrier bag for rubbish

Toilets Ensure pupils cannot lock themselves in cubiclesNoise Prepare pupils. Ear protectors provided. LimitHigh intensity flashing lights Ensure susceptible pupils not exposedNo rain shelterNo shade

Suitable clothes/ waterproof coatsSun cream/hats

Travel by bus Seating plan. Staff member at rear. Staff memberwith specific pupils. Good behaviour insisted on.Supervise pupils who may undo belt. Houdini jacket used. Ensure driver not distracted.

Walking arrangements Specify - Ensure supervision by vehicles/roadsEnsure supervision by water/cliffs etc.

Woodland area- slips/trips- pupil could run off- hay fever

Prepare pupils.Adults point out hazards.Ensure area is safe.Minimise time in area.

Water/sea Appropriate supervisionPrepare pupilsPupils are not allowed to paddle past knee height -Total supervision provided.

Dogs -- biting- treading in muck

Ensure pupils kept away from dogs- vigilance - adult leads party- disinfectant wipes- plastic bag

Playground equipment- risk of cuts from

sharp edges- height of equipment- falls

Adult checks safety of equipment before children canplay on itEnsure pupils kept away from unsafe equipment -abandon visit if necessaryAssess suitability of height for group - abandon ifrequired or ensure pupils access only safe equipment

Individual Pupil hazardsgrabbing/reaching pupil with epilepsy

Ensure kept at arms length to shelves etc.Ensure supervision Protect passers byEnsure medication carriedIdentify procedure with staff of who phones 999Who supervises other childrenWho will go with ambulanceWho phones school

Pupil refuses to comply withinstructions

Ensure staff know procedure

Pupil in wheelchair Ensure paths appropriateChange staff often to minimise physical effortEnsure changing facilities appropriate if required

Epilepsy – risk of seizure Two staff trained in Administration of MedicinesVisit has high level of medicalrisk e.g. remoteness and needs of particular pupils and use ofdangerous equipment

Staff member trained in 1 day First Aid

Other hazards identified Action taken to control risks.

Extension page available from school office

Signed: _________________________HT/AHT

Signed: _________________________ Team leader

Medication taken at Home but NOT REQUIRED IN SCHOOL

MEDICATION TO BE GIVEN IN SCHOOL

Medication must be in original container. Give full directions for use:- name, dosage and timingSpecial Precautions / Side EffectsPermission to use antiseptic wipes and plasters for minor injuriesPermission given to apply suncream as appropriate Please tick YES

A record of all medicines administered in school will be kept.

THIS PLAN HAS BEEN AGREED BY:-

School Nurse Signature Date

Parent /Guardian Mr & Mrs Signature Date

Headteacher Mrs D Brill-Williams Signature DateThis form should be available for review at every medical review of the patientCopies of this form will be sent to: School Doctor, Parents, Pupil File, (Holly House ifappropriate)

If a medical problem or issue arises whilst my child is at school, I hereby give consentfor the school doctor, school nurse or community children’s nurse to see my child andexamine if necessary. I understand that the school will then inform me of any advice.

Parent MR / MRS Signature Date

DESCRIPTION OF SEIZURES

Name of Pupil DOBHow often do seizures occur?

What can trigger a seizure or are there any signs to watch for that may indicate aseizure might occur?

Please describe what the seizure is usually like.(If there is more than one type of fit, please describe each individually).

How long do seizures usually last?(State how long each type of fit lasts if there is more than one type).

What is the child like after the seizure? e.g. sleepy

Other Useful Information

Buccal Midazolam Treatment Plan

Call an ambulance whenever buccal midazolam is administered.(This is a condition of insurance cover for the school and this procedure will be followed).Buccal midazolam must be administered by a trained member of staff with a witness (anothermember of staff)

1. When should buccal midazolam be administered? (note here should includewhether it is after a certain length of time or number of seizures)

2. Initial dosage: how much buccal midazolam is given initially? (note recommendednumber of milligrams for this person)

3. What is the usual reaction(s) to buccal midazolam?

4. If there are difficulties in the administration to buccal midazolam e.g. vomiting /constipation / diarrhoea, what action should be taken?

5. Can a second dose of buccal midazolam be given?How long after first dose can a second dose be given?

6. How much buccal midazolam is given as a second dose? (state the number ofmilligrams to be given and how many times this can be done)

7. Under what circumstances should buccal midazolam not be used e.g. oraldiazepam already administered within the last minutes

Insurance Cover in Place? YES Blaenau Gwent County Council

All occasions when buccal midazolam is administered :- Call an ambulance Inform Parents Record on Administration of Medicines form

PEN-Y-CWM SCHOOL

STAFF/CARERS'TRAINING RECORD FOR ADMINSTERING OF INVASIVE CLINICAL PROCEDURES

Name of staff member or carer

Name of child for whom training has been received

Type of training received (including details of the clinical procedure)

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Date training completed ____________________________________________________________

Training provided by:

Name ___________________________________________________________________________

Profession and title _______________________________________________________________

Position of responsibility for the child ________________________________________________

I confirm that _________________________ has received the training detailed above and is

competent to carry out the necessary clinical procedure.

Trainer's signature ________________________________________________________________

Date ____________________________________________________________________________

Training received by:-

I confirm that I have received the training detailed above

Staff/carer's signature ______________________________________________________________

Date ____________________________________________________________________________

Agreed Review Date ______________________________________________________________

Bottle - Bottle Washing - School Guidelines

1. Drinking water bottles should be washed as part of a daily regime 2. Water bottles should only be used for water 3. It is advisable that water bottles remain in the school (primary) to ensure

retention of bottles and an effective cleaning regime. 4. A water bottle cleaning project was carried out in February 2007. The results

indicated that there were 3 effective methods of ensuring clean bottles. Each method has its own merits and the methodology used would be dependent on the resources available both practical and monetary to each individual school. a) Dishwasher

Advantages Effective cleaning

Points to note Only 30 bottles can be cleaned at the time Cycle run can take 30 minutes so cleaning can be time consuming Costs to include operating and maintaining the machine Child involvement limited

b) Hand Washing Bottle to be washed in hand hot soapy water and then rinsed to remove traces of soap.

Advantages Effective

Points to Note Child involvement limited Staff time taken up Costs - material costs are low

c) Bioguard Bottles to be dipped into the solution, emptied and allowed to dry

overnight.

Advantages Effective cleaning Pupil involvement

Point to Note Costs - material costs are £1.38/class/week. Staff time organizing

bottle washing by pupils. Human error can effect results Recommended at least once a month, dish wash or hand wash

daily.

5. Only bottles designed for re-use should be allowed for use in schools. A captive top is preferred. It is advisable that children have their own name bottle. All bottles have a limited life and need to be replaced when necessary

6. Once bottles haven been washed they should be refilled prior to the start of the academic day for the use of the children.

7. Bottle washing in secondary schools is the responsibility of parents, pupils and carers. The same methods can be employed and advice given.

web viewwash hands before and after contact with each client and ... eg. word processing, high ......

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