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Any environment where children are present will encounter incidents or injuries at some time. Children are naturally curious and need to investigate their surroundings. As children get older and their memory develops, usually they start to realise that certain actions have certain consequences, and so they start to develop a certain amount of self-protection. Adults working with young children need to have knowledge of child development in order to anticipate when an accident is likely to happen. Adults also need to be aware of how to make the setting a safer place and where to go for advice and equipment. If you are first on the scene of an accident or emergency you must ensure you follow the correct procedures until help arrives.
For more information on dealing with accidents and emergencies see unit 3, task 1.
Possible accidents and emergencies include: -burns and scalds; -electrocution; -choking; -poisoning; -falls: fractures; -faints or loss of consciousness -anaphylactic shock;
-bleeding; -breathing difficulties of asthma attack. Ideally all adults working with children should complete a basic first aid course in order to be able to recognise, and deal effectively with, any possible accidents and emergencies. Staff need to be aware of the location and contents of all first aid kits available. Minor injuries, such as small cuts and grazes, will usually be dealt with by the designated first aider. Children with head injuries will be given a ‘bump’ letter to inform parents/carers of the incident. All children’s accidents should be noted in the first aider’s book. K14 Children’s Diets And Allergic Reactions. All staff should be made aware of any pupil with a known food allergy or dietary requirement. Clear, written, instructions should be readily available for each child. Children can have an allergy or intolerance to many different foods. Symptoms include rashes, itching, diarrhoea, vomiting, swelling around the mouth, breathing difficulties and shock. Anaphylactic shock is a sudden allergic reaction which can be fatal if not given immediate medical attention. Symptoms are usually swelling and itching of the mouth and throat a raised itchy rash, swelling of the face, then difficulty breathing. It is usual for the person to become very agitated and their blood levels begin to drop, at this point the casualty will lose consciousness. All this occurs within a few minutes of contact with the allergen. Immediate treatment is therefore vital.
Immediate treatment for anaphylactic shock is via an injection of adrenaline, which any member of staff working with the pupil (especially during lunch times) should be trained to administer. The casualty must always go to the hospital as soon as possible, even if appearing to have recovered fully. Further treatment at the hospital may be required once the adrenaline has worn off. K15 Recognising And Dealing With Children’s Illnesses. All staff need to be aware of the signs of all types of illnesses which may occur in children, including those which signify the incubation or onset of illnesses. Young children, or those who have trouble communicating, sometimes cannot explain their symptoms. They may display non-specific complaints such as headaches, sleeplessness, vomiting or an inability to stand up. Sometimes there is even less verbal communication and you may have to rely on visual signs such as pale skin, flushed cheeks, rashes and rings around the eyes. Sometimes the child may just not seem themselves; they may be quieter, more clingy or irritable than usual. If a child is showing any of these symptoms the parents/carers should be informed straight away. K16 Emergency Procedures Within Setting. Fire Copies of the fire procedure are displayed at various points around the school. Regular fire drills are given to ensure all staff and pupils know what to do. Security
All staff and visitors are required to wear a lanyard and/or name badge to show they are entitled to be on the premises. Security coded locks are on all entrances to the school.
For more information on fire and security procedures see Unit 3, task 1.
Missing Children It is extremely difficult for a child to go missing during a normal school day. However, if it does happen, parents must be informed immediately and, if necessary, the police. During school trips regular head counts should be done to minimise the risk of a child going missing. If it does happen, raise the alarm immediately and follow the setting’s guidelines. If a child does not arrive at the start of the school day, parents/carers should be contacted for a reason for absence. If necessary a Missing Pupil Checklist may be carried out.