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First Aid and Administration of Medication

CONTENTS

INTRODUCTION

OUR STATEMENT OF INTENT TO SAFEGUARD CHILDREN AND YOUNG PEOPLE

1. FIRST AID

2. MEDICATION

  • 2.1 Prescribed Medication
  • 2.2 Long-Term Medical Needs
  • 2.3 Controlled Drugs
  • 2.4 Non-Prescription Medication

3. RECORD KEEPING

4. SELF-MANAGEMENT

5. REFUSING MEDICATION

6. OFFSITE VISITS

7. SPORTS ACTIVITIES

8. HYGIENE AND INFECTION CONTROL

9. FURTHER ADVICE

INTRODUCTION

The Madressa recognises that, because children attend its classes every Sunday, there may be instances when the administering of first aid will be necessary, and therefore the Madressa will always make reasonable attempts to ensure that a sufficient number of staff and volunteers are appropriately trained to administer first aid.

Most children with medical needs are able to attend the Madressa regularly and, with some support from the Madressa, can take part in most normal activities. However, Madressa staff may need to take extra care in supervising some activities to make sure that these students, and others, are not put at risk. Some children with medical needs are protected from discrimination under the Equality Act 2010. Responsible bodies such as the Madressa must not discriminate against disabled students in relation to their access to education and associated services.

There is no legal duty that requires the Madressa and staff to administer medication; this is a voluntary role. The ‘duty of care’ extends to administering medication in exceptional circumstances and only when it is agreed in advance. The Madressa will always attempt to ensure that it has sufficient members of staff who are appropriately trained to manage medicines as part of their duties. Such staff should have an appropriate background and have access to support from health professionals.

 

OUR STATEMENT OF INTENT TO SAFEGUARD CHILDREN AND YOUNG PEOPLE

The safety, health and welfare of every young person at the Madressa remains our priority at all times. They will be treated with dignity and respect. They will also be supported to challenge behaviour characterised by discriminatory practice, bullying, intimidation and all forms of abuse.

We will respect the confidentiality of young people within clearly defined boundaries, which will be explained at the point of referral. Young people will be supported to exchange personal information responsibly and in the knowledge that some information will of necessity have to be shared, for example if someone may be at risk of harm in any way, shape or form, or in the event that criminal activity or intention to commit crime is suspected.

We recognise the need to work in partnership with other agencies (including appropriate information sharing).

 

1. FIRST AID  

The Madressa recognises that the administering of first aid may become necessary in certain instances, and it will always make reasonable attempts to ensure that a sufficient number of staff and volunteers are appropriately trained to administer first aid at both of the Madressa’s current sites.

The Madressa will provide all teachers with a list of members of staff and volunteers who are trained to administer first aid and will endeavour to keep this list updated as the composition of trained staff and volunteers changes over time.

2. MEDICATION  

Parents/guardians should, wherever possible, administer or supervise the self-administration of medication to their children. This may be effected by the child going home at the relevant time or times, or by the parent/guardian visiting the Madressa. However, this might not always be practicable, and in such cases parents/guardians may make a request for medication to be administered to the child at the Madressa, which requests the Madressa will then consider.

If the Madressa does agree to administer any medication to any children, such children should know where their medicines are stored and who holds the key to their access. No staff should administer medicines unless they have been trained to do so. If children refuse to take medication, Madressa staff should not force them to do so. In such instances, the Madressa should inform the child’s parents/guardians immediately and, if necessary, the Madressa should call the emergency services. No children under 16 years of age should be given any medicines by any member of staff or any of the volunteers without the consent of a parent/guardian.

2.1 Prescribed Medication  

It is helpful, where possible, for medication to be prescribed in dose frequencies that enable it to be taken outside of Madressa hours; for example, medicines that need to be taken three times a day can be managed at home. Parents/guardians should be encouraged to ask the prescriber about this, and such medicines should be taken into the Madressa only if it would be detrimental to a child’s health if they are not administered during the hours of the Madressa.

If the Madressa does agree to administer any medication to any children, medicines should always be provided in the original containers as dispensed by the pharmacist and include the prescriber’s instructions for administering the medication. The Madressa will never accept medicines that have been taken out of their containers, nor should it make changes to the dosages upon being instructed to by a parent/guardian. In all cases it is necessary to check:

  • the name of the child;
  • the name of the medicine;
  • the dosage;
  • the written instructions provided by the prescriber; and
  • the expiry date.

Whilst not a legal requirement, it is a Madressa requirement that a written record is maintained of the administering of medication.

Large volumes of medication will not be stored. Prescribed medication kept at the Madressa will be under suitable storage, and arrangements will be made for it to be readily accessible when required. Under no circumstances will medicines be kept in first-aid boxes.

All emergency medicines (asthma inhalers, EpiPens, etc.) will be readily available and not locked away.

If the medication must be kept refrigerated, proper arrangements will be implemented to ensure that it is both secure and available whenever required.

2.2 Long-Term Medical Needs  

It is important for the Madressa to have sufficient information regarding the medical condition of any student with long-term medical needs. General advice on common conditions such as asthma, epilepsy, diabetes and anaphylaxis is provided in Chapter 5 of ‘Managing Medicines in Schools and Early Years Settings’.

The Principal of the Madressa will be the initial contact for any queries on specific medical conditions, as any administration of medication (such as adrenaline via an EpiPen) must be provided by a specifically trained first-aider or an individual with a medical background – Madressa staff should not administer such medicines unless they have been trained to do so.

2.3 Controlled Drugs  

Controlled drugs such as Ritalin are controlled by the Misuse of Drugs Act 1971. Therefore it is imperative that controlled drugs are strictly managed between the Madressa and parents/guardians. The person administering the controlled drug should check that the drug has been taken. Passing a controlled drug to another child is an offence under the Act.

Controlled drugs brought to the Madressa should be no more than a day’s supply, and the amount of medication handed over to the Madressa will always be recorded. Controlled drugs must be stored in a locked non-portable container such as a safe, and only specific, named, staff should be allowed access. Each time the drug is administered, it must be recorded, including if the child refused to take it.

As with all medicines, any unused medication should be recorded as being returned to the parent/guardian when no longer required. If this is not possible, it should be returned to the dispensing pharmacist. It should not be thrown away.

2.4 Non-Prescription Medication

It is strongly recommended that the Madressa does not administer non-prescription medication. This includes paracetamol and homeopathic medicines. This is because staff may not know whether the student has taken a previous dose, or whether the medication may react with other medication being taken. A child under 16 years of age should never be given medicine containing aspirin, unless prescribed by a doctor, because of documented links between the use of aspirin to treat viral illnesses and Reye’s syndrome (a disease causing increased pressure on the brain).

Where the Madressa decides to administer non-prescription medicines, specific written permission must be obtained from parents/guardians and the administration documented.

If a student suffers regularly from acute pain such as migraine, his/her parents/guardians should authorise and supply appropriate painkillers for their child’s use, with written instructions about when the child should take the medication. A member of staff should notify the parents/guardians that their child has requested medication and supervise the student taking the medication if the parents/guardians have agreed to it being taken.

3. RECORD KEEPING  

Parents/guardians should provide details of medicines their child needs to take at the Madressa. The following information should be provided by the parent/guardian along with the medicine:

  • name of child;
  • date of birth of the child;
  • class the child is in;
  • medical condition;
  • name of medicine (and type if applicable);
  • date dispensed;
  • expiry date;
  • dosage and method;
  • timing;
  • special precautions;
  • side-effects;
  • procedures to take in an emergency; and
  • child’s ability to self-administer.

Although there is no legal requirement for the Madressa to keep records of medicines given to students, it is good practice to do so. The Madressa should ensure that its staff complete and sign a record each time they administer medicine to a child. The following information should be recorded:

  • name of child;
  • name and strength of medicine;
  • date medicine administered;
  • quantity received;
  • expiry date; and
  • name of person administering medication.

4. SELF-MANAGEMENT  

It is important that as children get older they are encouraged to take responsibility for the management of their own medication.

Staff should be aware of the need for asthmatics to carry medication with them (or for staff to take appropriate action) when, for example, participating in outdoor Physical Education or in the event of an evacuation or fire drill.

5. REFUSING MEDICATION  

If a child refuses to take the medication, staff should not force them to do so but note this in the records and immediately inform the child’s parents/guardians of the refusal. If necessary the Madressa should call the emergency services.

6. OFFSITE VISITS 

It is good practice for the Madressa to encourage students with medical needs to participate in offsite visits. All staff supervising visits should be aware of any medical needs and relevant emergency procedures. Where necessary, individual risk assessments should be conducted. A member of staff who is trained to administer any specific medication (e.g. EpiPens) must accompany the student and ensure that the appropriate medication is taken on the visit. Medicines should be kept in their original containers (an envelope is acceptable for a single dose, provided that this is very clearly labelled).

7. SPORTS ACTIVITIES

Most students with medical conditions can participate in extra-curricular sports. Any restrictions on a child’s ability to participate in Physical Education should be specified in writing by the child’s parent/guardian. Where necessary, individual risk assessments should be conducted.

Some students may need to take precautionary measures before or during exercise and may require immediate access to their medicines (e.g. asthma inhalers). Staff supervising sports activities should be aware of all relevant medical conditions and emergency procedures.

8. HYGIENE AND INFECTION CONTROL

All staff should follow the guidance below relating to blood-borne viruses:

  • prohibit eating and drinking and the application of cosmetics in areas where there is a risk of contamination;
  • prevent puncture wounds, cuts and abrasions, particularly in the presence of blood and body fluids;
  • when possible, avoid use of, or exposure to, sharp objects such as needles, glass and metal, or if unavoidable, take care in their handling and disposal;
  • consider the use of devices incorporating safety features, such as safer needle devices and blunt-ended scissors;
  • cover all breaks in exposed skin by using waterproof dressings and suitable gloves;
  • protect the eyes and mouth in situations where splashing may occur by using a visor/goggles/safety spectacles and a mask;
  • avoid contamination by using water-resistant protective clothing;
  • wear rubber boots or plastic disposable overshoes when the floor or ground is likely to be contaminated;
  • use good basic hygiene practices such as hand washing;
  • control contamination of surfaces by containment and using appropriate cleaning products; and
  • dispose of contaminated waste safely.

9. FURTHER ADVICE

Advice on medical issues should be sought from the child’s GP or NHS Direct.

The Shia Ithna’asheri Madressa believes that Safeguarding Young People is everyone’s responsibility and should be reflected in every aspect of our work with children and young people. It is the duty of every member of staff, volunteer and student to safeguard children and young people.