Medical

Medical

Rationale

Teachers have a duty to take reasonable care for the health of students and to comply with reasonable requests for health care assistance. This results from the statutory requirement for children between six and fifteen years of age to attend school.

Staff are not expected to administer medication which requires specialist training or giving injections.
Parents need to advise the teacher of medication being given and if there will be change in student behaviour. Students cannot bring medication to school without this advice. This is for the protection of all students.

Purpose

The policy is to:

  • Outline procedures for administration of medication.
  • Define the circumstances for use of special forms.
  • Define responsibilities.

Broad Guidelines

1. Responsibilities: See Appendix 1 below

2. Procedure

a) Parent request to teacher.

b) Teacher advise Principal to access permission forms ‘Health Care Authorization Form’ (Appendix A) and ‘Medical Alert Information’ form. (Appendix 3)

c) Principal/teacher gives parent forms to complete.

d) Parent returns forms within 14 days to ensure on-going assistance.

e) Principal advises teacher of medication request and procedure. (Appendix 5)

3. Records of medication administered by staff to students and agreements to this administration of medication are to be stored in a separate file in the administration area of the school. Authorised persons can only access these.

4. Medication should be kept in a secure place and labelled

5. The child should be supervised when taking medication.

6. The parent should complete an emergency action plan where the student suffers a condition such as asthma, diabetes, epilepsy or allergic reactions. Student photo is affixed to Plan (See Appendix 3)

7. The Medical Alert Information form to be posted in classrooms, staff room, medical room and duty roster book.

8. For short term conditions such as dental treatment or taking analgesics or antibiotics for period pains/infection, and these are self administered, completion of medication record forms are not required.

9. Medication should be sent in original container with instructions on the container.

10. Teacher should keep a record of the administration of medication (see Appendix 4)

Conclusion

This policy is part of the pastoral care offered by the school and should be read with WA Department of Education, Student Health Care policy and Administration of Medication, Policy and Procedures 1997.

Appendix 1 – Responsibilities

Principal

  • Assess internal and external resources and consult with the district office to evaluate ability of school to undertake health care request.
  • Access the most appropriate level of professional advice and assistance.
  • Ensure staff are aware of their legal rights and obligations.
  • Negotiate a plan with parent, staff and relevant professionals.
  • Ensure necessary training of relevant staff.
  • Ensure communication occurs between parents, school staff and appropriate health professionals (e.g. Nurse, family doctor).
  • Provide approval for school staff to administer or supervise the administration of medication to students.
  • Ensure safe and confidential storage of records relating to the administration
  • Ensure medication records are archived for 25 years.

School Staff

  • Liaise with parents and principal and decide whether to enter into an agreement..
  • Administer prescribed medication where there is an agreement between staff and parents, and written instructions as per Appendix 3 have been provided by the parent(s) or guardian.
  • Ensure competence and confidence.
  • School staff are responsible for student welfare and need to know if a student has a valid medical reason for carrying prescribed medicine to school.
  • Ensure relief staff are aware of needs or alternative arrangements are made.
  • Register and store medication safely.
  • Deal professionally with sensitive student health information and good promote health practices.

Parent

  • Advise the Principal/ class teacher of any medical condition of the student that may affect behaviour or educational performance.
  • Advise the Principal of any medication the student may be bringing to school and using.
  • Have completed the necessary forms for staff assistance in administering medication.
  • Share the responsibility with the school.
  • Arrange for the student to self medicate or another avenue of support if the school cannot provide the support.
  • Ensure the medication is current and appropriately labelled.

Student

  • Students must have a valid reason for carrying prescribed medication to school.
  • The students should self-administer their own medication where capable of doing so and have authorisation for the taking of medication.
  • The student may be supervised/assisted by school staff in administering their medication where there is an agreement to do so.
  • Ensure student details are kept up to date.

Community Nurses in Schools

  • Community nurses based in schools may independently administer drugs to students in accordance with the Poisons Act 1964 and Poisons Act Regulations (WA).
  • Nurses are encouraged to have knowledge of the storage features of the drug being administered, indication and contra-indications for use of the drug, side effects of the drug, the general recommended dosage and how to recognise overdose or under dose of the drug.
  • Prescription drugs are administered with written direction from a medical practitioner or a parent/guardian.
  • The Community Nurse is the preferred health care deliverer to students.

Nut Free

Rationale

An important issue at Wembley Primary School is the number of students enrolled within the school in a number of classes who have a severe allergy to nuts, and particularly peanuts. The WA Department of Health warns that the occurrence of nut allergy is rising and is of concern within the general community. Food allergies affect only a small proportion of the population; however the effect on a susceptible person consuming allergenic proteins can be detrimental to their health and potentially fatal.

Guidelines

Our duty of care at this stage is focused upon the students within our care who exhibit a variety of symptoms from minor to extremely severe on the slightest contact with nut based products. In severe cases it may cause anaphylactic shock, a life threatening allergic reaction which causes the heart to stop beating.

In conjunction with the parents of the individual students and their teachers, action plans and awareness have been developed and are in place within the school. The older students themselves are aware of their allergies and can avoid the products when obvious.

The difficulty is that in several instances the smallest and casual contact with nuts, nut dust and nut based spreads including peanut paste and hazelnut spread can cause a severe reaction.

As a result of discussions with the Department of Health and parents we are asking that parents of all students avoid all nuts and the use of nut based spreads in the provision of snacks and lunches to students at the school. This especially means avoiding peanut paste, hazelnut spread, nut bars and bags of nuts. (A list of foods to avoid is attached.)

Understandably, this is a difficult issue in terms of eating habits of children, however, as we are a caring school community, all parents would appreciate the need for Wembley Primary School and its community to ensure the safety of all students at our school.

Foods Containing Peanuts

The following foods are the most common and likely to appear in school lunches:

  • Peanut butter sandwiches
  • Peanut butter dips and crackers
  • Reeses Peanut Butter Cups
  • ALL Chocolate/Hazelnut spreads
  • Nuttella contains 68% Peanuts, 18% Hazelnuts
  • Nuttella dips and crackers
  • Snickers Bars
  • Snickers Pods
  • Picnic Bars
  • Incredibites – Choc/Hazelnut Flavour
  • Cadbury/Nestle Fruit and Nut Chocolate
  • Mixed fruit and nut snacks
  • All Cakes and Biscuits containing Peanuts
  • Some Muesli Bars contain Peanuts

Ice Creams

  • Peters Original Trumpet
  • Nestles Original Drumstick
  • Streets Vanilla Cornetto

Easter and Christmas Cholocates

A large amount of Easter Eggs, hunting eggs and chocolate Santas are made from compound chocolate which contains peanut oil.

Communicable Diseases

There are a number of communicable diseases that require exclusion from school for a defined period of time:

  • While the child is suffering from early symptoms or during the incubation period.
  • When convalescing from the disease but still retaining infection in their person or apparel.

Chicken Pox

Exclude until fully recovered, or until at least five (5) days after the eruption first appears. Some remaining scabs do not justify continued exclusion.

Contacts: Any children with immune deficiencies (eg. leukemia) or receiving chemotherapy should be excluded for their own protection. Otherwise do not exclude.

Conjunctivitis

Exclude until discharge from eyes has ceased.

Contacts: Do not exclude.

Herpes

Young children unable to comply with good hygiene practices should be excluded while lesion is weeping. Dressing should cover lesions, where possible.

Contacts: Do not exclude.

Impetigo (School Sores)

Exclude until effective treatment (including the proper use of occlusive dressings) has been instituted.

Contacts: Do not exclude.

Measles (notifiable)

Exclude; readmit on medical certificate of recovery, or at least four (4) days after appearance of the rash if well.

Contacts: Do not exclude immunised contacts. (All children should be immunised against measles, preferably at 12 months of age and certainly before entry into preschool or day care centre unless they have had the disease.) Unimmunised contacts should be excluded for 14 days after the appearance of the rash in the last case identified in the school, unless contact was immunised within 72 hours of first exposure.

If a case of measles is suspected the school is required to notify the appropriate Health Authority.

Mumps: (Notifiable)

Exclude for at least nine (9) days after onset of symptoms.

Contacts: Not to be excluded from school. Recommend immunisation if not vaccinated.

If a case of mumps is suspected the school is required to notify the appropriate Health Authority.

Pediculosis: (Head Lice)

Exclude until day after treatment has commenced and nits have been removed from hair. Note – Head lice infestation does not transmit disease.

Contacts: Do not exclude. Family contacts will probably be infected and should be treated. Other close contacts should be checked regularly for signs of infestation.

Please check your child/ren’s hair on a weekly basis.

Ringworm

Exclude until the day after treatment has commenced.

Contacts: Not to be excluded from school.

Rubella: (German Measles)

Exclude; readmit on recovery or four (4) days after onset of rash.

Contacts: Not to be excluded from school.

Whooping Cough

Exclude for 2 weeks from onset of illness or for 5 days after starting antibiotic treatment.

Contacts: Exclude family contacts aged less than 7 years for 14 days after the last exposure to infection, or until they have received 5 days of a 14-day course of antibiotics.

Immunisation

A copy of your child’s immunisation records will be required at enrolment and may be requested by the School Nurse at a future date to check that children are fully immunised for their relevant age.

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