WULUNGARRA COMMUNITY SCHOOLWulungarra Community School offers all students and support staff a nutritious breakfast, snacks and lunch on a daily basis through the ‘Homemaker’ kitchen

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WULUNGARRA COMMUNITY SCHOOL

SCHOOL HEALTH PLAN

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WULUNGARRA COMMUNITY SCHOOL SCHOOL HEALTH PLAN

OVERVIEW .................................................................................................................................................................. 3

DEALING WITH UNWELL STUDENTS ................................................................................................................. 4

MEDICATION .............................................................................................................................................................. 5 FOOD & NUTRITION ................................................................................................................................................ 6

DRUGS/ALCOHOL/SEX EDUCATION .................................................................................................................. 7

PROTECTIVE BEHAVIOURS ................................................................................................................................... 8 ANAPHYLAXIS ........................................................................................................................................................... 9

SEVERE ALLERGY/ANAPHYAXIS MANAGEMENT AND EMERGENCY RESPONSE PLAN ............. 13 MILD TO MODERATE ALLERGY/ANAPHYAXIS MANAGEMENT AND EMERGENCY RESPONSE PLAN .......................................................................................................................................................................................................... 17

DIABETES MANAGEMENT & EMERGENCY RESPONSE PLAN .................................................................... 20

SEIZURE MANAGEMENT & EMERGENCY RESPONSE PLAN ....................................................................... 22 ASTHMA MANAGEMENT & EMERGENCY RESPONSE PLAN ....................................................................... 24

STUDENT HEALTH CARE SUMMARY ................................................................................................................ 26 HANDWASHING ...................................................................................................................................................... 29

HEADLICE .................................................................................................................................................................. 30

SUNPROTECTION ................................................................................................................................................... 31 How intense is the sun? Using the UV Index: ...................................................................................................................... 31

EMERGENCY CONTACTS ....................................................................................................................................... 33

First draft prepared November 2013.

To be reviewed annually.

Next review due November 2014.

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OVERVIEW From time to time circumstances arise where students suffer from health related issues. With this

in mind, each staff member has been trained in First Aid response. Where an issue arises and the

circumstance requires a response beyond Basic First Aid, staff are instructed to immediately call

the Royal Flying Doctor Service (RFDS). Each staff member has been trained in the use of the

Emergency RFDS chest and is familiar with the process for its use (call toll free number and follow

Doctors instructions).

To support the health and well being of our students, Wulungarra Community School ensures each

child attending classes receives a healthy breakfast, snacks and lunch each day. This is further

supported by physical activity each day funded through the ‘Active After Schools Program’ (A

Government initiative).

As a function of classroom practice, we also try to involve our students in the maintenance and

long term care of our school vegetable garden. The fruits and vegetables grown are used to

supplement ingredients in the school kitchen as well as the homes of our students.

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DEALING WITH UNWELL STUDENTS Students presenting at school with apparent ill health are required to go home for parental

supervision where possible. Given the nature of the Wulungarra Community School community

and the large family constructs in each home, there is almost always someone at home capable of

caring for an unwell student. The teacher will send a note home with the student to inform

caregivers why the student has been sent home. Alternatively an AEW can escort the student

home and explain the school policy to the caregivers.

Should this process not be viable, the school will care for the student by quarantining them in a

separate room to rest. Additionally, the Royal Flying Doctor Service will be called and informed of

the students symptoms so the best care for the student can be provided.

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MEDICATION All medication is to be administered by the school Principal, if unavailable the classroom teacher is

to administer. All medication is locked in the school office and remains locked away until required.

The Student Health Summary for the student requiring medication should be consulted prior to the

administration of any medication.

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FOOD & NUTRITION Wulungarra Community School offers all students and support staff a nutritious breakfast, snacks

and lunch on a daily basis through the ‘Homemaker’ kitchen. These meals are provided by AEW

staff and include vegetables, fruit, pasta, meat, spaghetti, cereals, bread and various condiments.

School teachers are welcome to sit with the support staff and students during meals times to

encourage etiquette and catch up on community news.

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DRUGS/ALCOHOL/SEX EDUCATION Wulungarra Community School recognises the importance of education relating to substance

abuse and sexual health. Given the strong cultural and traditional background of the community

and its members, the education of the children in these matters is provided through the

‘Nindilingarri Cultural Health Services’ team who visit the school fortnightly to provide this support

to the school community. This is further supported by the Royal Flying Doctor Service who provide

advice and information on all health matters to the community.

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PROTECTIVE BEHAVIOURS All staff employed by Wulungarra Community School are responsible for the care, safety and

protection of children. This responsibility extends to the identification and timely response to

concerns regarding the possible sexual, physical, psychological and emotional abuse or neglect of

a child.

Procedures for reporting are made in accordance with information detailed in the section of the

Wulungarra School Operational Manual – Child Protection Information, and the Children

and Community Services Amendment (Reporting of Child Sexual Abuse) Act 2009.

Child protection and the prevention of child abuse is an across government initiative and a shared

community responsibility. Wulungarra Community School recognises that collaborating with or

engaging the expertise of other government agencies or non-government departments in

accordance with existing protocols will meet the best interests of children. With this in mind

Wulungarra Community School staff are trained in the use of the ‘Kids Matters’ framework and this

is implemented into the daily teaching program for students. This is further supported by the staff

of the ‘Nindilingarri Cultural Health Services’ team who visit the school fortnightly to provide this

support to the school community.

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ANAPHYLAXIS Background Anaphylaxis is a severe, rapidly progressive allergic reaction that is potentially life threatening. The most common allergens in school aged children are peanuts, eggs, tree nuts (e.g. cashews), cow’s milk, fish and shellfish, wheat, soy, sesame and certain insect stings (particularly bee stings). The key to prevention of anaphylaxis in schools is knowledge of the student who has been diagnosed as at risk, awareness of allergens, and prevention of exposure to those allergens. Partnerships between schools and parents/guardians are important in helping the student avoid exposure. Adrenaline given through an adrenaline autoinjector (such as an EpiPen® or Anapen®) into the muscle of the outer mid thigh is the most effective first aid treatment for anaphylaxis. Purpose

• To provide, as far as practicable, a safe and supportive environment in which students at risk of anaphylaxis can participate equally in all aspects of the student’s schooling.

• To raise awareness about anaphylaxis and the school’s anaphylaxis management policy/guidelines in the school community.

• To engage with parents/guardians of each student at risk of anaphylaxis in assessing risks, developing risk minimisation strategies for the student.

• To ensure that staff have knowledge about allergies, anaphylaxis and the school’s guidelines and procedures in responding to an anaphylactic reaction.

Individual Anaphylaxis Health Care Plans The principal will ensure that an Individual Anaphylaxis Health Care Plan is developed in consultation with the student’s parents/guardians, for any student who has been diagnosed by a medical practitioner as being at risk of anaphylaxis. The Individual Anaphylaxis Health Care Plan will be in place as soon as practicable after the student is enrolled and where possible before their first day of school. The student’s Individual Anaphylaxis Health Care Plan will be reviewed, in consultation with the student’s parents/guardians:

• annually, and as applicable, • if the student’s condition changes, • immediately after the student has an anaphylactic reaction.

It is the responsibility of the parent/guardian to:

• provide an ASCIA Action Plan completed by the child’s medical practitioner with a current photo, • inform the school if their child’s medical condition changes, and if relevant provide an updated

ASCIA Action Plan. Communication The principal will be responsible for providing information to all staff, students and parents/guardians about anaphylaxis and development of the school’s anaphylaxis management strategies. Volunteers and casual relief staff will be informed on arrival at the school if they are caring for a student at risk of anaphylaxis and their role in responding to an anaphylactic reaction.

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Staff training and emergency response Teachers and other school staff who have contact with the student at risk of anaphylaxis, are encouraged to undertake training in anaphylaxis management including how to respond in an emergency. At other times while the student is under the care or supervision of the school, including excursions, yard duty, camps and special event days, the principal must ensure that there is a sufficient number of staff present who have up to date training and know how to recognise, prevent and treat anaphylaxis. Training will be provided to these staff as soon as practicable after the student enrols. Wherever possible, training will take place before the student’s first day at school. Where this is not possible, an interim plan will be developed in consultation with the student’s parents/guardians. The school’s first aid procedures and student’s ASCIA Action Plan will be followed when responding to an anaphylactic reaction. Risk Minimisation The key to prevention of anaphylaxis is the identification of allergens and prevention of exposure to them. The school can employ a range of practical prevention strategies to minimise exposure to known allergens. The table below provides examples of risk minimisation strategies.

Setting Considerations Classroom • Display a copy of the students ASCIA Action Plan in the classroom.

• Liaise with parents/guardians about food related activities ahead of time.

• Use non-food treats where possible. If food treats are used in class, it is recommended that parents/guardians provide a box of safe treats for the student at risk of anaphylaxis. Treat boxes should be clearly labelled. Treats for the other students in the class should be consistent with the school’s allergen minimisation strategies (see Step 4 of ‘allergy awareness’ in schools).

• Never give food from outside sources to a student who is at risk of anaphylaxis.

• Be aware of the possibility of hidden allergens in cooking, food technology, science and art classes (e.g. egg or milk cartons).

• Have regular discussions with students about the importance of washing hands, eating their own food and not sharing food.

• Casual/relief teachers should be provided with a copy of the student’s ASCIA Action Plan.

Canteens • If schools use an external/contracted food service provider, the

provider should be able to demonstrate satisfactory training in the area of anaphylaxis and its implications on food handling.

• With permission from parents/guardians, canteen staff (including volunteers), should be briefed about students at risk of anaphylaxis, preventative strategies in place and the information in their ASCIA Action Plans. With permission from parents/guardians, some schools have the students name, photo and the foods they are allergic to, displayed in the canteen as a reminder to staff.

• Liaise with parents/guardians about food for the student.

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• Food banning is not recommended (see Step 4 of ‘allergy awareness’ in schools), however some school communities may choose not to stock peanut and tree nut products (including nut spreads) as one of the school’s risk minimisation strategies.

• Products labelled ‘may contain traces of peanuts/tree nuts’ should not be served to the student known to be allergic to peanuts/tree nuts.

• Be aware of the potential for cross contamination when storing, preparing, handling or displaying food.

• Ensure tables and surfaces are wiped clean regularly. Yard • The student with anaphylactic responses to insects should wear

shoes at all times. • Keep outdoor bins covered. • The student should keep open drinks (e.g. drinks in cans) covered

while outdoors. • Staff trained to provide an emergency response to anaphylaxis

should be readily available during non class times (e.g. recess and lunch).

• The adrenaline autoinjector should be easily accessible from the yard.

• It is advised that schools develop a communication strategy for the yard in the event of an anaphylactic emergency. Staff on duty need to be able to communicate that there is an anaphylactic emergency without leaving the child experiencing the reaction unattended. Refer to Case Studies provided for examples of how schools could manage this.

On-site events (e.g. sporting events, in school activities, class parties)

• For special occasions, class teachers should consult parents/guardians in advance to either develop an alternative food menu or request the parents/guardians to send a meal for the student.

• Parents/guardians of other students should be informed in advance about foods that may cause allergic reactions in students at risk of anaphylaxis as well as being informed of the school’s allergen minimisation strategies (see Step 4 of ‘allergy awareness’ in schools).

• Party balloons should not be used if a student is allergic to latex. • Latex swimming caps should not be used by a student who is

allergic to latex. • Staff must know where the adrenaline autoinjector is located and

how to access if it required. • Staff should avoid using food in activities or games, including

rewards. • For sporting events, it may be appropriate to take the student’s

adrenaline autoinjector to the oval. If the weather is warm, the autoinjector should be stored in an esky to protect it from the heat.

Off-site school settings – field trips, excursions

• The student’s adrenaline autoinjector, ASCIA Action Plan and means of contacting emergency assistance must be taken on all field trips/excursions.

• One or more staff members who have been trained in the recognition of anaphylaxis and the administration of the adrenaline autoinjector should accompany the student on field trips or excursions. All staff present during the field trip or excursion need to

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be aware if there is a student at risk of anaphylaxis. • Staff should develop an emergency procedure that sets out clear

roles and responsibilities in the event of an anaphylactic reaction. • The school should consult parents/guardians in advance to discuss

issues that may arise, to develop an alternative food menu or request the parent/guardian to send a meal (if required).

• Parents/guardians may wish to accompany their child on field trips and/or excursions. This should be discussed with parents/guardians as another strategy for supporting the student.

• Consider the potential exposure to allergens when consuming food on buses.

Off-site school settings – camps and remote settings

• When planning school camps, a risk management plan for the student at risk of anaphylaxis should be developed in consultation with parents/guardians and camp managers.

• Campsites/accommodation providers and airlines should be advised in advance of any student with food allergies.

• Staff should liaise with parents/guardians to develop alternative menus or allow students to bring their own meals.

• Camp providers should avoid stocking peanut or tree nut products, including nut spreads. Products that ‘may contain’ traces of peanuts/tree nuts may be served, but not to the student who is known to be allergic to peanuts/tree nuts.

• Use of other substances containing allergens (e.g. soaps, lotions or sunscreens containing nut oils) should be avoided.

• The student’s adrenaline autoinjector and ASCIA Action Plan and a mobile phone must be taken on camp.

• A team of staff who have been trained in the recognition of anaphylaxis and the administration of the adrenaline autoinjector should accompany the student on camp. However, all staff present need to be aware if there is a student at risk of anaphylaxis.

• Staff should develop an emergency procedure that sets out clear roles and responsibilities in the event of an anaphylactic reaction.

• Be aware of what local emergency services are in the area and how to access them. Liaise with them before the camp.

• The adrenaline autoinjector should remain close to the student at risk of anaphylaxis and staff must be aware of its location at all times. It may be carried in the school first aid kit, although schools can consider allowing students, particularly adolescents, to carry it on their person. Remember, staff still have a duty of care towards the student even if they carry their own adrenaline autoinjector.

• The student with allergies to insect venoms should always wear closed shoes when outdoors.

• Cooking and art and craft games should not involve the use of known allergens.

• Consider the potential exposure to allergens when consuming food on buses/airlines and in cabins.

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SEVERE ALLERGY/ANAPHYAXIS MANAGEMENT AND EMERGENCY RESPONSE PLAN

SEVERE ALLERGY/ANAPHYLAXIS MANAGEMENT & EMERGENCY RESPONSE PLAN

Name: DOB: Year: Teacher:

Section A – Student Health Care Planning – To be completed by parent/carer (Please list specific allergens and most recent reactions in the table below).

My child is allergic to:

For each allergen provide specific information (e.g. peanuts – even small quantities)

Describe your child’s most recent symptoms and date of reaction to the allergen (e.g. anaphylaxis, hay fever, hives, eczema).

Peanuts Tree Nuts Milk Eggs Soy Products Wheat Products Shellfish Fish Insect Stings or Bites (Please specify insect(s) if known)

Medication (Please specify medicine(s) if known)

Other/Unknown(Please specify food(s) if known)

Section B - Daily Management List strategies that would minimise the risk of exposure to known allergens. Section C – Medication Instructions (Note: All medication must be provided by parents/carers) Medication 1 Medication 2 Medication 3 Name of medication Expiry date Dose/frequency – may be as per the pharmacist’s label

Duration (dates) From: To:

From: To:

Route of administration Administration Tick appropriate box

By self Requires assistance



Storage instructions Tick appropriate box(es)

Stored at school Kept and managed by self Refrigerate Keep out of sunlight Other



Section D – Emergency Response – As per anaphylaxis (ASCIA) action plan attached (This must be completed by your child’s medical practitioner). If unavailable go to http://www.allergy.org.au/content/view/10/3/ for Anaphylaxis Emergency Plans and Management Forms. Section E – Authority to Act This severe allergy/anaphylaxis management and emergency response plan authorises school staff to follow my/our advice and/or that of our medical practitioner. It is valid for one year or until I/we advise the school of a change in my/our child’s health care requirements. Parent/Carer: Date:

Medical Practitioner Name and Medical Practice Medical Practitioners Signature:

Review Date:

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Provider Number: Date:

Name: DOB: Year: Teacher: Office Use Only Date received: Is specific staff training required? Yes No : Type of training: Training service provider: Name of person/s to be trained: Date of training:

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MILD TO MODERATE ALLERGY/ANAPHYAXIS MANAGEMENT AND EMERGENCY RESPONSE PLAN

FORM 5 - MILD TO MODERATE ALLERGY MANAGEMENT & EMERGENCY

RESPONSE PLAN

Name: Date of Birth: Year: Teacher:

Section A – Student Health Care Planning To be completed by parent/carer - (Please list specific allergens and most recent reactions in the table below). My child is allergic to: For each allergen provide

specific information (e.g. peanuts – even small quantities)

Describe your child’s most recent symptoms and date of reaction to the allergen (e.g. hay fever, hives, eczema).

Peanuts Tree Nuts Milk Eggs Soy Products Wheat Products Shellfish Fish Insect Stings or Bites (Please specify insect(s) if known)

Medication (Please specify which medication(s) if known)

Other/Unknown(Please specify food(s) if known)

Section B - Daily Management List strategies that would minimise the risk of exposure to known allergens. Section C – Medication Instructions (Note: Medication must be provided by parents/carers)

Medication 1 Medication 2 Medication 3 Name of medication Expiry date Dose/frequency – may be as per the pharmacist’s label

Duration (dates) From : To:

From : To:

Route of administration Administration Tick appropriate box








Section D - Emergency Response As per ASCIA action plan attached (This must be completed by your child’s medical practitioner). Go to http://www.allergy.org.au/images/stories/anaphylaxis/allergy_action_plan_09.pdf for allergy action plans and further information.

Section E – Authority to Act

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This mild to moderate allergy management and emergency response plan authorises school staff to follow my/our advice and/or that of our medical practitioner. It is valid for one year or until I/we advise the school of a change in my/our child’s health care requirements. Parent/Carer: Date:

Medical practitioner’s name (and Medical Practice if required) Medical Practitioners Signature: Provider Number: Date:

Review Date:


OFFICE USE ONLY

Date received:

Is specific staff training required? Yes No : Type of training: Training service provider: Name of person/s to be trained: Date of training:

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DIABETES MANAGEMENT & EMERGENCY RESPONSE PLAN

DIABETES MANAGEMENT & EMERGENCY RESPONSE PLAN

Name: Date of Birth Year: Teacher:

1. Health Condition - Diabetes Type 1 Diabetes Type 2 (Please Tick)

2. Medication 2.1 Form Of Administration

Oral Note: All medication must be provided by parents/carers

Injection

Pump 2.2. Complete if your child requires oral diabetes medication.

Name of Medication

Dose

Timing

Is your child able to self-administer their medication? Yes No If no, see page 3 Storage instructions: Refrigerate Keep out of sunlight Other ____________ 2.3 Complete if, your child requires insulin injections for diabetes.

Name of Medication

Dose

Timing

Is your child able to self administer their medication? Yes No Medication storage instructions: Refrigerate Keep out of sunlight other ____________ 2.4 Complete if, your child needs an insulin pump for diabetes medication. Type of Pump: Insulin/Carbohydrate Correction Ratio Factor Insulin/Carbohydrate Correction Ratio Factor Insulin/Carbohydrate Correction Ratio Factor Parent/Carer authorisation should be sought before administering a correction dose for high glucose levels.

2.5 Please tick to indicate your child’s abilities in managing their insulin pump. Needs Assistance Counts carbohydrates YES NO Bolus correct amount for carbohydrates consumed YES NO Calculates and administers corrective bolus YES NO Calculates and sets basal profiles YES NO Calculates and sets temporary basal rate YES NO Disconnects pump and reconnects pump YES NO Prepares reservoir and tubing YES NO Inserts infusion set YES NO Troubleshoots alarms and malfunctions YES NO

3. Food Management at School It is expected that parents/carers will provide regular meals/snacks for their child. However, if your child requires additional snacks, e.g. before, during or after physical activity, please complete the table below.

Time of Day Required Food Type Amount Is supervision required? 3.1 Foods to avoid, if any Instructions for when food is provided to the class (e.g. as part of a class party or food sampling)

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Name: DOB: Year: Teacher: 4. Exercise Restrictions Restrictions on activity, if any: My child should not exercise if his or her blood glucose level is below ______________________ mmol/l or

___________________________________ above _______________________ mmol/l or if ketones are

______________________________________

5. Hypoglycemia (Low Blood Sugar) Usual symptoms: Treatment for a mild to moderate reaction: Treatment for a severe reaction: If the child is unconscious or non-responsive, first aid principles apply. • Do not put anything into the child’s mouth. • Call an ambulance • Call parents/carers as soon as possible 6. Hyperglycemia (High Blood Sugar) Usual symptoms: Treatment for a mild to moderate reaction: Treatment for a severe reaction: (treatment will vary for individual children) 7. Ketones Treatment for ketones levels: Contact parents and request them to collect the student for medical management. 8. Emergency items to be left at school Glucose tablets

Snack Syringes Blood glucose meter Insulin Ketone strips Other (Please list)

YES YES YES YES YES YES YES

NO NO NO NO NO NO NO

9. Authority to Act This diabetes management and emergency response plan authorises school staff to follow my/our advice and/or that of our medical practitioner. It is valid for one year or until I/we advise the school of a change in my/our child’s health care requirements. Parent/Carer Signature: Date:

Medical practitioner’s signature: (if required) Date:

Review Date:

OFFICE USE ONLY

Date received: Date uploaded on SIS: Is specific staff training required? Yes No : Type of training

Training service provider:

Name of person/s to be trained: Date of training:

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SEIZURE MANAGEMENT & EMERGENCY RESPONSE PLAN

SEIZURE MANAGEMENT & EMERGENCY RESPONSE PLAN


Type/s of Seizures: Date of first seizure: / /

Section A – Medication for Seizure Management – To be completed by parent/carer 1. Does your child require medication to be administered regularly at school? Yes No 2. If yes, complete the table below. (Note: All medication must be provided by parents/carers) 3. If no, proceed to emergency medication table and complete. INSTRUCTIONS FOR ADMINISTRATION OF REGULAR MEDICATION

Medication 1

Medication 2

Medication 3

Name Of Medication Expiry Date Dose/Frequency – (may be as per the pharmacist’s label)

Duration (Dates) From: To:

From: To:

From: To:

Route Of Administration Administration Tick Appropriate Box




Storage Instructions Tick appropriate box(es)




Are there any other precautions? Section B: Seizure Management

Step 1 Remain calm Remain with the student

Step 2 Remove furniture or objects that could cause harm – Do not restrain Step 3 Record the length of the seizure and what happens during the seizure

Step 4 Do not attempt to put anything into the child's mouth or between the teeth. (The exception may be the use of specified medications such as buccal midazalam which may meed to be administered in an emergency if indicated in Section D)

Step 5 When the seizure ceases, gently roll the student on to his/her side (recovery position)

Step 6 Stay with the student until he/she regains consciousness and is able to communicate Advise parents/carers

Section C: Emergency Management Call an ambulance if:

§ The seizure lasts more than 5 minutes § Another seizure occurs immediately after the last § The student sustains an injury § If there is concern regarding the student’s cardio-respiratory status § In doubt/concerned

Section D: Administration Of Emergency Medication Medication 1 Medication 2 Name Of Medication Dose/Frequency Route Of Administration Expiry Date Any other specific instructions?

____________________________________ ____________________________________ Buccal Nasal Rectal / /_____

____________________________________ ____________________________________ Buccal Nasal Rectal / /_____ Yes No If yes, please state below:

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Yes No If yes, please state below:

Storage Instructions (Tick appropriate box(es)

• Stored at school • Refrigerate • Keep out of sunlight • Other (list)

• Stored at school • Refrigerate • Keep out of sunlight • Other (list)

Name: DOB: Year: Teacher: Section E – Authority to Act This seizure management and emergency response plan authorises school staff to follow my/our advice and/or that of our medical practitioner. It is valid for one year or until I/we advise the school of a change in my/our child’s health care requirements. Parent/Carer: Date:

Medical Practitioner: (if required) Date:

Review Date:

OFFICE USE ONLY Date received: Is specific staff training required? Yes No : Type of training: Training service provider: Name of person/s to be trained: Date of training:

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ASTHMA MANAGEMENT & EMERGENCY RESPONSE PLAN

ASTHMA MANAGEMENT & EMERGENCY RESPONSE PLAN


Section A – Asthma management List known trigger(s): Dust Pollen Smoke Exercise Animal Fur Common Cold Other: _________________________________________________________________________ Daily management planning (if required):

Section B - Management instructions in the event of an asthma attack

Steps Instructions

Step 1 Sit the student upright, provide reassurance, and remain calm. Remain with the student.

Step 2 Give 4 puffs of blue reliever inhaler. Use spacer if available. Use one puff at a time and ask the student to take 4 breaths after each puff.

Step 3 Wait 4 minutes. If there is no improvement give another 4 puffs.

Step 4

EMERGENCY INSTRUCTIONS If little or no improvement occurs:

a) Call an ambulance immediately (dial 000). b) Call parent/carer. c) Keep giving 4 puffs of blue reliever inhale every 4 minutes, until the ambulance

arrives. d) Go with the student in the ambulance if his/her parents/carers have not arrived when

the ambulance is ready to leave for hospital. Section C – Medication Instructions (Note: Medication must be provided by parents/carers) Medication 1 Medication 2 Medication 3 Name of medication Expiry date Dose/frequency – may be as per the pharmacist’s label

Duration (dates) From: To:

From: To:

Route of administration

Administration Tick appropriate box








Section D – Authority to Act. This asthma management and emergency response plan authorises the school staff to follow my/our advice and/or that of our medical practitioner. It is valid for one year or until I/we advise the school of a change in my child’s health care requirements.

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Parent: Date:

Medical Practitioner (if required): Date:

Review Date:


OFFICE USE ONLY Date received Date uploaded on SIS: Is specific staff training required? Yes No : Type of training: Training service provider: Name of person/s to be trained: Date of training:

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STUDENT HEALTH CARE SUMMARY

STUDENT HEALTH CARE SUMMARY SECTION A School: Year: Form: Teacher: Student’s Name: Date of Birth: Address: Gender: Male/Female

FAMILY CONTACT DETAIL MEDICAL DETAILS

Name: Relationship to student:

Medical Practice: Doctor 1: Telephone: Doctor 2: Telephone: Dental Practice: Name of Dentist: Telephone

Address:

I give permission for the school to seek medical/dental attention for my child as required. Yes o No o

Telephone: (W) (H) (M)

Do you have ambulance insurance? Yes o No o Insurance Provider: If there is a medical emergency, parents/carers are expected to meet the cost of an ambulance.

Name: Relationship to student:

List any essential information that could affect your child in an emergency e.g. allergy to penicillin.

Address:

Health care card: Yes o No o Expiry Date Card Number

Telephone: (W) (H) (M)

Medicare No. (If required – for children requiring regular emergency care): Card Number: Expiry Date:

ADMINISTRATION OF MEDICATION

Written authorisation must be provided for staff to administer any form of medication at school. Long term medication – Complete the Medication section of the relevant health care plan – see below. Short term medication - Request an Administration of Medication form to complete and return to the principal or class teacher. Note: All medication required must be supplied by parents/carers INFORMED CONSENT Your child’s health care information will be shared with staff on a “need to know” basis unless otherwise stated. Do you give permission for the school to share your child’s health care information? Yes o No o Note: If your child is enrolled in a TAFE, PEAC or an alternative education program, this includes the transfer of their health care information to the principal or manager of that program. If no, and the information is to be restricted, who can be informed of your child’s health care information?

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Name: Date of Birth: School: SECTION C: CONSENT FOR PHOTO IDENTIFICATION ON YOUR CHILD’S HEALTH CARE PLAN If your child has a condition where an emergency may occur, please indicate whether you give consent for staff to place your child’s medical details and photo on view to provide immediate identification. I give permission for my child’s “medical details and photo” to be on view for staff. Yes o No o If yes, please attach photo to the relevant health care plan(s). SECTION D: MEDIC ALERT INFORMATION Does your child have a Medic Alert bracelet or pendant? Yes o No o If yes, provide details:______________________________________________________________________________

Does your child have one or more health condition(s) that will require support from school staff? No o - sign below and return Section A of this form to the school office. If your child’s requirements change, please notify the school. Signature: __________________________________________ Date:_____________________________ Yes o - complete the remainder of this form and return to the school office. You will be given additional forms to complete.

List your child’s health condition(s):__________________________________________________________________________

SECTION B – IN THE FOLLOWING TABLE, PLEASE INDICATE YOUR CHILD’S CONDITION(S) WHICH REQUIRE THE SUPPORT OF SCHOOL STAFF (In response to the information below, you will be given further forms for specific health conditions to complete)

Health Conditions Tick health condition Will school staff require specific training to support your child?

Severe Allergy/Anaphylaxis YES NO Minor & Moderate Allergies YES NO

Diabetes YES NO

Seizures YES NO

Asthma YES NO

Activities Of Daily Living YES NO Other Conditions or Needs (Please specify)

YES NO

YES NO Has your child’s Medical Practitioner provided a health care plan to assist the school to manage the condition?

YES NO If yes, advise the Principal

If you have ticked “Yes” for specific staff training, please discuss the type of training needed with the Principal.

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Signature: Parent/Carer Signature: _________________________________ Date: ________________________ Parent/Care Name: _________________________________

ON COMPLETION OF THIS FORM, PLEASE REQUEST AND COMPLETE THE RELEVANT HEALTH CARE

PLANS

Note: Where appropriate students should be encouraged to participate in their health care planning. Office Use Only Does the child have an allergy that needs to be flagged on SIS? Yes o No o Date: Have relevant health care plans been issued to the parent? Yes o No o Date: Has the Principal been informed if: • specific training is required to support the student? Yes o No o • the student’s health care information is to be restricted? Yes o No o Date Student Health Care Summary was completed on: / /

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HANDWASHING Hand washing is an important public health measure for reducing the impact of some communicable diseases such as influenza. Hand washing can also reduce the risk of exposure to common allergens such as peanuts for those in the school community who are anaphylactic. Teachers are expected to instruct students to wash their hands:

• immediately after visiting the toilet; • before preparing food; • before and after eating food; • after being exposed to respiratory or other body fluids e.g. coughing or blowing their nose; • after playing sport; and • at any other time when the hands are soiled.

Soap is provided in all classrooms and students should be given developmentally appropriate instruction for effective hand washing. The Department of Health recommends the following steps:

• Wet hands, preferably with warm water. • Apply hand washing agent e.g. soap, liquid soap. • Lather the hands and fingers for at least 15 seconds. • Rinse hands under running water. • Where possible, taps in public toilets should be turned off using a paper towel to avoid

possible re-contamination of hands. • Alternatively, hands can be cleaned using alcohol based products (gels, rinses, foams)

containing an emollient that does not require the use of water.

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HEADLICE BEST PRACTICE GUIDELINES

Identification of children with head lice is essential to prevent person-to-person spread of head lice. Head lice are spread from direct head-to-head contact with another person who has head lice. They are unable to jump or fly. Exclusion The principal may exclude a child with head lice from school until treatment has commenced. Students must be treated with sensitivity if head lice are found. The Department of Health advises that students do not necessarily need to be excluded from class activities until the end of the school day. Students may be given tasks which do not involve close group work and remain at school for the remainder of the day. The principal, however, does have authority to exercise discretion and withdraw a student from school programs at any time. Examining Students’ Heads for Head Lice The principal may authorise a member of the teaching staff or AEW at the school to examine the head of any student for the purpose of ascertaining whether head lice are present. Community Health staff (school nurses) are also authorised to undertake examinations. If it is agreed by the school community that members of the parent community are to examine the head of students at school to ascertain whether head lice are present, all members of the parent community must be informed of this strategy. Parents must also be informed of their right to not give permission for another parent to examine their child’s head. In these circumstances the principal or an authorised member of staff may perform an examination as required. Responding to an Outbreak of Head Lice If head lice are found, then the parents of all students in the class should be informed and requested to examine and treat their children if required. Parents must be advised that head lice elimination requires at least 10 days of follow up treatment with daily removal of head lice. The Department of Health advises that a few remaining eggs are not a reason for continued exclusion. However, parents should be advised that treatment must continue until all eggs and hatchlings have been removed.

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SUNPROTECTION

SUN PROTECTION – BEST PRACTICE GUIDELINES

Background Australia has the highest rate of skin cancer in the world, caused mainly by exposure to the sun. Despite the fact that skin cancer is largely preventable, one out of every two Australians will be diagnosed with skin cancer during their lifetime. Western Australia follows Queensland in being the state to have the second highest incidence of skin cancer in Australia.1 Evidence clearly shows that sun exposure in childhood and adolescence greatly increases the chances of developing skin cancer in later life1. Ultra Violet Radiation Although our senses can easily detect sunlight and infrared radiation (heat), they cannot detect the level of Ultra Violet (UV) radiation emitted by the sun. Although UV radiation can’t be seen or felt, it can damage skin in all types of weather. The UV radiation can be reflected by surfaces such as buildings, concrete, sand, snow and water. Exposure to UV radiation can cause damage to the eyes and skin. Damage to the skin may include premature ageing and/or the development of skin cancer. Australia has high levels of UV radiation, mainly because the country is close to the equator. The higher the UV levels, the less time it takes for skin damage to occur. It can take as little as 15 minutes for sunburn to occur in the summer midday sun with UV radiation levels most intense around the middle of the day. Generally over 70% of the total UV radiation from the sun is received between 10am and 3pm. How intense is the sun? Using the UV Index: The UV Index (UVI) indicates the level of UV radiation from the sun. It divides UV radiation levels into low (1–2), moderate (3–5), high (6–7), very high (8–10) and extreme (11 and above).

[World Health Organization (2002) Global UV Index: A practical guide]

The higher the UV Index, the more quickly skin damage can occur. The UV radiation forecast should be used as a guide rather than the temperature when planning outdoor activities. The UV forecast is provided by the Bureau of Meteorology (BOM) and is also reported in some newspaper, radio and television weather reports. How much sun do we need for healthy bones? How much sun is needed to achieve adequate levels of Vitamin D? The majority of Australians achieve adequate Vitamin D levels through the sun exposure they receive during typical day-to-day outdoor activities. During summer, the majority of people can maintain adequate vitamin D levels from a few minutes of exposure to sunlight on their face, arms and hands or the equivalent area of skin on either side of the peak UV periods (10 am to 3 pm) on most days of the week.

1 Armstrong BK (1997) Melanoma: childhood or lifelong exposure Epidemiology, causes and prevention of skin diseases, Blackwell Science, 63-66

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In winter in the southern parts of Australia, where UV radiation levels are less intense, people may need about two to three hours of sunlight to the face, arms and hands, or equivalent area of skin, spread over a week to maintain adequate vitamin D levels. People in southern states may not need sun protection from May to August when the UV Index is likely to be below 3. The only exception is if they are at high altitudes or near highly reflective surfaces like snow. In winter in northern parts of Australia, people will continue to maintain adequate vitamin D levels going about their day-to-day activities, so it is not necessary to deliberately seek UV radiation exposure. How schools and colleges manage sun protection effectively? Schools have a duty of care to support and offer students reasonable protection from the sun. As part of the school’s health education program, a variety of learning activities can be provided to develop students’ knowledge, attitudes and skills about sun protection. The Cancer Council recommends that school should include the following provisions:

• All students wear a broad-brimmed, legionnaire or bucket (minimum 6cm brim, deep crown) hat when outside.

• Sun protective clothing is considered in the choice or review of the school uniform/dress code. • Positive role modelling of sun protection behaviour is demonstrated by parents, school staff and

volunteers on the school site and during off-site activities, such as excursions. • The use of SPF 30+, broad spectrum, water resistant sunscreen is encouraged. • Programs on skin cancer prevention are included in the curriculum. • The sun protection plan is reflected in the planning of all outdoor events (e.g. camps, excursions

and sporting events) and the development of facilities (e.g. building of new play/recreation areas) • Outdoor activities such as swimming lessons and carnivals are scheduled, whenever possible, to

minimise the time outdoors between 10 am and 3 pm. • The use of shade is maximised during outdoor activities and indoor facilities are used wherever

possible. • The school has sufficient shade or is working towards increasing shade (natural or built) in the

school grounds. • The school reviews its sun protection plan regularly (at least once every two years). This includes

monitoring the school’s compliance with the plan and making suggestions for improvement. Reduce your risk Schools can help protect staff and students against sun damage and skin cancer by using a combination of the following five steps:

1. Slip on sun protective clothing

Cover up as much of the skin as possible. 2. Slop on SPF 30+ sunscreen

Make sure it is broad spectrum and water-resistant. 3. Slap on a hat

Wear a brimmed hat that covers your face, head, neck and ears.

4. Seek shade Make use of trees or built shade structures – or provide your own!

5. Slide on some sunglasses Close fitting wrap-around styles offer the best protection.

Wulungarra Community School staff adhere to these recommendations and sunscreen is provided for student and staff use throughout the day.

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EMERGENCY CONTACTS You must report all fires and emergencies no matter how minimal. IMPORTANT PHONE NUMBERS

Fire and Emergency Services 000

SES Assistance 132 500

Broome Fire & Rescue Service (08) 9192 1393

Derby Fire & Rescue Service (08) 9193 1194

Fitzroy Crossing Police Station (08) 9163 9555

Fitzroy Crossing Hospital (08) 9166 1777

Royal Flying Doctor Services 1800 625 800

Noonkanbah Clinic (08) 9191 7879

Documents

WULUNGARRA COMMUNITY SCHOOLWulungarra Community School offers all students and support staff a nutritious breakfast, snacks and lunch on a daily basis through the ‘Homemaker’ kitchen