Incident, Injury, Trauma and Illness
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- Susan Harris
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1 Incident Injury, Trauma and Illness Policy RATIONALE The health and safety of children in education and care services is the responsibility of all approved providers and educators. Policies and procedures (including documented records) must be in place to effectively manage the event of any incident, injury, trauma and illness that occurs in the program by law. Incidents, injury and trauma can be minimised with regular maintenance and thorough planning of the environment. Risk of accidents can be directly related to a child s growth and developmental stage. Educators/Staff are aware of potential hazards depending on each child s stage of development, and take precautions. Educating parents/guardians and educators/staff in accident prevention and children's ability to learn safe habits at an early age will prevent potential accidents occurring. A serious incident is the death of a child while being cared for or as a result of an injury received at the service, any incident involving injury or trauma to, or illness of, a child attending the service for which the attention of a medical professional was sought, or required the child to attend hospital; any circumstance where a child attending the service appears to be missing or cannot be accounted for, appears to be have taken/removed from the service by someone other than an approved person; or is mistakenly locked in or out of the premises or any part of the premises. A serious incident must be reported to the NSW Early Childhood Education and Care Directorate within 24 hours of awareness of the incident (Education and Care Services National Regulations). AIMS To prevent potential incidents, injury and trauma from occurring whilst people are utilising KAZ Early Learning Centre. To ensure, in the event of an incident, injury, trauma or illness, that all requirements are complied with and appropriate First Aid treatment is administered. Maintain communication with families to ensure that they are informed of any incidents, injury, trauma and illness to their child/ ren as required; Ensure that records of any incident, injury, trauma and illness are documented, transmitted to the Department of Education and Communities as required and kept in storage according to regulatory requirements; and Ensure that this policy is implemented in conjunction with our Emergency, Evacuation and Lockdown policy. PROCEDURE The approved provider, nominated supervisor and educators will consider the development of children s wellbeing as paramount to the educational philosophy of the service. All educators will
2 be aware of the development of wellbeing, and children s emerging capabilities, and plan the program accordingly. Two primary caregivers will complete the Open and Close Procedures for the indoor and outdoor environments and sign it off at the beginning and end of each day. If there are any concerns or issues that cannot be addressed immediately by educators/staff carrying out the procedure, the educators/staff will contact the Nominated Supervisor or Manager immediately. Any concerns will also be discussed at a staff meeting of the service. Educators will set up only activities and experiences that are appropriate for the children s age and developmental stage, e.g. no items smaller than a film canister will be accessible to children under 3 years. At all times educators/staff will maintain required ratios as stated in the Education and Care Services National Regulations and ensure that all children are constantly supervised. Educators will hold a current approved first aid certificate. The Manager/Supervisor on Duty will ensure that at all times there is an educator with First Aid, Anaphylaxis and Emergency Asthma training on the premises at all times. Educators/Staff will directly supervise water play activities and ensure that water is tipped out at the end of each play session. The Nominated Supervisor will carry out formal WH&S site inspections every 6 months and forward these to the Approved Provider. Hazard and Incident Report Forms will be completed for any Incidents, Injuries, or Trauma involving children or educators/staff including personal injury, near miss and hazards in the environment. Hazard and incident report forms will be forwarded immediately to the Approved Provider (refer to WH&S Policy ). Educators/Staff will immediately ensure children are unable to access any dangerous or broken equipment or area within the environment (report this to the Manager). KAZ Early Learning Centre will weekly maintain and repair all buildings and equipment. Repairs and maintenance will be prioritised and repairs carried out according to risk. Children who become ill, have an accident or are injured at KAZ Early Learning Centre KAZ Early Learning Centre maintains a register of all incidents, injury, trauma and illness to children whilst at the service or on excursions. This information is recorded in the Incident/ Injury/Trauma/Illness Report by the Educator who witnessed and/or attended to the child. The Incident/ Injury/Trauma/Illness Report must be signed by the Supervisor on Duty at the time of the incident as well as the parent/ carer notified of the incident and the Nominated Supervisor.
3 The parent/ guardian of a child that is involved in an incident, injury, trauma or illness must be notified within 24hours of the injury or trauma occurring. Incident/ Injury/Trauma/Illness forms must be kept until the child is 25 years of age. Incidents (injuries and trauma) are categorised according to the seriousness of the injury and educators/staff carry out procedures, as determined by each category. Accident/ Incident Categories are as follows: A Potential Fatality Classified as an incident, which by its seriousness may or could have resulted in the death of the child. B Major Injury Classified as life threatening or requiring urgent medical attention. For example, a child who has broken a leg, a large wound, is unconscious, choking or fitting. C Moderate Injury Classified as an injury requiring medical attention, but not life threatening, for example a cut requiring stitches; a broken finger or a tooth through a lip. D Minor Injury Classified as an injury requiring first- aid treatment only, such as a bump, bite or scratch. If children have accidents at the service, educators/staff will need to follow either the: Procedure for a Child Requiring an Ambulance (Cat A & B) or Procedure for a Child Not Requiring an Ambulance (Cat C & D) Forms to be completed if a child has an accident or injury at the service: Report (All Categories) ACECQA Notification Of Serious Incident SI01 (When deemed a Serious Incident) accessed from website Where an educator/staff member has been involved in an injury to a child (whether or not it is accidental) this must be clearly indicated on the Report form. The Manager will telephone the Approved Provider immediately and follow their instructions. Serious Incident: The Supervisor on Duty, who becomes aware of a serious incident involving a child attending the service, must notify the Nominated Supervisor and the Approved Provider immediately. The Supervisor on Duty, who becomes aware of a serious incident involving a child attending the service must initially notify NSW Early Childhood Education and Care Directorate by phone or within 24 hours of the incident or the time that the person becomes aware of the incident. (In the case of the death of a child, this would be as soon as practicable, but within 24 hours of the death, or the time that the person become aware of the death).
4 The Supervisor on Duty must complete the form ACECQA Notification Of Serious Incident SI01 form and with a copy of Report, and send to the Approved Provider who will then sign and forward to the NSW Early Childhood Education and Care Directorate within 24 hours. When to Complete the ACECQA Notification Of Serious Incident Form SI01: The death of a child while being educated and cared for by the service, or following an incident while being cared for by the service. Injury or trauma to, or illness of, a child for which the attention of a registered medical practitioner was sought, or ought reasonably to have been sought; or the child attended, or ought reasonably to have attended, a hospital. Attendance of emergency services at the education and care service premises was sought, or ought reasonably to have been sought. A child was missing from the service or was not able to be accounted for. A child was taken or removed from the service in a manner that contravenes the Regulations. A child was mistakenly locked in or locked out of the service premises or any part of the premises. Educators will: Ensure that all children have opportunities to engage in experiences that enhance their sense of wellbeing and allow children to develop a sense of assessing risks for themselves as appropriate; Consider the planning of the physical environment and experiences, ensuring that the spaces are safe; Thoughtfully group children to effectively manage supervision and any potential risks to children s health and wellbeing; Respond to children in a timely manner. Provide reassurance and ensure children s emotional and physical wellbeing is paramount at all times; Seek further medical attention for a child if required; Be aware of the signs and symptoms of illness/trauma, and update their understanding as part of their ongoing professional development; Be aware of individual children s allergies and immunisation status and use this knowledge when attending/responding to any incident, injury or illness; Respond to children showing signs of illness and begin monitoring the symptoms of the child, and recording as appropriate. Educators will contact the child s authorised person to inform them of the illness signs, or to request the collection of the child; In response to a child registering a high temperature, follow procedures for temperatures, and complete the incident, injury, trauma and illness record as required; (refer to Medication and Illness Policy) Maintain appropriate work health and safety standards when attending to children s injuries and applying first aid; Develop partnerships with families and use this understanding to guide the development of practice in relation to individual children s emerging capabilities;
5 Check that equipment and furniture in the service is well maintained and that any materials that may be hazardous are removed or repaired. Ensure that hazardous items are inaccessible to children; and Be involved in regularly reviewing and discuss policy and procedure and consider any improvements that need to be made to this policy. Families will: Be informed of policies and procedures upon enrolment with regards to first aid, illness whilst at the service, and exclusion practices, including immunisation status and illnesses at the service; Inform the service of their child s particular requirements, and provide any relevant paperwork to the service, such as immunisation status, letters from a medical professional etc; Be notified of any incident, injury, trauma, or illness as soon as is practicable, but no later than 24 hours after the noted incident, and will be provided with a copy of the report; Receive access to this policy and notification of its existence; Have the opportunity to provide input into the review and effectiveness of policies and procedures of the service via various methods; and Be provided access to information on children s development, the service program, and relevant resources (such as Kidsafe, SIDs and Kids, for example) from the service. First Aid Kits The Nominated Supervisor or delegate will ensure the Services first aid kits are stocked in accordance with the WHS Policy. First aid kits will include a portable first aid kit for excursions and emergency evacuations. All permanent and casual educators/staff will be informed of the location of all first aid kits. Required supplies must be maintained and expiry dates checked by a 3 monthly audit. Expired items must be discarded safely and replaced. See First Aid Checklist. Transportation of children: Under no circumstances are educators/staff to transport children by car. In the case of an accident or serious illness, educators/staff must ring an ambulance to transport the child to hospital for treatment. Children are to be accompanied by a primary contact caregiver nominated by the Supervisor on Duty if the parents/guardian or the emergency contact person(s) are unavailable. If a child is transported by ambulance, KAZ Early Learning Centre s Approved Provider is to be contacted immediately informing them of the situation and whether or not the service will be below minimum staff ratios.
6 Siblings or children of the person travelling in the ambulance are to remain at the service with educators until a parent/guardian or emergency contact person(s) collects them. If educators/staff are unable to contact any of the listed people they will contact the police. KAZ Early Learning Centre Related Policies and Procedure: WHS Risk Management Policy First Aid Policy Provide a Child Safe Environment Policy Health, Medication and Illness Policy Emergency and Evacuation and Lockdown Policy Appendices: Procedure for a Child Requiring an Ambulance (Cat A & B) Procedure for a Child Not Requiring an Ambulance (Cat C & D) Report ACECQA Notification Of Serious Incident SI01 Sources: Children Education and Care Services National Law Act 2010 Education and Care Services National Regulations 2011 NSW Work Health and Safety Regulation 2011 NSW Health and Safety Act Workplace Injury and Management and Workers Compensation Act 1988
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