XVI - HSGD Internal Web Page



CHILD HEALTH AND SAFETY

Performance Standard 1304.22

POLICY

Head Start will adhere to the following guidelines to support a safe and healthy environment. The following procedures were established to assist center staff’s response to accidents, medical and dental emergencies. The following topics to be discussed are:

A) First Aids Kits and Supplies

B) Acute First Aid and Guidelines

C) Center Accident Reports

D) Dental Emergency

E) Medical Emergencies

F) Health Special Risk Inc. (HSR Insurance Form)

G) Emergency Numbers

Health Specialist will review the following information with Site Managers and staff annually at the beginning of each year and when indicated.

A) FIRST AID KIT (CENTERS)

The following items are in the center’s First Aid Kits. Replacement items will be purchased by and stored in the Health Content Area office. A list of the First Aid kit supplies should be attached to the inside of the Center’s First Aid Kit for quick reference and inventory when checking supplies. The Health Specialist will check the center’s main first Aid Kit monthly and restock when indicated. Expired items will be removed and replaced by the Health Specialist.

1) FIRST AID KIT (MAIN)

✓ ADHESIVE TAPE

✓ BANDAGE SCISSORS

✓ BAND-AIDS (¾” AND 1”)

✓ KLING GAUZE

✓ COTTON BALLS

✓ LIQUID DIAL SOAP (for First Aid Kit Only)

✓ DISPOSABLE GLOVES

✓ FIRST AID BOOK

✓ STERILE GAUZE PADS (2” X 2” AND 4” X 4”)

✓ EYE IRRIGATOR + SOLUTION

✓ EYE PATCH (2)

✓ EMERGENCY BLANKET (1)

✓ SPLINTS (2)

✓ STERILE WATER

✓ INSTANT COLD PACK

✓ THERMOMETER

✓ TRIANGULAR BANDAGE

✓ TWEEZERS PLASTIC BAGS

✓ ANTISEPTIC WIPES

✓ MICRO-SHIELD (1)

✓ IPECAC SYRUP (see Poison Control in Chapter XIV).

2) FIRST AID KIT/FANNY PACKS (CLASSROOMS) (HC-39)

The following items are required for the tackle box (small first aid kit) in the classrooms. The tackle box and fanny packs should be kept inaccessible to children at all times (indoors and outdoors activity). Teachers should have a fanny pack on the playground, field trips and any other outdoor activities. Teachers should stock their fanny packs from the supplies in the tackle boxes. The Health Assistant will monitor and replace health supplies when requested by center staff.

FIRST AID KIT/FANNY PACKS (CLASSROOMS)

✓ BAND-AIDS (¾” AND 1”) – 20 EACH SIZE

( 2 SETS OF DISPOSABLE GLOVES

( GAUZE PADS (2” X 2” AND 4” X 4”) – 4 EACH SIZE

( 10 TEMPRA DOTS (stored in tackle boxes)

← 1 HAND SANITIZER

← FACE SHIELD

3) FIRST AID KIT ON THE BUS

Minimum Standard 746.4001

A fully stocked first aid kit will be available during field trips. The Kits will be stored in the transportation department and put on the buses when used for field trips while transporting children. The Health Coordinator will check with the Transportation Director monthly and re-stock supplies when indicated. These kits will adhere to the requirements with some minor changes. The following is a recommended list of supplies for the First Aid Kits on the bus.

✓ ABDOMEN GAUZE DRESSING (2)

✓ ACE BANDAGE (1)

✓ ADHESIVE TAPE ½ INCHES +1 INCH

✓ ANTISEPTIC WIPES 10 +

✓ BANDAGE SCISSORS 1

✓ BAND-AIDS (3/4” AND 1”)

✓ COTTON BALLS (10)

✓ DIAL LIQUID SOAP (for First Aid Kit Only)

✓ DISPOSABLE GLOVES (3 SETS)

✓ EMERGENCY BLANKET (1)

✓ EYE IRRIGATOR + SOLUTION (1)

✓ EYE PATCH (1)

✓ FIRST AID BOOK (1)

✓ INSTANT COLD PACK (2)

✓ IPECAC SYRUP (see Poison Control in Chapter XIV).

✓ “WHAT TO DO WHEN YOUR CHILD GETS SICK” BOOKLET (1)

✓ KLING GAUZE (1)

✓ MICRO-SHEILD (1)

✓ PLASTIC BAGS (2)

✓ SPLINT(1)

✓ STERI-STRIPS (1)

✓ STERILE GAUZE PADS (4 EACH) (2” X 2” AND 4” X 4”)

✓ STERILE WATER(2 10cc )

✓ THERMOMETER PLUS COVERS (10+)

✓ TEMPRA DOTS (10)

✓ TONGUE DEPRESSORS (4)

✓ TRIANGULAR BANDAGE (1)

✓ TWEEZERS (1)

✓ WHISTLE (1)

ACUTE ILLINESS AND FIRST AID GUIDELINES

POLICY

These medical procedure charts have been designed to aid staff in managing potentially dangerous or troublesome situations in the Head Start Centers. The steps are presented in concise situation outline without unnecessary details that can be distracting during an emergency.

1) When a medical situation occurs

a) Never leave the child alone. Someone should always be in attendance in the event the health status of the child may change.

b) Remain calm. Take a deep breath. With all health situations, except cardiac arrest or respiratory failure, one or two minutes spent getting the situation under control will improve effectiveness.

c) Look up the major problem in the Contents. If a serious emergency occurs that’s not listed, the best procedure is to obtain emergency or medical assistance from the Health Staff or EMS, unless you are very familiar with the problem and its management.

d) Provide only the care outlined in these charts unless you are a trained in emergency procedures or you receive instructions for additional care from a health care professional.

e) Use common sense with these charts; only you know your particular situation. The primary rule of first aid is to cause no further injury.

f) Most important during any medical emergency – Remember your ABCs: Make sure the airway is unobstructed. Make sure the person is breathing. Check for circulation and the pulse.

**These procedures are meant to be comfort steps used to sooth the child until he/she is picked up by the parent/guardian. First Aid begins with action and

activity. The First Aid caregiver should assure the child that he/she is being helped.

2) BITES – ANIMAL & HUMAN

SIGNS AND SYMPTOMS

Presence of a puncture and/or open wound, e.g. tear or laceration of the skin. Bleeding, pain, soreness, redness or swelling may be present at the wound site.

HEALTH CARE

a) Wash the wound thoroughly and repeatedly with soap and water for at least 10 minutes and rinse well. Apply sterile dressing if needed.

b) If bleeding heavily, apply direct pressure with the palm of the hand over the wound dressing.

c) Take the child for medical treatment. If possible take the child’s immunization record with date of last tetanus vaccine.

d) Fill out the Incident/Illness form

e) If animal bite, contact the City Health Department Animal Control with the following information to aid in the capture of the animal:

▪ Child’s name, address, race, sex, age, and telephone number

▪ Time of the incident

▪ Description of the injury site

▪ Emergency care administered

▪ Description of the animal and the owner’s name and address, if known

NOTE: DETAIN THE ANIMAL IF POSSIBLE. DO NOT KILL

THE ANIMAL.

3) BITES & STINGS (INSECTS)

Quickly determine whether the person is experiencing a serious reaction to the site. If an allergic reaction occurs call 911.

SIGNS AND SYMPTOMS

1) Emergency Allergic Reaction

Difficulty in breathing or wheezing, faintness, hives, blotches, red, swollen eyes, nausea/vomiting, and diarrhea. Serious allergic reactions occur within 5 - 10 minutes.

2) Localized Reaction

Local irritation with swelling, redness, or itching at the sting site. Associated pain or swelling of a joint or body part may be present.

3) Situations not requiring EMS services

A) Keep the child quiet and calm.

B) Keep the area below heart level if on an extremity.

C) Do not squeeze the stinger out. If there is a stinger in the skin, try to remove it by wiping a card over the area.

D) Apply cold compresses for 15 - 20 minutes.

E) Observe the child for any allergic reaction. If necessary, seek medical care.

F) Fill out Incident/Illness form and notify parents

4) BLEEDING (CUTS & ABRASIONS)

SIGNS AND SYMPTOMS

A cut or scrape on the skin with bleeding and pain. Foreign material such as grass, dirt, rocks, etc. may be present in or around the wound.

HEALTH CARE

a) Reassure the child and have him/her lie or sit in a comfortable position.

b) Wash the wound or soak thoroughly with soap and water and rinse repeatedly to cleanse area of any foreign material for at least 10 minutes. Do not remove embedded material, e.g. glass, from the wound. Notify parents and refer for medical assistance.

c) Cover the wound with a sterile dressing if needed.

d) If bleeding heavily, apply direct pressure with the palm of the hand on the wound dressing.

e) Refer the child for medical care if:

▪ The child’s tetanus immunization is not up-to-date

▪ The wound is very deep, dirty, or has foreign matter embedded

▪ There are signs of infection, e.g. redness, swelling, soreness, etc.

f) Fill out Incident/Illness form and notify parents.

g) Follow-up within 1-2 days, document and observed for signs of infection. If “scab” formed, do not remove. Maintain good hygiene. Keep area dry/ cover with Band-Aid if necessary.

5) BLEEDING (NOSEBLEED/FOREIGN OBJECTS IN THE NOSE)

1) BLEEDING

SIGNS AND SYMPTOMS/BLEEDING

Spontaneous bleeding from the nose, which may be related to a head or face injury or changes in the environmental humidity.

HEALTH CARE/BLEEDING

a) Have the child sit in an upright position, leaning slightly forward and breathing by mouth.

b) Have the child or assist the child to pinch the nostrils together firmly with thumb and forefinger using soft thick tissues or cloths. Do not squeeze hard enough to cause damage or pain.

c) Apply constant pressure for 5-10 minutes.

d) Have the child continue to breath by mouth and avoid talking, physical activities or blowing nose for one hour.

e) The child should have medical care if you suspect a fracture of the nose, or if the bleeding is uncontrolled.

f) Treat the child for shock if there is excessive bleeding or suspected fracture.

g) Notify parents of nose bleed and fill out Incident/Illness form if indicated.

6) FOREIGN OBJECTS IN THE NOSE

SIGNS AND SYMPTOMS

Complaint of obstruction of the nostril. Other symptoms may be nasal drainage or swelling of the nose.

HEALTH CARE

a) Have the child to blow the nose moderately into a tissue or cloth with both nostrils open.

b) Seek medical care, if foreign material does not come out.

c) Notify parent and fill out Incident/Illness form if indicated.

7) BLISTERS

SIGNS AND SYMPTOMS

Pain with collection of fluid under the skin usually is a result of the skin being irritated or rubbed.

HEALTH CARE

a) Leave blisters unbroken.

b) Wash area gently with soap and water.

c) Apply Band-Aid to protect form further irritation.

d) Fill out Incident/Illness form.

NOTE: IF THE BLISTER IS BROKEN, TREAT AS AN OPEN WOUND AND COVER WITH A BAND-AID.

8) BRUISES

SIGNS AND SYMPTOMS

A bruise is an injury as the result of a blow to the body, which does not break the skin, but, causes pain, swelling and discoloration. Redness of the skin at the injury site may be present initially. This may become blue or black and much later brownish yellow.

HEALTH CARE

a) Medical care is necessary if there is a large injury site, related head injury, or deformity over a bone or joint. Treat a deformity as a fracture.

b) If seen immediately following an injury: apply a covered ice bag to the injury site to reduce swelling and bleeding into the tissue.

c) Elevate injured arm or leg to reduce swelling if present.

d) Fill out Incident/Illness form and notify parents.

e) Inform Child Protective Services if violence or child abuse is suspected.

9) BURNS

SIGNS AND SYMPTOMS

First-degree burns have redness of the skin, pain and may be mild, with swelling at injury site. Second Degree burns have deep reddening of the skin. Skin has a glossy appearance, blisters, leaking fluid from possible loss of skin. Third degree burns cause loss of all skin layers and are painless with possible white or charred skin.

HEALTH CARE

a) For first or second-degree burns, soak in cool (or running) water or use cold wet compresses to burn area for 10-15 minutes.

b) Do not apply cold water or wet compresses to third degree burns.

c) If possible, leave first-degree burns uncovered, or cover with sterile moist dressing. Cover all second or third degree burns loosely with sterile dressing.

d) Do not break or open blisters of burns.

e) Do not use butter, oil, etc. on burns.

f) Refer for medical care for extensive burns and all third degree burns.

g) Notify parents and fill out an Incident/Illness form if the occurrence happens at the center.

h) Inform Child Protective Services if violence or child abuse is suspected.

10) CONVULSION (SEIZURES)

SIGNS AND SYMPTOMS

Involuntary jerking of muscles, possible loss of bowel and bladder control, possible loss of consciousness, or cessation of breathing.

HEALTH CARE

a) Do not move the child unless it is an unsafe area. Remove potentially harmful objects (e.g. furniture) from the area.

b) Do not restrain the child or try to put anything into the child’s mouth or between the teeth.

c) Do not give the child anything to eat or drink.

d) Time the seizure. If this is a first time seizure with (no history), call 911.

e) Give rescue breathing (artificial respiration) if the child stops breathing.

f) After the seizure stops, apply cool cloth to the child’s face and provide area for undisturbed sleep.

g) If the seizure lasts longer than 5 minutes, becomes worse, or different, or is followed by another seizure immediately (< 2 minutes), call EMS and obtain emergency medical assistance.

h) Notify parents of seizure activity and fill out Incident/Illness form.

11) EARACHES/FOREIGN OBJECTS IN THE EAR

SIGNS AND SYMPTOMS

Signs are painful or draining ear and/or feeling of fullness in the ear canal. May have other symptoms, i.e., hearing loss, “cold”, injury to the ear or head, nausea, vomiting or abdominal pain or object in the ear. Fever may or may not be present.

HEALTH CARE

a) Make a child as comfortable as possible by having him/her lie down with the head turned to the earache side.

b) Advise parent/guardian to seek medical care.

c) Fill out Incident/Illness form.

d) If fever is present, notify parents and instruct them to pick-up child and advise them to seek medical care.

12) FOREIGN OBJECTS IN THE EAR

SIGNS AND SYMPTOMS

Ear pain and/or feeling of fullness in the ear canal. Other symptoms may be hearing loss and a history of placing an object in the ear canal.

HEALTH CARE

a) Make the child comfortable and provide reassurance.

b) Do not attempt to remove anything from the ear canal. Only a health care provider or physician should remove foreign objects in the outer ear.

c) Fill out Incident/Illness form and advise parent/guardian to seek medical care.

13) HEAD INURY: SEVERE HC-107

Possible skull fracture: bleeding, slurred speech, complains of head ache,

drainage from the ears, nose or mouth, nausea, vomiting and possible convulsions.

HEALTH CARE

a) Call 911

b) Do not move head if neck injury is suspected

b) Cover wound with sterile gauze pad and tie in place

c) Provide support and monitor ABC until EMS arrive

d) Initiate CPR if indicated

e) Call parents

f) Fill out Incident/Illness form

MILD BLOW TO THE HEAD

Children in the center or on the playground may fall and hit their head. The

area will swell and the child may complain of a headache. If there is no other s

symptoms describe earlier, staff should:

a) Do not move head if neck injury is suspected

b) Apply covered cold compress to site

c) Fill out Incident/Illness form

d) Inform parents of incident prior to the child being picked up

e) Give parents a copy of the Head Injury form which informs them

to seek medical services should symptoms occur later.

14) SORE THROAT

SIGNS AND SYMPTOMS

Pain or soreness of the throat when swallowing, speaking or eating. Additional symptoms may include nasal drainage, enlarged neck glands, fever, cough, headache, hoarseness, or injury to the mouth, throat, or neck.

HEALTH CARE

a) Take the child’s temperature. If she/he does not have a temperature of 100.4°F or above, the child may stay in the Center.

b) If child does have temperature of 100.4°F or above, keep him/her at home and seek medical care.

c) Have child gargle with warm salt water (½ teaspoon salt in an 8-ounce glass of water).

d) Have child rest quietly and encourage fluids.

e) Fill out Incident/Illness form and notify parents.

15) SPLINTERS

SIGNS AND SYMPTOMS

Foreign material embedded in the skin usually relating to a minor injury. Other symptoms may include redness, swelling and/or pain at the injury site.

HEALTH CARE

a) If the splinter can be easily removed (splinter part is above the skin surface) grasp splinter with a tweezer and gently remove. Clean area with soap and water after removal and apply dressing.

b) Clean the area with soap and water, and apply dressing, if the splinter is deeply embedded and splinter part is not above the skin surface. Do not attempt to remove the splinter.

c) Advise parent to seek medical care.

d) Fill out Incident/Illness form.

16) STOMACH

SIGNS AND SYMPTOMS

He/she may experience abdominal pain or discomfort. May have related cramping, bloating, gas, diarrhea or constipation, nausea and vomiting. Causes of upset stomach (nausea and vomiting) usually are not serious. Ask the child about other symptoms or conditions and about amount, consistency, and color of vomit. Fever may or may not be present. Ask about additional signs and symptoms - i.e., headache, earache, sore throat, injury to chest, head or stomach, diabetes, high temperature, dietary intake, and stressful events.

HEALTH CARE

a) Assist child to become more comfortable by lying down on side with knees bent to relax stomach muscles.

b) Take the child’s temperature when the nausea/vomiting subsides.

c) If pain persists (>20 minutes), inform parent of child symptoms and with an option to pick the child up from the center

d) Or if the child has 3 or more loose stools call parent and ask the child be picked up from the center.

e) If fever is present, instruct parent to seek medical attention.

f) Fill out Incident/Illness form

17) VOMITING/THROWING UP

SIGNS AND SYMPTOMS

The voluntary or involuntary emptying of the stomach contents through the mouth.

HEALTH CARE

a) Identify the contents of the vomit (food, blood, etc.)

b) If blood is present, call the parents, Nurse Practitioners or Emergency Medical System (EMS).

c) If blood is not present, give nothing to eat or drink until vomiting stops.

d) Allow the child to rest and check the child for improvement.

e) If the child vomits more than three times, call parents and advise them to seek medical evaluation based on symptoms.

f) Keep the child calm.

g) Fill out Incident/Illness form.

C) INCIDENT/ILLNESS (HS-4) REVISED 8/03

POLICY

(Minimum Standard 746.307)

The Incident/ Illness Report is used to describe any accident/illness (severe or non-severe) which occurs either at HEAD START centers or HEAD START sponsored activities. This form is usually filled out by the teacher in charge of the child during the time of injury/illness. When a minor accident occurs in the centers, Teachers should:

a) Never leave the child alone and implement First Aid Care.

b) Fill out an Incident/Illness Report Form on the data base system.

c) Notify the parent/guardian about the accident/illness (see below).

d) Distribute the completed form to the following staff:

✓ Original Copy – Site Manager’s Notebook Folder

✓ Copy - Parent/Guardian

d) When an emergency occurs, teachers or Site Manager (delegate) should ensure that a copy of the report is faxed to the Human Resource Director.

e) Any situation may be declared an emergency. When in doubt err on the side of the child and call 911.

f) In the event that the ambulance is called implement the emergency procedure.

WHEN TO NOTIFY PARENTS

After the safety of the child is assured, parent must be notified immediately:

1) When the illness or injury requires medical attention by a health care professional.

2) Has symptoms requiring exclusion from the center (communicable diseases, etc.)

3) If the child had been involved in any situation that placed the child at risk. For example, a child being left in a vehicle or a child from wandering away from the center unsupervised, etc.

4) If the child has been involved in any situation that is unsafe in the center, such as fire, flood or damage to the center as a result of severe weather.

Parent may be notified of less serious injuries when the child is picked up from center. Less serious injuries include, but not limited to, minor cuts, scratches, and bites from other children requiring first-aid treatment by employees. IF THE CHILD’S APPEARANCE HAS DRAMATICALLY CHANGED FROM WHEN THEY ARRIVED, PARENTS SHOULD BE NOTIFIED IN ADVANCE.

PROCEDURE

Fill the form out completely with the following information:

1) Never leave the child alone

2) Fill in the Child’s name.

3) Fill in birth date (month, day, year)

4) Was Licensing notified? (if required)

5) Child’s address.

Fill the form out completely with the following information: (cont’d.)

6) Date of Incident/Illness

7) Time of Incident/Illness

8) Fill in where the Incident occurred

9) Name of the staff who provided care

10) Fill in parent(s) or guardian(s) name

11) Date the Incident/Illness occurred

12) Time parent’s were notified

13) Child’s Doctor Name (if called for illness or if EMS was called)

14) Doctor’s address (city, state, zip) (if called for chronic illness or if EMS was called).

15) Doctor’s telephone number including area code. (illness or if EMS was called)

16) Date and time doctor (EMS) was consulted (if applicable)

17) Was First Aid provided and a description of what was done?

18) Was Medical attention required ( EMS)

19) If so when called and time they arrived to the scene.

Details of Incident that Caused Injury or Placed child at Risk

This section should be filled out in the event of an injury to the child or situations at the center which the child was placed at risk.

1) Describe in detail the injury or risk in which the child was placed

2) Where and how did the injury occur?

3) Were there other children involved? If so their names.

4) Name of the staff who witnessed the incident/injury

5) Other staff present at the time of the incident/injury

Details of On-set of Illness While in Care

This section should be filled out when the child’s status changes while in the care of the staff at the center.

1) Type of Illness

2) Does the illness require exclusion from care

3) If a communicable disease were other parent notified.

4) If it was a communicable disease, is it a reportable disease to the Health Department.

5) What was the child’s temperature?

6) Was medication given? If so what?

RESPONSIBLE PARTY

The person in attendance during the incident/illness should fill out the report on the database, print the report, sign and date the form. The site manager should be informed and they should sign the form also. Parents should sign and date the form when indicated (immediately but no longer than 48 hours). When the form is signed, the original should be kept in the site Manager’s office in a notebook.

In the event that the child is picked up by a person not the legal guardian or parent, that person should receive a copy of the form. The original form should be kept in the site Manager’s office until the parent is able to come to the center to sign the form. If this is not possible, a copy of the form may need to be mailed by certified mail to ensure that the child’s parent/guardian receives the notice. The original form should be kept in a notebook in the site manager’s office. This information is stored for (3-5 years) based on the agency’s policy.

IF THE CHILD IS TREATED FOR DENTAL EMERGENCY THE FOLLOWING GUIDELINES SHOULD BE FOLLOWED:

D) DENTAL EMERGENCY FIRST AID

Performance Standard 1304.22 (a) (1)

1) THE DENTAL EMERGENCY FIRST AID FORM SHOULD BE:

a) Posted at each Center in the following locations:

1) Main Bulletin Board + Each Classroom

OR

2) Site Manager’s Office + Each Classroom

b) Posted in a location visible to all HEAD START staff, parents and volunteers.

c) Posted in English, Spanish and Vietnamese.

d) Read thoroughly by HEAD START staff at the beginning of the school year (August) and checked periodically to ensure comprehension.

e) Filled out so that the name, address and telephone number of the dentist who provides dental services are legible.

2) IN THE EVENT OF A DENTAL EMERGENCY:

a) The Site Manager should notify the Health Specialist and the Health Assistant responsible for that Center immediately.

b) The parent(s) or guardian(s) needs to be notified immediately.

c) The child’s complete folder, as well as the insurance claim form needs to be taken to the dentist’s office.

d) If the emergency is severe and requires immediate attention, the Site Manager or designated HEAD START staff member will transport child to the dentist’s office. The child’s complete folder, as well as the insurance claim form, will be taken to the dentist’s office as well.

e) The Head Start staff will meet all parties involved at the dentist’s office.

DENTAL EMERGENCY FIRST AID FORM (HC-47)

ALL INCIDENTS SHOULD BE HANDLED QUICKLY AND CALMLY;

A HYSTERICAL CHILD IS LIKELY TO COMPLICATE THE TREATMENT AND CAUSE FURTHER TRAUMA.

A) WEAR LATEX GLOVES AND CHECK FOR BLEEDING. IF THE CHILD IS BLEEDING:

1) STOP BLEEDING BY APPLYING PRESSURE TO THE AREA.

2) WASH THE AREA WITH CLEAN, COOL WATER.

3) PLACE INSTANT COLD PACK (OR ICE IN A CLEAN CLOTH) ON THE INJURED AREA, TO REDUCE SWELLING.

B) IF TOOTH IS KNOCKED OUT, FRACTURED, CHIPPED, BROKEN, OR LOOSE:

1) CALM THE CHILD.

2) IF INJURED AREA IS DIRTY, WASH GENTLY WITH CLEAN, COOL WATER.

3) PLACE INSTANT COLD PACK (OR ICEIN A CLEAN CLOTH) ON THE INJURED AREA, TO REDUCE SWELLING.

4) WRAP TOOTH IN DAMP CLOTH OR GAUZE, DO NOT CLEAN.

5) TAKE CHLD AND WRAPPED TOOTH TO DENTIST IMMEDIATELY.

C) IF TEETH ARE LOOSENED IN AN ACCIDENT:

1) RINSE OUT THE CHILD’S MOUTH WITH CLEAN, COOL WATER.

2) DO NOT ATTEMPT TO MOVE THE TEETH OR JAW.

3) TAKE THE CHILD TO THE DENTIST IMMEDIATELY.

D) IF TOOTH IS KNOCKED INTO THE GUMS:

1) DO NOT ATTEMPT TO FREE OR PULL ON THE TOOTH.

2) RINSE OUT THE CHILD’S MOUTH WITH CLEAN, COOL WATER.

3) TAKE THE CHILD TO THE DENTIST IMMEDIATELY.

E) IF THE TONGUE, CHEEKS OR LIPS ARE INJURED:

1) RINSE AFFECTED AREA WITH CLEAN, COOL WATER.

2) PLACE INSTANT COLD PACK (OR ICE IN A CLEAN CLOTH) ON THE INJURED AREA, TO REDUCE SWELLING.

3) TAKE THE CHILD TO THE DENTIST OR A PHYSICIAN IF BLEEDING CONTINUES OR IF WOUND IS LARGE.

F) IN THE EVENT OF ANY SOFT TISSUE INJURY, AS IN THE CASE WHERE THE TONGUE OR LIPS BECOME STUCK TO AN OBJECT AND THE TISSUE TEARS:

1) COVER THE AFFECTED AREA WITH GAUZE.

2) STOP THE BLEEDING BY DIRECT PRESSURE WITH LATEX GLOVED HANDS.

3) TAKE THE CHILD TO THE DENTIST OR A PHYSICIAN.

G) IF TOOTH IS KNOCKED OUT WRAP IT IN A DAMP PAPER TOWEL AND TAKE IT WITH THE CHILD TO THE DENTIST.

IF A CHILD NEEDS MEDICAL EMERGENCY SERVICES IMPLEMENT THE FOLLOWING GUIDELINES:

E) EMERGENCY ACCIDENT PROCEDURES

Performance Standard 1304.22(a) (1)

DEFINITION

Emergencies are defined as conditions that require immediate intervention, which may result in serious disability, loss of limb, or death if immediate care is not given. The decision to call an ambulance involves experience and/or judgment. When in doubt err on the side of the child and call 911.

POLICY

There will be occasions when a situation may be declared as a medical emergency. Medical emergency will be handled in a way that will provide a quick and safe response. Head Start staff will implement the emergency procedure when indicated. The following steps should be implemented:

All staff will receive training by the Health Specialist or the Teaching Module (annually) regarding emergency situations. Emergency Accident policy Procedures should be posted at each center in the following locations: main bulletin board or site manager’s office, and in each classroom. In centers that have a high population of Hispanics or Asians, Emergency Accident Procedures should be posted in both languages in the classroom

PROCEDURE

1) A child is injured while in the care of Head Start staff and warrants immediate medical attention.

2) Parents and Site Manager should be informed immediately

3) Associate Triad Directors, Health Coordinator, and Human Resources Director and should be informed within 24.

4) Licensing may need to be called. If so, this must be done within 48 hours.

5) Children should be transported to a medical facility ASAP (via ambulance, staff or parent depending on the seriousness of the injury)

6) Teachers will fill out the Incident/Illness report (HS-4) and file as previously discussed.

7) The child’s notebook with the Health History and Service Permission Forms should accompany the child being transported to an emergency room or clinic.

8) A Health Service Risk (HRS) insurance form should be sent if the child has no medical insurance.

9) Health Staff will fax a copy of the Incident/Illness form and the insurance form to the Human Resource Director ASAP.

10) Health Staff will fax a copy of the Incident/Illness form to the Health Content Area office ASAP.

11) Health Staff will fax the HRS Insurance form to the company ASAP.

12) If the child is unable to return to the center, the Family Advocates or Health staff should follow-up with the family (within 3 days) and document the information in the family contact log.

HEAD START STAFF WILL ADHERE TO THE FOLLOWING PROCEDURES FOR SEVERLY INJURED CHILDREN OR CHILD WITH MINOR INJURIES AT HEAD START CENTERS AND/OR HEAD START SPONSORED ACTIVITIES.

A) BASIC EMERGENCY ACTION PLAN (ARC First Aid plan)

1) Survey the Scene

2) A primary survey of the person

3) Contact the Emergency Medical Services System for Help

4) A Secondary Survey

EMERGENCY ACCIDENT PROCEDURES FORM (HC-46)

Posted in the class rooms

I. PROCEDURES FOR A SEVERLY INJURED CHILD

a) Someone trained in First Aid/CPR should remain with the child.

b) Do not move the child if there is a possible broken bone, neck or back injury.

c) Cover the child with a blanket to prevent shock.

d) Keep the child quiet and calm.

e) Apply direct pressure to points or to the bleeding area with latex gloved hands.

f) Perform CPR if necessary.

II. ANOTHER PERSON SHOULD PERFORM THE FOLLOWING:

a) Another HEAD START staff should telephone an Emergency Ambulance when indicated (911).

b) Notify the Health Specialist/Assistant responsible for that center.

c) Notify the child’s parent or guardian of the emergency. Instruct the parent/guardian to meet the child at the emergency room or clinic.

d) Instruct the Paramedic to transport the child to the nearest hospital in the area.

HOSPITAL:____________________________________________

ADDRESS:_____________________________________________

PHONE:_______________________________________________

e) Take the child’s Notebook and Insurance Claim Form to the Emergency room or clinic.

f) If parent/guardian or emergency contact person(s) is not available, then use the Services Permission Form for authorization for the child to receive emergency medical attention.

g) Notify the Associate Head Start Director for any major emergency.

h) Notify the Health Coordinator for any major emergency

F) SITUATIONS WHICH REQUIRE IMMEDIATE MEDICAL ATTENTION

Any time a child’s life may be at risk or possibility of permanent injury, seek immediate medical attention.

Call 911 if:

1) The child has difficulty breathing or is unable to speak

2) The child’s skin or lips looks blue, purple or gray

3) The child is unconscious

4) The child becomes less responsive

5) After a head injury, the following occurs:

a) decrease level of alertness

b) confusion

c) complain of head hurting “really bad”

d) vomiting occurs

e) irritability

f) difficulty walking

6) Child has a cut or burn that is large or deep and/or won’t stop bleeding.

7) The child is vomiting blood

8) The child has a severe stiff neck, headache, and fever.

9) The child is dehydrated: sunken eyes, lethargic, not making tears, and not urinating.

URGENT CARE

Some situations have urgent care that do not necessarily require ambulance transport but still need medical attention. Some of those were described in the Acute Illness and First Aid Guidelines. The following situations require medical attention within at least one hour:

1) Fever in a child less than 2 months old

2) A quickly spreading purple or red rash

3) A large amount of blood in the stool

4) A cut that requires stitches

5) Any medical condition specifically identified a plan of care for children with special needs or with known health problems.

When this situation occurs, staff should

1) Remain calm.

2) Locate someone trained for CPR and First Aid and should remain with the child at all times.

3) Provide First Aid/CPR when indicated.

4) Call the child’s legal guardian

G) HEALTH SPECIAL RISK, INC. (EF-#2)

POLICY

The Health Special Risk Inc. (HSR) is an insurance company that provides medical coverage for accidents of the children enrolled in the Head Start Agency. In the event of an emergency, the health staff should have the form available at the emergency room/clinic, or dentist office.

PROCEDURE

1) Children involved in an accident at the center will use this health coverage as a source of payment of medical bills.

2) The intake person at the medical facility should be informed that this child is insured by Head Start and that all claims should be mailed to Head Start of Greater Dallas, Inc., Attention: Human Resources Director.

3) Once the invoice is made for the services provided, Health staff should submit the copy of the invoice with the HRS form and fax to the insurance company.

4) Additionally, a copy of the invoice, insurance claim and accident report should be faxed to the Human Resources Director and the Health Content Area office.

5) A copy should be placed in the Child’s notebook.

6) Fill out the form completely prior to sending to the insurance company, Human Resources Director, and Health Content Area office.

7) Health Staff should follow-up (2-3 days post accident) with the child and document updated information in the progress notes.

H) EMERGENCY NUMBERS

Performance Standard 1304.22 (a)(2)

Minimum Standard 743.405

POLICY

A list of emergency care facilities and provider telephone numbers will be posted at recognized locations such as at each telephone station, main bulletin board and site manager office. The Health Specialist will ensure that all centers have the emergency telephone numbers at the beginning of each year.

Readily available phone numbers help to ensure prompt response/action in an emergency. The following is the list of EMERGENCY NUMBERS.

EMERGENCY MEDICAL SERVICES 911

LAW ENFORCEMENT 911

FIRE DEPARTMENT 911

POISON CONTROL 1-800-222-1222

CHILD ABUSE HOTLINE 1-800-252-5400

CHILD CARE LICENSING OFFICE 214-583-4253

CENTER’S NAME, ADDRESS, AND TELEPHONE NUMBER

I) CENTER AND CLASS ROOM POSTING

There are a variety of posted information in the center and in the classroom that should be visible for parents and staff. The Health Specialist will ensure the following posting are in each center..

|Emergency Exit Routes | | |

|HSGD Medical / Dental Emergency Policy | | |

|HSGD Sanitation / First Aid Policy | | |

|HSGD Seizure Disorder Guidelines | | |

|Hand washing poster | | |

|Heimlich poster | | |

|Notice regarding any field trips | | |

|Guidelines for* ( when indicated) | | |

|Asthma | | |

|Congenital Heart Disease Hemophilia | | |

|Diabetes Hydrocephalus | | |

|Sickle Cell Anemia Kidney Disorders | | |

|Center Postings |

|HSGD Child Abuse Policy | | |

|CPR Poster (Health Bulletin Board) | | |

|Emergency Telephone Numbers by all phones | | |

|No Smoking signs | | |

| |Date Checked |Initials |

|Documentation On File | | |

|Licensing letter of compliance evaluation | | |

|Fire Inspection | | |

|Sanitation Inspection | | |

|Gas Leak Test Report | | |

|Fire and Severe Weather drill documentation | | |

|Pest Control | | |

|Community Resource Directory | | |

|Checklists on File |

|Monthly Center Inspection Assessments | | |

|Monthly Playground Checks | | |

|Daily Playground Checks | | |

|Daily Center Checks | | |

|Monthly / Quarterly / Annual Checks | | |

|Miscellaneous |

|Monthly Fire Extinguisher Inspection (beside each fire extinguisher) | | |

|Monthly Emergency Lights Inspection (beneath each light) | | |

|Monthly Carbon Monoxide Inspection (beside or beneath each unit) | | |

|Kitchen Postings |

|Food Handlers Certificate | | |

|Allergy Chart | | |

|Hand washing poster | | |

|Heimlich poster | | |

|Meat Slicer poster | | |

* Required only if a child in the classroom is diagnosed with the disorder.

** Posted each November for next coverage year

‡ Posted February 1 to April 1 each year

‡‡ Poster is available through g•Neil 800-999-9111 or . Poster must be updated when there is a change in the laws.

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download