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5368290-68326000Kooloora PreschoolDealing with medical conditions in childrenReviewed: 30.06.20Date of Next Review:30.06.21 Associated National Quality Standard Education and Care Services National Law or Regulation Associated department policy, procedure or guidelineStandard 2.1Regulation 90Regulation 91Regulation 92Regulation 93Regulation 94Regulation 95Student health in NSW schools: A summary and consolidation policyA medical condition is a condition that has been diagnosed by a medical practitioner. This may include, but is not exclusive to, the following conditions; anaphylaxis, asthma, epilepsy, diabetes, eczema, food or insect allergy.An individual health care plan will be developed for any child with a medical condition diagnosed by a registered practitioner with severe asthma, type 1 diabetes, epilepsy or anaphylaxis, as being at risk of an emergency and/or who requires the administration of health care procedures such as a food allergy. The Work Health and Safety consultant at Tuggerah education office, Haylee Rockwell, is available to support the preschool’s School Administrative Officer and preschool Early Childhood Teacher with the development of individual health care plans especially when a child has an emergency care need such as anaphylaxis or another complex health care need.Before the child commences schoolThe preschool’s School Administrative Officer is responsible for ensuring that:The family indicate on their child’s signed enrolment form if their child has a medical condition or allergyThe family provide a copy of a medical management or action plan for their child, developed and signed or stamped by a medical practitioner with their child’s completed enrolment form. If the child is at risk of anaphylaxis, this is the ASCIA Action Plans for Anaphylaxis (personal) for use with EpiPenThe Principal/Nominated Supervisor, preschool AP, preschool ECT and preschool Cert III/SLSO are informed via email which children have a medical condition and require a scheduled face to face meetingThe family are provided with a copy of the preschool’s Dealing with medical conditions in children procedure (this procedure), the Student health in NSW public schools: a summary and consolidation of policy, the completed health care plan, the risk minimisation plan and communication plan that is developed no later than 24 hours after the face to face meeting (read below)The following steps will be actioned and implemented by the preschool ECT:A face to face meeting is scheduled with the child’s family and conducted with the preschool Cert III/SLSO and preschool ECT and information relayed to Principal/nominated supervisor.A risk minimisation plan is developed at the face to face meeting. The parent or carer’s signature will be included at the bottom of the plan as verification that they were consulted. If the risk minimisation plan is more than 1 page the parent or carer’s signature will be included on every pageA communication plan (Appendix D template in the Leading and operating department preschool guidelines) is developed documenting- The procedures for ensuring all staff and volunteers can identify the child and locate their management plan and medicationHow a child’s family will inform the preschool of any changes in the child’s management, medication, or the risks identified on their risk minimisation planWhen a preschool child with an individual health care plan transitions to Kindergarten the preschool ECT and Cert III/SLSO will give the child’s parent or carer a copy of the current plan at the term 4 parent/teacher interviews and will encourage them to discuss it with the school at enrolment. This will help teachers plan for the child’s health care needs in the new setting.Educators on duty will assist with administering prescribed medication during the preschool day, if the child’s family cannot reasonably do so. The Principal/Nominated Supervisor ensures that all staff complete the e-Administration of prescribed medication at school (e-APMAS) online course prior to administering medication to children. Staff are responsible to complete the e-Learning course at the beginning of the school year and casual or temporary educators are responsible for completing the e-Learning course prior to conducting their duty in the preschool, this includes duty staff. Staff completion of training certificates are kept in the Staff Qualification folder in the preschool’s office. The preschool ECT is responsible for filing these certificates in the folder. The Principal/Nominated Supervisor is responsible for ensuring staff have provided the preschool ECT with their certificates. Additional training is required for administration methods: buccal, injection and tube. Training is available through the department’s Health Care Procedures on MyPL, the child’s health care team and/or external providers depending on the child’s individual needs. The full-time preschool educators Tanika Harris and Kayla Bennett and the School Administrative Officer are responsible for ensuring that their ACECQA approved HTLAID004 First Aid is current and training is scheduled to renew prior to the expiry date. Staff completion of training certificates for those who are required to complete further training by the Principal/Nominated Supervisor are kept in the Staff Qualification folder in the preschool’s office. Aligned with the Leading and operating department preschool guidelines non-prescription medication such as Panadol, Zyrtec, Claratyne cannot and will not be administered to a child, unless prescribed by a medical practitioner, verified in a written letter from them.Medication will only be administered with parent or carer written authorisation and this will be recorded on the ACECQA medication record template that has been created into a book and is located on the shelf above the fridge in the preschool’s kitchen. If a child is prescribed medication on a long-term basis such as anti-seizure medication the family of that child will complete a long-term authorisation record. The preschool ECT uses the appendix F template provided by Early Learning in the Leading and operating department preschool guidelines. This template collects the same information as the regular medication record however it only required a single authorisation from the family for a prescribed period. Families are explained at the time of enrolment that they can withdraw their authorisation at any point in time, either verbally or in writing.When a staff member administers medication to a child, they will record details on the medication record, with the second educator on duty witnessing that the medication was administered as prescribed. The staff member who administered the medication will write ‘please see educator’ in the comments section of the register. The parent or carer is responsible for ensuring they see the educator when they pick their child up and before leaving the premises. The parent or carer will verify that the medication was administered. Medication records are given to the School Administrative Officer at the end of each year which is stored securely and privately in the school’s strongroom and are kept until the end of 3 years after the last date on which the child was educated at Kooloora Preschool.Administering medicationOn arrival, the parent or carer is required to hand the child’s medication to an educator on duty for safe storageMedication will only be given to a child if it is in its original packaging with a pharmacy label statingthe child’s namedosage instructionsa non-expired use-by dateThe parent or carer is required to complete the first section of the medication record, documenting and administration details and authorising the medication to be administered to their child. The educator who was handed the medication is responsible for ensuring the parent or carer completes this section of the medication recordAll non-emergency medication will be stored out of reach of children, in a container behind a locked door in the SLSO’s office or in the refrigerator in the preschool’s kitchenEmergency medication such as an EpiPen Junior auto injector for general use in an emergency in kept inaccessible to the children, in the preschool kitchen.The general-use asthma reliever medication is inaccessible to children but not locked away. This is kept in the preschool SLSO office in an unlocked medication cupboard that is located next to the entrance door of the SLSO office. ASCIA Action Plan for Anaphylaxis (general) for use with EpiPen and an Asthma Action Plan are available on the National Asthma Council Australia website. The School Administrative Officer who holds the ACECQA approved HTLAID004 qualification is responsible for checking expiry dates and for replacing the emergency medicationIndividual emergency medication is stored in a clear container labelled with the child’s full name and inside this container includes a copy of the child’s emergency management plan. Each child who requires individual medication has their own clear container and these are kept in the preschool SLSO office in an unlocked medication cupboard that is located next to the entrance door of the SLSO office. Children’s emergency management plans are located in the clear labelled containers (as mentioned above), and on the inside wall of the preschool kitchen (not visible to families or children), in the casual folder, emergency evacuation backpack, the school’s staffroom ‘Children with a medical condition’ wall and in the child’s Student Profile card located in a locked filing cabinet in the school’s front officeThe preschool Cert III/SLSO who holds the ACECQA approved HTLAID004 qualification monitors medication expiry date/s. This is checked at the beginning of each week for both preschool groups and is noted in the reflection journal for follow up. Families are notified if the medication is expiring weekly 2 months prior to the expiry date verbally or via a phone call.In an emergency situation, an educator on duty will administer the asthma reliever medication or an EpiPen to any child requiring them, without parental consent. In such a situation, the Principal/Nominated Supervisor will contact the family and emergency services as soon as practical, an Incident, Injury, Trauma and Illness record will be completed and a notification will be made to Early Learning. The Incident, Injury, Trauma and Illness record is stored securely and privately in the school’s locked strongroom until the child is aged 25 years.Mandatory training for all permanent, temporary and casual school based staffAll staff who have a responsibility at Kooloora Preschool are required to complete the following mandatory NSW Department of Education for first aid, anaphylaxis and asthma training:Recognition and Management of Anaphylaxis Training (complete annually)Anaphylaxis e-Learning (complete once every two years)Face to face CPR and Anaphylaxis training (complete annually)Child protection (complete annually)First-aidThe Principal/Nominated Supervisor ensures that the School Administrative Officer and the two full time preschool educators Tanika Harris ECT and Kayla Bennett Cert III/SLSO complete theFace to face HTLAID004 Provide an emergency first aid response in an education and care setting first aid training.Kooloora Preschool endorsed this local procedure on: 30th of June 2020 ................
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