Tag Archives: temperature

Which First Aid Course do I need?

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A number of students and managers have contacted me recently with regard to the changes coming up in October regarding the Childcare sector.

I have studied the First Aid training requirements and the advice for each sector is below:

Registered Childminder  – Paediatric First Aid – 12 hours In line with the Early Years Foundation Stage Statutory Framework ( EYFS) the Level 3 Paediatric First Aid (PFA) Course covers all topics required by Ofsted.

Nursery or Pre – School  – Paediatric First Aid – 12 hours In line with the Early Years Foundation Stage Statutory Framework ( EYFS) the Level 3 Paediatric First Aid (PFA) 12 Hour course covers all topics required by Ofsted.

Foundation Stage Teachers  – Paediatric First Aid – 12 hours The EYFS requires that at least one person in a school holds a twelve hour certificate in PFA. The EYFS guidance applies to those who deal with 4, 5 and rising 6 year olds.

School Staff Teaching & Support  – Emergency First Aid at Work for Schools Level 2 (EFAWS) – 6 hours In line with the guidance from The Department of Children, Schools and Families, this course is child orientated and suitable for all school staff who support First Aiders.

After School clubs  – Emergency First Aid at Work for Schools Level 2 (EFAWS) – 6 hours

Or

Level 3 Paediatric First Aid (PFA) 12 Hour course.

Ofsted will expect the course to be relevant to the age of the children. If under 5’s are present you need the Paediatric First Aid – 12 hours

Nanny, Au Pair, Babysitter  – Emergency Paediatric First Aid (EPFA) – 6 hours  There is no set minimum that this course should take. Our 6Hr Emergency Paediatric First Aid (EPFA) course meets the needs of the Voluntary part of the Ofsted Childcare Register, which many Nannies are now opting to join.

The general guidance, as I understand it, is if under 5’s are involved then even if the 12 hour course is not a requirement we still recommend it. The guidance from Ofsted regularly highlights the need for the training to be relevant to the age of the child / children being cared for.

Looking after Children during heat waves

 

Heatguide

New guide from Public Health For England. Advice for EYS for children in a Heat wave.

Looking_After_Children_Heat_PHE_AC_AB_Publications_MP_JRM_FINAL

Click the above link to download the pdf document or follow the link below to go to the website. There is also a document available for Adult care.

https://www.gov.uk/government/publications/heatwave-plan-for-england

 

 

 

EFAW Book update

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Slight change to your recent book if you attended a Emergency First Aid at Work(EFAW) course with me in the last 12 months

AED Data Collection

The Resuscitation Council (UK) no longer supplies or collects the AED event form that has been in use. Out-of-hospital cardiac arrest remains an important priority for the Resuscitation Council (UK) and it has established a national out-of-hospital database with the British Heart Foundation and Association of Ambulance Medical Directors, in partnership with the University of Warwick. This audit also captures the events where a public access AED has been used before the arrival of the ambulance crew via a reusable and easily accessible new online event form. To that end, there is a requirement to reflect this information within the suite of Highfield First Aid books.

The required changes are below.

Page 9

The book states the following:

‘In cases where a defibrillator has been used, regardless of whether shocks were given or not, then the Event Report Form (ERF) requires completing in full and the white copy to be sent to the Resuscitation Council (UK) as soon as possible. The address of which can be found at the bottom of the form.’

This paragraph requires removing and the following inserted:

‘In cases where a public access AED has been used, dependent on local authority policies, there may be a requirement to report the event using a prescribed audit reporting chain’

 

Thank you

 

PK

Slight update to your FAW book.

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Slight change to your recent book if you attended a  First Aid at Work (FAW) course with me in the last 12 months

AED Data Collection

The Resuscitation Council (UK) no longer supplies or collects the AED event form that has been in use. Out-of-hospital cardiac arrest remains an important priority for the Resuscitation Council (UK) and it has established a national out-of-hospital database with the British Heart Foundation and Association of Ambulance Medical Directors, in partnership with the University of Warwick. This audit also captures the events where a public access AED has been used before the arrival of the ambulance crew via a reusable and easily accessible new online event form. To that end, there is a requirement to reflect this information within the suite of Highfield First Aid books.

The required changes are below.

Page 7

The book states the following:

‘In cases where a defibrillator has been used, regardless of whether shocks were given or not, then the Event Report Form (ERF) requires completing in full and the white copy to be sent to the Resuscitation Council (UK) as soon as possible. The address of which can be found at the bottom of the form.’

This paragraph requires removing and the following inserted:

‘In cases where a public access AED has been used, dependent on local authority policies, there may be a requirement to report the event using a prescribed audit reporting chain’

 

Thank you

 

PK

What is Sickle Cell Anaemia?

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The disorder affects the red blood cells which contain a special protein called haemoglobin (Hb for short). The function of haemoglobin is to carry oxygen from the lungs to all parts of the body.

People with Sickle Cell Anaemia have Sickle haemoglobin (HbS) which is different from the normal haemoglobin (HbA). When sickle haemoglobin gives up its oxygen to the tissues, it sticks together to form long rods inside the red blood cells making these cells rigid and sickle-shaped. Normal red blood cells can bend and flex easily.

Blocked blood vessels

Because of their shape, sickled red blood cells can’t squeeze through small blood vessels as easily as the almost donut-shaped normal cells. This can lead to these small blood vessels getting blocked which then stops the oxygen from getting through to where it is needed. This in turn can lead to severe pain and damage to organs.

Who Gets SCDs?

The different kinds of SCD and the different traits are found mainly in people whose families come from Africa, the Caribbean, the Eastern Mediterranean, Middle East and Asia.* In Britain SCD is most common in people of African and Caribbean descent (at least 1 in 10-40 have sickle cell trait and 1 in 60-200 have SCD). It is estimated there are over 6,000 adults and children with SCD in Britain at present. There are other inherited conditions that mainly affect other groups, e.g. Cystic Fibrosis in Europeans, and Tay-Sachs disease in Jewish people.

Thalassaemia is a group of inherited blood disorders where the part of the blood known as haemoglobin is abnormal.

The abnormality means that the affected red blood cells are unable to function normally, which leads to anaemia (a red blood cell deficiency).

Red blood cells

Red blood cells are very important because they contain a substance called haemoglobin, which carries oxygen from the lungs to the rest of the body.

Haemoglobin is produced in the bone marrow (a spongy material found inside larger bones) using the iron that the body gets from food.

In thalassaemia, haemoglobin production is abnormal, leading to anaemia and a reduced oxygen-carrying capacity. If your body doesn’t receive enough oxygen, you’ll feel tired, breathless, drowsy and faint.

If left untreated, the most serious types of thalassaemia can cause other complications, including organ damage, restricted growth, liver disease, heart failure and death.

Who is affected by thalassaemia?

In England, beta thalassaemia major (BTM) is thought to affect around 1,000 people, with an estimated 214,000 carriers.

It most commonly affects people of Cypriot, Indian, Pakistani, Bangladeshi and Chinese origin.

In the UK, 8 out of 10 babies born with BTM have parents of Indian, Pakistani or Bangladeshi ancestry.

Sickle Cell and Thalassaemia: A guide to school policy [pdf]

A new law (Section 100 of the Children and Families Act 2014) places a duty on schools and academies to make arrangements for supporting pupils with medical conditions. Research has shown that schools struggle to support young people with sickle cell, but the Sickle Cell Society can offer help and advice. Working with university researchers our advisors have overseen the development of a Guide to School Policy for Sickle Cell.

Teachers are faced with many different possible medical conditions and it is not reasonable to expect them to remember details of all of them. At the same time young people with sickle cell dislike initiatives that draw attention to them as different from their peers,” said Professor Simon Dyson of De Montfort University, who led the team of researchers. “What was needed was a policy that supported the student with sickle cell but which operated in the background without overloading teachers with information”.

The Guide to School Policy for young people with sickle cell is based on examples of good practice and contains a template for drawing up an individual health care plan.

Dyson-School-policy-sickle-cell pdf.

Statutory_guidance_on_supporting_pupils_at_school_with_medical_conditions pdf.

For more information go to www.sicklecellsociety.org There is a great video on the website about Sickle cell and how a young person feels about the condition.

 

Checking First Aid Kits (UK)

Green first kit equipmentWhen ever children and adults are on site and whenever they leave the building on official duties or trips they must have access to a first aid kit. This also relates to solo workers.

There are no set guidelines for checking kits, however it is advisable to check them on a regular basis to ensure they are fully stocked.

Planning frequency depends on use. A review of your accidents over the last twelve months for your first aid needs assessment will tell you how often each box or bag is used and it should highlight the type of accidents you are dealing with. Each box/bag is stocked with items that reflect this audit.

There is a recommended minimum for your kits which is shown on my website www.paulkenny.me This list is also available from the HSE website.

There are two lists:

When checking kits, the contents should be:

  • Within the use by date
  • Still sealed
  • Packaging intact
  • Stocked to match the number of bodies on site
  • Is water available close to the kit?

You can have what ever you want as long as you justify it with evidence from previous incidents.

Remember no pills, creams or potions.

Water needs to be available at all times so wall kits need to be mounted near or in the same room as a sink and portable kits need a small sealed, sterile water bottle. ‘Still’ water bottles with a sports nozzle are ideal but remember it needs to be sterile and sealed. Also if it is a bottle of water it needs a sticker on saying for First Aid or HSE use only.

As a company we check our first aid kits every Monday and record in each kit a completion list on a monthly checklist. Each week a different member of the team checks the kits as each one has additional items as well as the HSE Minimum to meet that area of use. By doing the rotation on staff checks, all staff get familiar with the kits in that room or area.

Each kit has copies of blank accident forms and Patient report forms as well as the monthly check tick sheet. We also have a monthly treatment spreadsheet for minor injuries where wipes or plasters are used and don’t need a full accident form. On playground duties this spreadsheet will be daily and must be stored in a folder in the office. The only people to access this should be recognized first aiders.

As a busy first aid company we check fixed wall kits weekly and our portable kits daily.

If you have mobile kits used everyday on playground duties then these should be checked daily and a small amount of regular used stock need to held on site. Don’t hoard dressings as they usually only have a short 3 to 4 year shelf life.

If you are a venue that does not have many incidents the minimum really should be monthly.

I have not mentioned the BS8599-1 kits here and will cover this in my next update.

Hope this helps.

Email me on paulkenny@me.com for any information you need.

PK

Myth Busters – Primary school staff asked not to take any drinks onto the playground during breaks

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Here is a case I hear a lot about from teachers.

Case 327 – Primary school staff asked not to take any drinks onto the playground during breaks

Issue

For health and safety reasons staff at a primary school were asked not to take drinks, including cold ones, out onto the playground during breaks to safeguard the children.

Panel decision

This is one of the most extreme cases the panel has dealt with in relation to disproportionate restriction of drinks around children. It relates not only to hot drinks, but includes cold drinks on highly improbable grounds including the possibility of a child suffering an allergic reaction. Occupational health and safety law does not ban teachers from having a cuppa and even less a refreshing cold drink, whilst on playground duty, and to suggest it does is just preposterous. If the head wants to impose ridiculous rules on staff, he/she should not use health and safety as a convenient cover.

Some schools / nurseries have a local policy of not allowing hot drinks onto the playground where small children are, so they issue staff with insulated cups with the school logo printed on them. For areas with small children make sure the lid is screw on not push fit.

 

http://www.hse.gov.uk/myth/myth-busting/