Oglala Lakota College Head Start/Early Head Start Program
POLICY AND PROCEDURES
TITLE: Medical Emergencies
PURPOSE
To ensure that a medical emergency is handled promptly, effectively and appropriately.
POLICY
The OLC HS/EHS Program Center staff will provide, to the best of their ability, emergency first aid to the children and staff until emergency medical personnel can continue treatment.
PROCEDURE
1. Emergency medical procedures for choking, stopping bleeding and head injuries are posted in visible locations in each center
2. All of the staff at the Center has received training in emergency first aid, infant CPR, and CPR.
3. The Health Coordinator will ensure, to the extent necessary for the staff to provide care that the Center staff are made aware of the medical needs of special needs children.
4. When an immediate response is required, the following emergency procedures will be used:
a. A staff member trained in First Aid or CPR shall provide appropriate emergency care to the person or persons.
b. If directed by the Teacher, the Bus Driver (or other designated person) will call “911" to contact the Emergency Medical System and will provide the following information:
Revised: 03/16/12
PC Approval: 10/23/06
BOT Approval: 11/21/06
Oglala Lakota College Head Start/Early Head Start Program
POLICY AND PROCEDURES
· Name of caller
· Name of Center
· Nature of the emergency
· Telephone number of the Center or where they are calling from
· Address and physical location of the Center
· Directions to the Center
· Exact location of injured person or persons
· Condition of person injured
· Emergency medical care being given.
Revised: 03/16/12
PC Approval: 10/23/06
BOT Approval: 11/21/06
Oglala Lakota College Head Start/Early Head Start Program
POLICY AND PROCEDURES
The person making the call will stay on the line until Emergency Medical System personnel arrive.
c. Emergency transportation for necessary medical care will be determined by the Emergency Medical System operator or the parent/guardian. In the event center staff must transport an injured child or staff member, the center bus will transport the injured person to the nearest emergency medical facility. The Teacher or other appropriate classroom staff for the child’s group will go with the child and remain with the child until the parent/guardian arrives.
d. The Teacher will implement the Emergency Contact Procedures.
e. Emergency phone numbers will be located near each of the phones at the Center and be included with the Emergency Contacts Information File for taking on field trips and outings. The following phone numbers will be included:
· FIRE and POLICE and EMERGENCY MEDICAL and LOCAL HEALTH DEPT
5. At least one staff member with current training, in age-appropriate Cardio-Pulmonary Resuscitation (CPR) and First Aid, shall be present at the Center at all times and be
present on all field trips. The Bus Driver/Maintenance staff is responsible for assuring all first aid kit(s) are fully stocked.
6. When on field trips, the teacher is responsible for taking the first aid kit.
7. The following conditions will also be treated as medical emergencies:
a. An infant under the 4 months of age has an axillary temperature of 100 degrees Fahrenheit or higher or a rectal temperature of 101 degrees Fahrenheit or higher.
b. A child over 4 months of age has a temperature of 105 degrees Fahrenheit or higher.
c. An infant under 4 months of age has forceful vomiting (more than once) after eating.
d. Any child looks or acts very ill or seems to be getting worse quickly.
e. Any child has neck pain when the head is moved or touched.
f. Any child has a stiff neck or severe headache.
g. Any child has a seizure for the first time.
h. Any child acts unusually confused.
i. Any child has unequally sized pupils (black centers of the eyes).
j. Any child has a blood-red or purple rash made up of pinhead-sized spots or bruises that are not associated with an injury.
k. Any child has a rash of hives or welts that appear quickly.
l. Any child breathes so fast or hard that he or she cannot play, talk, cry or drink.
m. Any child has a severe stomachache without vomiting or diarrhea after a recent injury, blow to the abdomen or hard fall.
n. Any child has stools that are black or have blood mixed through them.
o. Any child has not urinated in more than 8 hours, and the mouth and tongue look dry.
p. Any child has continuous clear drainage from the nose after a hard blow to the head.
8. The Teacher will document medical emergencies on the appropriate Health Referral or Injury Report forms.
9. Death of a Child
a. If a child dies while at the facility:
· The Teacher will immediately notify the emergency medical personnel
· The Teacher will immediately notify the child’ parent/guardian.
· The Teacher will notify the Head Start Director/Assistant Director.
§ Provide age appropriate information to the parent/guardian of the other children.
§ Provide appropriate grief and other support information to the parent/guardian of the deceased child.
§ Arrange for student and staff grief counseling.
10. If a child dies while not at the Center, the Teacher will provide age appropriate information to the parent/guardian of the other children.
a. Provide appropriate grief and other support information to the parent/guardian of the deceased child.
b. Arrange for student and staff grief counseling.
DOCUMENTATION
Health Referral
Injury Report Form
Family Contact Form / General Contact Log
REGULATORY REFERENCE(S):
Head Start Performance Standards 1304.22(a)
Environmental Health Standards 4-101-1
Revised: 03/16/12
PC Approval: 10/23/06
BOT Approval: 11/21/06