SCHOOL HEALTH POLICIES - Ambassador School

SCHOOL HEALTH

POLICIES

INDEX

SCHOOL HEALTH POLICIES

POLICY AND PROCEDURE TILE

ALLERGY MANAGEMENT POLICY 3

EMERGENCY PATIENT TRANSFER & REFERRAL POLICY 5

FIRE AND SAFETY PLAN 7

HEAD LICE POLICY 11

HEALTH EXAMINATION AND SCREENING POLICY 12

HEALTH RECORD MANAGEMENT AND RETENTION POLICY 14

IMMUNIZATION POLICY 17

INFECTION CONTROL POLICY 21

LOST AND FOUND POLICY 23

MEDICAL & HAZARDOUS WASTE MANAGEMENT 24

MEDICATION MANAGEMENT POLICY 32

MINOR INJURIES, FIRST AID & EMERGENCY 29

NOTIFICATION OF PARENTS POLICY 31

POLICY ON DIABETIC CARE MANAGEMENT 32

PROTOCOL ON NEEDLE STICK 38

PROTOCOL ON USING AUTOCLAVE 40

SPILL KIT PROTOCOLS 45

STAFF ORIENTATION AND TRAINING 48

POLICY AND PROCEDURE TILE: ALLERGY MANAGEMENT POLICY

Ownership: Effective Date:7/02/2017 Code: ASD/CLINIC/001 Type:

Administrative

Technical

Clinical

Ambassador School, Dubai Revision Date:6/02/2020

Revision No: 1

First Edition Date: 7/02/2017

PURPOSE; To minimize the exposure to allergen and to prevent the life threatening allergies.

Allergy can be mild or severe. Severe allergy is also called as anaphylaxis. Anaphylaxis reaction is a severe

and sudden generalized reaction that is potentially life-threatening. It occurs after exposure to allergen to

which individual is extremely sensitive such as,

Food (peanuts, shell fish, eggs, strawberry etc.)

Medicines(Penicillin, Sulfa)

Insect stings and bites(bees and wasps)

POLICY The school will provide a safe and supportive environment which addresses, to the extent possible,

reduction of the risks of exposure to known allergens. This includes ensuring that the health care needs

of the student are identified and managed at the school and during off-site activities.

Parents will be responsible for the provision of accurate, up to date health information about their child,

an Epipen if required and for ensuring that medication has not expired.

In case a child has severe allergic reaction, the emergency services will be called and the epipen provided

by the parent will be administered.

Each child identified as having critical allergy will have an individual/specific emergency management plan

developed by the school.

All teaching and non-teaching staff will be informed when a child with specific severe allergic reactions

and possible anaphylaxis is attending the school. Allergy list will be displayed in each class rooms.

- It is the responsibility of parents to inform the school of any allergy related problems that their children

suffer from during the time of admission. This has to be recorded by the parent on the admission form.

- The Parent must complete the Consent for Emergency Administration of an EpiPen in the school at the

time of admission.

- During child's admission to the school the relevant Teacher and school nurse will discuss the child's

allergies with the Parent. The Teacher and school nurse will receive a demonstration of EpiPen

administration by the Parent.

-If any child has severe nut allergy, the same class will be declared nut free and nut free policy will be in

place.

Reference; http://www.foodallergy.org/cdc

School health guidelines. Dubai

Policy & Procedure

No. Effective Date Revision Due Date Revision No. First Edition Date

ASD/CLINIC/001 7/02/2017 6/02/2020 1 7/02/2017

Prepared By: Revised By: Approved By:

SANJU ANN SUNNY

SCHOOL NURSE(2017)

REVIEWED , REPREPARED BY VIDYA NAIR, SCHOOL

NURSE

DR.HERATH. M. DAYANI

SCHOOL DOCTOR

SHEELA MENON

PRINCIPAL,AMBASSADOR SCHOOL

http://www.foodallergy.org/cdc

POLICY AND PROCEDURE TILE: EMERGENCY PATIENT TRANSFER & REFERRAL POLICY


Administrative

Technical

Clinical


Revision No: 1


EMERGENCY PROTOCOL

What to do in an Emergency? 1. Call Ambulance Immediately.

2. Give First Aid if possible.

3. Take to the hospital immediately.

4. Someone should accompany the child.

5. Call the parents.

6. Someone should be with the child till the parent arrives.

7. Record the incident in the incident report form.

EMERGENCY NUMBERS

FIRE :- 997

AMBULANCE :- 998

POLICE :- 999

INTERNATIONAL MODERN HOSPITAL :- 04-4063000

AL MANKHOOL HEALTH CENTRE :- 04-5021200

ASTER HOSPITAL :- 04-4546044

DAISY VINITHA :- 055-7758083/055-1612510

EMERGENCY PROTOCOL FLOW CHART

Reference;

School health guidelines Dubai

Policy & Procedure No. Effective Date Revision Due

Date Revision No. First Edition Date

DHA/PHCSS/ASD/002 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)

REVIEWED , REPREPARED BY

VIDYA NAIR, SCHOOL NURSE

DR.HERATH .M .DAYANI

SCHOOL DOCTOR

MS. SHEELA MENON


POLICY AND PROCEDURE TITLE: Fire and Safety Plan


Administrative

Technical

Clinical

Ambassador School, Revision Date:06/02/2020 Dubai

Revision No: 1

First Edition Date:7/02/2017

PURPOSE • To identify the actions that should be taken by the occupants and building management in the

event of a fire or similar emergency situation

• In order to maintain fire protection systems and assist in the

prevention of fire on the premises.

• For fire prevention, evacuation and emergency response.

• To prevent the occurrence of the fire through the control of fire

hazards and the proper maintenance of the building safety systems

and facilities,

establish procedures that will maximize the probability of controlling and

extinguishing a fire in the safest and

• most efficient manner.

• To establish a systematic method including Emergency Procedures

• for safe and orderly evacuation of the building in the case of a fire

POLICY

Plan Ahead

• Practice what to do in an emergency before one happens. Fire drills should be scheduled to help

people prepare for an evacuation.

• Know where the nearest fire extinguisher is located and how to use it.

• Know where the nearest fire alarm pull station is located.

• Know the proper evacuation methods for disabled persons.

Know primary and secondary evacuation routes, as well as the location of a safe gathering place

Guidelines For Safe Evacuation

• After the ringing of the fire alarm, Security guards will open the two front entrance gates.

• The teacher in the class opposite the signage will direct the students to the nearby exit point.

• Each corridor has an evacuation plan, which shows the direction for exit.

• Students will walk towards the Assembly area in a well-guided manner.

• Students will be assembled class wise where

• each class teacher will take the attendance.

• The cleaners are instructed to check all washrooms to make sure no students are left behind.

• A special team of teachers who are called the fire fighters will make a final check of the classrooms

and corridor.

• The school nurse will be ready at the assembly point with the first aid box to attend in case of an

emergency.

• A group of senior students will be trained to help in case of any emergency.

General Fire Instruction

• Fire: happens when the 3 combine Fuel (anything that burns(/Air (Oxygen) / Ignition (high heat,

spark or flame)

• Evacuate: If you discover

• Assist: Help people who need assistance to the nearest safe place.

Fire Fighting Evacuation Team

• Vijay Sadhnani – Team Head, Informing reception to call Civil Defense, Doc’s in Hand: Building

Evacuation Plan, Attendance of students, Staff & Visitors, Coordination with DCD team and

providing information. Position : Main Gate & Assembly Point

• Rajender / Suresh – Monitor safety of students during evacuation and final check of First Floor

evacuation. Reporting Clearance to Team Head Position : First Floor Corridors and then Main

• Sanumon - safety of students during evacuation and final check of Ground Floor evacuation,

Position : Ground Floor Corridors and then Gate no.2, Reporting Clearance to Team Head

• Meesum – Ground Safety and directing students towards assembly Point, Position: Play

Ground (Rubber) towards Gate no.2 and, Reporting Clearance to Team Head

• Eva / Tanjot (Reception) – She will call civil defense, informing emergency, Providing

attendance to Team Head and directing students towards ground from reception exit , final

check of admin attendance & reporting to Team Head , Position: Reception & then main gate

• Security -1 Pankaj- He will open the Entrance GATE no. 2, direct students towards

assembly point & monitor safety of staff and students, Give Clearance, Position : Entrance Gate

no.2 & then assembly point

• Security-2 Vincent- He will open the Main Entrance GATE, direct students towards assembly

point & monitor safety of staff and students, check of visitors attendance & reporting to Team

Head, position : Main Entrance & then assembly point

• Chandra S ( Cleaning Supervisor ) Toilets check of first floor & give clearance to Team Head

Male Cleaner -4: Toilets check of ground floor and report to Supervisor

• Female cleaner – (Tara/Omna /Shankutala): All girls toilet check and reporting to Supervisor

• Ajitha Kishore (Coordinator) – Directing students towards assembly and monitor safety

at assembly point, reporting students attendance to Team Head

• Manuja / Meghalee- Directing students towards assembly and monitor safety at Assembly

point, collecting students attendance Grade -1 (Meghalee) & Grade-2 (Manuja) & reporting to

Coordinator (Ajitha Kishore)

• Sachin (PE)- Directing students towards assembly and monitor safety at assembly point,

collecting students attendance from Grade – 3 (Sunil M), Grade – 4 (Silvia), Grade – 5 (Sabir)

and handover to Coordinator (Ajitha Kishore)

• Mangalagowri - Directing students towards assembly and monitor safety at Assembly point,

collecting students attendance Grade -6,7,8 (Mangala) , for Grade-9, 10, 11 & 12 (Unni) and

handover to Coordinator (Ajitha Kishore)

• Messum / Sachin (PE) ; Canteen Evacuation, Safety at ground and assembly point, reporting

clearance to Team Head

• School Nurse Vidya: Ready with first aid treatment and necessary requirement at assembly

point.

• Final reporting of the safety by the Team Head to the Principal. Report of the

evacuation to be sent within 24 hours

All the staff should take care and monitor safety of children at assembly point as soon as they reach.

Provide head count to Team Head

Important Information for Emergency

• Each class will have a FIRE FOLDER, inserted Class list of students, a blank sheet to write absentees

name daily and RED and GREEN A-4 Size Paper (Card).

• Fire Folders have a green and a red A4 sheet in it and the teachers hold aloft the red one in case a

child is missing or in case there is a problem and thus the green would signify ‘’all okay’’

• In an emergency situation, teachers present in classes should carry FIRE FOLDER and hand it over

to respective class teachers at Assembly point.

• No staff should attempt to extinguish any fire under any circumstances. Their priorities

are Safe Evacuation of students.

• Fire Fighting Evacuation Teams can operate Fire Extinguisher if they are trained. Report hazardous

conditions. If you are working in a research area and have sufficient time, ensure that the lab and

experiments are in safe condition before leaving the area. Report any hazardous conditions to

responding emergency personnel.

• Stay low. If confronted with smoke, keep near the floor. Smoke, heat and toxic gases will normally

rise to the ceiling. All closed doors should be checked for heat prior to opening. If a door knob is

hot, the door should not be opened.

• Stay away from the building until it is safe to return. Do not re-enter the building until advised to

do so by the authorities.

• Portable fire extinguishers can save lives and property when used on small fires...but only if they’re

used properly. Before fighting a fire, remember:

• Proceed only if the fire is small and contained, the fire alarm has been pulled, there is a clear exit

through which to escape, and the person using the extinguisher knows how to use it properly.

Reference; www.dcd.gov.ae/eng/preventive-safety-dept/dcdrar/faq-firecode.jsp

Policy & Procedure


ASD/CLINIC/003 7/02/2017 6/02/2020 1 7/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

MS. SHEELA MENON


http://www.dcd.gov.ae/eng/preventive-safety-dept/dcdrar/faq-firecode.jsp

POLICY A

ND PROCEDURE TILE: HEAD LICE POLICY

Ownership:

Ambassador School, Dubai

Effective Date:7/02/2017

Revision Date:6/02/2020

Revision No:1


Code:ASD/CLINIC/004

Type:

Administrative

Technical

Clinical

This policy outlines the roles and responsibility of treating head lice in a consistent and

coordinated manner

POLICY STATEMENT

While parents have the primary responsibility for the detection and treatment of head lice we will work in

a collaborative manner to manage head lice effectively.

1. There is no need for the school to undertake routine head lice screening programs, However if the case

of suspected head lice infestation is being reported to the nurse, a head inspection will be carried out by

the school nurse.

2. Should a case of head lice or nits be discovered by school nurse, a note will be sent to parents.

3. Students diagnosed with live head lice do not need to be sent home early from school; they can go

home at the end of the day, be treated, and return to class after appropriate treatment has begun.

4. The child with an active head lice infestation, should remain in the class, but be discouraged from close

direct head contact with others.

5. Head lice can be a nuisance but they have not been shown to spread disease.

Reference: http://www.cdc.gov/parasites/lice/head/schools.html

Policy & Procedure


ASD/CLINIC/004 7/02/2017 06/2/2020 1 7/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON


http://www.cdc.gov/parasites/lice/head/schools.html

VIDYA NAIR, SCHOOL

NURSE

POLICY AND PROCEDURE TILE: HEALTH EXAMINATION AND SCREENING POLICY

Ownership: Effective Date:7/02/2017 Code:ASD/CLINIC/005

Type:

Administrative

Technical

Clinical


Revision No:1

First Edition

Date:7/02/2017

Purpose of the Health Examination

• To make an appropriate assessment of the student’s current health status;

• To determine the student is free from contagious disease and fit to attend and participate in all

aspects of the school program;

• To indicate the need and extent to which the school program should be modified to benefit the

student;

• To communicate to the parent/guardian any findings which require further investigation and

treatment; and

• To provide an opportunity to counsel the student and the parents/guardians concerning:

1. Any health issues or conditions detected.

2. Securing appropriate care and supports in the school environment.

Physical examination

1. The school physical examination will be done by the school doctor upon admission in kindergarten

and once in a term for nursery kids.

2. As a best practice another adult, such as the school nurse, will be present for the examination.

3. Complete medical examination will be done, recorded, signed and stamped by school doctor in the

student’s medical file.

Policy & Procedure


ASD/CLINIC/005 7/02/2017 06/02/2020 1 7/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH. M. DAYANI

SCHOOL DOCTOR

SHEELA MENON


4. Height, weight and BMI will be plotted on the chart.

5. School medical examination register is maintained in the school clinic

6. Any abnormality if detected will be communicated to parents and will be referred to hospital as and

when required.

7. Follow up will be done

Reference;

School health guidelines Dubai

New York state education department; school health examination guidelines

POLICY AND PROCEDURE TILE: HEALTH RECORD MANAGEMENT AND RETENTION POLICY


Type:

Administrative

Technical

Clinical


Revision No:1


Student Health Records

A legible, complete, comprehensive, and accurate student health record must be maintained for each

student. A record should include a recent history, physical examination and any pertinent progress notes..

Records should highlight allergies and untoward drug reactions.

Records should be organized in a consistent manner that facilitates continuity of care. Specific policies

should be established to address retention of active records, retirement of inactive records, timely entry

of data in records, and release of information contained in records.

Discussions with student/patients concerning the necessity, appropriateness of treatment, as well as

discussion of treatment alternatives, should be incorporated into a patient’ s medical record as well as

documentation of executed informed consent.

Students’ health record booklets Fill the first page with the personal data of the student taking into consideration of the following:

• If both parents are employed write both their telephone numbers.

• Under the column “Others”, write distinguishing information related to child’s heath, e.g. chronic illness,

on regular treatment, or with orthopedic aid, like brace/crutches, etc.

• Write the name of the school any time during the student’s stay in the same school. If the s student

transfers to another school, then write the name of the other school in the next line.

Fill the 2nd page school Medical Examination with the age of the student at the time of examination

properly written on the space provide d. Ensure that the Medical Officer who conducts the medical

examination signed on the form.

Immunization record:

• Fill up the first page with student’s name, health card number, and the name of the school.

• Fill up the Second page with the birth date of the student.

• During the planning of immunization, write in pencil the planned da te of immunization (date when the

vaccine is supposed to be administered) on the column provided for.

• The nurse, who gave the vaccine, erase s the planned date which was written in pencil, and stamp the

date of vaccination. Also, sign over the date stamp.

• Record only in the Immunization Record (DHA/PHC/SHS-02) or records of vaccines administered outside

DHA facility.

• Attach the Immunization Record (DHA/PHC/SHS-02) or records of vaccines administered outside DHA

facility.

• Always attach the Immunization Record (DHA/PHC/SHS-02) to the student’s School Health Record. If

and when the student leaves the school permanently, Immunization Record should be given to parents.

Documents and the Role of the School Nurse :

Legal and ethical considerations require school nurses to document care and keep every student's

personal information confidential and secure. From a legal perspective in the health care setting it shall be

remembered that "if it was not documented it was not done."

Purposes of Maintaining School Health Records:

• To facilitate communication among care providers

• To provide continuity and evaluation of care

• For medico-legal purposes

• To provide statistical data

• For research and education

Maintenance and Storage of School Health Records:

• Only health practitioners in the school clinic directly involved in a student’s care must have access to

that student's health records and related information.

• Handwritten or hard copy of health records and information must be stored in a locked cabinet or

cupboard and in a safe location where they can be monitored and only school health practitioners

must have access to these storage facilities.

• Records in the school nurses' office, whether they are paper or electronic need to be secured when not

in use.

• Only Official School forms, which have been app roved for use, will be filed with other school health

records.

• Password to computers should not be shared

• Check and ensure that every student have their duly filled up school health record.

• Document all attendance of the student to the school clinic

• For those students who do not avail immunization in the school, open their school health record just the

same. Attach the copy of their immunization record in the page provided for, in the school health record.

Errors in Documentation:

• References to school problems (e.g. staffing shortage), should never be included in student record.

• Terms suggestive of an error should not be used (e.g. accidentally, or by mistake), state only the facts of

what occurred.

• When an error is made, one single line should be drawn through the error; the word "error" and the

nurse's signature should be written directly above it. The correct entry should follow. Words should never

be erased, scratched or whited out.

• When an entry is made in the wrong student's record, the entry should be marked "mi stake in entry"

and a line drawn through the mistaken entry as above.

• Late entries should be avoided when necessary, a late entry maybe added, but in the correct date and

time sequence. For example, write today's date and time when entering a note of care provided yesterday

and mar k it "late entry."

Transferring School Health Record

• When a student is transferred to another school, send the student’s school health record tot the school

clinic of that school.

When a student leaves Dubai permanently, hand over the school health record to parents

The health record shall be maintained by the school for a minimum of five years after the student turns

eighteen, or five years after the student leaves the school

Policy & Procedure


ASD/CLINIC/006 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON


POLICY AND PROCEDURE TILE: IMMUNIZATION POLICY

Ownership:




Revision No:1


Code:ASD/CLINIC/007 Type:

Administrative

Technical

Clinical

Immunization is one of the most successful and cost-effective public health interventions. Globally, it

prevents an estimated 2.5 million child deaths every year in all age groups from diphtheria, tetanus,

pertussis, and measles.

Immunization as an effective preventive intervention is intended to support the body immune defense

against infections. Its aim is to protect individuals and communities from infectious diseases.

TYPES OF VACCINES

Killed vaccines/inactivated Live vaccines Toxoids

Pertussis component in

DTP/DTap/Tdap

Oral Polio vaccine

Tetanus & diphtheria

components in

DTP/DTap/Tdap

Hep B & Hep A vaccines MMR Tetanus toxoid (TT)

Injectable polio vaccine BCG

Tetanus & diphtheria in

DT/Td

Meningococcal vaccines Yellow fever vaccine

Influenza Varicella vaccine

Cholera Oral typhoid

Pneumococcal vaccines Rotavirus vaccine

Rabies

Haemophilus Influenza type B

Typhoid capsular Polysaccharide

(IM)

Human papillomavirus vaccine

DHA immunization schedule

• At birth: BCG, Hep B.(1st dose)

• Two months: DTap, Hib(1st dose), Hep B (2nd dose), IPV,PCV(1st dose),ROTAVIRUS(1st dose).

• Four months: DTap, Hib, IPV(2nd dose), Hep B(3rd dose) PCV(2nd dose),ROTAVIRUS(2nddose).

.

• Six months: DPT, Hib(3rd dose), Hep B(4th dose), OPV,PCV(3rddose).

• 12 months: MMR,*CHICKEN POX(1ST dose).

• 18 months: Dtap,Hib(4th dose), OPV(1st booster dose)PCV(4TH dose).

• 5to 6 years: DPT, OPV(2nd booster), MMR, *CHICKEN POX(2nd dose)..

13-14years:Tdap

*CHICKEN POX VACCINE WILL BE FREE FOR NATIONALS AND AGAINST PAYMENT FOR

NON NATIONALS

**SCHOOL HEALTH IMMUNIZATION

Ordering vaccines

It is recommended to keep 2-3 weeks supply at a time. The quantity of required vaccines can be

estimated based on usage and left over, seasonal variations, disease outbreaks, and storage capacity.

Receiving vaccines

Upon receiving vaccines from the distributor, the health care provider should make sure that the

packs are still cool, the contents of the shipment match the order form, and the monitor card does

not reflect any heat exposure. Afterward the new stock of vaccines should be entered ledger book.

And vaccines should be stored in the fridge immediately, with the new vaccines behind current stock

to ensure rotation.

When storing vaccines, the following points should be considered:

Vaccines should be kept in their packaging as this provides insulation and protects against thermal

insult.

Monitors should be kept together with the vaccine they arrived with

The door and drawers of fridges should be filled with bottles of water to maintain steady

temperatures.

Vaccine stock should not exceed 50% of a domestic fridge volume in order to allow for circulation of

air in fridge.

Vaccines should not be stored against the walls of the refrigerator, on the refrigerator door, close to

the rear freeze plate or the refrigerator icebox.

The refrigerator should be placed in a well-ventilated room, away from direct sunlight or heat source,

and along an internal rather than external wall.

General Recommendations Vaccine Qualified Clinics (VQCs) should have a book or register where each child’s immunization history

can be registered and tracked back.

Child immunization cards should be available at each VQC visit.

The VQC should have a system to ensure that the children who are cared for in a specific clinic are

fully immunized.

The clinics must make regular reports to Dubai Health Regulation Department on the progress of

the immunization activities.

All private clinics must maintain an immunization record register as per the format

recommended by Dubai Health Regulation Department (appendix. This register must be kept

updated and would be inspected during routine visits by Dubai Health Regulation supervisor.

Immunization record:

• Fill up the first page with student’s name, health card number, and the name of the school.

• Fill up the Second page with the birth date of the student.

• During the planning of immunization, write in pencil the planned date of immunization (date when the

vaccine is supposed to be administered) on the column provided for.

• The nurse, who gave the vaccine, erases the planned date which was written in pencil, and stamp the

date of vaccination. Also, sign over the date stamp.

• Record only in the Immunization Record (DHA/PHC/SHS-02) or records of vaccines administered outside

DHA facility.

• Attach the Immunization Record (DHA/PHC/SHS-02) or records of vaccines administered outside DHA

facility.

• Always attach the Immunization Record (DHA/PHC/SHS-02) to the student’s School Health Record. If

and when the student leaves the school permanently, Immunization Record should be given to parents.

Policy &

Procedure No. Effective Date Revision Due Date Revision No. First Edition Date

ASD/CLINIC/007 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON

PRINCIPAL,

AMBASSADOR SCHOOL

Reference School health guidelines

POLICY AND PROCEDURE TILE: INFECTION CONTROL POLICY

Ownership:




Revision No: 1


Code:ASD/CLINIC/008

Type:

Administrative

Technical

Clinical

AIMS AND OBJECTIVES

It is the policy of Ambassador Kindergarten to provide happy and healthy learning environment for

everyone within our care. Minimizing the spread of infection and communicable diseases plays a huge

part in ensuring the health of students and staff. Thus policy is to ensure that procedures are

implemented to minimize the source and transmission of infection. We use the standard precautions and

infection control techniques to prevent the spread of infection.

In order to minimize the spread of infection, children are sent home, in case if they have

1. Fever

2. An unexplained rash

3. Vomiting

4. Diarrhea

5. Red watery and painful eyes with a yellow discharge.

Exclusion period

When a child has communicable disease it may be necessary to exclude them from school. Kindly

follow the table given below. It is parent’s responsibility to inform the school about the disease. If

the communicable disease is suspected during the school time parents will be contacted to take

their child to the doctor.

A student has an infected wound it must be covered with the appropriate dressing.

A good hygiene practice is encouraged at school. Eg. Hand washing; students and staff are

encouraged to wash their hands and all toilets have proper washing facility. Coughing and

sneezing constantly spread infection. Student and staff are encouraged to cover their mouth and

nose with the tissue.

DISEASE/

CONDITION

INCUBATION

EXCLUSION OF CASES

EXCLUSION OF CONTACTS

Chicken pox

14-21days

Exclude the school until the

vesicles become dry or 10days

from appearance of rash

Not excluded

conjunctivitis

Until the treatment has

commenced and/ or discharge

from eyes has ceased

Not excluded

Giardiasis

7-10days 24 hours after the diarrhea is

ceases

Not excluded

Impetigo

Until sores have fully healed or

appropriate treatment has

commenced and the sores on

the open surfaces have been

covered

Not excluded

Measles

7-14days

Until at least 5 days from the

appearance of rash or until the

receipt of medical certificate

Non- immunized contacts

should be excluded for

13days from the first day

of appearance of rash

Mumps

12-25days

Until 9 days after the onset of

swelling or until fully recovered

Not excluded

Head lice

Until appropriate treatment has

commenced

Not excluded

Scabies 2-6 weeks Until appropriate treatment has

commenced Not excluded

Streptococcal

infections

including throat

and scarlet

fever

1-3 days

Until appropriate treatment has

commenced and fully recovered

Not excluded

Reference: School health guidelines- Dubai

Policy & Procedure


ASD/CLINIC/008 07/02/2017 06/02/2020 0 07/02/2020


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON


POLICY AND PROCEDURE TILE: LOST AND FOUND POLICY


Type:

Administrative

Technical

Clinical

Ambassador Revision Date:06/02/2020 School, Dubai

Revision No:1


PURPOSE: The following policy and procedures are intended to ensure that items reported lost or found are

properly accounted for and, in the case of items found, returned to their rightful owners, or disposed of

by the School.

POLICY STATEMENT: The School assumes no responsibility whatsoever for the care and/or protection

of any personal belonging left unattended on the school property and for loss, under any circumstance,

including theft, vandalism, or malicious mischief, of such belonging.

2. The front desk shall administer the lost and found service, as provided for in this policy.

3. The front desk is responsible for safekeeping items that have been found and will return them to the

rightful owner(s) upon presentation of reasonable proof of ownership.

Claiming, Storage, and Disposal of Found Items

o As per school lost and found policy, items found unattended can be disposed in lost and found cabinet that is near sports room.

o Student can claim the item after informing the front desk.

Reference: http://www.aub.edu.lb/pnp/generaluniversitypolicies/documents/lostfoundpolicy/lostfound.pdf

Policy & Procedure


ASD/CLINIC/009 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


VIDYA NAIR, SCHOOL

NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON


http://www.aub.edu.lb/pnp/generaluniversitypolicies/documents/lostfoundpolicy/lostfound.pdf

POLICY AND PROCEDURE TILE: MEDICAL & HAZARDOUS WASTE MANAGEMENT

Ownership: Effective Date:07/02/2017 Code:ASD/CLINIC /010

Type:

Administrative

Technical

Clinical

Ambassador Revision Date:06/02/2020 School, Dubai

Revision No:1


Introduction:

The management of medical wastes is one of the challenging tasks that accompany the growth and

development of a progressive metropolis. It has been experiencing a steady increase in the quantity

of medical and pathological wastes due to population growth and as the city attracts more and more

visitors from around the world. To cope with these challenges, medical and healthcare facilities are

increased, improved and modernized and services are expanded to benefit all, not only in the urban

areas but in the rural areas as well. Hence, there is an increase in medical and healthcare wastes that

require proper management from the source to the final treatment.

Medical wastes arise from hospitals, clinics and similar premises are potentially infectious and

hazardous. Medical waste has the capability of transmitting disease particularly to the workers who

handle this waste and to anyone that is exposed to or may come into contact with it. The complexity

of infectious medical wastes problems and the recent rise in the incidence of diseases such as AIDS

and Hepatitis B open up greater risk of contamination through mishandling and unsafe disposal

practices. Health and Environmental risks that may result from mishandling and improper disposal of

medical wastes includes the release of substances such as radio isotopes, dioxin & furans, virus’ and

other harmful matter into the environment through which the health and safety of the public are

placed in jeopardy.

Procedure: Dubai Municipality, as a monitoring body as well as the service provider, initiated a methodology in

addressing a proper management of Medical Wastes ahead of the time. A yearly monitoring of Private

as well as Government Hospitals Medical Waste Generation was analyzed and the trend of its

increase was considered in order to come up with a proper and a systematic and strategic solution to

such. The management of medical wastes requires a comprehensive chain of actions beginning at the

point of generation and extending to final disposal.

Legislations:

Dubai Municipality set up criteria and requirements in form of “law” and “legislations”, streamlining

the requirements and methodologies on complying with such requirements to the concerned

operators and waste generators.

Segregation of Medical Wastes at Source:

Treatment rooms: Must be provided with yellow bag and sharps box. General waste bags should not

be placed in this area

Female toilets: Sanitary waste from non-infectious areas can be disposed of in the black bags.

Medication trolley/ nurses station: to be equipped with a yellow bag and sharps box. Ideally take

the sharps box to the patient and not the sharps to the box

Guidelines:

1. General

1.1 Every institution generating medical waste should appoint one officer to act as the waste

coordinator to be responsible for the safe and efficient collection and handling of medical waste.

1.2 Medical wastes should not be mixed with nonhazardous general waste streams such as waste

from meals, kitchens, offices and medical records. Waste segregation shall take place at source (the

point of generation) to effectively reduce not only the amount of infectious medical waste but also of

the risk of contamination.

1.3 Medical waste should be placed only into either approved medical waste storage bags or sharp

containers for collection into the wheeled container trolleys provided by the approved medical waste

transporters. Bags having been securely tied, sealed and labeled with the generator’s name should

not be rebagged , except under supervision in the event of a bag failure.

1.4 The following color coding for the bags should be used Bag Color

Waste Category

Black - General domestic and office type waste

Yellow - All other medical wastes

2. Segregation

Treatment rooms must be provided with both yellow bag and sharps box. Sharps box to be used

for the collection of hypodermic needles, syringes, blades and broken glass items contaminated with

medical waste. General waste bags should not be placed in this area

3. Storage and Handling

3.1 Bagged medical waste when labeled should not be stored in office or ward areas. It must be taken

to a dedicated collection point. The collection point should have an impervious hard standing and be

of adequate size related to the volume of production and the frequency of collection.

3.2 The storage area for the waste awaiting collection, if outside the clinic or laboratory must be

secure and lockable. Access to these storage facilities should be limited to those responsible for

handling, transporting or disposing of the waste.

3.3 Only the approved wheeled collection container trolleys should be used when collecting, moving

or transporting full bags of medical waste from the point source into the designated collection or

storage area.

3.4 All laboratories and clinics (other than polyclinics) where waste accumulates in small quantities

must ensure that the intervals of collection does not exceed one week.

3.5 Bags used to store medical waste must not be filled up more than 80% of its nominal capacity in

order to allow effective closure by tying up its neck.

3.6 The sealing of plastic bags can be carried out by tying the neck with a purpose made plastic

coated metal wire. Staples must not be used as they may cause tearing-off of the bags or cause injury

to the handlers.

3.7 When handling sharps container heavy duty gloves should be worn and the container picked up

only by the handle provided .The other hand should not be used to support the bottom of the

container since sharps have been known in some instances to pierce the sides of its containers.

3.9 Bodily contact with the bags of medical waste should be avoided.

3.10 Personal protective outfits such as overall, mask, disposable gloves or eye protector, need to be

worn when engaged in clearing up body fluid especially when there is risk of the worker’s skin

becoming contaminated.

3.11 Basic cleaning tools should be readily available including among others, disinfectant, granular

chlorine compound for blood spillage or suitable equipment and sand available in sealable plastic

bags which can be used in the event of any liquid leakage.

3.12 A full course of anti-tetanus, Hep- B and serum and feaces carried disease immunization must be

considered for all staff carrying out medical waste handling and disposal operations.

Transportation Clinics and laboratories must hold a contract with an approved transport company having vehicles

with valid permits from EPSS for medical waste collection and transportation to the treatment facility.

REFERENCE; Dubai Municipality;

http://ehealth.hbmeu.ac.ae/eHealthProceedings/PDF/Rashed%20Karkain%20-

%20Sustainable%20Medical%20Waste%20Management%20in%20the%20Emirate%20of%20Dubai.pd

f

Policy & Procedure


ASD/CLINIC/010 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON


http://ehealth.hbmeu.ac.ae/eHealthProceedings/PDF/Rashed%20Karkain%20-

OLICY AND PROCEDURE TILE: MEDICATION MANAGEMENT POLICY


Type:

Administrative

Technical

Clinical


Revision No:1


The medication should be limited to those required during the school hours, which are necessary to be

maintained for the students in the school and those needed in the event of emergency.

The school will follow the DHA’s standard school medication policy.

The school will protect student’s privacy and confidentiality.

The medication to be administered should be accompanied by written advice providing direction for

appropriate storage and administration.

Medication should be in the original bottle and container, clearly labeled with the name of the students,

dosage and time to be administered and within its expiry dates.

All medication to be administered in the school should have written doctor’s prescription with student’s

name, date and doctor’s sign and stamp on the prescription. It is parent’s responsibility to provide the

prescription, written consent and the medicines.

Medication is administered to the student only if there is a written consent from the parents.

It is vital that you inform us of any medication you may have given your child before they arrive into our

care. We need to know what medicine they have had, the dose and time given.

We will ensure that all medication given to us will be stored correctly and we will check that it is still within

its expiry date.

If your child has acute allergies and carries/needs an epipen or your child takes regular medication, same

should be discussed with us. We may need additional training to administer these forms of medication

before we can look after your child.

In some cases a child on antibiotics may be asked not to attend for 2-3 days in case they react to the

medication and to prevent the spread of an infection to others, we need to follow the recommended

Policy & Procedure


ASD/CLINIC/011 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON


periods, for which children should be kept away from school or nursery.

We will record the course of medication along with the date and time each dose was administered to your

child in the health file.

Reference:

School health guidelines - Dubai

Medication in private schools policy - Dubai

POLICY AND PROCEDURE TILE: MINOR INJURIES, FIRST AID & EMERGENCY

Ownership: Effective Date:07/02/2017 Code: ASD/CLINIC/012

Type:

Administrative

Technical

Clinical


Revision No:1


The safety of your child is paramount and every measure will be taken to ensure they are protected from

hurting themselves. However, accidents do happen and the following information details how the incident

will be dealt with:

Your child will be comforted and reassured.

The extent of your child's injuries will be ascertained and if necessary medical assistance will be called for.

Necessary first aid procedures will be carried out on your child.

We will contact you to inform you of the accident and if necessary ask you to collect your child from the

school or to meet us at the hospital.

All other children within our care who were not involved in the accident / incident will be kept safe at all

times.

It is important that you keep us informed regarding your child's condition following an accident and if you

have sought additional medical advice or care

EMERGENCY PROTOCOL

What to Do In an Emergency?

1. Call Ambulance Immediately.

2. Give First Aid if possible.

3. Take to the hospital immediately.

Policy & Procedure


ASD/CLINIC/012 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


VIDYA NAIR, SCHOOL NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON


4. Someone should accompany the child.

5. Call the parents.

6. Someone should be with the child till the parent arrives.

7. Record the incident in the incident report form.

EMERGENCY NUMBERS

FIRE :- 997

AMBULANCE :- 998

POLICE :- 999

INTERNATIONAL MODERN HOSPITAL :- 04-4063000

AL MANKHOOL HEALTH CENTRE :- 04-5021200

ASTER HOSPITAL :- 04-4546044

DAISY VINITHA :- 055-7758083/055-1612510

Reference; School health guidelines. DUBAI

POLICY AND PROCEDURE TILE: NOTIFICATION OF PARENTS POLICY


Type:

Administrative

Technical

Clinical


Revision No: 1


1. Whenever the child is sick, parents will be notified through telephone immediately and will be

referred to doctor.

2. Whenever the child has the minor illness or minor bruise, parents will be notified through illness

monitoring form. Illness monitoring form will be sent home with all the details and

recommendation.

3. In case of emergency, we will take the child to hospital and at the same time parents will be

informed through phone. Parents will then come to the hospital.

4. Medical examination findings if any will be notified to parents through phone and child will be

referred if required.

5. Besides this, if anything to be communicated to parents from the school clinic, notification forms

will be sent to parents.

Reference; School health guidelines. DUBAI

Policy & Procedure


ASD/CLINIC/013 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON


POLICY AND PROCEDURE TILE: POLICY ON DIABETI CARE MANAGEMENT AND GLUCAGON

ADMINISTRATION

Ownership:




Revision No:1


Code:ASD/CLINIC/014 Type:

Administrative

Technical

Clinical

Introduction

Diabetes Overview

Diabetes is a chronic disease in which the body does not make or properly use insulin, a hormone needed

to convert sugar, starches, and other food into energy. People with diabetes have increased blood glucose

(sugar) levels because they lack insulin, have insufficient insulin, or are resistant to insulin’s effects. High

levels of glucose build up in the blood and spill into the urine; as a result, the body loses its main source of

fuel. When insulin is no longer made, it must be obtained from another source--insulin shots or an insulin

pump. When the body does not use insulin properly, oral medications may be taken instead of, or in

addition to, insulin. Neither insulin nor other medications, however, are cures for diabetes: they only help

control the disease.

Taking care of diabetes is important. If not treated appropriately, diabetes can lead to serious health

problems. The disease can affect the blood vessels, eyes, kidneys, nerves, gums, and teeth, and it is the

leading cause of adult blindness, lower limb amputations, and kidney failure. People with diabetes also

have a higher risk of heart disease and stroke. Some of these problems can occur in teens and young

adults who develop diabetes during childhood. The good news is that research shows that these problems

can be greatly reduced or delayed by keeping blood glucose levels near normal.

There are two main types of diabetes: type 1 and type 2. Type 1 diabetes is sometimes referred to as

“juvenile onset diabetes.” Type 1 diabetes results from the body's failure to produce insulin. Type 2

diabetes is sometimes referred to as “adult onset diabetes.” Type 2 diabetes is a caused by insulin

resistance (a condition in which the body fails to properly use insulin it makes), combined with relative

insulin deficiency. Although type 2 diabetes generally occurs in adults an increasing number of children

and adolescents are being diagnosed with type 2 diabetes.

Maintaining good blood glucose control is important to the health of a person with diabetes. There are

many factors involved in the day-to-day management of diabetes including eating nutritious food in

appropriate quantities, getting regular physical activity, monitoring blood glucose levels, and taking

medications when necessary.

Understanding Hypoglycemia, Its Causes, Signs & Symptoms

Hypoglycemia Overview

Hypoglycemia, also called “low blood glucose” or “low blood sugar,” is one of the most frequent

complications of diabetes and can happen very suddenly. Hypoglycemia occurs when a student’s blood

glucose level falls below the student’s target blood glucose range. Hypoglycemia usually can be treated

easily and effectively. If it is not treated promptly, however, hypoglycemia can lead to unconsciousness

and convulsions and can be life threatening. Early recognition of its symptoms and prompt treatment, in

accordance with the physician’s written orders for the student, are necessary for preventing severe

symptoms that may place the student in danger. This information, contained in the Quick Reference

Emergency Plan, should be provided to all school personnel who have responsibility for the student with

diabetes (see sample in the resource section).

Causes of Hypoglycemia

Hypoglycemia usually occurs as a result of administering too much insulin, skipping or delaying meals or

snacks, exercising too long or too intensely, or a combination of two or more of these factors. It is more

likely to occur before lunch, at the end of the school day, or during or after physical education classes.

Signs and Symptoms of Hypoglycemia

Hypoglycemia is not always completely preventable, and not all students, especially young children, will

recognize its symptoms with every episode. Therefore, school personnel should be familiar with the

symptoms and treatment so that an urgent problem can be handled appropriately. Hypoglycemia can

impair thinking abilities and sometimes can be mistaken for misbehavior. If a student with diabetes has a

sudden change in behavior, becomes lethargic, combative, or unconscious, or is having a seizure or

convulsion, presume that the student has hypoglycemia.

Symptoms of Hypoglycemia

Mild/Moderate Symptoms

• shaky

• sweaty

• hungry

• pale

• headache

• blurry vision

• sleepy

• dizzy

• confused

• disoriented

• uncoordinated

• irritable or nervous

• changed personality/behavior

• inability to concentrate

• weak

• lethargic

Severe Symptoms • inability to swallow

• having a seizure or convulsions

• unconscious

Blood Glucose Monitoring

Blood Glucose Monitoring Overview

Blood glucose monitoring is critical to diabetes management. Blood glucose levels fluctuate throughout

the day. Regular blood glucose monitoring provides information for management decisions. It is also

critical for the identification, treatment, and prevention of high and low blood glucose levels. The

frequency and timing of regular blood glucose tests should be outlined in the physician’s written orders

for the student. Additional blood glucose testing may be required when there is a change in physical

activity level, food intake, and medication or when the student is not feeling well. Many students are able

to perform blood glucose monitoring themselves in nonemergency situations. Other students, because of

their age, maturity level, or other factors, may require an adult to check their blood glucose or assist them

with this task. All students may need an adult’s assistance to check blood glucose when experiencing

severe hypoglycemia. In order to check blood glucose the following tools are needed (parent/guardian will

provide):

• Blood glucose meter

• Testing strip (specific to each meter)

• Lancet (a sharp, pin-like tool)

• Sharps container (to dispose of lancets)

Preparation

Begin by having the student wash and dry hands thoroughly (if possible). If assisting or performing the

blood glucose check for the student, put on disposable gloves and when finished, wash hands thoroughly

after removing gloves. Performing the Blood Glucose Test Turn the blood glucose meter on if it does not

turn on automatically when a test strip is inserted. Using the test strips supplied by the parent/guardian,

insert a test strip into the meter. Blood samples for use with the meter are often obtained from the side

of the finger but some meters allow blood samples from other parts of the body such as the forearm.

Follow the instructions specific to the meter provided by the parent/guardian on how and where to obtain

blood for the meter. The results from the blood glucose test will be displayed on the meter. Processing

times vary. Most meters will display results with one minute.

Dispose of the lancet in a sharps container. Test strips may be discarded in a 7 regular trash can. Record

the blood glucose result and as needed, take action according to the physician’s written orders for the

student. Meters do not only display numbers. Some display “Lo” or “Hi” for results outside of the meter’s

parameters. Some display error messages. Consult with the meter manual to determine the meaning of

messages. A copy of the meter manual should be supplied by the parent/guardian and kept in the health

office.

Caring for the Student with Mild to Moderate Hypoglycemia

When a student with diabetes has symptoms of hypoglycemia, it's important to treat it right away. Begin

by checking the student’s blood glucose level, and if appropriate treat for hypoglycemia. If a meter is not

accessible, and the student has symptoms, go ahead and treat for hypoglycemia.

Step 1 Have the student eat or drink something with 15 grams of carbohydrate. Suggestions include:

• Glucose tablets equaling 15 grams of carbohydrate

• ½ can regular (non-diet) soda

• 6-7 lifesavers • 1 c. non-fat milk

• 1 tbs. sugar, honey, or corn syrup

• 2 tbs. raisins The physician’s written orders for the student may provide more specific direction on what

carbohydrate source should be used.

Step 2 Wait 15 minutes, check the blood glucose level. If the blood glucose is still below his or her target

range give the student another 15 grams of carbohydrate and check again after 15 minutes. If the

student’s blood glucose remains too low even after treatment, contact the school nurse (if possible) and

the parent/guardian. The student may need to be seen by his or her health care provider.

Understanding Glucagon and How it should be Stored

Glucagon Overview

Glucagon is a hormone that raises blood glucose levels by causing the release of glycogen (a form of

stored carbohydrate) from the liver. It is administered when the student’s blood glucose level gets so low

that the student passes out, is unresponsive, experiences seizures, or cannot safely eat, drink or swallow.

Although it may cause nausea and vomiting when the student regains consciousness, glucagon can be a

life-saving treatment and cannot harm a student, even if the student’s blood sugar is already high.

The student’s parents/guardian should supply the school with a glucagon emergency kit and be

responsible for replacing the kit when it has expired. This glucagon kit contains a bottle (vial) of glucagon

in powder form and a pre-filled syringe with special liquid; the two are mixed just before a glucagon

injection is given.

Storing Glucagon

Glucagon may be stored at room temperature according to the manufacturer’s directions. The school

nurse and trained designated personnel must have ready access to the glucagon emergency kit at all

times, including on field trips and during a disaster.

Understanding When and How to Administer Glucagon

When Glucagon Should Be Used Glucagon is used to treat severe hypoglycemia. Severe hypoglycemia is

rare at school and generally can be prevented with prompt treatment when the early signs of low blood

glucose are recognized. Begin by checking the student’s blood glucose level. If a blood glucose meter is

not readily available and the student is exhibiting the signs and symptoms of severe hypoglycemia, treat

the student with glucagon if it has been prescribed by the student’s physician and a trained person is

available. If there is no prescription for glucagon treat as per the student’s DMMP, and call 911 and the

student’s parent/guardian.

When hypoglycemia is severe, the school nurse or trained designated personnel must respond

immediately. Glucagon should be given according to the physician’s written statement when a student

with diabetes is unresponsive or unconscious, if the student is having a seizure or convulsions, or if the

student cannot safely eat, drink, or swallow. Severe hypoglycemia can cause brain damage or death.

Although it may cause nausea and vomiting when the student regains consciousness, glucagon is a life-

saving treatment that will not harm the student.

Steps for Administering Glucagon

• Never attempt to give a student suffering from severe hypoglycemia food or a drink or to put anything

in the mouth because it could cause choking.

• Position the student safely on their side for comfort, protection from injury and to prevent choking in

the event of vomiting, a possible reaction to glucagon administration.

• Have another school staff member call for emergency medical assistance (911) and the student’s

parent/guardian while glucagon is being administered. Do not delay administering glucagon while these

calls are made.

• Remove the cap from the glass vial containing dry powder

• Remove cap from syringe and insert the needle into the vial through the rubber stopper

• Inject all the fluid in syringe into the bottle containing the dry powder

• Shake gently or roll to mix until all powder is dissolved and solution is clear

• Inspect the vial. The solution should be clear and colorless. Do not administer if discolored or does not

dissolve well.

• Hold the vial upside down in one hand

• Insert the syringe into the vial

• Draw the prescribed amount of solution into the syringe (refer to physician’s written orders for the

student)

• Clean the site, if possible. The best sites for injection are buttocks, thighs, and upper arms

• Inject the glucagon at 90° angle into the tissue under cleansed area

• Push syringe plunger all the way down

• Count to five

• Remove needle from skin and dispose of syringe safely into a sharps container

• Dispose of any unused portion of the mixed glucagon

• Confirm that 911 has been called

• Stay with the student, keeping him/her on their side until they regain consciousness or emergency

personnel have arrived It may take 15-20 minutes for the student to regain consciousness. It is likely that

emergency personnel will have arrived on the scene and will have taken responsibility for treatment. If

they have not:

• Check blood glucose

• Give sips of fruit juice or regular soda once the student is awake and able to eat or drink

• Follow the physician’s written orders for the student

• Record the glucagon administration in the student’s health record and on the medication log Do not be

surprised if:

Policy & Procedure


ASD/CLINIC/014 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON


• The student does not remember being unconscious is incoherent or has a headache

• Blood glucose becomes very high (over 200)

• Nausea or vomiting occur

Understanding the Follow-Up Procedures When Glucagon is used

Any school personnel who administer glucagon must notify the credentialed school nurse assigned to the

school district. If a credentialed school nurse is not assigned to the school district, the school personnel

must notify the superintendent of the school district, or his or her designee.

Resource Section

Sample Materials

• Diabetes Medical Management Plan

• Quick Reference Emergency Plan

• School Personnel Training Documentation Check-List.

Helpful Links

1. American Diabetes Association

http://www.diabetes.org

2. National Diabetes Education Program

http://www.ndep.nih.gov/index.htm

http://www.diabetes.org/

http://www.diabetes.org/



POLICY AND PROCEDURE TILE: PROTOCOL ON NEEDLE STICK

Ownership: Effective Date:07/02/2017 Code:ASD/CLINIC015 Type:

Administrative

Technical

Clinical


Revision No:1


Protocols to be followed after Needle stick Injury or Blood/Body Fluid Exposure

1. First Aid: Contaminated Intact Skin- Wash the area with soap and water.

Contaminated Eyes - Gently rinse the eyes while open with Saline or water.

Contaminated Mouth- Spit out any fluid- rinse the mouth and spit out again.

2. Report and Document: The exposure so that appropriate investigations and treatment are initiated.

3. Blood Testing: (consent required). Health Care Worker: Hep B Status, HIV, Hep C Status Source: Hep B Status, HIV, Hep

C Status.

4. Immediate Action: Assess risk of transmission of infection to the exposed person and initiate treatment

according to risk.

If the patient is known to be HIV positive, high risk or “unknown” then the exposed

Health Care Worker should be given counseling and offered Post Exposure

Prophylaxis (PEP).

PEP drugs if required should be given within 1-2 hours and up to 72 hours following

exposure. The earlier PEP is commenced, the more effective it may be.

Refer to an infectious diseases consultant if the exposure is high risk.

5. Further Action: If status of Patient and Health Care Worker is unknown and immune status can’t be

obtained within 48 hours then give: - Hepatitis B. Immune Globulin - Hepatitis B.

Vaccine (first dose)

If Health Care Worker is HBV immune then no further Hep B Vaccine required. Check

Hep B antibody titre of Health Care Worker, if low give Hep B booster.

If the H.C.W. is not HBV immune or HBV susceptible, then treat with Hyper immune

Hep B Immunoglobulin and offer Hep vaccine course.

Policy & Procedure


ASD/CLINIC/015 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON


Give dTpa if indicated and advise safe sex until blood test results and source history are

reviewed.

6. Follow Up: i. Complete the course of hepatitis B vaccine.

ii. Follow up HIV serology 6 weeks and 3 months.

iii. Complete Work cover/Adverse Outcome report and medical records.

Reference; http://www.cdc.gov/niosh/topics/bbp/emergnedl.html

http://www.cdc.gov/niosh/topics/bbp/emergnedl.html

POLICY AND PROCEDURE TILE: PROTOCOL ON USING AUTOCLAVE

Ownership: Effective Date:07/02/2017 Code:ASD/CLINIC/016 Type:

Administrative

Technical

Clinical


Revision No: 1


STANDARD OPERATING PROCEDURES

Safe Autoclave Operations

The purpose of this document is to provide standard operating procedures for the safe use of

autoclaves. Autoclaving is a process used to destroy microorganisms and decontaminate

biohazardous waste and microbiological equipment used at Biosafety Level 1, 2, 3 and 4.

Autoclave kept in the school: Make/Model: SA-232

HAZARDS

Autoclaves use high pressure and high temperature steam for sterilization. The potential safety

risks for the operators include:

Heat burns from hot materials and autoclave chamber walls and door.

Steam burns from residual steam coming out from autoclave and materials on completion of cycle.

Hot fluid scalds from boiling liquids and spillage in autoclave.

Hand and arm injuries when closing the door.

Body injury if there is an explosion.

SAFETY

To insure the health and safety of personnel using the autoclave, it is important for each

department to maintain autoclaves and to train personnel in their proper use.

It is the supervisor's responsibility to ensure employees are trained before operating any autoclave

unit.

Procedural and instructional documents provided by the manufacturer must be followed.

Personal protective clothing and equipment must be worn when loading and unloading the

autoclave. Autoclaves must be inspected at least annually. Inspection services may be managed

by your manufacturer’s preventative maintenance contract. A basic visual inspection should be

performed monthly by the person responsible for the autoclave. The inspection, service and repair

records should available upon request.

Spore strips may be used to validate autoclave effectiveness.

PERSONAL PROTECTIVE EQUIPMENT

Equipment to protect against scalds and burns include:

Heat-insulating gloves that provide complete coverage of hands and forearm

Lab coat

Eye protection

Closed-toe footwear

BASIC STEPS OF STERILIZATION

turn the water valve to “filling” to fill water into chamber (water level must cover heater

completely)

Select the sterilization temperature from 118° to 134°c select sterilization time (4, 15 & 30 min.)

close the door and press “start” button start sterilization when reaches the preset pressure 40

seconds buzzer;

then go back to standby mode make sure the pressure gauge indicates to “0” position, and then

open the door

CONCERNING THE STERILIZATION ITEMS Items to be sterilized All items need to be put into the sterilization box.

Do not let the sterilization items inside the box over the rim of the box. Or the sterilization box

cannot be covered properly.

Put on the cover when sterilization item was put into box. By the way, don't forget to open both

side windows before putting sterilization box into chamber.

Heater cover please checks the level of the heater cover when the heater cover was put into

chamber.

Please check heater cover and sterilization box are not in oblique position when the sterilization

box was put into chamber

OPERATOR INSTRUCTIONS

PLEASE CHECK THE FOLLOWING ARTICLES CAREFULLY.

Any time before opening the door, please double check the pressure gauge. DO NOT open the

door when the pressure inside the chamber is over “0” kg/cm².

Use only DISTILLED WATER or we may not be able to offer the quality guarantee.

Remember to fill water into the chamber before every cycle.

Don’t forget to turn the water valve to “CLOSE” after filling water. Or the pressure inside the

chamber cannot rise.

The door knob must be turned tightly. Make sure that it touches the blue O-ring can help the door

closed completely.

Don’t overfill water into the water reservoir.

The filter inside the chamber and piping system should be cleaned per season at least.

We recommend use of chemical indicator strips as a check for sterilization. These strips may also

be kept as a record of sterilization.

Please pay attention to the high temperature on the top of the housing when it’s working.

10. In the event of an emergency, or maintenance, please switch off the POWER and unplug the

power cord immediately.

11.Check Signs of CAUTION and INDICATION

12. Storage environment: temperature: -10℃ ~+ 50℃ / humidity ≦ 80% 13.

Working environment: temperature: 1 ℃ ~ + 40℃/ humidity ≦ 80% 14.

Transportation environment: temperature: -10℃ ~ + 50℃ / humidity ≦ 80%

Training all personnel who use autoclaves must have successfully completed a training session

from their supervisor on the safe operating procedures. This requirement applies to both new and

experienced personnel.

Material Preparation Ensure that the material is safe for autoclaving:

Do not work the autoclave when students are in the school premises.

Samples containing solvents or substances that may emit toxic fumes should not be autoclaved.

Do not autoclave bleach!

Glassware must be inspected for cracks prior to autoclaving. Prepare and package material

suitably:

Loose dry materials must be wrapped or bagged in steam-penetrating paper or loosely covered

with aluminum foil. Wrapping too tightly will impede steam penetration, decreasing effectiveness

of the process.

Loosen all lids to prevent pressure buildup. All containers must be covered by a loosened lid or

steam penetrating bung.

Containers of liquid must not exceed two-thirds (2/3) full, with lids loosened.

Glassware must be heat-resistant borosilicate.

Plastics must be heat-resistant, i.e., polycarbonate (PC), PTFE (“Teflon”) and most polypropylene

(PP) items.

Discarded sharps must be in a designated ‘Sharps’ container.

All items must be tagged with autoclave tape.

Place items in secondary containers to secure and contain spills:

Items should be placed in a stainless steel pan or other autoclavable container for their stability

and ease of handling.

The pan must be large enough to contain a total spill of the contents.

Bags must not be tightly sealed as steam cannot penetrate. Biohazardous waste must be

processed according to ASU guidelines. Loading Autoclave

Wear lab coat, eye protection, heat-insulating gloves, and closed-toe shoes.

Place material in autoclave. Do not mix incompatible materials.

Do not overload; leave sufficient room for steam circulation. If necessary, place the container on

its side to maximize steam penetration and avoid entrapment of air.

Close and latch door firmly. Operating Autoclave

Close and lock door.

Choose appropriate cycle (e.g., gravity, liquid, or dry cycle) for the material. Consult the autoclave

manual for assistance in choosing a cycle. The manuals for operation of the autoclave should be

located near the autoclave.

Set appropriate time and temperature if you are using a customized cycle.

Start your cycle. A completed cycle usually takes between 1-1.5 hours, depending on type of cycle.

Do not attempt to open the door while autoclave is operating.

If problems with your autoclave are perceived, abort cycle and report it to your PI immediately.

Unloading Autoclave

Wear heat-insulating gloves, eye protection, lab coat, and closed-toe shoes.

Ensure that the cycle has completed and both temperature and pressure have returned to a safe

range.

Wearing Personal Protective Equipment (PPE), stand back from the door as a precaution and

carefully open door no more than 1 inch. This will release residual steam and allow pressure within

liquids and containers to normalize.

Allow the autoclaved load to stand for 10 minutes in the chamber so the. This will allow steam to

clear and trapped air to escape from hot liquids, reducing risk to operator.

Do not agitate containers of super-heated liquids or remove caps before unloading.

Wearing heat-insulated gloves remove items from the autoclave and place them in an area which

clearly indicates the items are ‘hot’ until the items cool to room temperature.

Shut autoclave door. Autoclave Use Log

Entries must be placed in the log book each time the autoclave is used. These records are used for

maintenance/service schedules and reporting of incidents, accidents and/or faults.

Entries should include: operator's name, phone number, date, time and duration.

The log book must be kept adjacent to the autoclave.

An Autoclave Use Log example is provided in this document. Maintenance and Repair

No person shall operate the autoclave unless the autoclave is in good repair.

Only qualified professionals are permitted to make repairs.

Report possible malfunctions.

Repairs are performed by your service contract or any other contractor you choose to hire.

CONTINGENCY PLANS

Equipment Malfunction If the autoclave does not operate exactly as expected, do not attempt to fix the problem. A notice

shall be placed on the autoclave indicating that it is not to be used until the problem is diagnosed

and corrected.

Record the problem in the autoclave log book.

Contact or your supervisor to report the problem.

Only qualified professionals are permitted to make repairs.

Incident Response

All incidents, including a spill or release of bio hazardous materials and recombinant or

synthetic nucleic acid molecules, must be reported to your supervisor and Biosafety &

Biosecurity.

If any injury occurs seek first aid or, if necessary, seek medical assistance at ASU Health Services or

by dialing 911.

If clothing is soaked in hot water/steam, remove clothing and place the injury in cool water.

Place a notice on the autoclave indicating that it is not to be used until the cause of the incident is

determined, procedures enacted to prevent future incidents, and the autoclave is deemed safe for

operation.

PACKING INSTRUCTIONS: Draining off all water from the autoclave, including chamber, water reservoir and hose.

Turn off the POWER and unplug the power cord.

Place all accessories into the chamber. Close the door firmly.

Cover the autoclave with the plastic bag.

Put the base carton containing the packing bottom-foam onto the floor.

Place the autoclave into the base carton and fixed it in the bottom-foam set.

Place the wall piece of carton into the base carton.

Put 4 pieces of angle paper fixing in each corner of the carton.

Put the top carton piece on.

Put top foam (4 pcs) on around the top of the autoclave.

Close the top of the carton and seal with tape.

Binding with binder to concrete the top carton and base carton.

The carton was already designed with 2 holes on each side. It’s convenience for carriers.

MAINTENANCE INSTRUCTIONS

DAILY: - Wipe the inside of the chamber, door and the gasket with a damp, lint-free cloth.

- Check the water level. Top up with distilled water only.

- Drain off the remaining water inside the chamber every time after running a cycle.

WEEKLY: - Drain off the remaining water of water reservoir and refill with distilled water. (*Please use

the water level viewing hose to drain off water of water reservoir.)

- Remove the cap of water reservoir and find the safety valve. Pull the ringlet of the safety

valve to check its working status. MONTHLY: - Clean the chamber and piping system with

“CHAM-MATE”.

- Use clean water to scrub the water reservoir thoroughly. (It’s to clean away the mineral

residues of water.)

ANNUALLY: (Please contact your distributor for maintenance.)

- Check the working status of silicone door gasket, steam trap, safety valve, and heater.

(Recommendation: Replace the silicone door gasket every year.)

- Test the functions of PCB (Printed Circuit Board).

- Check the temperature during sterilization.

- Use biological indicators to test the validity of sterilization.

Reference

Autoclave program; Environmental health and safety

Policy & Procedure


ASD/CLINIC/016 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON


POLICY AND PROCEDURE TILE: SPILL KIT PROTOCOLS


Type:

Administrative

Technical

Clinical


Revision No:1


Spill Protocols and Requirements

Careful planning and protocols are required to ensure that they are dealt with in a consistent approach

that protects the patient, the employee and the employer.

It is important to have the following in place:

A policy and procedure outlining cleaning and disposal of a bodily fluid or hazardous products in a safe

and effective manner by appropriate trained persons. It should be mindful of the control of substances

hazardous to health.

Give staff training in the correct procedure for dealing with a spillage. Ensure that they know where the

spillage kit is kept, how to use it and how and where to report a spillage. A spillage kit containing the

equipment and chemicals to effectively remove the spillage is required. Regular checks should be made

on the kit for expiry dates and replacement of used contents

Minimum contents to include are:

Disposable plastic apron.

Cardboard scoop.

Gloves and eye protection.

Clinical waste bag.

Sodium dichloroisocyanurate granules which are sprinkled over the spillage to coagulate it, which can

then be removed with the scoop provided.

A disinfectant cleaner, with clear instructions for use, should also be included as a replacement for the

sodium dichloroisocyanurate granules.

When created it should contain no less than 1000pm and preferably 10000ppm of chlorine when

cleaning blood spillages. A chlorine tablet solution can be made up by following the manufacturer's

instructions.

Check for a recommended chlorine content when purchasing a bodily fluid spillage kit.

Personal Protective Equipment

In all instances where there is a risk of spillage, contact with blood, body fluids or hazardous products,

correct PPE should be worn.

This includes:

During manual cleaning of surgical instruments.

High risk aerosol contamination during dental procedures.

All decontamination procedures.

All cleaning of spillages.

Staff should wear an appropriate uniform and especially footwear which must be fully enclosed to meet

with health and safety regulations.

In addition, disposable plastic aprons, gloves, masks visors or goggles should be worn.

Dental practices should have an eye wash station to deal with splashes to the eyes. It is always

advisable to seek medical attention in such circumstances.

In the event of a spillage, to protect staff and public, display a hazard sign or cordon off the area with

biohazard tape. This will aid to alert others to the hazard.

Procedure for Dealing with a Bodily Fluid Spill

Inform all staff and patients in the immediate vicinity that a spillage has occurred.

Ventilate the area.

Notify the Registered Manager (HTM 01-05).

Display hazard notices.

Remove unaffected mobile equipment from the immediate area, to ensure spillage is easily accessible

for cleaning.

Locate the spill kit.

Policy & Procedure


ASD/CLINIC/017 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON


Protect yourself with correct personal protective wear.

Ensure that you have all the equipment you need to clean up the spillage before starting the cleaning

procedure. Follow the manufacturer's instructions of the spillage kit used. Be mindful of surrounding

areas and other people.

Dispose of waste including PPE in an orange waste disposal bag and place in the designated waste

storage area, label the bag as per local policy.

Wash hands. Discuss how the spillage could have been prevented, for example this could be recorded in the minutes

of a staff meeting.

Reference

http://www.kubatrdg.com/bodyfluidspillkit.html

http://www.kubatrdg.com/bodyfluidspillkit.html

POLICY AND PROCEDURE TILE: STAFF ORIENTATION AND TRAINING

Ownership:

Ambassador School , Dubai



Revision No:1


Code:ASD/CLINIC/018

Type:

Administrative

Technical

Clinical

Introduction

New employee training programs give employees the information they need to protect themselves and

others at work and to efficiently manufacture quality feed. The training program must document and

verify that the employee understands the material and is competent in the subject matter. In addition to

being required by government agencies, training programs are a good business practice.

STAFF ORIENTATION

STEP 1. The first step in developing a training program is to identify all of the topics required by the

facility.

STEP 2. The second step is to create a checklist that summarizes all the training topics (New Employee

Checklist).

The employee’s first day on the job is the best time to establish safety expectations. First-day employee

training topics should include an overview of the emergency procedures, hazard communication

standards, material safety data sheet (MSDS) requirements, personal protective equipment (PPE), key

policies, a facility tour, and general administrative procedures.

The employee should receive a copy of the job description and understand the performance expectations

and standards related to the position, as well as when and how his or her performance will be evaluated.

The job description should outline the computer skills essential for each position. Employees should

understand the importance of computer security and log-in and log-out rules at the end of each shift or

during breaks.

Supervisors and operators should be aware of what information is classified as “confidential” such as

formulas, audits, reports, and personnel files and the procedures for securing and destroying confidential

material.

STEP 3 Managers and supervisors should develop a procedure for evaluating an employee’s

performance. Evaluate new employees after they have worked 30 days in a process area to determine

what deficiencies exist in their training, and then develop an action plan to correct the deficiencies.

Employees should have an individual improvement plan, which is evaluated every six months to identify

potential development needs. Formal employee performance reviews and goal-setting exercises should

occur annually.

New Employee Checklist Name: Start Date:

SL.

NO. DESCRIPTION YES NO REMARKS

Emergency Procedures

Evacuation Signal and Communication

Meeting Location Safety Equipment

First Aid

Hazardous Waste and Spills

PPE Requirements

Lock-out

Accident Reporting Procedures

Immunization information to parents

Consent for immunization

Vaccination form-1

Vaccination form`-2

Principal approval letter

Payment reciept

Form3

Blue immunization card

Vaccination schedule

School health manual

Notification for immunization

Refusal letter in school permises

Cold chain

Follow up immunity status

Documentation

Providing due vaccine

List of students with no vaccination card

Preparation and plan for vaccination

How to apply for VQC

Action against VQC school not giving vaccination

Report on adverse reaction following immunization

Access to Employee Exposure and Medical Records

Access to Employee Exposure and Medical Records

Review Key Policies

Vacation and Sick Leave

Leaves of Absence

Holidays

Holidays

Performance Review

Uniform

Confidentiality

E-mail and Internet Use

Anti-Harassment

ADMINISTRATIVE PROCEDURES General Administrative

Procedures

Mail (Incoming and Outgoing)

Office/Desk/Work station Keys

Office Supplies

ID Cards

Purchase Requests

FACILITY TOUR

Reference; Developing training program for new employees

College of agriculture and life sciences, North Carolina state university,

SL.

NO. DESCRIPTION YES NO REMARKS

Introduction to department staff

Tour to facility

First Aid Kits

Fire Alarms

Parking

Printer, Computer log in details

Copy Machines

Spill Kits

Emergency kit

Equipment list

Policy & Procedure


ASD/CLINIC/018 07/02/2017 06/02/2020 1 07/02/2017


SANJU ANN SUNNY

SCHOOL NURSE(2017)


NURSE

DR.HERATH.M.DAYANI

SCHOOL DOCTOR

SHEELA MENON
