# Other Situations that may be Encountered

#### **First Aid**

##### Level A - Minor Injury

1. <span style="font-weight: 400;">Minor injuries such as a scrape, minor cut, bruising, etc. may be treated by any Adults in Charge. Supplies (band aid, ice pack) are available on location as arranged.</span>
2. <span style="font-weight: 400;">Staff are to inform parent and follow-up with family as needed.</span>

##### Level B- Major Injury

*Examples: suspected concussion, sustained bleeding, suspected fracture/ broken bone*

1. <span style="font-weight: 400;">Call 911 if you suspect a medical emergency </span>
2. <span style="font-weight: 400;">Alert staff in All Staff Zoom Chat and tag Admin and call for first First Aid support in the Zoom message</span>
3. <span style="font-weight: 400;">Refer to Level 2 First Aid staff as qualified adult participants or personnel to assess the situation as needed.</span>
4. <span style="font-weight: 400;">Inform parent and follow-up with family as necessary</span>
5. <span style="font-weight: 400;">Flex Director or Assistant Director to complete an </span>[<span style="font-weight: 400;">Accident Report</span>](https://forms.kccnet.ca/view.php?id=260999)<span style="font-weight: 400;"> including witness or attendant account</span>

##### Level C- Medical Emergency

<span style="font-weight: 400;">Examples: Seizure, unconscious/unresponsive, anaphylactic response</span>

**Teacher or Supervising Adult:**

1. <span style="font-weight: 400;">Call 911</span>
2. <span style="font-weight: 400;">Attend to student care as needed</span>
3. <span style="font-weight: 400;">Alert staff in All Staff Zoom Chat and tag Admin and call for first First Aid support in the Zoom message</span>
4. <span style="font-weight: 400;">Await and direct Emergency Medical attendants to the location</span>
5. <span style="font-weight: 400;">Follow directions of care given by First Aid attendant </span>
6. <span style="font-weight: 400;">Issue appropriate emergency procedures to ensure that students are not unnecessarily exposed to trauma (eg. clear room/area).</span>
7. <span style="font-weight: 400;">Remain calm and reassure students that all possible actions are being taken to care for the injured or ill person and to protect others.</span>
8. <span style="font-weight: 400;">Rejoin your students as soon as possible.</span>
9. <span style="font-weight: 400;">Account for all students and remain with them.</span>

**Flex Director or Assistant Director to:**

1. <span style="font-weight: 400;">Ensure all students have required care and adult supervision.</span>
2. <span style="font-weight: 400;">Inform parent and follow- up with family as necessary</span>
3. <span style="font-weight: 400;">Secure area for follow-up investigation if needed.</span>
4. <span style="font-weight: 400;">Together with First Aid attendant, complete an </span>[<span style="font-weight: 400;">Accident Report</span>](https://forms.kccnet.ca/view.php?id=260999)

<p class="callout info"><span style="font-weight: 400;">School Administration will follow up as needed</span></p>

#### **Exposure to Blood or Bodily Fluid**

<span style="font-weight: 400;">What is exposure? Exposure is an accident which results in a break of the skin or exposure to blood or infectious bodily fluids by the mucous membranes of the eyes, inside the nose, or inside the mouth.</span>

<span style="font-weight: 400;">What fluids are potentially infectious? All bodily fluids are potentially infectious, particularly blood, semen, fluids issuing from a wound, body cavity or infectious site, and any body fluid visibly contaminated with blood.</span>

<span style="font-weight: 400;">The following incidents are potentially harmful:</span>

1. <span style="font-weight: 400;">Skin is punctured with a contaminated sharp object.</span>
2. <span style="font-weight: 400;">The mucous membrane is splashed with blood and certain body fluids.</span>
3. <span style="font-weight: 400;">Non-intact skin is splashed with blood and certain body fluids.</span>

<span style="font-weight: 400;">If any of the above exposure incidents occur, follow these steps:</span>

1. <span style="font-weight: 400;">Get first aid immediately:</span>
1. <span style="font-weight: 400;">If the mucous membrane of eyes, nose, mouth are affected, flush with lots of clean water at a sink or eyewash station.</span>
2. <span style="font-weight: 400;">If there is a sharps injury allow the wound to bleed freely. Then wash the area thoroughly with non-abrasive soap and water.</span>
3. <span style="font-weight: 400;">If an area of non-intact skin is affected, wash the area with non-abrasive soap and water.</span>

3. <span style="font-weight: 400;">Report the incident as soon as possible to your supervisor and first aid person.</span>
4. <span style="font-weight: 400;">Seek medical attention immediately- preferably within two hours at the closest hospital ER or healthcare facility.</span>
5. **Please do not touch!** <span style="font-weight: 400;">Contact the appropriate facility or venue personnel for proper clean-up.</span>

#### **Overdose- Opioid**

<span style="font-weight: 400;">Call 911 if you suspect an overdose, the sooner you call the better the chance of recovery. While you are waiting for first responders to arrive, follow SAVE ME protocol.</span>

- **S**<span style="font-weight: 400;"> - Stimulate. Check if person is responsive; can you wake them up?</span>
- **A**<span style="font-weight: 400;"> - Airway. Make sure there is nothing in the mouth blocking the airway or stopping them from breathing.</span>
- **V**<span style="font-weight: 400;"> - Ventilate. Help them breathe. Pinch nose, cover mouth with mask and breath every 5 seconds.</span>
- **E**<span style="font-weight: 400;"> - Evaluate. Do you see any improvement?</span>
- **M**<span style="font-weight: 400;"> - Muscular injection. Inject one dose (1cc) of naloxone (if available) into a muscle.</span>
- **E**<span style="font-weight: 400;"> - Evaluate and support. Is the person breathing? If they are not awake in 5 minutes, give one more 1cc dose naloxone.</span>

<span style="font-weight: 400;">If you need to leave the person alone for any reason, place them into the recovery position before you leave to keep the airway clear and prevent choking.</span>

- <span style="font-weight: 400;">Turn onto the side.</span>
- <span style="font-weight: 400;">Place patient’s hand under the head to support the head.</span>
- <span style="font-weight: 400;">Place top leg slightly in front of the leg touching the ground, and place the knee to the ground to prevent the body from rolling onto the stomach.</span>