IMPORTANT: Information of a sensitive medical nature should be retained by the facility for internal use only and not be distributed. While this list is a mandatory component of your Emergency Management Plan, sensitive medical details of staff and students should be removed from the copy of the EMP you return to Regional Office. Child Staff Name Assistance Needed Room / During an Who Will be Condition Area Emergency / responsible? Last First name Evacuation Name Call Ambulance and Classroom staff and Benjamin Anton 5 Epilepsy parents Principal Call Ambulance and Classroom staff and Nathan Davies 7 Epilepsy parents Principal Call Ambulance and carer. Administer Classroom staff and Noah House 3 Epilepsy Midazolam according to Principal plan. Administer Anapen, Call Classroom staff and Justin Merrett 8 Anaphylaxis Ambulance and parents Principal Administer Epipen, Call Classroom staff and Joshua Madex 7 Anaphylaxis Ambulance and parents Principal Call Ambulance and parents. Administer Classroom staff and Skye Johnson 1 Epilepsy Midazolam according to Principal plan. Call Ambulance and parents. Administer Classroom staff and Ethan Reichelt 1 Epilepsy Midazolam according to Principal plan. APPENDICES
IMPORTANT: Information of a sensitive medical nature should be retained by the facility for internal use only and not be distributed. While this list is a mandatory component of your Emergency Management Plan, sensitive medical details of staff and students should be removed from the copy of the EMP you return to Regional Office. Child Staff Name Room / Area Condition Assistance Needed During an Emergency / Evacuation Who Will be responsible? First name Last Name Benjamin Anton 5 Epilepsy Call Ambulance and parents Classroom staff and Principal Nathan Davies 7 Epilepsy Call Ambulance and parents Classroom staff and Principal Noah House 3 Epilepsy Call Ambulance and carer. Administer Midazolam according to plan. Classroom staff and Principal Justin Merrett 8 Anaphylaxis Administer Anapen, Call Ambulance and parents Classroom staff and Principal Joshua Madex 7 Anaphylaxis Administer Epipen, Call Ambulance and parents Classroom staff and Principal Skye Johnson 1 Epilepsy Call Ambulance and parents. Administer Midazolam according to plan. Classroom staff and Principal Ethan Reichelt 1 Epilepsy Call Ambulance and parents. Administer Midazolam according to plan. Classroom staff and Principal APPENDICES
Horsham%20Special%20School%20Emergency%20Management%20Plan.docx