Exemplar Risk Assessment Joe Bloggs Pupils Name: Secondary 2 Year Group/ Class: Risk Assessment Undertaken By (list all DHT pupil support, School nurse, Parents, Stoma nurse, GP, Community paediatrician contributors): Hazard / Medication / Person/s Risk level Initial control measures New / further control measures required Risk level Risk Procedure / Affected before with Objective controls are controls in in place place L M H L M H Epileptic Medication Pupil Medication prescribed by GP. Protocol Parent / GP contacted for advice/support in √ √ seizure administered provided by parent and doctor. Parent has the event of incomplete administration of the via demonstrated procedure. Staff trained by dose of medicine. gastrostomy Gastrostomy nurse. Only carried out by identified members of class team (trained staff). Accurate records kept. Severe pain Steroid Pupil and Injection only to be administered by staff who Parent to provide and at √ √ remove sharps’ bins and replacement staff have been trained by nurse to carry out agreed intervals inflammation injection procedure. Protocol provided by specialist / stick injury nurse. Accurate records kept. to Sharps’ bin be used for disposal of syringe needles as per protocol List any activities which cannot be safely managed, as far as it is possible to foresee: Risk Assessment Undertaken By: Mrs Jade Green Signed: Jade Green Date risk assessment completed: 14.05.2014 Review date: 14.05.2016 (or earlier if changes made to medication)
Exemplar Risk Assessment Pupils Name: Joe Bloggs Year Group/ Class: Secondary 2 Risk Assessment Undertaken By (list all contributors): DHT pupil support, School nurse, Parents, Stoma nurse, GP, Community paediatrician Hazard / Risk Medication / Procedure / Objective Person/s Affected Risk level before controls are in place Initial control measures New / further control measures required Risk level with controls in place L M H L M H Epileptic seizure Medication administered via gastrostomy Pupil √ Medication prescribed by GP. Protocol provided by parent and doctor. Parent has demonstrated procedure. Staff trained by Gastrostomy nurse. Only carried out by identified members of class team (trained staff). Accurate records kept. Parent / GP contacted for advice/support in the event of incomplete administration of the dose of medicine. √ Severe pain and inflammation / stick injury Steroid replacement injection Pupil and staff √ Injection only to be administered by staff who have been trained by nurse to carry out procedure. Protocol provided by specialist nurse. Accurate records kept. Sharps’ bin to be used for disposal of syringe needles as per protocol Parent to provide and remove sharps’ bins at agreed intervals √ List any activities which cannot be safely managed, as far as it is possible to foresee: Risk Assessment Undertaken By: Mrs Jade Green Signed: Jade Green Date risk assessment completed: 14.05.2014 Review date: 14.05.2016 (or earlier if changes made to medication)
Supporting-Pupils-with-Medical-Needs-Policy.docx