School Safety and Crisis Management

EMPLOYEE MANUAL

Big Springs Charter Revision 1.1 7/12/06

7SCHOOL SAFETY AND CRISIS MANAGEMENT

Big SpringsCharterSchool is committed to providing a safe and secure learning andworking environment for all students and staff. To fulfill that commitment to safety, thiscomprehensive safety and crisis management plan has been developed which complieswith all applicable State and Federal laws, rules, regulations and school policies.

7.1Goals:

To raise student and staff awareness about school safety and provide appropriate means for reporting concerns about safety.
To provide crisis prevention and early intervention services.
To provide immediate and effective action in a crisis or potential crisis situation.
To have contingency plans for responding to medical emergencies.
To provide effective crisis response to students, families, and the community.

7.2Emergency Injury Plan

Personnel must remain calm.
The teacher or staff in charge should call or send 2 students to the school office giving the following information:
Location of the student
Student's name
Type of injury
INJURED STUDENT SHOULD NEVER BE LEFT ALONE.
The School Administrator (SA)and one available staff member will
both respond to the emergency scene if possible.
Anavailable staff member trained in emergency first aid should startemergency first aide procedures.
Keep all uninvolved personnel and students away from the area.
Do not move the student/victim unless the location is potentially dangerous.
Reassure the student; keep the student quiet and lying down.
The SA or designee will notify the parent/guardian as soon as possible. The Superintendent should always be contacted for advice about notifying parents.

Notification should be given tactfully and in such a manner as not to create

undue panic. Parents should be given all known details rather than just beadvised that "your child has had a serious accident." If parents cannot beconsulted immediately, the SA or designee will not delay in securing medicalattention when the emergency is so severe that it suggests immediate hospital

care.

Only Administrative Staff are authorizedto call 911 for an emergency vehicle ifneeded.

Once the emergency vehicle has been called, the SA or designee will report tothe front entrance and escort the emergency vehicle to the emergency scene.

The SA will implement acrisis plan for counseling students and communicating to parents/guardians ofstudents if needed.

7.3Automated External Defibrillator Plan

Purpose: To provide guidance in the management or administration of a school-based AED program for treatment of victims eight years of age and older ONLY.

Sudden Cardiac Arrest (SCA) is a condition that occurs when the electrical impulses of the human heart malfunction causing a disturbance in the heart’s electrical rhythm called ventricular fibrillation (VF). This erratic and ineffective electrical heart rhythm causes complete cessation of the heart’s normal function of pumping blood resulting in sudden death.

The most effective treatment for this condition is the administration of an electrical current to the heart by a defibrillator, delivered within a short time of the onset of VF.

An AED is used to treat victims who experience SCA. It is only to be applied to victims who are unconscious, without pulse, signs of circulation and normal breathing. The AED will analyze the heart rhythm and advise the operator if a shockable rhythm is detected. If a shockable rhythm is detected, the AED will charge to the appropriate energy level and advise the operator to deliver a shock.

Responsibilities

Program Manager

• Oversee compliance of policy procedures

• Review all emergency response actions and post event reviews

• Selection of employees for AED training and distribution of AED-trained employee lists as required

• Revision of this procedure as required

Program Coordinator

• Coordination of training for emergency responders

• Coordinating equipment and accessory maintenance

• Maintain on file a specifications/technical information sheet for each approved AED model assigned or donated to the school

• Monitoring the effectiveness of this system

• Communication with Program Manager on issues related to medical emergency response program including post event reviews

Applicable Documents

• County/State AED Guidelines

• Medical emergency action plan

• AED Procedure

Medical Control

The medical director of the AED program is J. Thomas Ahlquist_M.D

The medical director of the AED program has ongoing responsibility for:

• Providing medical direction for use of AEDs

• Writing a prescription for AEDs

• Reviewing and approving guidelines for emergency procedures related to use of AEDs and CPR

• Evaluation of post-event review forms and digital files downloaded from the AED

Authorized AED Users

•The AED may be used by employees trained in the administration of the AED device located on the school property with a current AED certification card.

• Any trained volunteer responder who has successfully completed an approved CPR/AED training program and has a current successful course completion card.

AED-Trained Employee Responsibilities

• Activating internal emergency response system and providing prompt basic life support including AED and first aid according to training and experience

• Understanding and complying with requirements of this policy

• Following the more detailed procedures and guidelines for the AED program

Volunteer Responder Responsibilities

• Anyone can, at their discretion, provide voluntary assistance to victims of medical emergencies. The extent to which these individuals respond shall be appropriate to their training and experience. These responders are encouraged to contribute to emergency response only to the extent they are comfortable. The emergency medical response of these individuals may include CPR, AED or medical first aid.

School Office Responsibilities

The school office staff is responsible for:

• Receiving emergency medical calls from internal locations

• Using an established 9-1-1 checklist to assess emergency and determine appropriate level of response

• Contacting the external community 9-1-1 response team (EMS) if required

• Deploying AED-trained employees to emergency location

• Assigning someone to meet responding EMS aid vehicle and direct EMS personnel to site of medical emergency

Equipment

Approved equipment:

Defibtech DDU-100 Semi-Automatic External Defibrillators have been approved for this program.

• The AED conforms to the state/county standards.

• The AED and first-aid emergency care kit will be brought to all medical emergencies.

• The AED should be used on any person who is at least 8 years of age or older.

• The AED will be placed only after the following symptoms are confirmed:

• Victim is unresponsive

• Victim is not breathing normally

Location of AEDs

During school hours, the AED will be at designated locations. These locations shall be specific to each school but should allow the device to be easily seen by staff. The locations should allow staff members to retrieve the device outside of normal school hours.

After school hours, the AED may be moved from its designated location by an AED-trained athletic trainer to support athletic department activities on a voluntary basis.

• A trained volunteer would have to be available and willing to support this effort during non–school hours. • A visible sign must be left in the place of the AED, with the phone number of the athletic trainer, clearly indicating they have possession of the AED.

• Contracted and other community activities are not guaranteed access to the AED as part of standard rental contracts.

Location of AEDs

• Brune School – Library (on wall under mail station)

• Cailloux School – School Office

Additional Resuscitation Equipment

Each AED will have one set of defibrillation electrodes connected to the device and one spare set of electrodes with the AED. One resuscitation kit will be connected to the handle of the AED. This kit contains two pair latex-free gloves, one razor, one set of trauma shears, and one facemask barrier device.

Equipment Maintenance

All equipment and accessories necessary for support of medical emergency response shall be maintained in a state of readiness.

Specific maintenance requirements include:

• The district school office shall be informed of changes in availability of emergency medical response equipment. If equipment is withdrawn from service, the district school office shall be informed and then notified when equipment is returned to service.

• The district school office shall be responsible for informing response teams of changes to availability of emergency medical equipment.

• The AED Program Coordinator or designee shall be responsible for having regular equipment maintenance performed. All maintenance tasks shall be performed according to equipment maintenance procedures as outlined in the operating instructions.

• Following use of emergency response equipment, all equipment shall be cleaned and/or decontaminated as required.

If contamination includes body fluids, the equipment shall be disinfected according to procedure

# 5.4 in the Defibtech user manual located inside the AED cabinet.

Routine Maintenance

• The AED performs daily, weekly, monthly, and quarterly self tests automatically when a non-discharged 9 volt battery is present (without any intervention from the operator) to check the integrity of the unit’s hardware and software.

• A volunteer, assigned by the AED Program Coordinator or designee, will perform a daily AED check following the procedure checklist. The procedure checklist will be initialed at the completion of the daily check. The procedure checklist will be posted next to the AED.

• If the Active Status Indicator (ASI) is not flashing green that indicates unit needs attention. Contact Program Coordinator for servicing.

• If the 9 Volt battery is discharged you may still continue to use the unit.

• If the ASI is flashing red turn the DDU-100 AED on. If the unit does not turn on or does not speak, the AED is non-operational and requires servicing.

• If the expiration date on the electrode is near, notify the AED Program Coordinator or designee immediately.

Initial Training

Trained Employees:

• Must complete training adequate to provide basic first-aid, CPR and AED that will be provided on site. AED training must be a course approved by the state. Trained employees will also be trained in universal precautions against bloodborne pathogens. The trained employees shall be offered hepatitis B vaccination free of charge. The school office shall maintain training records for the trained employees.

Volunteer Responders:

• These responders will possess various amounts of training in emergency medical response and their training may be supplied by sources outside of the company. Volunteer responders can assist in emergencies, but must only participate to the extent allowed by their training and experience. Volunteer responders may have training adequate to administer first aid, CPR and use the AEDs deployed throughout the campus. Any volunteer wishing to potentially use one of the AEDs deployed on the campus should have successfully completed a state approved AED course including CPR within the last two years. The school will not maintain training records for the volunteer responders.

Refresher Training

• Trained employees will renew first-aid and AED training every two years.

• AED-trained employees will refresh AED skills using computer-based training. Each AED-trained employee will have access to AED Challenge™ interactive training software. Every six months each will perform a three-scenario test that will be reviewed by the AED Program Coordinator or designee.

• Volunteer responders should obtain documented renewal training at least once every two years. Volunteer responders are encouraged to periodically refresh their AED skills. This can be accomplished through the use of AED Challenge interactive training software. A copy of AED Challenge software has been placed on the computer in the library. All trained volunteer responders are encouraged to practice anytime.

Medical Response Documentation

Internal Post-Event Documentation: It is important to document each use of the medical emergency response system.

The following forms shall be sent to the AED Program Manager within 24 hours of a medical event:

• The AED-trained employee or volunteer responder shall complete the AED Emergency Response Form whenever an AED is used.

External Post-Event Documentation

A copy of the Statpads AED Event Summary Form and AED Emergency Response Form shall be presented within 48 hours of the emergency to the following:

• Medical director of the AED program

• At a minimum, event information supplied shall include any recorded data, and all electronic files captured by the AED.

Post-Event Review

Following each deployment of the response team member, or if a volunteer responder uses an AED, a review shall be conducted to learn from the experience. The AED Program Manager shall conduct and document the post-event review. All key participants in the event shall participate in the review. Included in the review shall be the identification of actions that went well and the collection of opportunities for improvement as well as critical incident stress debriefing.

A summary of the post-event review shall be sent to the health and safety committee.

The health and safety coordinator according to the record retention policy shall maintain a copy of the post-event review summary.

System Verification and Review

The medical emergency response system is ultimately successful if necessary medical assistance is provided to victims in a timely and safe manner. Since actual use of this system procedure is expected to be very infrequent, other measures of effectiveness are required.

Annual System Assessment

Once each calendar year, the AED Program Coordinator or designee shall conduct and document a system readiness review. This review shall include review of the following elements:

• Training records

• Equipment operation and maintenance records

7.4Cardiac Response Procedure

In the event a person appears to be experiencing a cardiac crisis, the following procedures should be followed to maximize the response time and effort to provide immediate assistance until the Emergency Medical System personnel arrive at the scene.

EMERGENCY RESPONSE:

The nearest witness to the event should call the campus operator to report the emergency. At the Brune campus, call extension 101, outside phone call 232-7101; at the Cailloux campus, call extension 6100, outside phone call 367-6100.

Information provided should include:
What is the problem and location of the emergency?
Is the person breathing, and do they show signs of circulation (coughing, or movement)?
What is being done for the person now?
Is anyone performing CPR?

The operator receiving the emergency call will:

Call the local EMS, prepared to answer the following questions:
What is your emergency?
What is happening now?
Where is the patient located?
What number are you calling from?
Notify the nearest AED Responder with the above information.
A list of certified AED Responders will be located beside the AED and at the desk of the campus operator.

AED Activation Procedure

When notified of a cardiac crisis, the AED Responder should make sure that 9-1-1 has already been called.

The AED Responder will get the AED device and immediately go to the site of the patient.

The following procedures should be followed by the AED Responder:

Assess the scene for safety before approaching the patient.
Place the patient in a safe area with a firm surface for CPR.
Remember the following safety warnings:
Only properly trained individuals should use the device.
DO NOT use near or within puddles of water
DO NOT use near flammable agents, such as gasoline
ALWAYS stand clear of the patients body when delivering the treatment.
DO NOT touch the electrode surfaces, the patient, or any conductive material near the patient during the ECG analysis or shock.
Assess the patient for unconsciousness
Gently shake the patient identify yourself and shout, “Are you OK?”
Follow the A-B-C-Ds
Airway – Open the airway with the head tilt-chin lift maneuver. (If an injury is suspected, use the jaw thrust maneuver)
Breathing – Look, listen and feel; give 2 slow breaths
Circulation – Check for signs of circulation. If there are no signs of circulation, start chest compressions if the AED is not present or ready.
Defibrillation – attach and operate the AED when available.
Using the AED (The following steps apply if the AED is present during the initial evaluation of the patient)
Power on the AED
Follow the voice and visual prompts as trained
Press “SHOCK” if advised by the AED
Transferring the patient to EMS upon arrival
Remain calm and introduce yourself to EMS personnel
Give a brief summary of the event
Time of event
Total number of shocks
Any additional pertinent information about the patient
EMS will take over the resuscitation efforts
Report the event by filling out the AED Emergency Response form and submitting it to the site coordinator.
The site coordinator will complete the STATPADS Event Summary Form and contact STATPADS at 1-866-STATPADS to report the event.
After each use the AED equipment should be restocked and checked for readiness.

7.6Generalized Tonic-Colonic Seizure (GRAND MAL)

During the seizure: The person may fall, stiffen and make jerking movements. Pale orblush complexion may result from difficulty breathing.

Call or send 2 students to the school office to report the situation. Notice the timeand keep track of how long the seizure lasts. The Administrative Assistant ordesignee will contact the parent/guardian.
Help the person to a lying position and put something soft under the head.
Remove glasses and loosen any tight clothing.
Clear area ofany hard or sharp objects.
Send class to another teacher forsupervision.
Do not force anything into the person's mouth.
Turn on side if possible.
Do not try to restrain the person. You cannot stop the seizure.

After the seizure: The person may awaken confused and disoriented.