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SAND First Aid Policy and Procedure


The aim of this policy is to ensure the good health and safety of all those on site, and to provide for effective action should anyone become ill or suffer injury.


SAND will ensure that:

  • Only First Aid qualified staff are allowed to administer First Aid and give First Aid advice.
  • There is at least one person who has a current paediatric first aid certificate on the premises and available at all times when children are present, and accompany children on outings.
  • There is a first aid box accessible at all times with appropriate content for use with children.
  • We keep a written record of accidents or injuries and first aid treatment. We will inform parents and/or carers of any accident or injury sustained by the child on the same day, or as soon as reasonably practicable, of any first aid treatment given.
  • All staff act in loco parentis during the time that the setting is open for children.
  • Names of qualified First Aid staff are displayed on the notice board.
  • To be aware of the setting’s first aid arrangements and procedures.
  • To take charge in the situation where personal injury or illness has occurred and where further medical help is needed.
  • To ensure that a First Aid box is provided and stocked with appropriate items and to refer any issues to Sarah Grimwood whose responsibility it is to see that all first aid kits remain appropriately stocked.
  • To always take the first aid box, travel first aid pack and accident book on all trips.
  • In cases of injury, the Practitioner’s responsibility ends when the patient is handed over to the medical care or the parent/carer.

Accident forms

For all injuries (whether involving the children, staff or visitors) an accident form must be filled in at the first possible opportunity by the member of staff who witnessed the injury or who was closest at the time it occurred. In the case of an injury involving a child, the form must be signed by the parent/carer who collects the child. Near misses must also be recorded. (A near miss is an event or situation that could have, but didn’t result in injury, damage or loss). Blank accident forms are kept in the first aid folder on a shelf in the hall cupboard and should be completed for accidents involving anyone on site.

Accident forms for all eventualities, including children and staff, are then stored confidentially, in date order, in the filing cabinet.

Accident forms will trigger the Leader making enquiries about the appropriate supervision and organisation, or use of materials, at the site where the injury occurred to help prevent further accidents occurring. This may assist in informing a review of Risk Assessments.

First Aid boxes

A First Aid box is located inside the door of the hall cupboard.

SAND will have a checklist inside the First Aid box for when the box was last checked and by whom.

SAND will ensure that disposable plastic gloves are available in the first aid box, along with plastic bags for the disposal of soiled dressings

Sanitary provision

  • The setting will have onsite emergency sanitary supplies as appropriate for the age range they cater for. These will be stored in a box in the cupboard.
  • The staff team need to be aware that girls may start their periods during setting time and need to deal with this in a sensitive and appropriate way.
  • If this is a girl’s first period, give her a sanitary towel, not tampons.
  • Change of Clothes
  • The setting will have a range of clothes in its spare clothes box to cover boys and girls across the age range.
  • Wherever possible, children should change into their own clothes
  • The setting will take care to respect the child’s privacy and dignity
  • Disposable gloves will be worn when assisting a child, these will be disposed of in a plastic bag and taken to an outside bin
  • Dirty clothes will be placed into a plastic bag ready for parents/carers to collect.
  • Parents and carers should be advised when they collect the child and check whether there is anything that can be done to avoid a repeat. For example by reminding the child when they arrive to use the toilet. Key worker journals/partnership with parents may encourage this.

Waste disposal

Offensive/hygiene waste (previously known as ‘sanpro’ or human hygiene waste) is not ‘clinical waste’ or ‘hazardous’ under environmental legislation if it:

  • Is considered non-infectious; does not require specialist treatment or disposal.
  • Offensive hygiene waste includes:
  • human and animal waste (faeces);
  • nappies;
  • sanitary waste;
  • vomit and soiled human bedding from a non-infectious source;
  • plasters (minor first aid or self care) generated by personal use;

Please see for further information.

Clinical waste

Clinical waste is defined as any waste which unless rendered safe may prove hazardous to any person coming into contact with it. Clinical waste should not be collected with other wastes as it may be hazardous or infectious. Examples of waste which may be classed as clinical waste include infectious waste, blood or bodily fluids, swabs, sharps (including needles, blades, scalpels) cytotoxic and cytostatic medicines.

Please contact Bristol City Councils Customer Service Centre on 0117 922 2100 for further information on disposal and collection of clinical waste

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