More House School Medical Surgery

Where is the school surgery?

The surgery is located close to Main Reception, and is adjacent to Main House, at the bottom of the steps up to Bradbury Heights.

How do I contact the school nurses?

You can telephone the school nurses directly on 01252 792303 (option 2) or email us at surgery@morehouseschool.co.uk

When is the surgery open?

The surgery is open between 8am and 5pm, weekdays during term-time.

Who works in the surgery?

The school employs three registered nurses, who have over 50 years of nursing experience between them:

Rebekah Weaver RN, Lead School Nurse (Mon-Fri)

Anne Jenkins RN (Wed, Thurs & Fri)

Jacqui Perry-Smith RGN (Mon & Tues)

Who can see the school Nurses?

Any pupil or member of staff can self-refer to the school nurses during surgery opening hours.  However, pupils are discouraged from leaving lessons with minor complaints.

What medical facilities are there at the school?

The school has an Automated External defibrillator (AED) which is located in the surgery waiting room. The waiting room is kept unlocked and the AED is accessible 24 hours a day.

There are over 50 first aid boxes and 5 emergency asthma and anaphylaxis kits strategically located around the school site.

The surgery has a small sick bay with two beds which is used for unwell pupils waiting for a parent or guardian to take them home.

In addition to the school nurses there are approximately 25 members of staff who are fully trained first aiders.

What if my son needs to take medication during the school day?

Parents must inform the school nurses if their child develops a medical condition which will require either prescription or non-prescription medication to be taken at School.

The school requests that medication is only taken at school if it is essential; that it is where it would be detrimental to the pupil's health not to administer the medication during the school day. Where possible, medicines should be taken at home, before and after attending school.

If a pupil requires regular prescribed or non-prescribed medication at school, parents are asked to provide written consent giving staff permission to administer medication on a regular/daily basis (Form 1).

If a pupil's medication changes or is discontinued parents should notify the school immediately.  No verbal orders will be accepted for a change in dose or frequency of an already prescribed drug unless an accompanying fax or email or written instruction is received.

All medication brought into school should be in its original packaging, labelled with the pupil's name, the name of the medication, expiry date and the prescriber's instructions for administration, including dose and frequency.

Parents and guardians of pupils at this school are asked to collect out-of-date medication or medication no longer in use.

What about School Residential Trips?

Parents are sent a residential visit form to be completed and returned to school shortly before their child leaves for an overnight or extended day visit. This form requests up-to-date information about the pupil's current condition and their overall health. It also requests information about medication not normally taken during school hours and asks parents for consent, giving staff permission to administer medication on the trip (Form 2).

All medication should be delivered to the surgery with a copy of this form, in normal circumstances by the parent, in the original packaging as originally dispensed, at least 2 weeks before the school trip.  The school will not accept items of medication in unlabelled containers.

These will be checked and dispensed into clearly named and photograph identified medicine boxes by the school nurses prior to the trip.

The school will keep records of all medications administered, which will be available for parents.

Except in unforeseen circumstances, medications brought into school on the day of the trip departure will not be able to accompany your child.  This could prevent your child departing on the school trip.

What if my son has a diagnosed medical condition and will require support at school?

Every child with a medical condition should have an Individual Healthcare Plan (IHCP), which details exactly what their needs are and who will help them.

The school nurses will liaise with parents and the child's paediatric specialist nurse to ensure children with medical conditions are getting the right support at school.

Parents should provide up-to-date information about their child's needs and all the supplies needed to manage their child's condition in school.

No child with a medical condition should be excluded from any part of the school curriculum.

Every child with a medical condition should have access to extracurricular activities, including overnight stays and trips abroad.

All school staff who work with groups of pupils will receive annual training and know what to do in an emergency for pupils in their care with medical conditions.

During exams, specific plans should be included in that year's IHP and agreed between the school, the child and their parents.

Children with medical conditions will not be penalised for poor attendance when absence is related to their condition.

What if my son has an adrenaline pen?

Pupils should have their own adrenaline auto-injectors (AAIs) on them at school for use in the event of a severe allergic reaction.  It is the parent's responsibility to ensure this AAI is within its expiry date

Parents are requested to supply an additional AAI to the school surgery and it will be the school nurses' responsibility to ensure this pen is within its expiry date.

The school keeps five spare AAIs for use in an emergency when a pupil’s own AAI is unavailable or has expired.

The emergency AAI can only be used by children:

  • Known to be at risk of anaphylaxis and have medical authorisation
  • Who have been prescribed an AAI
  • For whom written parental consent for use of the emergency AAI has been given

What about Household Medications?

The school approves a list of medicines whereby the registered nurses, and staff who have been assessed as competent to administer medicines, are authorised to administer some medicines at their own discretion (Form 3).

Staff may only administer the household medications if the parents have already provided their written consent for this to happen and only if there is a health reason to do so.

Parents will only be informed about the administration of the household medications at school if a pupil requests medication during more than two consecutive days or if there is a danger of the pupil being overdosed with Paracetamol on returning home.

What if my son is asthmatic and / or is prescribed a reliever inhaler?

Pupils should have their own reliever inhaler on them at school for use in the event of an acute asthma attack.

Where it is appropriate to do so, pupils will be encouraged to administer their own inhaler under staff supervision.

It is the parent's responsibility to renew the pupil's inhaler when the canister is empty and to ensure the inhaler is within its expiry date.

The school keeps five spare Salbutamol inhalers, for use in emergencies when a pupil's inhaler is unavailable, broken, empty or has expired.

The emergency salbutamol inhaler can only be used by children:

- who have been diagnosed with asthma, and prescribed an inhaler;

- who have been prescribed a reliever inhaler;

- for whom written parental consent for use of the emergency inhaler has been given (Form 4).

What about suspected Head Injuries?

Minor head injury and knocks to the head are common, particularly in children.  Following the injury, if the person is conscious (awake), and there is no deep cut or severe head damage, it is unusual for there to be any damage to the brain.  However, sometimes a knock to the head can cause damage to a blood vessel which may bleed next to the brain. This is uncommon, but can be serious. Symptoms may not develop for some hours, or even days, after a knock to the head. For this reason, if your son sustains a knock to the head at school you will be contacted and a head injury advice letter will be sent home with your son (Form 5).

What if my son cannot eat certain foods?

If your son has specific dietary requirements please contact the school nurses.  We will liaise with the kitchen staff and make any necessary arrangements.

The school is a NUT FREE zone, because we have several boys who have a severe nut allergy.  Please be very careful about snacks brought into the school and read the food labels carefully.

What about Confidentiality?

The school surgery provides a safe environment where pupils and can trust the school nurses with private and personal information.  The nurses will respect each pupil's right to confidentiality.  The only time when this confidentiality may be breached is when the nurses feel that it is in the child's best interests or in the public interest.

What are the procedures for Diarrhoea and vomiting illnesses?

If your son has experienced Diarrhoea and / or vomiting they should not return to school for 48 hours from the last episode.

What about Head Lice?

Although exclusion from school is not required, if live lice have been seen treatment should be started before sending your son into school.  In addition, the school nurses should be informed so that other parents can be contacted by the school and warned to increase their vigilance.

What about Conjunctivitis?

Exclusion from school is not necessary and eye drops can be instilled in the school surgery by the nurse (see 'What if my son needs to take medication during the school day?').

Rashes and skin infections

 

Infection or complaint Recommended period to be kept away from school. Comments
Athlete's foot None Athlete's foot is not a serious condition. Treatment is recommended.
Chickenpox Until all vesicles have crusted over
Cold sores, (Herpes simplex) None Avoid kissing and contact with the sores. Cold sores are generally mild and self-limiting.
German measles (rubella) Four days from onset of rash Preventable by immunisation (MMR x2 doses).
Impetigo Until lesions are crusted and healed, or 48 hours after starting antibiotic treatment Antibiotic treatment speeds healing and reduces the infectious period.
Measles Four days from onset of rash Preventable by vaccination (MMR x2).
Molluscum contagiosum None A self-limiting condition.
Ringworm Exclusion not required Treatment is required.
Scabies Child can return after first treatment Household and close contacts require treatment.
Scarlet fever Child can return 24 hours after starting appropriate antibiotic treatment Antibiotic treatment is recommended for the affected child.
Shingles Exclude only if rash is weeping and cannot be covered Can cause chickenpox in those who are not immune, i.e. have not had chickenpox. It is spread by very close contact and touch.
Warts and verrucae None Verrucae should be covered in swimming pools, gymnasiums and changing rooms.