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REMINDER: Please Complete Student Accident/ Incident Reports When Necessary
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Now that school is in session, we want to remind our school district members about the importance of completing Student Accident/Incident Reports. This form provides important documentation of the accident/incident, treatment the student received, and any follow-up care or actions that were taken as a result.
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Please refer to the following guidelines for more information about when and how to complete these reports.
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Guidelines for When to Complete a Student Accident/Incident Report
- All student injuries or incidents when 911, Fire/EMS, or other outside medical assistance is called to the scene.
- All student injuries where the student is taken from school or a school event to a doctor or hospital either by school staff or a parent or guardian.
- Student injuries involving the head, neck or back, other than minor bumps, scrapes or bruises.
- Student injuries, other than minor scrapes and bruises, that occur in the shop (wood or metal), weight room, physical education class, and athletic events/practices.
- Playground injuries, other than minor scrapes and bruises.
- Student injuries that involve severe burns or electrical shock.
- Student injuries involving exposure to, ingestion of, or contact with chemicals.
- Severe allergic reactions.
- An incident involving administration of injectable or nasal rescue medications (Epinephrine auto-injector, glucagon, Midazolam etc.).
- An uncontrolled asthma attack or any respiratory emergency.
- Student seizures, if the student has never had a seizure before, or as directed by student’s emergency care plan to call 911.
- Injuries that involve a defect in school equipment or facilities (actual or perceived).
- All drug-related incidents, whether overdose or reaction from prescription drugs or illegal substances.
- All student incidents involving loss of consciousness.
- If a student goes into shock.
- Student injuries involving entering, exiting, or while riding on a school bus, other than minor scrapes and bruises
Things to Remember for Proper Completion of a Student Accident/Incident Report
- Use a Student Accident Report/Incident Report form if available.
- Write legibly. Complete all information.
- Report all information that you have at the time; someone else may need to complete the report more fully later; please include student’s date of birth.
- If you did not observe the incident yourself, say how you found out about it.
- Report just the facts – no opinions; do not comment on fault.
- In the injury description, do not give a medical diagnosis (unless you are a trained medical professional); if an injury is suspected, state what you know about any injuries.
- Be as specific as you can as to exactly where the accident/incident occurred (location and equipment involved).
- List all persons involved including their names and how they are related to the accident/incident (i.e., bus driver, other driver, witness).
- List all responding authorities (fire, police, ambulance, etc.).
- Detail what action has been taken (i.e. – where the vehicle was towed to and by whom, what equipment was taken out of service, the hospitals students were sent to, etc.).
- If an incident form is not available or does not request relevant information that you have, complete a report on a separate sheet, answering who, what, when, where, why and how the incident happened.
- Complete within 24 hours of the incident. Include follow up comments on student status. The person completing it should sign the report.
- *Send original document through courier to Risk Co-Op at ESD 112 or by mail, 2500 NE 65th Avenue, Vancouver, WA 98661
*Due to confidentiality concerns and protecting student health records, we are asking that reports are not emailed until we have a system implemented to submit these documents securely online.
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If you need a copy of the most current Student Accident/Incident Report, have questions and/or need additional information, please contact Wendy Niehaus at wendy.niehaus@esd112.org or 360-952-3574. Thank you.
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