Managing medical concerns at school and on excursions is one of my biggest worries as a teacher! Anaphylaxis is at the top of that list, since a reaction can be almost instant from the allergen and has a cascading effect. This means the longer you leave it, the more difficult it is to recover. However, despite this serious concern, it just means effective strategies need to be in place to ensure preventative measures are the number 1 priority.
In outdoor education, we usually run our programs a considerable distance from emergency medical care. As a result, this adds an additional layer of risk to any trip away. However, rather than worry about this and feel as though it’s too risky to take kids away, my focus has always been on effective preparation and management. This ensures that the chances for an anaphylactic reaction becomes so low, it’s not an issue.
If a student’s medical profile is flagged with an anaphylactic allergy, I’ll phone home and talk to mum and dad. What I need to know when I call is what are the specific triggers? Can they have foods which might contain traces of the allergen? When was the last reaction and what happened? Even though this information might be in the medicals, I prefer the first hand information from parents, so I can effectively brief my staff. I also want to know how well their son or daughter manages their allergy. Are they aware of what can happen? Are they aware of what foods they can and can’t have? This information is vital in helping provide teachers with the best management strategies in the field.
As an example, on one program, I had 247 students out in the field for a week long camp. 11 of the students had allergies which could result in an anaphylactic reaction. Based upon the information from the parents, and the fact some activities were hours away from emergency care, I carefully placed students with the highest needs in the closest proximity to emergency healthcare facilities. In one of the extreme cases, given the number of allergens that the student was affected by, I asked his mum to provide and pack the week’s food in an esky for her son and I provided a clean stove which was specifically for his personal use.
At the end of the day, it about clear channels of communication between parents, teachers and the child. Even though all staff are trained in first aid and anaphylaxis treatment, effective preparation and prevention is far more important. For every activity we do, we go armed with a list of dietary requirements and only shop according to each individual excursion. We don’t plan meals months in advance to save time. It’s about providing the best meal options for each individual group. This way, we’re prepared and able to ensure we provide a safe environment for every child and a wonderful memorable experience away from school.
Food on camps is tricky, but not in the sense that it's hard to do well, there's just so many considerations when you're catering for a diverse school group. Added to this, you often don't know the kids very well. Before camp we do a lot of work preparing for any group and no two camps are the same. To begin with, we look at medical risks and dietary needs. What concerns are there? Do we have kids with allergies? Will some additives make them sick? Will bread and milk cause them to be ill? Can they eat meat? Is it the right sort of meat? Are there any other foods are of concern?
Having catered for so many groups on camps and residential programs, one of the key concerns was that everything has to be ‘normalised.’ Even though I might’ve been catering and cooking for a number of different dietary needs, because they’re kids, I never want anything to stand out or be remarkably different. The last thing I want to hear is a whiney toned, “Why do they get that?!” So if I was cooking burritos for example (which kids love), I'd cook a variation of the burrito for everyone to enjoy. Some have mince, some have chicken, some have tofu, some have beans. Some have tortillas, some have gluten free tortillas, some prefer just to have it on the plate!
Regardless of the mix of ingredients and the time that goes into this, the most important thing from my point of view is every student’s well-being and part of that is making sure they don’t feel ‘different’ a meal times. I’ve been to far to many venues that provide vastly different meals for the kids, making them feel left out and even isolated due to their dietary needs. I won’t have any of that on the camps I run and it’s not unreasonable to expect the same! To be honest, I love buying different foods when I go shopping. I think of all the cool combinations I can do for pizzas, curries and salads just to name a few! Whatever the menu is, I just love wandering around and searching for the best combo to make sure my one meal, can be eaten by all! This does take time, but once you’ve got an idea of a meal plan, each time you have a student with special dietary needs, it’s now only a matter of checking the plan and grabbing the right ingredient!
On a visit to the US I took some time out to go skiing in Park City. It's a fantastic resort and an awesome historic township. It now even has an Australian run café, which meant I could have a decent coffee (all the important things being from Australia). I’d prepared myself to go a month without decent coffee, reliant on bitter or burnt espressos as a backup plan. I was however, pleasantly surprised to find myself standing in front of a recognisable Australian business and safely drinking a good cup of coffee.
Despite this extremely important tangent, what follows has nothing to do with coffee. It was early in the morning on a crisp crystal clear day over on the Canyons side of the resort. I was skiing past the ski school when a sign caught my attention, “Please, No Parents In The Learning Area!”
I laughed, as I knew exactly why there was a need for something like this the moment I saw it. Whilst it's very important for parents to be involved in their child’s education, there's a right way to go about it and a wrong way to go about it. More often than not, parents, generally through a lack of understanding go about things the wrong way and many of them constantly insert themselves into situations where they should just stand back and allow others to teach.
From what I’ve seen over my years of involvement with education, Helicopter & Tiger parents, need to relax, find themselves a hobby that doesn’t involve them living vicariously through their children. Whilst the underlying belief these parents have is that they’re ‘helping’ and making sure they get the ‘best’ for the child, the reality is that they’re doing more harm than good and wasting their own life and opportunities at the same time.
It’s probably easier to remove the salt from the ocean than it is to remove the helicopter from the parent, but seriously, they need to back off and let their kids breathe and experience a few things in life for themselves. This doesn’t mean that everything should be done at arms’ length, but I can understand the need for the sign as over-involvement of parents can be just as bad, or even worse than under-parenting.
I realise it is a challenging balance, but if you look at it from a work point of view, how would everyone feel if someone went from department to department telling everyone how their job should be done. From marketing, to finance and the janitorial services how would everyone feel if your clients hung around giving instructions on how their work should be done? It wouldn’t be long before security was called and the person was ejected from the building.
I would have thought the whole point of taking your kids to ski school is so that you could ski somewhere awesome yourself. Hanging around offering suggestions or taking photos would be the last thing on my mind. I would have ditched the kids and headed up the closest double black only lift. Ski school and school in general is a great sort of child minding service, which hopefully employs talented instructors and teachers who will be able to care for your children and teach them something far more effectively than you can. This, of course, eventually pays off later on, as you’ll be able to ski with your kids, until they get way better than you and then leave you for dead, suggesting perhaps you should go and have some lessons.
However, from this the most important thing is that sometimes parents need to be able to step away from a situation and allow their children to be taught by others. If they’re not prepared to do that, then why not teach them everything they need to know themselves? This would seem to be preferable for many parents, until they realise the reality of how much time, energy, experience and effort goes into teaching others.
At some point, parents must let go and if they haven’t by high-school years, then the damage they’re going to do over the proceeding years is significant. Again this doesn’t mean parents should have no involvement, but appropriate experiences should be looked for where that increasing independence can be gained. Some effective programs I’ve worked on have been medium and long-stay residential programs, in which there was little choice for those helicopter parents but to stay away. If medium and long stay programs aren’t an option for your school, then perhaps erecting a barrier near the entrance is the next best option. At the end of the day, it will enable students to have a far better educational experience than the endless hovering could ever provide.
For me, as I said, I’d just leave them at the ski school and allow them to try new things, slip, fall and get back up again all by themselves. It’s the learning through these experiences that make the best skiers and the snowboarders, not the manic parenting and suggestions from the side. Perhaps, as in Park City, a giant sign is just what’s needed for all of our programs to remind parents of the fact that it’s time to let go a bit and let their kids do something a bit ‘risky’ for themselves.
Nobody really likes taking kids into hospital. Most of the time it ends up being the teacher who’s got time off, or the last person out of the room! Let’s be honest it’s a crap job that nobody wants. Firstly you have to take at least two kids with you, so you’ve got one injured and one bored. Secondly the wait… there’s no such thing as a fast track in emergency unless you’re not breathing although arguably by this point you're probably beyond the services available in the emergency ward. Thirdly have you ever been able to get a decent coffee in a hospital?
The trip to hospital all starts when an injury is more serious than your staff can manage. I've had all sorts of visits with students, from fractures, to cuts, to unknown issues each visit if often a unique experience...
My longest wait was 8 hours and this gave me the opportunity to talk about all sorts of things with the student. It's amazing what you find out about life the universe and just about everything when chatting!
However, my weirdest experience was when I took one of the kids in with multiple cuts after he took a dive in a bed of oysters. I won't go into the gory details, but he was a mess to say the least. We sat and waited for some time after seeing the triage nurse, who rifled through the stack of papers which were suppose to be a medical 'summary'. When the nurse finally brought us in to the examination room, she took one look at him and proceeded to fill a tub with warm water and a dash of disinfectant. She then said to me 'here you go, take this into the waiting room and clean him up'. I looked at her for a moment wondering if she was serious... Yes she was!
I looked back at her and said 'can I at least have a pair of gloves'. She half indignantly grabbed me a pair of glove and off we went. I sat there apologising profusely to the couple sitting next to us as I cleaned out the painfully deep wounds and collected a pile of tiny oyster shells as I did. I've heard of cut backs but seriously do I get a discount on my Medicare levy for do it yourself work in hospital?
Anyway, we were there about another hour and a half and the boy ended up with stitches in his hand and bandages everywhere.
To be honest I still try and avoid the hospital trip (mainly because of the bad coffee), but at the end of the day when you're responsible for the kids welfare and safety, prompt action and quick decision making to get them to hospital can mean the difference between an injury becoming an extremely bad injury. So really it's always better to err on the side of caution and take them in to be sure, rather than risk it just to avoid a long wait. At the end of the day, you can always get a coffee on the way home!