Medicals

Weird Hospital Visits

Medical Treatment Photo

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...

Medical Treatment Photo

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.

When You're On First Name Basis With The Staff Here...

When You're On First Name Basis With The Staff Here...

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!

Random Strangers

Royal+National+Park+-+Hiking

This week, I thought I'd talk about something that happened last week on a hike I was leading. It was in the Royal National Park. For those of you who don't know it, it's an amazing national park just south of Sydney, featuring rugged sandstone cliffs, secluded beaches and home to the famous figure 8 pools and the infamous wedding cake.

Our hike was with 27 kids heading North from Otford on the amazing coastal track. It was a hot afternoon and the 10km took us approximately 3 hours to cover. The cool coastal breeze hitting us as we reached the summit of the headland between North Era and Garie Beach was a welcome relief.

Garie Beach, NSW

Garie Beach, NSW

In at Garie beach, we'd just unpacked the trailer when I was approached by a girl in her late teens. She said to me "Hi. Sorry, ummm... I've got three questions", "Sure what's up?" I replied.
"Where's the coastal track continue?" she asked
"Just at the end of the beach here."
"Ok... Question 2, does anyone know first aid?"
"Sure! What's up?"
"My friend's rolled her ankle. Could you take a look?"
"Sure no worries. I can take a look."
I had a look and she had a sprained ankle, so I strapped it and so that was question 2 sorted!
Then for question 3!
"Where's the nearest public transport?"
Oh dear... I thought... I asked a few questions about where they'd come from and what their plans were. They'd come from Sydney via Bundeena and walked about 22km of the track, aiming to cover the whole 32km in a single day. An ambitious goal for the fittest of hikers. They were obviously tired, injured, no head torches, low on food and completely out of water... So my risk management brain started to go into overdrive, trying to do the sums of how many hours the rest of the trip would take under normal conditions, then estimating the addtional time with an injury, then add in no torches. It was late afternoon and no chance of water resupply along the way. This was not a pretty picture!

I quickly ran through a few scenarios in my head and didn't like any of them that involved the girls continuing, so after a quick chat with the other instructors, we put the offer to the girls to transport them to Waterfall station, which wasn't too far away! To everyone's relief they accepted our offer and we dropped them off at the station. 
So the question becomes what to do when you come across others in a similar situation? You've still got to consider your group as the number 1 priority. If they're all ok and supervised, then I think there's a moral obligation to help, especially if you perceive that the third party could be at risk of harm if they were to continue on. After all, the experience you have as an educator and leader can mean that you see things which others don't. It can be a complicated problem, which must be considered each time you run into someone and the circumstances surrounding your meeting them (and yes this group wasn't the first I've come across, but more about that later). At the end of the day, protect your group, but also give freely of your skills and experience to prevent harm coming to those who might not have been as well prepared as you.

Part Of The Amazing Coast Track

Part Of The Amazing Coast Track

Preparing For Camp

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There’s always a lot to think about when preparing for an outdoor ed camp. Assuming you know where you’re going and what you’re doing sorted, then it’s time to prepare the finer details.
 
For most teachers, this is where it can become overwhelming. Often the feeling is, “I want to run an enjoyable and safe trip… but where do I start?”
 
The first thing to do is develop your risk management plan. Many other things will simply fall into place once this is done. Although the bane of many teachers’ existence, a good risk management plan can save you considerable time and effort down the line.
 
When building your plan, look at your daily routine and work out what the key risks are for each activity and how you will accept, eliminate or mitigate these risks. You’ll need to consider things such as time of year (season), weather, temperatures, location and emergency exit points. Add to this the specific risks for each activity in those locations at that time of the year and you’ll start to build a picture of what your key risks are and how you’re going to address them.
 
With your risk management strategy created, remember, this is a living document not a copy and paste job which just makes up part of the ‘annoying paperwork.’ All staff need to be aware of risks and mitigation strategies and be prepared to react and respond if and when it’s needed.
 
The next step is to sort permission notes, get updated medicals and provide a student packing list with all the items they need to bring (and things they shouldn’t). Have a detailed plan ready to go before you send this out to parents. You’re bound to get lots of questions so the more detailed the itinerary you can provide upfront, the better.
 
For the equipment list, clearly specify quantity and quality of what’s required. Whilst I know some parents might not be able to supply this, as a matter of safety, it’s important that you’re able to cater for any shortfall. One of the most important pieces of equipment is a set of thermals. Even in warmer months, it’s good safety practice to carry some thermals in case of emergency and if you’re running an autumn or winter camp, it’s essential that all students have a set. The reason being (not just to support our great wool industry), hypothermia is always a significant environmental risk due to wet and windy conditions in Australia.
 
With permissions notes, medicals and gear all sorted, it’s time to brief everyone! This is often overlooked, but it’s vitally important to run a pre-camp briefing for staff and students. This goes back to pro-active risk management. Set the scene, set the expectations and build the excitement for camp. After all, you’ve just spent weeks preparing something very special it’s now time to tell everyone about it! Showing images from a previous camp and location on a map, is a great way to put into perspective some of the experiences they’re about to have.
 
With all this done, it’s down to the last items and you’re ready to go! First Aid kits, spare Asthma Puffer, spare EpiPen, any medications, groups lists, medical summaries, food and you’re good to go! By the way… did anyone book the buses?