OAR 414-310-0560: Injuries

(1) A school-age center must have and follow written procedures for handling injuries that are made known to all staff, including: (a) Procedure for requesting or taking a child to emergency medical care; (b) First aid measures for serious accidents; (c) Routine care for treatment of minor injuries; (d) Standard precautions to handle potential exposure to blood and other potentially infectious fluids (see OAR 414-310-0490 Maintenance and Sanitation); (e) Notification of parents: (A) Any injury that may need evaluation by a physician or impact to a child’s head must be reported to the child’s parent(s) immediately and documented. (B) Any injury requiring first aid or requiring observation must be reported to the child’s parent(s) on the day of occurrence. (f) Ensuring supervision of other children in the group. (2) A school-age center must complete a report of any serious injury or incident, and include: (a) The child's full name and age; (b) The date of occurrence, time, type, circumstances, witnesses, and location at the center or off-site; (c) Time and date of notification of parents; (d) The signatures of the reporting staff and program leader; (e) Action taken to prevent reoccurrence; and (f) The signature of the parent indicating that they reviewed it or received a copy of the report within 48 hours of when the incident occurred. An email or text with confirmation of receipt will count as a parent signature. (3) A school-age center must keep written reports of injuries on file in one location and for at least two years. (4) A school-age center must maintain, at a minimum, the following first aid supplies at the center, in any vehicle used to transport children in care, and for group activities away from the center: (a) Non-medicated adhesive bandages (assorted sizes); (b) Adhesive tape; (c) Sterile gauze pads (various sizes); (d) A sling, or a large triangular bandage; (e) Bottled water (for cleaning wounds or eyes); (f) Liquid handwashing soap or handwashing gel; (g) Sealed antiseptic towelettes or solution to be used as a wound cleaning agent; (h) Scissors; (i) Tweezers; (j) Disposable latex-free, powder-free gloves; (k) Plastic bags (for disposing of blood and other body fluids); (l) Mercury-free and glass-free thermometer; (m) Cold pack; (n) Chlorine bleach or other disinfectant for cleaning spills of blood and other bodily fluids; (o) Flexible rolled gauze; and (p) A chart or handbook of first aid instructions. (5) A school-age center must ensure that the first aid supplies are readily available to staff and kept inaccessible to children. (6) A school-age center must maintain the first aid supplies in a clean and sanitary manner and replace them as needed, including expired items.