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For official copies of board policies and procedures please contact the superintendent's office at (253) 583-5190 or email

Response to Student Injury or Illness


When a student is injured or ill at school or during any school-sponsored activity to any degree, it is the responsibility of staff to see that immediate care and attention is provided to the student unless or until the staff member is relieved by a staff member certified in first aid, a nurse, a doctor, or emergency personnel.

Except in cases of very minor injuries (e.g., cuts, scrapes, rug burns) that, in the judgment of the school nurse or a staff member certified in first aid, do not pose a serious health risk to the student and will not worsen if the student remains at school, the principal or designee and school nurse (if not already notified) will be promptly notified of any student’s:

  1. Injury;
  2. Illness; or
  3. Physical trauma that could have caused injuries as yet unobservable.

Whenever possible, the school nurse or a staff member will determine whether the injury, illness or trauma is serious enough to warrant calling 911. If emergency services are not warranted, the staff member or school nurse will provide appropriate first aid to the student consistent with his or her training. 


Upon recommendation of the school nurse or a staff member, Emergency Medical Services (EMS) may be called immediately and the student will be transported to the hospital by EMS.  Students with uncontrolled bleeding and those who have suffered temporary suffocation, cardiac arrest, fractures or head, neck, eye, ear or spinal injuries will only be moved and transported by EMS.


Except in cases of very minor injuries as described above, the principal, designee, or supervising staff member will call the parent or guardian (or, if the parent or guardian cannot be reached, the emergency contact), to advise them of the student’s condition as soon as practicable.

The student’s parent or guardian or emergency contact will decide, in non-emergency cases, whether: 1) the parent/guardian or emergency contact will transport the student to the hospital; 2) the parent/guardian or emergency contact will pick up the student; or 3) the student will remain at school. 


The district will consult with its legal counsel prior to accepting any advance directives to physicians to limit medical treatment.


If a serious injury occurs at school, the following emergency procedures will be conducted :

  1. Stop play immediately at first indication of possible injury or illness;
  2. Look for obvious deformity or other deviation from the athlete's normal structure or motion;
  3. Listen to the athlete's description of his complaint and how the injury occurred; and
  4. Act but move the athlete only after serious injury is ruled out.

The staff member should avoid being hurried into moving a student who has been hurt. He/she should attempt to restore life-sustaining functions, (e.g., stop/repair uncontrolled bleeding, suffocation, cardiac arrest) before moving the athlete to an emergency facility. A student with a suspected head, neck or spinal injury should not be moved. If no physician is available, call 911 and proceed with caution according to first aid procedures. If he/she must accompany the student to a doctor, the activity or event should cease.

An accident report must be completed by the activity director, as soon as possible, from information provided by the person at the scene of the accident. The written report should include a description of the circumstances of the illness or injury and procedures followed in handling it at school. A copy should be included in the student's folder and a copy should be sent to: 1) the school nurse (if applicable); 2) risk management; and 3) student services.

When a student comes to school after an injury/concussion or physically debilitating illness the staff member receiving the information should notify the school nurse or designee. The school nurse or designee should notify the activity director and other relevant staff should be notified prior to the student participating in physical education and/or athletics. 

Athletic director or coordinator responsibilities:

  • Athletic director should provide school nurse with a regularly updated list of athletes;
  • The school nurse should verify each student’s health needs and communicate such needs to the athletic director/coordinator before the students may participate. The school nurse will train staff as needed and provide required medicines such as an epi-pen or an inhaler to the coach/activity director as needed; and
  • The athletic director/coordinator should inform the coach of health concerns of the athletes on the team and confirm that the coaches (head and assistant) are trained to provide health care as allowed before the athlete may participate.


Date:  04.10.95

Revised:  12.21.04; 08.02.13; 04.20.2015