Risk assessment

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What do you mean by “asymptomatic”? That they’re on insulin? It’s not a term used with Type 1. If their blood sugar becomes high after diagnosis, they’ll still get some of the symptoms they had prior to diagnosis - ie thirst, urinary frequency and tiredness. Type 1 is always there, with the accompanying risks of hypoglycaemia, hyperglycaemia and DKA, and longer term potential issues.

Now they’re on insulin, they are also at risk of hypos. Hypos can be potentially serious, leading to seizures and unconsciousness.That would be one of the main things to put on any risk assessment, along with more obvious ones such as sharps and the storage of medication.

Are they on injections, or a pump?
They are asymptomatic and do have a pump. Parents do do a handover each morning
 
They are asymptomatic and do have a pump. Parents do do a handover each morning
You keep using the term asymptomatic but what do you actually mean.
Would you recognise if the child had a hypo and what would you do? That is something that would need to go into any risk assessment.

When I used to do risk assessment for use of chemicals there was always the section on first aid measures and what to do for any incident.
 
They are asymptomatic and do have a pump. Parents do do a handover each morning

Ok, so can you explain what you mean by “asymptomatic”? You’re using a term that none of us recognise in relation to Type 1 diabetes. Put simply, it doesn’t mean anything in relation to Type 1. It would be easier to offer more advice and suggestions if we understood what you were trying to communicate by saying that @sunnyday
 
@sunnyday by asymptomatic do you mean she's doesn't feel hypo(low blood sugar) or high blood symptoms?
 
I would just like to add that perhaps this poster is unaware of the everyday terms gernally used in in type 1 diabetes as there not diabetic thierslelfs so hence thier term if you think about asymptomatic is defined as not have symptoms so it may seemed like logical term. And maybe not that odd. I had no idea of the terms then before diagnosed like if someone told me "I'm having s hypo" I would have no idea what we're on about

So maybe we should consider that rather then calling it odd" 🙂(just a thought not )
 
But has had it explained a number of times @rayray119 My guess is that the OP is unsure precisely what they mean - and it’s perfectly ok for them to say that. Nobody is going to interrogate them about Type 1 vocabulary. We’re just trying to understand how @sunnyday themselves is using that word because they’ve continued to use it so it must mean something to them - but we won’t know what unless they share that.

If it’s a euphemism for some additional unrelated need, then I’m sure that the OP could tactfully explain that or allude to it.
 
But has had it explained a number of times @rayray119 My guess is that the OP is unsure precisely what they mean - and it’s perfectly ok for them to say that. Nobody is going to interrogate them about Type 1 vocabulary. We’re just trying to understand how @sunnyday themselves is using that word because they’ve continued to use it so it must mean something to them - but we won’t know what unless they share that.

If it’s a euphemism for some additional need, then I’m sure that the OP could tactfully explain that or allude to it.
I didn't mean anything bad by that I know you're trying to understand. It was just I did see the comment that was a odd term to use(not that we shouldn't be asking what they mean). Just perhaps try not to call the pharse there using odd and But I'm sorry if I caused any ofence I was trying to offer some insight(I thought maybe the explations might have been missed because I sometimes I cannissed things being explained to me myself due to being dypraxic I pick up where that might have happened.
 
My concern is that the OP is being expected to do a risk assessment when they perhaps don't really understand Type 1 diabetes and their use of this word "asymptomatic" seems an indication that they don't understand enough to do the task they have been given. That is not a criticism of them because most of us knew or understood very little about diabetes before we were diagnosed ourselves. The complications and ramifications of managing diabetes are very difficult to grasp if you are not living with it everyday.
Should a DSN not be at least assisting with such a risk assessment or have a sample or proforma risk assessment that the OP can amend to suit any particular site or individual issues.
 
My concern is that the OP is being expected to do a risk assessment when they perhaps don't really understand Type 1 diabetes and their use of this word "asymptomatic" seems an indication that they don't understand enough to do the task they have been given. That is not a criticism of them because most of us knew or understood very little about diabetes before we were diagnosed ourselves. The complications and ramifications of managing diabetes are very difficult to grasp if you are not living with it everyday.
Should a DSN not be at least assisting with such a risk assessment or have a sample or proforma risk assessment that the OP can amend to suit any particular site or individual issues.
Yes that's a good a point actually different situation but when I situation was first diagnosed my work asked me to get just a doctors note to explain things @sunnyday could you perhaps ask the parents for a letter or to put in torch with thief hospital team
 
If I can step in.....

@sunnyday, please don't think that members are being in any way critical in their responses. They are genuinely confused by the use of the term asymptomatic with respect to your pupil and want to get some clarity to make sure any thoughts given to you are sensible. The point with T1 diabetes is that the "symptoms", if you can call the effects of high or low blood glucose levels symptoms, are kept in check by medication with insulin and if that is working well then I guess they may be said to be asymptomatic, but as many have said, that is not a term used by the diabetic community. They would usually talk about glucose levels being "in range", that is within the limits set by whoever is in charge of their treatment.

To me the base of your risk assessment should be around these two simple questions.

1. How do I recognise if blood glucose levels are out of the range recommended for the child.

2. What do I do if I think there is a problem.

PS..... Simple questions do not always have simple answers!
 
Do you have a nominated Health and Safety Officer overseeing the premises? I imagine that in a nursery you would have. I worked in a children's centre where there was a nursery. I was the H&S officer for the whole building and had had training in advanced H&S and had done risk assessnent training but the Nursery manageress was also trained in risk assessment and it was entirely different for children under 5. I accepted her reports and we conferred on anything that was in doubt. So really your Nursery manageress should have had that training and be qualified to do such an assessment. I have been out of that environment now for nearly 13 years so my training may well be quite out of date at the present time

Do not forget that T1 is classed as a disability under these circumstances too.
 
My concern is that the OP is being expected to do a risk assessment when they perhaps don't really understand Type 1 diabetes and their use of this word "asymptomatic" seems an indication that they don't understand enough to do the task they have been given. That is not a criticism of them because most of us knew or understood very little about diabetes before we were diagnosed ourselves. The complications and ramifications of managing diabetes are very difficult to grasp if you are not living with it everyday.
Should a DSN not be at least assisting with such a risk assessment or have a sample or proforma risk assessment that the OP can amend to suit any particular site or individual issues.
That's quite rude. I'm asking for guidance rather than judgement
 
You keep using the term asymptomatic but what do you actually mean.
Would you recognise if the child had a hypo and what would you do? That is something that would need to go into any risk assessment.

When I used to do risk assessment for use of chemicals there was always the section on first aid measures and what to do for any incident.
They don't show symptoms when they are hyper or hypo. We just go on what the monitor and finger pricks tell us
 
If I can step in.....

@sunnyday, please don't think that members are being in any way critical in their responses. They are genuinely confused by the use of the term asymptomatic with respect to your pupil and want to get some clarity to make sure any thoughts given to you are sensible. The point with T1 diabetes is that the "symptoms", if you can call the effects of high or low blood glucose levels symptoms, are kept in check by medication with insulin and if that is working well then I guess they may be said to be asymptomatic, but as many have said, that is not a term used by the diabetic community. They would usually talk about glucose levels being "in range", that is within the limits set by whoever is in charge of their treatment.

To me the base of your risk assessment should be around these two simple questions.

1. How do I recognise if blood glucose levels are out of the range recommended for the child.

2. What do I do if I think there is a problem.

PS..... Simple questions do not always have simple answers!
Thank you for this
 
Hi, just wondered if anyone had experience of a nursery doing a risk assessment on an asymptomatic preschool child and could given me pointers for what to add onto it please
Hello I work with the person asking this question and can confirm we have been told by the parents and had several visits from the diabetes Nurse all of who can confirm the child has Type 1 Diabetes and she is Asymptomatic (meaning she does not show any signs of High or Low blood sugar level. We are just looking for some advice from someone who has worked with and/or has written a risk assessment for this sort of situation.
 
If I can step in.....

@sunnyday, please don't think that members are being in any way critical in their responses. They are genuinely confused by the use of the term asymptomatic with respect to your pupil and want to get some clarity to make sure any thoughts given to you are sensible. The point with T1 diabetes is that the "symptoms", if you can call the effects of high or low blood glucose levels symptoms, are kept in check by medication with insulin and if that is working well then I guess they may be said to be asymptomatic, but as many have said, that is not a term used by the diabetic community. They would usually talk about glucose levels being "in range", that is within the limits set by whoever is in charge of their treatment.

To me the base of your risk assessment should be around these two simple questions.

1. How do I recognise if blood glucose levels are out of the range recommended for the child.

2. What do I do if I think there is a problem.

PS..... Simple questions do not always have simple answers!
This is helpful thank you. I do feel it would be helpful if people had actually googled asymptomatic diabetes rather than just assuming I have no idea what I'm talking about. I thought the point of a forum was for support.
 
That's quite rude. I'm asking for guidance rather than judgement
i don't think it was meant sound rude or was judging you. i think the comment was a concern of your employee asking you do a risk assesment not jugring you but thinking your employyess shouldn;t have put you in that prostistion rather then judgeing you.
 
This is helpful thank you. I do feel it would be helpful if people had actually googled asymptomatic diabetes rather than just assuming I have no idea what I'm talking about. I thought the point of a forum was for support.
that's is the point and people were trying to support you, its just not a term that's gernully used in type 1 diabetitties(googlle wouldn't have really have) and pehrpherp snow its been explained that they don't show symptoms people can offer more advice. pherpherps it was missed when you were asked what you mieant by that(which can be easilly done) as it be siad people went judging or ciizing were just trying gather more information of what you eaxctttly you meant so thy were in a better possistion offer advice and support?
 
This is helpful thank you. I do feel it would be helpful if people had actually googled asymptomatic diabetes rather than just assuming I have no idea what I'm talking about. I thought the point of a forum was for support.
But you might have helped yourself and avoided the comments if you had actually explained what you meant by your use of the term “asymptomatic”, as you were asked to many times. As others have mentioned, it is not in common usage in relation to diagnosed and treated Type 1, but is used mainly in relation to the absence of symptoms (eg thirst, tiredness, excessive urination etc) prior to diagnosis
 
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