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Department of Communities, Child Safety and Disability Services
• Increased awareness of the prevalence of water
injuries to children.
• Increased ability to identify risk factors for
drowning episodes (across different age groups).
• Increased ability to identify other risk factors that
influence the occurrence of a drowning episode.
• Practical strategies that will protect children in and
around water.
Department of Communities, Child Safety and Disability Services
Learning outcomes
What is drowning?
Drowning is a process where breathing is impaired by
immersion in water (either the face or the whole body)
and a loss of consciousness occurs. (WHO 2002)
There are two outcomes of drowning:
• Fatal drowning (death)
• Non-fatal drowning (survival)
The average number of
Queensland children who
fatally drown every year, on
average.
168 17
The average number of
child drowning episodes
across Queensland every
year.
Belinda Wallis et al ‘Where children and adolescents drown in Queensland: A population based study’ BMJ Open 2015:5
Drowning is avoidable
Department of Communities, Child Safety and Disability Services
Non-fatal drowning can
result in:
• Coma
• Organ damage
• Permanent disability
• Brain death
• Neurological injury.
A moments distraction can lead
to a lifetime of regret.
1:10 fatal to non-fatal ratio
Department of Communities, Child Safety and Disability Services
Department of Communities, Child Safety and Disability Services
With each statement:
Go to right side of room if you think that the statement is true
or the left side of the room if you think that the statement is false.
1. Drowning is usually not silent – the person is splashing, struggling and/or
screaming and thus can be heard.
2. 9 out of 10 children who have drowned have been supervised.
3. Almost half of all child drowning deaths occur in rural and remote areas.
4. Inflatable pools don’t pose the same drowning hazards.
5. Approximately 10,000 Australian children leave primary school each year
without sufficient skills to survive in water.
Activity 1
Department of Communities, Child Safety and Disability Services
Real Life Story
Portable Pool Drowning Death
A two year old girl fatally drowned in a portable pool in the
backyard of her house. The girl found her way back into the
wading pool after playing in it earlier in the day. Her death
follows three similar incidents over the summer.
Department of Communities, Child Safety and Disability Services
Queensland facts
Reference: BA Wallis, et al. ‘Drowning in Aboriginal and Torres Strait Islander Children and Adolescents in Queensland’ BMC Public Health 2015.15
Almost 50% of all fatal drowning’s
occurred in rural and remote
areas, despite rural and remote
areas comprising only 25% of
Queensland’s population.
Two thirds of all child
drowning episodes occurred in
the 0-4 age group AND more
than half of these were fatal.
Aboriginal and Torres Strait
Islander children are at greater
risk of drowning than other
children1.
Home swimming pools are the
most common site for child
drowning's and most of the
pools had fencing.
Two out of every three children who
drown are boys.
Department of Communities, Child Safety and Disability Services
Why do children drown?
 In small groups, read and discuss the handout ‘Factors that contribute to
children drowning’ and it’s three sections:
Activity 2
• Factors relating to parents and carers
• Factors relating to the child
• Factors relating to the aquatic environment
 The handout does not provide an exhaustive list of every
contributing factor.
 What additional factors can you identify, in any category?
Department of Communities, Child Safety and Disability Services
SOME ACTIONS YOU CAN TAKE TO AVOID DROWNINGS
• Never take your eyes away from a child in the bath, not even for a
minute.
• Don’t leave an older child to supervise this age group in the bath.
• Once bath time is over, empty bath and put the plug out of a child’s
reach.
• Use a suction mat to prevent slipping.
0 to 1 year olds
• This age group is more likely to drown in a bath tub.
• Buckets are the 2nd most common location for under one’s.
SOME ACTIONS YOU CAN TAKE TO AVOID DROWNINGS
• Being in the water with the infant or toddler is critical for this age group.
• Never ever prop open the pool gate.
• Teach the child to wait for your OK before getting into the water.
• Fence off a ‘safe play area’ on your rural property to prevent wandering.
• Enrol the child in a water familiarisation program.
• Keep the phone right beside you when children are in the water.
• Remove toys from in or around the pool when not in use – they will
attract young children back to the area.
1 to 4 year olds
• Swimming pools are the most common location for drowning episodes
for this age group.
• Dams and other rural water hazards are the 2nd most common location.
SOME ACTIONS CAN YOU TAKE TO AVOID DROWNINGS
• Enforce clear rules around water – e.g. ban certain areas as play
areas.
• Always supervise – maintain arms length.
• Get information about the child’s water skills before placement.
• Ask if the child’s school provides water safety/skills classes - if not,
enrol the child in a water safety/skills program.
5 to 9 year olds
• Rural and remote locations sites were the most likely location for a
fatal drowning, such as dams etc.
• Swimming pools are the most common site for a non-fatal drowning.
SOME ACTIONS YOU CAN TAKE TO AVOID DROWNINGS
• Enforce clear rules around water – e.g. ban breath-holding contests
and other risk taking behaviours.
• Teach the young person how to read water conditions before
entering water – e.g. rips, undercurrents, objects in water etc.
• Get information about the child’s water skills before placement. If
• This age group is more likely to fatally drown in rural and remote locations
like rivers, creeks and weirs where water is moving or has a strong
current.
• Unpatrolled surf beaches are also a location of risk for this age group.
10 to 18 year olds
Real Life Story
Child 10 found face down in pool
Mystery surrounds the death of a 10 year old girl who
died after she was found face down in a backyard pool.
Her family insist she was a strong swimmer. She was in
the pool with her sister while her father was doing
housework before he was planning to join them for a
swim. She became the second Queensland drowning
victim in less than a week.
Department of Communities, Child Safety and Disability Services
Group 1
Pool owners/users
1. In your assigned groups, read and discuss the topic material provided.
2. Identify the five to ten most important points/messages.
3. Creatively present your information to the larger group – to grab attention
and help everyone to remember.
Activity 3
Children’s safety in different water
environments
Group 2
Rural hazards
Group 3
Other aquatic
environments
Department of Communities, Child Safety and Disability Services
Review – what have we learned
so far?
There is no single cause to drowning
There is a 1:10
ratio in
Queensland of
fatal drownings
(death) to non-fatal
drownings for
children.
The risk of
drowning
increases with
increasing mobility
of the child.
The first 4 years of
life are the most
vulnerable for
drowning
episodes.
No single preventative solution
Department of Communities, Child Safety and Disability Services
It is important to build layers of
protection, as in the ‘Royal Life
Saving Keep Watch Program’:
1. Supervise
2. Restrict access
3. Water awareness
4. Resuscitate
Royal Life Saving 'Keep Watch'
Layers of protection
Department of Communities, Child Safety and Disability Services
Department of Communities, Child Safety and Disability Services
Close
Constant
Focused
1. Supervise
Department of Communities, Child Safety and Disability Services
Real Life Story
Girl drowns at a public pool
A drowning was reported at the public pool. An unconscious
toddler had been pulled from the pool and CPR was performed
by a family member.
About 70 people were at the pool at the time. The girl had been
at a party at the pool with her family. Attempts to revive her
were unsuccessful and she died later in hospital.
Department of Communities, Child Safety and Disability Services
From November 2015 all pool fences and barriers
must comply with current pool safety laws - Includes
spas & portable pools of 300mm or more of water.
Remove all climbable objects from fence
perimeter (including shrubs).
Replace, tighten and adjust gate
hinges – fence and gate
maintenance is critical.
2. Restrict access
Department of Communities, Child Safety and Disability Services
Real Life Story
Boy Drowns in Farm Dam
A family was left grieving after their toddler son drowned in a dam on
their family farm. The couple’s only son drowned when he wandered off
from the main house and walked a kilometre to get to the dam. The
father found his son 2 hours later in the dam and dragged him to shore
before starting CPR.
Department of Communities, Child Safety and Disability Services
3. Water awareness
Water awareness is an important life skill for all Queensland children and includes:
YOU setting rules that
promote water safety…..
Knowing the child’s survival skills and
capability in water such as floating,
treading water and swim survival
strokes…….
Both you and the older child
being able to recognise and avoid
danger in and around water.
Water
awareness can
include a range
of strategies
Babies and toddlers:
using bath time to
familiarise child with
water.
Pre-schoolers: having fun
in the water with the child,
and considering
enrolment in a water
familiarisation program.
Older non-swimmers:
requires urgent formal
and informal
opportunities to learn
both water awareness
and water skills.
ACTIVITY 4
WATER SURVIVAL, SAFETY AND RESCUE SKILLS
 In pairs, read the lists of skills and statements.
 Match each statement to the correct skill.
Department of Communities, Child Safety and Disability Services
• When supervising an aquatic
activity, have a phone beside you.
• If a child’s whereabouts is
unknown, search all water hazards
first.
• Learning CPR may be critical for
rural communities when
ambulatory services are further
away.
• Teach children how to contact
emergency services.
• Have an emergency action plan.
• Many children are alive today
because their parents or carers
knew how to perform Cardio-
Pulmonary Resuscitation (CPR).
• A CPR chart must be located in
the pool area.
• In a drowning situation, any CPR
action is better than no action.
• Accreditation at a CPR course
takes only 4 hours.
4. Resuscitate
Have the knowledge and ability to rescue a child without risking your life.
Department of Communities, Child Safety and Disability Services
REAL LIFE STORY
Child drowns in esky
A 2 year old drowned in an esky at a family celebration.
The ice in the esky had melted and after dropping a toy
into the esky, the 2 year old tried to retrieve it, but fell in
and was unable to get out. As a result, the child was
trapped, and drowned in just a small amount of water.
Department of Communities, Child Safety and Disability Services
Review – what have we just
learned?
Drowning is
preventable and is
most effective
when strategies
are multi-layered. If one line of
defence fails there
are more
prevention
measures working
together to
prevent a child
drowning.
Having knowledge
and awareness
can help you
rescue a child
without risking
your own life.
Stay Close,
Constant and
Focused.
1. Supervise 2.
Restrict access 3.
Water awareness
4. Resuscitate.
The Royal Life
Saving Keep
Watch Program - 4
layers of practical
strategies.
The department, the Foster and Kinship
care agency and YOU
We all share responsibility for children’s safety when in, on or around water.
All CSOs and FKC support workers have completed a session like this on water safety
– for CSOs it is mandatory.
The CSO will gather information about a child’s swimming ability, and consider risks
and the water supervision required, and provide this information to you. If not, ask
for it.
The FKC support worker will also gather information from previous carers or FKC
agencies through the ‘Conclusion of Placement’ as this includes information about
the child’s current level of swimming ability.
If a child has limited experience in water, then consider their enrolment in a water
familiarisation or swim program.
If you have a pool or other water hazard at or near your premises, then discuss a strategy to
manage this during the Placement Agreement.
 In Australia, we live near, and have good
opportunities for water recreation.
 We play in and around water from a young age.
 While most of us learn to swim, this may not be the
case for children who are in care.
 Learning to swim involves more than competitive
strokes.

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ppt-water-safety-care-services-carers.pptx

  • 1. Department of Communities, Child Safety and Disability Services
  • 2.
  • 3. • Increased awareness of the prevalence of water injuries to children. • Increased ability to identify risk factors for drowning episodes (across different age groups). • Increased ability to identify other risk factors that influence the occurrence of a drowning episode. • Practical strategies that will protect children in and around water. Department of Communities, Child Safety and Disability Services Learning outcomes
  • 4. What is drowning? Drowning is a process where breathing is impaired by immersion in water (either the face or the whole body) and a loss of consciousness occurs. (WHO 2002) There are two outcomes of drowning: • Fatal drowning (death) • Non-fatal drowning (survival)
  • 5. The average number of Queensland children who fatally drown every year, on average. 168 17 The average number of child drowning episodes across Queensland every year. Belinda Wallis et al ‘Where children and adolescents drown in Queensland: A population based study’ BMJ Open 2015:5 Drowning is avoidable Department of Communities, Child Safety and Disability Services
  • 6. Non-fatal drowning can result in: • Coma • Organ damage • Permanent disability • Brain death • Neurological injury. A moments distraction can lead to a lifetime of regret. 1:10 fatal to non-fatal ratio Department of Communities, Child Safety and Disability Services
  • 7. Department of Communities, Child Safety and Disability Services
  • 8. With each statement: Go to right side of room if you think that the statement is true or the left side of the room if you think that the statement is false. 1. Drowning is usually not silent – the person is splashing, struggling and/or screaming and thus can be heard. 2. 9 out of 10 children who have drowned have been supervised. 3. Almost half of all child drowning deaths occur in rural and remote areas. 4. Inflatable pools don’t pose the same drowning hazards. 5. Approximately 10,000 Australian children leave primary school each year without sufficient skills to survive in water. Activity 1 Department of Communities, Child Safety and Disability Services
  • 9. Real Life Story Portable Pool Drowning Death A two year old girl fatally drowned in a portable pool in the backyard of her house. The girl found her way back into the wading pool after playing in it earlier in the day. Her death follows three similar incidents over the summer. Department of Communities, Child Safety and Disability Services
  • 10. Queensland facts Reference: BA Wallis, et al. ‘Drowning in Aboriginal and Torres Strait Islander Children and Adolescents in Queensland’ BMC Public Health 2015.15 Almost 50% of all fatal drowning’s occurred in rural and remote areas, despite rural and remote areas comprising only 25% of Queensland’s population. Two thirds of all child drowning episodes occurred in the 0-4 age group AND more than half of these were fatal. Aboriginal and Torres Strait Islander children are at greater risk of drowning than other children1. Home swimming pools are the most common site for child drowning's and most of the pools had fencing. Two out of every three children who drown are boys. Department of Communities, Child Safety and Disability Services
  • 11. Why do children drown?  In small groups, read and discuss the handout ‘Factors that contribute to children drowning’ and it’s three sections: Activity 2 • Factors relating to parents and carers • Factors relating to the child • Factors relating to the aquatic environment  The handout does not provide an exhaustive list of every contributing factor.  What additional factors can you identify, in any category? Department of Communities, Child Safety and Disability Services
  • 12. SOME ACTIONS YOU CAN TAKE TO AVOID DROWNINGS • Never take your eyes away from a child in the bath, not even for a minute. • Don’t leave an older child to supervise this age group in the bath. • Once bath time is over, empty bath and put the plug out of a child’s reach. • Use a suction mat to prevent slipping. 0 to 1 year olds • This age group is more likely to drown in a bath tub. • Buckets are the 2nd most common location for under one’s.
  • 13. SOME ACTIONS YOU CAN TAKE TO AVOID DROWNINGS • Being in the water with the infant or toddler is critical for this age group. • Never ever prop open the pool gate. • Teach the child to wait for your OK before getting into the water. • Fence off a ‘safe play area’ on your rural property to prevent wandering. • Enrol the child in a water familiarisation program. • Keep the phone right beside you when children are in the water. • Remove toys from in or around the pool when not in use – they will attract young children back to the area. 1 to 4 year olds • Swimming pools are the most common location for drowning episodes for this age group. • Dams and other rural water hazards are the 2nd most common location.
  • 14. SOME ACTIONS CAN YOU TAKE TO AVOID DROWNINGS • Enforce clear rules around water – e.g. ban certain areas as play areas. • Always supervise – maintain arms length. • Get information about the child’s water skills before placement. • Ask if the child’s school provides water safety/skills classes - if not, enrol the child in a water safety/skills program. 5 to 9 year olds • Rural and remote locations sites were the most likely location for a fatal drowning, such as dams etc. • Swimming pools are the most common site for a non-fatal drowning.
  • 15. SOME ACTIONS YOU CAN TAKE TO AVOID DROWNINGS • Enforce clear rules around water – e.g. ban breath-holding contests and other risk taking behaviours. • Teach the young person how to read water conditions before entering water – e.g. rips, undercurrents, objects in water etc. • Get information about the child’s water skills before placement. If • This age group is more likely to fatally drown in rural and remote locations like rivers, creeks and weirs where water is moving or has a strong current. • Unpatrolled surf beaches are also a location of risk for this age group. 10 to 18 year olds
  • 16. Real Life Story Child 10 found face down in pool Mystery surrounds the death of a 10 year old girl who died after she was found face down in a backyard pool. Her family insist she was a strong swimmer. She was in the pool with her sister while her father was doing housework before he was planning to join them for a swim. She became the second Queensland drowning victim in less than a week. Department of Communities, Child Safety and Disability Services
  • 17. Group 1 Pool owners/users 1. In your assigned groups, read and discuss the topic material provided. 2. Identify the five to ten most important points/messages. 3. Creatively present your information to the larger group – to grab attention and help everyone to remember. Activity 3 Children’s safety in different water environments Group 2 Rural hazards Group 3 Other aquatic environments Department of Communities, Child Safety and Disability Services
  • 18. Review – what have we learned so far? There is no single cause to drowning There is a 1:10 ratio in Queensland of fatal drownings (death) to non-fatal drownings for children. The risk of drowning increases with increasing mobility of the child. The first 4 years of life are the most vulnerable for drowning episodes. No single preventative solution Department of Communities, Child Safety and Disability Services
  • 19. It is important to build layers of protection, as in the ‘Royal Life Saving Keep Watch Program’: 1. Supervise 2. Restrict access 3. Water awareness 4. Resuscitate Royal Life Saving 'Keep Watch' Layers of protection Department of Communities, Child Safety and Disability Services
  • 20. Department of Communities, Child Safety and Disability Services
  • 21. Close Constant Focused 1. Supervise Department of Communities, Child Safety and Disability Services
  • 22. Real Life Story Girl drowns at a public pool A drowning was reported at the public pool. An unconscious toddler had been pulled from the pool and CPR was performed by a family member. About 70 people were at the pool at the time. The girl had been at a party at the pool with her family. Attempts to revive her were unsuccessful and she died later in hospital. Department of Communities, Child Safety and Disability Services
  • 23. From November 2015 all pool fences and barriers must comply with current pool safety laws - Includes spas & portable pools of 300mm or more of water. Remove all climbable objects from fence perimeter (including shrubs). Replace, tighten and adjust gate hinges – fence and gate maintenance is critical. 2. Restrict access Department of Communities, Child Safety and Disability Services
  • 24. Real Life Story Boy Drowns in Farm Dam A family was left grieving after their toddler son drowned in a dam on their family farm. The couple’s only son drowned when he wandered off from the main house and walked a kilometre to get to the dam. The father found his son 2 hours later in the dam and dragged him to shore before starting CPR. Department of Communities, Child Safety and Disability Services
  • 25. 3. Water awareness Water awareness is an important life skill for all Queensland children and includes: YOU setting rules that promote water safety….. Knowing the child’s survival skills and capability in water such as floating, treading water and swim survival strokes……. Both you and the older child being able to recognise and avoid danger in and around water. Water awareness can include a range of strategies Babies and toddlers: using bath time to familiarise child with water. Pre-schoolers: having fun in the water with the child, and considering enrolment in a water familiarisation program. Older non-swimmers: requires urgent formal and informal opportunities to learn both water awareness and water skills.
  • 26. ACTIVITY 4 WATER SURVIVAL, SAFETY AND RESCUE SKILLS  In pairs, read the lists of skills and statements.  Match each statement to the correct skill. Department of Communities, Child Safety and Disability Services
  • 27. • When supervising an aquatic activity, have a phone beside you. • If a child’s whereabouts is unknown, search all water hazards first. • Learning CPR may be critical for rural communities when ambulatory services are further away. • Teach children how to contact emergency services. • Have an emergency action plan. • Many children are alive today because their parents or carers knew how to perform Cardio- Pulmonary Resuscitation (CPR). • A CPR chart must be located in the pool area. • In a drowning situation, any CPR action is better than no action. • Accreditation at a CPR course takes only 4 hours. 4. Resuscitate Have the knowledge and ability to rescue a child without risking your life. Department of Communities, Child Safety and Disability Services
  • 28. REAL LIFE STORY Child drowns in esky A 2 year old drowned in an esky at a family celebration. The ice in the esky had melted and after dropping a toy into the esky, the 2 year old tried to retrieve it, but fell in and was unable to get out. As a result, the child was trapped, and drowned in just a small amount of water. Department of Communities, Child Safety and Disability Services
  • 29. Review – what have we just learned? Drowning is preventable and is most effective when strategies are multi-layered. If one line of defence fails there are more prevention measures working together to prevent a child drowning. Having knowledge and awareness can help you rescue a child without risking your own life. Stay Close, Constant and Focused. 1. Supervise 2. Restrict access 3. Water awareness 4. Resuscitate. The Royal Life Saving Keep Watch Program - 4 layers of practical strategies.
  • 30. The department, the Foster and Kinship care agency and YOU We all share responsibility for children’s safety when in, on or around water. All CSOs and FKC support workers have completed a session like this on water safety – for CSOs it is mandatory. The CSO will gather information about a child’s swimming ability, and consider risks and the water supervision required, and provide this information to you. If not, ask for it. The FKC support worker will also gather information from previous carers or FKC agencies through the ‘Conclusion of Placement’ as this includes information about the child’s current level of swimming ability. If a child has limited experience in water, then consider their enrolment in a water familiarisation or swim program. If you have a pool or other water hazard at or near your premises, then discuss a strategy to manage this during the Placement Agreement.
  • 31.  In Australia, we live near, and have good opportunities for water recreation.  We play in and around water from a young age.  While most of us learn to swim, this may not be the case for children who are in care.  Learning to swim involves more than competitive strokes.

Editor's Notes

  1. This training module has been developed in response to a coronial recommendation to the Department of Communities, Child Safety and Disability Services requiring all foster care agencies to provide their support workers and carers with training and education on the identification of water hazards, water safety and the appropriate level of supervision of children in and around water hazards. The department has thus prepared this information with the majority of the content developed by Kidsafe Queensland and from materials developed by Royal Life Saving Australia.
  2. So with that in mind, this session is not just concerned with backyard swimming pools (CLICK) – although they will be a big focus. We will also be referencing rural dams; beaches; rivers and creeks; flooded roads; inflatable pools; garden water features; bathtubs; buckets; and public pools. (CLICK TO REVEAL EACH IMAGE) This is not to say they are the only water hazards we need to be aware of. There are many other water hazards such as water pipes, water tanks and shower recesses to name a few. Ask participants to provide other hazards not yet mentioned. These could all be written on a whiteboard or butcher’s paper and displayed. Other hazards thought of could be added during the sessions.
  3. While many of you may already know a great deal about water safety, it is always good to revisit and refresh so we can always be in a position to keep children safe. And importantly, so we all have shared understandings of what this means and what outcomes we are hoping to achieve. Water risks are everywhere and water-based activities are a common part of our recreational environment. Therefore, it is imperative we keep our children safe in and around water.
  4. To begin we are going to look at what we mean by drowning. I will let you read the definition – pause to allow time to read This definition seems simple enough but the World Health Organisation (WHO) took many years to agree on a uniform definition that would be accepted worldwide. This only happened in 2002. Prior to that there were about 33 definitions of drowning that were in use. You may be familiar with some of these: Near drowning Dry drowning and wet drowning Secondary drowning Passive drowning Silent drowning. The introduction of the WHO 2002 definition meant that other frequently used ‘descriptors’ or definitional approaches would no longer be used. Instead, a broader generic definition was agreed upon which includes both fatal and nonfatal drowning episodes. The significance of this was the relinquish of drowning being restricted to fatal episodes.
  5. According to a population based study of drowning episodes of Queensland children aged 0-19years, between 1st January 2002 and 31st December 2008, there were 1299 drowning episodes. This equates to (CLICK) an average 168 drowning episodes (involving Ambulance Services) every year over the 7 years of the study. This figure includes (CLICK) 17 fatal drownings. This represents 6.5% of all fatal drownings in Australia in 2008* The striking feature of this study is the high number of non-fatal drowning episodes – which is increasing. It equates to more than one drowning episode every second day involving a child somewhere in Queensland. The figures are likely to be even higher, if we factor in those occasions where Ambulance Services are not called. *Royal Life Saving Report 2008 = 261 fatal drownings in Australia (all people)
  6. Drowning has a 1 to 10 fatal to non-fatal ratio. But what those statistics don’t tell us are the health impacts for the children that do survive drowning. A number of these 1179 non-fatal drowning victims had lifelong disabilities (CLICK) – e.g. permanent neurological impairment or other organ damage, resulting in significant and lifelong impact on their quality of life.
  7. Show the 2-3 minute video on the Royal Life Saving National Drowning Report of 2015. This is about all fatal drownings across Australian waterways – not just children. Acknowledge that the video clip included a lot of data. Repeat the data that referenced children: There was a 30% increase in fatal downing for the under 5s over the previous year. 81% of these fatalities were falls into water. The common drowning site for this age group was swimming pools. Note: The video clip can also be accessed via https://www.youtube.com/watch?v=tZwRyrvX4CQ
  8. Activity duration – 5-8 minutes (CLICK) Statement 1–FALSE. It is a common myth that children will react like adults and will make a lot of noise during the drowning episode. Children (especially young children) rarely make a big splash and thrash around or scream out like you see on TV. Once a child is submerged, their airway is under water and they are not able to call out for help. (CLICK) Statement 2 –TRUE or at least this is what was reported to authorities at the time. (CLICK) Statement 3 - TRUE – This goes against the population trend where our urban cities are densely populated. This is also likely due to the presence of rural dams; that creeks and rivers are more likely to be used recreationally in rural localities; and where there are a wide range of unfenced water hazards. (CLICK) Statement 4 - FALSE. Children can drown in less than 6cm of water. Wading pools are therefore a high risk for young children. Drowning can happen in dog water dishes; post holes on rural properties; mop buckets; decorative fountains etc. (CLICK) Statement 5 - TRUE. (CLICK) According to information from the Royal Life Saving, this is an estimate of the number of primary school aged children without the skills to ‘Swim and Survive’. Learning swimming is not a requirement of the Queensland Curriculum. According to the Department of Education, swimming is seen as a way of having students participate in physical education. It seems to be seen as a means to an end, not the focus of learning or skill development.
  9. Give time for participants to read the slide. This is an extract from a Queensland newspaper in February 2016. It highlights the reality of the risk to young children in inflatable pools. It is also important to empty these types of pools after every use, and store them in a way that prevents the collection of rainwater. This handout by the Royal Life Saving is a detailed fact sheet on Portable Pools, detailing what they are as well as a safety checklist. Handout: Royal Life Saving Fact Sheet 1: What is a portable pool? If your portable pool or spa can hold more than 300mm of water, has a volume of more than 2000L or has a filtration system, the pool safety laws apply. You will need to: get a pool safety certificate from a licensed building certifier stating that your pool complies with the pool safety standard, before filling the pool or spa with more than 300mm of water.
  10. Looking at the facts from a Queensland lens we see that: (READ OUT FACTS) This data is sourced from the Belinda Wallis population based study (which references both fatal and non-fatal drownings) and the 2016 Royal Life Saving Report (which is reporting only fatal drownings) - so the two will be slightly different. Looking further into Aboriginal and Torres Strait Islander data, this study, found the greater risk equated to a 44% higher incidence rate for Aboriginal and Torres Strait Islander children; and higher risk for Aboriginal and Torres Strait Islander females than males. Additionally, Aboriginal and Torres Strait Islander children were found to have the same top 3 drowning locations as non-Indigenous population: Pools; Bathtubs; and coastal water.
  11. Activity duration - 10 mins Distribute handout ‘Factors that contribute to children drowning’ – This list is not exhaustive but is a timely reminder of the variety of hazards and risks present that we need constant awareness to. The task is in small groups of 3, discuss the factors on the handout and identify any additional ones. Write your additional factors on the butcher’s paper. You can be creative with colours or pictures if you wish. We will share with the rest of the group. At the completion of the activity, have table groups to share an additional factor from each category. Ask groups to stick butcher’s paper on walls to display. To conclude: It is important to note that children drown for a range of reasons and with it are a range of factors relating to parents and carers, the aquatic environment and the child themselves, all of which contribute. Some points from the handout: For example, with parents and carers, complacency or comfort zone around the home can lead to less vigilance in supervision and perceived threat to the child or a lack of knowledge or hesitation to administer CPR. The aquatic environment may have steep or slippery entry and exit points, such as around rivers or creeks or fast flowing water increases the risk to drowning. Children may have an illness or medical condition such as epilepsy or are attracted to colourful toys left in the water.
  12. READ TEXT IN TEXT BOX With this in mind, there are different actions that can be taken to reduce the risk of drowning episodes by age group. (CLICK) Give time for participants to read the ‘some actions you can take’ pop-up. Remember: Bath aids are not safety devices There can be no doubt that WATER IS A DANGER TO LITTLE ONES. We’ve already heard that children this age can drown in 6cm of water. Though less common, it even means drowning can occur in puddles, dog drink bowls, mop buckets, nappy buckets etc.
  13. READ TEXT IN TEXT BOX The media reports time and time again about fatalities in this age group, particularly in pools – this includes backyard pools, inflatable pools and public pools. Because of their physical build, toddlers are top heavy and more prone to falling into water due to a lack of balance. They then sink very quickly to the bottom, much like a rock. Furthermore, small children can move fast and it can take just a few seconds of distraction, such as reading or writing a text message, answering the door, grabbing a towel, for children to fall into the water. The safest thing you can do is to take the child with you if you have to leave the area. Here are some other actions you can take: (CLICK) Remember: Water wings and rings are not safety devices.
  14. READ TEXT IN TEXT BOX Non-fatal drownings are high for this age group. Actions you can take for this group include: (CLICK) Remember: Just because a child can swim don’t assume there isn’t a drowning risk. Children this age still require the supervision of a responsible adult, no matter what their swimming ability. Weak swimmers or non-swimmers of this age group still require ‘arms reach’ supervision by a responsible adult.
  15. READ TEXT IN TEXT BOX This age group tends to be more independent. They might be engaged in recreational activities without you – i.e. with peers or at school. For the older end of this age group, drugs and alcohol consumption can provide added risk of drowning. Boys tend to dominant this age group for fatal drownings. ANOTHER COMMON RISK IS FROM UNDERWATER BREATH-HOLDING COMPETITIONS. Ask if participants have heard of ‘shallow water blackout’? This can be a common outcome of breath holding competitions – which are/have been quite common with this age group. It is the loss of consciousness under water from a lack of oxygen to the brain following breath-holding. It is not a safe game and can result in loss of consciousness under water and drowning. Although the term is ‘shallow water’ the loss of consciousness can occur in any depth of water. Refer to or provide the Shallow Water Blackout Fact Sheet. Some actions that can be taken: (CLICK) Remember: some water games can be dangerous and result in unconsciousness in the water.
  16. Give time for participants to read the slide. This is another 2016 Queensland news report. This example shows us that it is not always the littlies that drown. Also, this child was considered a strong swimmer and was not alone in the pool. However, the child was not under any adult supervision. Key take home points from this tragic story: Cannot assume skills and capabilities are enough to keep safe in the water It is unfair and unreasonable to leave a child, regardless of their age, in the care of another child because children aren’t always aware that someone is in danger. It is an adult’s job and responsibility to supervise.
  17. For the purposes of this Test Session, we will not undertake the activity. Instead I will briefly outline the Activity and what it entails. This activity requires participants to be divided into 3 groups: Group 1 – pool owners/users Group 2 – rural hazards Group 3 – other aquatic environments. Participants might self select depending on their personal circumstances or the facilitator might identify the group allocation through another process. If couples are attending the session, it would be best to allocate them to different groups. Depending on the size of the training group, you might elect to double up on one or two groups. Allow sufficient time for reading and small group discussion/preparation. Provide a further 2-3 minutes per group for their presentation.
  18. This slide includes a few of the key messages already covered. READ TEXT ON SLIDE
  19. Royal Life Saving has developed a Keep Watch program. It is not focused on one particular aquatic location and is primarily aimed at child under 5. Nonetheless the actions are transferable across other age groups. The Keep Watch program has 4 key drowning prevention actions (CLICK). These are not meant to be implemented individually but simultaneously – thus providing a number of separate strategies, so that if one fails, there is always another three in play.
  20. This clip provides a brief overview of the 4 actions in the Keep Watch Program. It goes for 1:47 mins. ----After watching clip------ Interesting points the data mentioned: In the period 2002 to 2015 there were 403 fatal drownings of the under 5s 78% were as a result of falls into water 52% were in home swimming pools In 2015 there was a 30% increase in drowning deaths of under 5s (as mentioned in the first video clip).
  21. We will now explore the 4 actions in greater detail. (CLICK) READ TEXT IF TIME ALLOWS (text is animated so participants can follow) The department requires children in care to be supervised by an adult. Similarly, it is clear about what supervision does NOT mean (CLICK). Not being in close proximity includes: being inside the house being up on the deck being in the garden leaving to go to the bathroom leaving to answer the phone or door Active supervision is critical and the single most significant factor in preventing drowning episodes. We don’t necessarily share the same concept of what ‘active supervision’ entails. However this PPT makes a clear distinction between the important components of ‘active supervision’. It boils down to three concepts (CLICK): Close Constant Focused.
  22. Another contemporary newspaper report: This episode also occurred earlier this year. It happened at a busy pool during the height of summer and during a large family gathering. It is so easy to imagine that one person thought or assumed that someone else was watching the child, and most likely they assumed another person was supervising the child. In reality, no one was watching the child and the consequence was tragic. It is important when there are large social groups at an aquatic location, that another (sober) adult is clearly designated as the responsible supervisor. If they have to attend to something else – then another person is explicitly given the responsibility.
  23. Restrict Access: This is essentially about providing barriers to water locations and isolating the child from the water hazard. CLICK Barrier around the water: In the case of backyard pools, Queensland now has clear legislation defining the fencing measurements and the gate and latch requirements – for pools, outdoor spas and portable pools capable for holding 300mm or more of water. That’s the same as the length of a ruler (hold up a ruler). CLICK Kidsafe further recommends a fence at least 1200mm in height to inhibit access, a gap of 100mm or less from the ground to prevent a child being able to crawl underneath and the vertical bars being 100mm or closer so a child cannot slip between them. Barrier around the child: Read slide and then for the last point of ‘not a leg obligation’ read below: There are no legislative requirements for rural dams or for garden fishponds and the like. These water hazards do not need to be fenced. Farmsafe and Royal Life Saving stress the importance of putting a barrier around the young child – e.g. a fenced yard, much like the fencing required for swimming pools.
  24. Another contemporary newspaper article. This highlights that small children are quite capable of walking quite some distance from the house, and in the process can easily be attracted to water and drown. Another message to draw from this – if ever you can’t find a young child, look first to the pool area or to open water hazards on your property, or the property you are visiting.
  25. Water awareness is an important life skill for everyone and includes a range of strategies: Set rules Know skills and capabilities Recognise and avoid hazards CLICK Developmentally staged strategies can include: Babies and toddlers – getting children familiar with water Pre-schoolers – enjoying water together; water familiarisation and safety programs Older non-swimmers – both formal and informal ways
  26. Regardless of swimming ability, no person is drown proof. As we just learnt, developing your water awareness is important life skill for everyone and is another layer of protection in preventing drowning. Learning to swim is part of developing water awareness, but it is not just about learning competitive strokes such as freestyle or backstroke. Learning to swim involves a range of essential skills in personal survival, water safety and basic rescue that can help prevent drowning and increase participation in safe aquatic activity in all water locations whether it is for the home, beach, river, lakes or swimming pool. This activity is about the types of water survival, safety and rescue skills that are learnt in accredited water programs, such as RLS Swim and Survive or AustSwim. Some schools provide swimming lessons, but many do not, and most do not offer enough lessons to enable children to swim competently. CLICK You will be given a list of skills and a list of statements. In pairs, read the lists and match each statement to its correct skill. After the matching of the statements to the skills has been completed and checked, encourage participants to reflect and share thoughts on the range of skills covered in water training programs and if they are surprised by the range. Ask participants if this has changed their perspective and importance of the programs to assist in preventing drowning?
  27. CLICK to commence auto read out of slide information Afterwards: It is a legislative requirement, under Queensland pool safety laws, that pools and outdoor spas prominently display a CPR sign. In the training session we would then ask how many participants are CPR accredited and encourage those carers with a pool or water hazard on their property, and/or who currently have or are likely to have placements of children under 4 years of age, consider completing a CPR course, as part of their learning plan.
  28. This tragedy is a reminder of the vast range of water hazards and the significant importance to take care to remove or secure all drowning hazards in and around homes and other aquatic environments.
  29. Drowning prevention is most effective when strategies are multi-layered. The Royal Life Saving Keep Watch Program presents 4 layers of practical strategies to protect children from drowning. Water awareness involves a range of strategies for different age and competency levels. Having knowledge and awareness can help you rescue a child without risking your own. The most important take home message is to ALWAYS supervise children, AT ALL TIMES, in and around water: Stay Close, Constant and Focused
  30. This slide provides carers with details of how our department, the Foster and Kinship care agency and carers work together to keep children safe in, on and around water. READ OUT IF HAVE TIME OTHERWISE We all share responsibility for children’s safety when in, on or around water. All CSOs and FKC support workers have completed a session like this on water safety – for CSOs it is mandatory. The CSO will gather information about a child’s swimming ability, and consider risks and the water supervision required, and provide this information to you. If not, ask for it. The FKC support worker will also gather information from previous carers or FKC agencies through the ‘Conclusion of Placement’ as this includes information about the child’s current level of swimming ability. If a child has limited experience in water, then consider their enrolment in a water familiarisation or swim program. If you have a pool or other water hazard at or near your premises, then discuss a strategy to manage this during the Placement Agreement.
  31. In concluding, CLICK (read after slide point appears) it is important to remember water-based activities should be seen as a fun and enjoyable environment for children. CLICK (read after slide point appears) Positive aquatic experiences begin from birth and carers are pivotal in assisting children to feel comfortable and confident around water. CLICK (read after slide point appears) Carers also play a key role in improving the safety of children when they are in or around water. CLICK (read after slide point appears) Never assume a child has no risk of drowning because they can swim. It is important for all children to be safe in, on and around water. Learning water safety skills and being aware of water and its hazards is a valuable strategy for everyone, regardless of swimming ability. Thank you for your time today and please remember: Drowning is a preventable outcome of being in or around water.