If a pupil experiences a medical emergency during transport, what steps should you take?

• A. Position the pupil safely if needed, monitor symptoms, implement a first aid plan, notify the school nurse and parents, and seek medical assistance if required.
• B. Continue driving and address it later.
• C. Do nothing and wait for emergency services.
• D. Remove the pupil from the bus immediately regardless of situation.

Answer: (A)

When a pupil has a medical emergency on transport, the priorities are safety, rapid access to care, and clear communication. Start by repositioning the pupil to a safe position to protect the airway and breathing, and stay with them while you monitor their condition. Follow the district’s first aid plan and your training, which guides what to do next and what medications or supports you’re authorized to provide. Keep watching for changes in consciousness, breathing, skin color, or new symptoms, and be prepared to act within your plan.

Notify the school nurse or designated medical contact and the pupil’s parents right away to report what happened, what you’ve observed, and what care has been given. If the situation is urgent or life-threatening, call emergency services immediately and carry out the school’s emergency procedures while you continue to monitor the pupil and provide comfort and basic care.

If at any point safety requires it, stop the trip to address the emergency rather than continuing as if nothing is happening. The goal is to ensure safety, get professional care as quickly as possible, and keep everyone informed.