Level 3

Poison Prevention

In Alberta, there are an average of 3,235 emergency department visits and 184 hospital admissions among children and youth each year due to poisoning.¹

Children are more susceptible to poisoning because they are smaller in size and have faster metabolic rates compared to adults. Unintentional poisoning can occur in children in a number of ways. For instance, poisoning can occur if children take too much or the wrong medicine, or if the child eats or drinks a harmful substance. Children may also be poisoned if they inhale or touch a harmful substance, as some poison may be absorbed through their skin.

There are things adults, parents and caregivers can do to help prevent poisoning. Key strategies to prevent poisoning in children include the following:

1. Keep poisons locked up tight and out of sight. Household items that can be particularly harmful to children include prescription and over-the-counter medication, alcohol, and cannabis edibles, which have been legal in Canada since late 2019. Other items that can be toxic to children include vitamins, cosmetics, cleaning products and disinfectants, fertilizers and pesticides, wild mushrooms, and some plants and berries.

a. Products like medicines and cannabis should be stored up high, out of sight, and out of a child's reach. Using a lockbox or locked cabinet provides additional protection.
b. Keep all potential poisons in their original containers, and use child-resistant locks on cupboards where these items are stored.

2. Medicines can be attractive to children because of their size, colour, and similarity to other products, like candy. Additionally, vitamins and cannabis gummies are commonly available, making it more difficult for children to tell the difference between potential poisons and candy.

a. Never refer to medicines or vitamins as candy.
b. Take medicines and cannabis edibles out of sight from children. Children model the behaviours of adults.
c. Ensure all medicines, vitamins, and cannabis edibles are stored in child- resistant containers. Remember, child- resistant does not mean child-proof. With enough time, even young children can open child-resistant containers.

3. Explain to children that they should only take medicine from an adult that they trust.

4. Explain to children that if they don’t know if something is safe, always ask an adult before eating or drinking it.

5. Teach a child to tell an adult if they find something they think may be poisonous. If a child is concerned that someone may have been exposed to a poison, they should tell an adult.

6. If you think someone has been poisoned, call Canada's toll-free number for the poison centres: 1-844-POISON-X (1-844-764-7669).  If you call while in Alberta, you will be connected with the Poison & Drug Information Service (PADIS). The staff at PADIS will help determine if a person has been poisoned, and whether or not they require emergency health services.

a. For a landline telephone, write the number for the poison centres near the phone so it is easy to find in the event that someone is exposed to a poison.
b. For a cellphone, save the number for the poison centres in your contacts.

References

* This lesson plan has been adapted from the National Fire Protection Association (NFPA)’s RiskWatch Safety Program on Poisoning Prevention. This lesson plan also includes material from Scholastic on ‘Understanding Medicine Measuring Tools, Storage, and Safe Disposal’.
1. Injury Prevention Centre. (2019). Database held by Injury Prevention Centre (unpublished data, available upon request). Edmonton. AB: Injury Prevention Centre.

GRADE 5 - Physical Education and Wellness Curriculum

ORGANIZING IDEA

Safety: A lifetime of optimal well-being is supported by prioritizing health and safety.

GUIDING QUESTION

How can responsibility lead to a desired outcome? 

LEARNING OUTCOME

Students analyze responsibility and consider the impact on well-being. 

Responsibility is being accountable for actions and decisions and accepting the results or consequences.

Safety of self and others can be enhanced through community programs, such as first aid training, and supports, including health professionals. 

Responsibility to ensure the safety of self and others includes following:

  • laws
  • rules
  • practices
  • protocols

Personal actions and decisions can affect physical, social-emotional, and financial well-being.

Responsibility includes ensuring the safety of self and others.

Reflect on how the results or consequences of personal actions and decisions can affect the wellbeing of self and others.

Identify laws, rules, practices, and protocols that support safety and well-being in a variety of contexts. 

GRADE 5 - English Language Arts and Literature Curriculum

ORGANIZING IDEA

Writing: Ideas and information can be articulated accurately and imaginatively through the use of writing processes and an understanding of the author's craft. 

GUIDING QUESTION

How does profficient writing enhance communications skills? 

LEARNING OUTCOME

Students enhance the accuracy and artistry of expression through creative and critical thinking processes.

Research processes involve management of information, including:

  • questioning
  • gathering
  • organizing
  • recording

Sources of information can be digital or non-digital and include people such as Knowledge Keepers, Elders and spiritual leaders.

Methods and tools can be used to gather and organize information, including note taking.

Research findings can be shared in a variety of digital or non-digital forms, including visual images.

Ethical use of information includes:

  • asking permission to use, share, or store information that is about, was created by, or belongs to someone else
  • citing basic information used to inform writing fair and accurate representation of individuals or information

Research processes can involve examining materials or information and reaching new conclusions.

Write to inform, explain, describe, or report for a variety of purposes and audiences.

Narrow research questions to determine a clear, well-defined topic.

Develop a main idea or topic supported by facts, details, examples, and explanations.

Evaluate the validity and reliability of information and sources.

Select a variety of relevant sources to inform writing.

Summarize and organize ideas gained from multiple sources using a variety of methods or tools.

Access and use information ethically.

GRADE 6 - Physical Education and Wellness Curriculum

ORGANIZING IDEA

Safety: A lifetime of optimal well-being is supported by prioritizing health and safety.

GUIDING QUESTION

 In what ways might risk influence the outcome of an action? 

LEARNING OUTCOME

Students examine risk and identify the factors that influence action. 

Risk is the overall assessment and identification of hazards related to personal safety and vulnerability.

Short-term and long-term risk can be managed or reduced through planning, rehearsal, and evaluation.

Aspects of life impacted by risk include:

  • mental health
  • physical well-being
  • safety

Measured risks can be taken in stages and are more likely when individuals feel safe, respected, and trusted.

Risk can lead to an increased likelihood of complications in various contexts.

Risk has potential to positively or negatively impact several aspects of life. 

Discuss how feelings associated with risk taking affect actions and decisions. 

Describe consequences that may result from risk taking in various contexts. 

Reflect on the positive and negative impacts of risk taking in a variety of contexts.

GRADE 6 - English Language Arts and Literature Curriculum

ORGANIZING IDEA

Writing: Ideas and information can be articulated accurately and imaginatively through the use of writing processes and an understanding of the author's craft. 

GUIDING QUESTION

How is precise writing influenced by ongoing craft and process development?

LEARNING OUTCOME

Students create texts that reflect personal voice and style through creative and critical thinking processes.

Research processes involve management of information, including:

  • questioning
  • gathering
  • organizing
  • recording

Research processes can involve accessing information from multiple digital or non-digital sources.

Information can be gathered and organized using a variety of methods and tools.

Ethical use of information includes:

  • asking permission to use, share, or store information that is about, was created by, or belongs to someone else
  • citing basic information used to inform writing
  • fair and accurate representation of individuals or information

Research processes can support systematic and objective management and sharing of information.

Write to inform, explain, describe, or report for a variety of purposes and audiences.

Narrow research questions to determine a clear, well-defined topic.

Support the main idea or topic with relevant facts, details, examples, and explanations from multiple sources.

Summarize and organize ideas gained from multiple sources using a variety of methods or tools.

Analyze the validity and reliability of information and sources.

Access and use information ethically.

Learning Objectives

  1. To understand the importance of taking the prescribed dose of over-the-counter and prescription medication.
  2. To identify common household items that are poisonous.
  3. To know the steps to take if someone has been exposed to a poison.

Key Messages

  • When taking medication, always read the label and take the right dose.
  • Only take medication under the supervision of an adult that you trust.
  • Many household items are poisonous and should be used safely by following the directions on the label.
  • If you think someone has been poisoned, call the poison centre.

Required Materials / Teacher Preparation

1. Piece of flipchart paper / whiteboard / SMART board.
2. Copy of the 'Poisonous Household Items Activity' slides.
3. Children’s over-the-counter (OTC) medicine bottle filled with coloured liquid, as well as the dosing device like a syringe, measuring cup or dosing spoon that came with the children’s medicine.
4. Adult OTC medicine bottle filled with a different coloured liquid, as well as the dosing device that came with the adult medicine.
5. Different sizes of kitchen teaspoons and tablespoons.
6. Copies of the 'Over-the-Counter Medicine Safety' worksheet adapted from materials developed by Scholastic Inc. and the Instructions for the OTC Medication Safety Worksheet.

Time Required to Teach Lesson

  • Approximately 45 minutes.

Safety Considerations

  • None.

Activities

1. Tell the class "A poison is something that can cause illness or death when ingested. There are many symptoms of being poisoned including stomach pain, drowsiness, dizziness, blue lips and many, many others. If you or someone you know may have been poisoned, immediately call the Alberta Poison & Drug Information Service using the National Poison Centres' number 1-844-POISON-X (1-844-764-7669)."

2. With the students, write down what they should do when they call the poison centre. This includes:

  • Have the poison container with you when you call
  • Be prepared to answer important questions
  • Listen carefully to instructions
  • Ask the Information Specialist to repeat anything you don’t understand
  • Follow the Information Specialist's advice

Also write down what they will need to give the Specialist on the line:

  • Name
  • Weight
  • What the person was exposed to
  • If it was swallowed, how much was swallowed?
  • Information from the container label
  • If the person has had anything to eat or drink since swallowing the poison

3. Using the 'Poisonous Household Items Activity' slides, explain to the class that "many common household items can be poisonous. These include household cleaners like dishwasher soap, window cleaner, toilet bowl cleaner, nail polish remover, car fluids like antifreeze or windshield washer fluid, pesticides and fertilizers, vitamins and prescription and over-the-counter (OTC) medications. All products need to be used safely by following the instructions on the label."

4. Explain to the class that "a common household item that can be hazardous is medication. When we are feeling sick, taking medication is a useful way to help us feel better. However, medication only works when it is taken in the right amount. If you are feeling sick, remember to only take medication under the supervision of an adult that you trust. Today, we will be going over why it is important to take the right amount of medication, and how to measure medication properly." "You will be reading an article on medicine safety but certain parts of it are missing. It will be your job to read it and fill in the parts that are missing."

a. Distribute copies of the 'Over-the-Counter Medicine Safety' worksheet to students.
b. Explain that the title, section headings, diagram and glossary are all missing and that it is their job to fill it out after reading the article.

i. The glossary should have 3 words and a short description for each.

c. Either let students go through the worksheet on their own or work through it with them and ask questions along the way.

5. Ask the class, "if you had to explain medication safety to someone, what would be the key points that you would share with them?" Record student's responses on a piece of flipchart paper /whiteboard / SMART board. Answers include:

  • It is important to only take medication under the supervision of an adult that you trust.
  • It is important not to take too little or too much medication. If you take too little medication, it may not work as it was intended. If you take too much medication, it could cause harm to your body.
  • When you are measuring medication, use the dosing equipment, i.e. medicine cup or syringe, that comes with the medication you are taking. Remember, different medications may use different measurements, so only use the dosing equipment for the specific medication that you are taking.
  • When you are not using medication, it is important to keep it locked up tight, and out of sight. Younger children may be curious about medication - keeping medicine locked up, high, and out of sight can help prevent younger children from accessing medicine.

6. At the front of the class, prepare the children’s and adult’s medication bottles that are filled with coloured liquid. Explain to the class that you are "going to demonstrate why it is important to only use the dosing equipment that comes with the medication that you are taking."

a. Read the label on the children’s medicine bottle to the class. Using the dosing equipment, measure a dose according to the label.
b. Read the label on the adult’s medicine bottle. Using the dosing equipment, measure a dose according to the label.
c. Explain to the class that "it is important to take the right type of medicine, in the right dose." Show the two doses of medicine to the class. "See how the quantity of the medicine is different?" Ask the class, "if you were to take the adult dose of medicine, what do you think would happen?"

    • Answer: you could harm your body. It is important to only take the prescribed dose of medication for your age and weight.

d. Go back to the children’s medicine bottle and re-read the recommended dose. Explain to the class that "it is important to use the dosing equipment that comes with the type of medicine that you are taking. This means you should not use kitchen teaspoons or tablespoons to measure a dose of medicine. Let’s demonstrate why."

    • Refer back to the dose of coloured water that was previously measured using the dosing equipment (i.e., syringe or measuring cup). Place previously measured 'dose' on a table in the front of the class for students to see. Now, use a kitchen tablespoon to measure the same recommended amount of medicine. Do the same with the teaspoon. Demonstrate to students that "a teaspoon and a tablespoon can vary depending on what types of cutlery you have at home. When you are measuring medication, it is important to always use the dosing equipment that comes with the medication to ensure that you take the correct amount."

7. To wrap up the activity, send the student's completed 'Over-the-Counter Medication Safety' worksheet home with students and encourage them to share what they learned with their family.

Class Discussion Questions

(adapted from Scholastic. (2021). Over-The-Counter Medicine Safety):

a. Your younger sibling took some Over-The-Counter (OTC) medication because they thought it looked like candy. You suggest calling the poison centre. Your babysitter says, "She doesn't look sick from it, so we should just wait and see if it's a real emergency." Is your babysitter right? How do you know?
Prompts: If a child takes any sort of OTC medication call PADIS, the poison centre even if they do not look sick. You do not know what effects it could be having on their body.

b. Your friend has a headache, and their parent gives them a dose of an OTC pain reliever. Later, he says, "It's been 30 minutes and I don't feel any better. My mom must not have given me enough medicine - I should probably take another dose." Is your friend right? How do you know? What would you tell your friend?
Prompts: Do not take more medication than an adult gives you, not all medication will make you feel different and may take more time to work. Taking more medication puts your friend at risk of being poisoned or hurting themselves and will not make their headache better.

Let's Review

Today we learned about medication safety and poison prevention.

Poison Prevention

Are you ready to review what we learned? Complete the following short-answer questions:

 

1. Explain why it’s important to take the right amount of medication. How should you make sure you get the right dose of medication?

2. List three examples of common household items that are poisonous. How should you store items that are poisonous?

3. What should you do if you think you or someone you know may have been poisoned?

ANSWER KEY:

  1. If you take too little medication, it may not work. If you take too much medication, it could cause harm to your body. When you are measuring medication, use the dosing equipment (i.e., medicine cup or syringe, that comes with the medication you are taking). Always read the label, and be sure to measure the correct amount for your age and weight.
  2. Answers may include any three of the following: household cleaners, nail polish remover, car fluids like antifreeze or windshield washer fluid, pesticides and fertilizers, and prescription and over-the-counter medications. All poisons should be locked up, high, and out of sight, and be stored in their original container.
  3. Immediately call poison control at 1-800-332-1414 and carefully follow their instructions. If possible have the container with you, let them know the amount ingested, your age, name how long it has been, if you have ingested anything else and any other relevant things. If the situation is serious they may direct you to call 911 and go to the hospital.

Home Connections

Send home a letter to caregivers letting them know that their child is learning about poison prevention.

Encourage caregivers to do a home safety walk through, and make sure that items that could be poisonous in their household are locked up tight, stored high, and out of sight, and always stored in their original containers. Be sure to include the number for PADIS, and encourage caregivers to add the toll-free number as a contact in their cell phone, and / or write the number near their landline telephone.

A sample letter is included below.

Community Connections

Invite a representative from a local community health centre to speak to the class about the importance of following poison prevention safety rules.

Sample Letter

(may be printed on school letterhead or used as a template for SchoolZone / SeeSaw)

Dear Parent / Caregiver,

Today our class learned about poisoning prevention. Every year, an average of 184 children are admitted to Alberta hospitals for treatment due to poisoning. There are also over 3,200 emergency department visits for poison-related injuries. Poisonings occur when someone:

  • Eats or drinks something poisonous without meaning to take it
  • Is given too much medicine or the wrong medicine by mistake
  • Comes into contact with poison and it absorbs through the skin
  • Breathes in an airborne poison

Students today learned:

  • The symptoms of being poisoned and to call PADIS if they think someone has been poisoned
  • The importance of properly measuring and ingesting medication

There are a number of steps you can take to protect your family from poisoning including:

  1. Do a safety walk-through of your home with your child. Talk about poisons that may be present in your home. Explain that while they can be helpful , they are dangerous and must be stored and handled safely. Children should not handle these products and should tell you if they find them.
  2. Children model the behaviours of adults. When taking vitamins or medicine, be deliberate about taking the right amount and discuss how to take medications safely with your child.
  3. Canada has a national phone number for contacting the poison centres. If you are concerned that someone has been poisoned, call 1-844-POISON-X (1-844-764-7669). This number is toll-free and available 24/7. When you dial this number while in Alberta, you will be connected to the Poison and Drug Information Service (PADIS), Alberta's poison centre. Post this number near your phone or save it in your contacts.

More information on poison prevention can be found at:

Taking these actions and talking about poisoning prevention with your family can ensure that everyone knows what to do to stay safe and healthy.

 

Sincerely,

[Insert Teacher Name Here]

Additional Resources

Scholastic Over-the-Counter Medicine Safety ELA and Science Lessons and Activities on OTC Medicine Safety, found here:
https://ymiclassroom.com/lesson-plans/otcmedsafety/.

Teaching Kids About Using Medicine Safety :
https://www.youtube.com/watch?v=gHv7KWB9RuI

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