Level 1

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 poisons 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. Guests entering into a home may bring common items with them that can be poisonous to children. Examples of these items include prescription and over-the-counter medication, bug spray, cigarettes, nail polish, liquid nicotine (used in e-cigarettes), perfume and cologne. Guests may carry these items in their jacket, backpack, or purse. When having visitors, store guests’ jackets and bags out of the reach of children to prevent children from unintentionally being exposed to medicine or other poisonous products.

3. Medicines and cannabis edibles can be attractive to children because of their size, colour, and similarity to other products, like candy. For example, 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.

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

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

6. 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.

7. 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.
1. Injury Prevention Centre. (2019). Database held by Injury Prevention Centre (unpublished data, available upon request). Edmonton. AB: Injury Prevention Centre.

GRADE 1 - 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 boundaries contribute to safety?

LEARNING OUTCOME

Students explain how boundaries connect to safety.

Safety includes understanding the differences between situations that are safe and those that are unsafe or uncomfortable.

Personal and group boundaries can be expressed through

  • rules
  • symbols
  • signs
  • body language

Safety includes knowing the difference between safe and unsafe substances at home, in the school, and in the community.

A variety of substances can be harmful, such as:

  • household products
  • medication
  • poison

It is important to ask for help in situations that do not feel safe.

Boundaries are expressed to indicate a need or a want related to feelings of safety and security.

Substances can be harmful to personal safety.

Describe differences between safe situations and unsafe or uncomfortable situations.

Discuss needs and wants that connect to feelings of safety and security.

Identify household substances that may be harmful.

GRADE 2 - 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 safety be promoted in various contexts?

LEARNING OUTCOME

Students examine and apply personal safety in a variety of situations.

Safety strategies are developed for a variety of contexts, such as

  • home
  • school
  • online
  • emergencies

Safety is when individuals are free from physical harm or injury, illness, and emotional harm.

Substances can be harmful if used incorrectly or not for the intended purpose.

Situations and contexts may present different safety concerns.

Safety strategies and procedures can be practised in a variety of ways.

Safety is needed for survival.

Trusted adults in the school and community can support individuals in unsafe and uncomfortable situations.

Safety involves assessing for potential risk or injury by identifying safe and unsafe situations and substances.

Safety is when individuals are free from physical harm or injury, illness, and emotional harm.

Discuss ways to respond in unsafe or uncomfortable situations.

Classify situations that are safe and unsafe.

Describe situations where substances may be harmful.

Examine how safety can be improved in a variety of situations.

Learning Objectives

  1. To identify potential poisons and items that are not poisonous.
  2. To understand and apply rules for poisoning prevention.

Key Messages

  • Only take medicine, food, or drinks from an adult that you trust.
  • If you don’t know what something is, ask an adult if it is okay to eat or drink.
  • If you think someone has been exposed to a poison, tell an adult.

Required Materials / Teacher Preparation

1. Images of different poisonous materials found in the "Poisons Grades 1&2" slides.

2. Copy of the IPC's "Medication Candy Look Alike" presentation slides and a projector. Slides are available for download in the resources of the "Medication Resources" tab at: https://injurypreventioncentre.ca/campaigns/poison-prevention

3. Copy of the IPC's "Poison Purse" activity sheet. Activity sheet is available for download in the resources of the "Medication Resource" tab at: https://injurypreventioncentre.ca/campaigns/poison-prevention.

a. Additional materials include a purse or a backpack, and items from each category:

i. Safe (i.e., not poisonous): mints, granola bar, chewing gum, tissue paper, wallet, keys, reading or sun glasses.
ii. Not safe (i.e., potentially poisonous): prescription and over the counter medicines (like acetaminophen, ibuprofen, cold medicine, allergy medicine), hand sanitizer, mouthwash, perfume, perfume / cologne, nail polish, bug spray.

4. White board, flip chart paper, or SMART board.

Time Required to Teach Lesson

  • Approximately 30 minutes.

Safety Considerations

  • None.

Activities

1. Ask students to explain what a poison is. A poison is anything that can hurt us or make us sick when it is:

a. Used in the wrong way.
b. Used by the wrong person.
c. Used in the wrong amount.

Provide examples - there are images available in the ‘Poisons Grade 1-2’ slides.
Explain that poisoning can occur when someone:

a. Eats or drinks something poisonous without meaning to take it
b. Is given too much medicine or the wrong medicine by mistake
c. Comes into contact with poison and it absorbs through the skin
d. Breathes in a poison that is in the air.

2. Present the ‘Medication Candy Look Alike’ slides with the class. As you are sharing the slides, ask children to “Guess which item is medication, and which item is candy.” Explain to children that
“Medications can look like candy, so it is important to ask an adult if something is safe to eat, and to only take medication from an adult that you trust.”

3. On a white board, flip chart paper, or a SMART board, write down the poison prevention safety rules:

a. 'Only take medicine, foods, or drinks from an adult that you trust', and
b. 'If you don't know what something is, ask an adult if it is okay to eat or drink'.

4. Bring out the ‘poison purse’ or backpack in front of the class. Pull items out of the bag and ask students if it is safe, not poisonous or whether it is unsafe, potentially poisonous.

a. For example, pull a granola bar out of the bag and ask, ‘is this item safe?’. Explain to the class that “If your parent or another trusted adult, gives you a granola bar, it is safe to put in your mouth because it is food, and we need food to give our body fuel. Remember to only eat food given to you from adults that you know and trust.”
b. Then pull another item out of the bag. This time, pull out an object that is not safe. For
example, pull out a small bottle of over the counter pain medication. Ask students, "Is this item safe?" Explain to students that “Medication is safe to eat when you take it in the right amount, and when you take medicine from an adult that you trust. Never eat medicine unless an adult has told you it is safe.”
c. Continue the exercise, pulling out other items from the bag e.g., mints (safe), bug spray (not safe), glasses (safe), perfume / cologne (not safe), referencing the poisoning prevention rules that are posted on the board / flip chart paper.
d. Discuss other potential poisons people may carry with them in their purses, backpacks, or suitecases

5. Discuss with students what to do if they are concerned that someone may have eaten or been exposed to a poison. “If you are concerned that someone has been poisoned, tell an adult. In Alberta, our poison centre, called PADIS, is available 24 hours a day to help us if we are concerned that someone has been poisoned. We can access the poison centre by calling them at 1-844-POISON-X (1-844-764-7669) or by dialing 911.” See the Level 1, Fire Safety and Burn Prevention Module for more information on 911.

Class Discussion Questions

a. What would you do if you find some unknown food and your friend insists that you should try it?
Prompts: Tell them no, it might be poisonous and you might get sick.
b. What if your friend said they wanted to eat it?
Prompts: Tell them not to, and let a trusted adult know.
c. How else can you find out if something is safe to eat?
Prompts: Find a trusted adult to see if it is safe to eat.

Let's Review

Today we learned about how to be safe and prevent poisoning.

Let's Review: Poison Prevention

Are you ready to review what we learned?
Select ‘true’ or ‘false’ for each question.

1 / 4

1. It is okay to eat vitamins like they are candy.

2 / 4

2. Only take medicine from an adult that you trust.

3 / 4

3. It is okay to eat a snack you find at the park.

4 / 4

4. If you don’t know if something is safe to eat, you should ask an adult that you trust.

Your score is

The average score is 58%

0%

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 check, making sure that items that could be poisonous in their household are locked up tight, stored high, and out of sight. 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.

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 poison 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:

  • About poisons and how a poisoning can happen
  • To only take medications, foods, and drinks provided by a trusted adult
  • That if they are uncertain if something is safe to eat or drink, to ask a trusted adult before they eat or drink it

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. Look for common household items that can be poisonous and place them in a locked cupboard or other safe place. Use the checklist found at this website to help prevent poisonings in your home https://injurypreventioncentre.ca/downloads/resources/NPPW_21_Checklist.pdf
  2. Children model the behaviours of adults. When taking vitamins or medicine, never refer to them as candy.
  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 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:

 

Sincerely,

[Insert Teacher Name Here]

Additional Resources

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