Child health

We are a busy childcare centre and where large numbers of people gather in close proximity, it is highly likely that illnesses will be spread. This can be a problem for children, their families and staff. Therefore, we require your assistance to reduce the risks of illnesses being spread in the centre.

Children are not permitted to attend the centre if they are suffering from conjunctivitis, chicken pox, rubella, mumps, meningitis, vomiting or diarrhoea. Children who have had episodes of vomiting and diarrhoea are required to stay away from the centre for 48 hours since the last episode.

Over the winter months, children regularly suffer from colds and we do not permit you to bring them to the centre if they have runny noses or are running temperatures, or if they need one-on-one attention. We realise that it can be difficult juggling work commitments with caring for sick children but it is not fair on your child, the other children or the teachers if your child is unwell at the centre.

Name Exclusion
– Chickenpox: Until five days after rash appears
– Conjunctivitis: 24 hours after first treatment
– Fifth Disease

(Slap Check) No need to exclude
– Gastroenteritis: Until well and 48 hours after symptoms are clear
– Giardiasis: Until well
– Hand, Foot and Mouth: Until blisters are clean and dry
– Head Lice: Until morning after first treatment
– Impetigo (school sores): Until 24 hours after treatment has begun; sores should be covered
– Measles: Four days after rash appears
– Meningococcal Disease: Until finished antibiotics
– Mumps: Nine days after swelling began
– Pertussis (whooping cough): Until five days of treatment has been taken
– Rotavirus: 48 hours after symptoms have stopped
– Streptococcal: After 24 hours of treatment

First Aid
The over twos first aid boxes are near the main entrance. The under twos first aid box is kept in their kitchen under the sink bench. The portable first aid kit is kept in the blue backpack, for the over twos and the Contiki backpack for under twos. The administrator will ensure that the first aid boxes are checked and restocked every month.

All permanent staff will hold current first aid certificates and the first aid boxes will be locked when not in use.

Administration of Medicine
Parents/caregivers will give daily written permission for their child to be given medicine, indicating the type of medicine, dosage date and time. The medicine registers are located in the cupboard above the bench in the over twos kitchen and in the display shelf on the wall in the under twos shelf.

Medicine to be given ‘only when required’ – i.e. ventolin or paracetamol – has to be written in the back of the medicine book once for each month.

Only clearly identified, medicines bearing the name of prescribed medicine and the child will be administered. Your child will only be given the amount of the dosage on the bottle. If parents require the dosage to be higher, then a letter from a doctor is required before staff can administer medication. This includes Pamol and Nurofen.

Medicines, including asthma medication, will be kept in the fridge or locked in the first aid cabinet (above the sink) when not in use for the over twos side, and in the fridge or in the kitchen cupboard with the child lock.

Two staff members will sign the medicine register and record the time that the medicine was administered.

Staff will monitor children who have been given medicine to safeguard against allergic responses.

Records of the Administration of Medicine will be kept for seven years in the office cupboards/over twos garage.

The centre requires all children to be kept at home for 24 hours after antibiotics have been prescribed for illnesses such as strep throat and ear infections. If the antibiotics are cream-related and the children are well and happy in themselves, then they do not have to stay away for 24 hours.

Accident and Illness Register
The over twos incident report is kept in the file box by the first aid cabinets. The under twos incident reports are kept on the display shelf in the kitchen. This is carbon copied. When an incident is completed, the parents take the top copy. Staff complete every section on the incident report and make sure that the supervisor has sighted and signed it.

The illness register is completed when children are sent home due to either a serious illness or accident. The registers are kept in the medicine folders.

Immunisation Register
When a child enrols at the centre, and/or when a child turns 15 months and again at four years old, the administrator will ask to see the child’s immunisation certificate.

The administrator will add each child to the immunisation register and record whether they are fully immunised or not. Parents will be notified of any infectious disease at the centre.

The information for the immunisation register will be recorded both manually and on the computer. The manual record will be located in the health and safety file.

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lucom • December 1, 2015

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