RATIONALE

Early Childhood on Stafford has a responsibility to ensure that all children are protected from any illness, ailment and/or condition that could adversely affect their health and/or well being whilst attending our Centre.

The Directors of Early Childhood on Stafford as a Good Employer have a responsibility to ensure that all staff and other adults working in the centre are not put at an unnecessary health risk due to the attendance of any child /adult suffering from any illness, ailment or condition.

Early Childhood on Stafford wishes to clearly define all procedures that should be adhered to should a child fall ill during the day at Centre

CHILD EXCLUSION

The needs of the child and other children will be paramount in this decision making process

The Directors may exclude any child who they believe may constitute a risk to the health of others. The decision will be based on the criteria as outlined in Nga Kupu Oranga [pg 13-23]  refer below or http://www.health.govt.nz/system/files/documents/publications/ngakupuorangahealthymessages.pdf

or the Infectious diseases chart.

https://www.healthed.govt.nz/resource/infectious-diseases-0                                                                                                   

No child will be permitted to return to ECOS until 48 Hours has lapsed from the last episode of vomiting or Diarrhea.  No child who has been prescribed antibiotics will be allowed to return to ECOS until 24 hours after the first course of medication has been administered.

The Directors will inform the parent/guardian of the exclusion decision and provide written material if asked to the parents/guardian.  The period of exclusion will also be discussed with the parent/guardian.  An Incident Form will be sent to the parents from Safety Monitor.

Any concerns parents/guardians may have can be discussed with the Centre  Directors Sue and/or Russell

 

ADULT EXCLUSION

The Directors will take reasonable steps to ensure that

  • Every person working in any capacity in the Centre is in good health and is not suffering from any infectious disease as listed in the Second Schedule to the Health Regulations
  • Children do not come into contact with any person who is suffering from a disease or condition that is capable of being passed on or is likely to be detrimental to their health
  • No person uses alcohol or any other substance at the Centre, or is affected by alcohol or any other substance that has a detrimental effect on the person’s ability to perform their duty.
  • No adult will be permitted to return to ECOS until 48 Hours has lapsed from the last episode of vomiting or Diarrhea.  No adult who has been prescribed antibiotics will be allowed to return to ECOS until 24 hours after the first course of medication has been administered.

 

In all such cases the Directors will exclude such persons from the Centre.

 

SUDDEN ILLNESS POLICY

  • Parents/Guardians will be informed if a child in the Centre develops an infectious illness and supporting information will be provided to help prevent further infection ie from the Public Health Nursing Staff
  • Should the staff suspect that the child has an infectious disease or a minor illness, this child should be immediately isolated from the other children in the designated isolation area and the parents/caregivers contacted. This child will be constantly supervised until he/she is collected. [The guidelines pg. 15 Nga Kupu Oranga  (refer below p-g 5)  will be used in this decision making process.]
  • Should the child’s condition deteriorate the staff will then seek further medical advice and if deemed necessary seek medical attention.
  • All accidents and illnesses occurring to the child will be documented on the Illness/accident form.
  • Parents/Guardian will be informed of exact treatment as soon as practicable and a copy of the treatment will be forwarded to them through Safety Monitor.

 

When should your child stay away?

In general children should stay away from an early childhood service when they are

  • ill and causing concern or:
  • are not eating or drinking
  • have no interest in activities or play
  • have little energy, want or need to sleep or rest for long periods
  • cry easily, are irritable or in pain
  • constantly want to be held and comforted
  • have a fever
  • any child with diarrhea or vomiting should stay away until symptoms cease and they are well.

 

“Should” is used where regulations require you to exclude a child or staff member for the stated time. “Advised” is used where medical experts recommend that you exclude a child or staff member for the stated time. Illnesses which are required to be included on your immunisation register have been marked with a (IR)

 

Illness Treatment Exclusion
Campylobacteriosis Antibiotics in serious cases The child or educator who is ill should stay away until they are well. (The Medical Officer of Health may require a series of faecal tests to prove there is no longer a risk of infection)
Chickenpox Symptoms are treated The child or educator who is ill should stay away until at least five days after the rash appears, or in mild cases until all the spots have dried (there is no fluid left in the spots)

 

Pregnant staff who do not know if they are immune are advised to see a doctor or midwife

Conjunctivitis Eye cream or drops The child who is ill is advised to stay away until they have been treated by a doctor, or the doctor says they can return
Cryptosporidium Symptoms are treated The child or educator who is ill is advised to stay away until they are well
Cytomegalovirus (CMV) Symptoms are treated There is no need for a child to stay away

Pregnant staff are advised to see a doctor

Fifth Disease (Slapped Cheek, Parvovirus B 19) Symptoms are treated There is no need for a child or staff member to stay away unless they feel unwell

Pregnant educators are advised to see a doctor

Gastroenteritis (Viral) Symptoms are treated The child or educator who is ill is advised to stay away until they are well and until 48 hours after last episode of vomiting or diarrhoea
     
Illness Treatment Exclusion
Giardiasis Antibiotics The child or educator who is ill is advised to stay away until they are well
Hand, Foot and Mouth Disease Symptoms are treated The child who is ill is advised to stay away until the blisters are dry and they are well
Head Lice Treatment shampoo The child or educator with head lice is advised to stay away until the morning after their first treatment
Hepatitis A Symptoms are treated The child or educator who is ill should stay away until they are well and until at least seven days after jaundice appears
Hepatitis B (IR) Symptoms are treated The child or educator who is ill should stay away until they are well

Unimmunised children/staff could reconsider immunisation.

Herpes Simplex Virus (cold sores) Anti-viral ointment or cream The child who is ill is advised to stay away if they are dribbling, until the sore has stopped weeping and is dry

There is no need for educators to stay away

Hib (Haemophilus influenzae type b (IR) Antibiotics

In some cases all children and staff at an early childhood service will be given antibiotics to prevent spread of the disease

The child who is ill is advised to stay away until they are well and they have finished treatment with antibiotics to prevent the illness spreading.

 

There is no need for other children or staff members to stay away

 

Unimmunised children could reconsider immunisation

HIV/AIDS The symptoms of each illness are treated There is no need for the child or educator with the illness to stay away unless they have open sores or wounds that cannot be covered

 

The child or educator with the illness is advised to stay away when there is a risk of infectious illness from others at the early childhood service

Impetigo (‘School sores’) Antibiotics The child or educator with the illness is advised to stay away for 24 hours after treatment begins. Sores should be covered until they have healed
Measles (IR) Symptoms and complications are treated The child or educator who is ill should stay away until at least four days after the rash appears, and until well

 

Unimmunised children and staff (who have not already had measles) should stay away as soon as the first child is diagnosed with measles, and until 14days after rash appears in the last child infected. If they have been immunised they may return

 

When an epidemic has been declared by the Medical Officer of Health there is no need for unimmunised children and staff to stay away

Meningococcal Disease Antibiotics

All children and staff at an early childhood service may be given antibiotics to prevent spread of the illness

The child or staff member who is ill should stay away until they are well and they have finished treatment with antibiotics to prevent the illness spreading•There is no need for other children or staff to stay away
Mumps (IR) Symptoms are treated The child or staff member who is ill should stay away until nine days after swelling around the face began or until swelling of involved glands has settled completely

 

Children who have not previously had mumps and who are not immunised are advised to stay away until 26 days after the last child becomes ill

Illness Treatment Exclusion
Pertussis (Whooping cough) (IR) Antibiotics

If the early childhood service cares for children under 12 months old, all children and staff will be offered this treatment

The child or staff member with the illness should stay away until they are well and have had five days of treatment. If treatment is refused the child or staff member should stay away for 21 days

 

Unimmunised children who have not previously had pertussis and who are not treated should stay away until 14 days after the last child becomes ill. The 14 days can be reduced to five days if they are receiving an appropriate preventative antibiotic

Rotavirus Symptoms are treated The child or staff member who is ill is advised to stay away until 48 hours after the last episode of vomiting or diarrhoea
Rubella (German measles) (IR) Symptoms are treated The child or staff member who is ill is advised to stay away until seven days after the rash appears

 

Pregnant staff who are nonimmune or have not been immunised are advised to see a doctor

Salmonellosis Symptoms are treated The child or staff member who is ill should stay away until three faecal tests taken 48 hours apart are clear of infection
Scabies Skin cream over the whole of the body from chin to soles of feet The child or staff member who is ill is advised to stay away until treatment has finished
Shigellosis Antibiotics The child or staff member who is ill should stay away until two faecal tests taken 48 hours apart are clear of infection
Shingles (unlikely to affect a child) (see also Chickenpox) Treatment may be complex and will be arranged by a doctor The child or staff member who is ill is advised to stay away until at least five days after the rash appears, or in mild cases until all the spots have dried (there is no fluid left in the spots)

 

There is no need to stay away if the rash can be covered

 

Pregnant staff are advised to see a doctor

Streptococcal Sore Throat Antibiotics The child or staff member who is ill should stay away for the first 24 hours of treatment

 

If Whānau dispute an exclusion they are encouraged to discuss their concerns with the Centre Directors.  If this is unable to provide an agreeable solution the Centre Directors will liaise with the Public Health Nursing services to help mediate a solution.  The forefront of any decision will be the fulfillment of this policy to ensure no child or adult will be put at any undue risk.

 

MEDICATION POLICY

  • Each child with an identified on – going health condition that may require medication being administered by the teaching staff will be asked to participate in an Individual Health Plan. The Public Health Nursing service will be contacted to coordinate this
  • If anti-biotics have been prescribed, children will not be permitted to attend the centre until they have completed the first 24 hours of the course of medication.
  • Any medication administered will be as prescribed and written on the medication label which must be sighted and will be recorded on the Medication Administration Record
  • Medication that has reached its expiry date will not be administered
  • Any medication administered will be checked and co-signed by two staff members
  • Each plan will be reviewed by staff quarterly and if no medication has been administered, this will be recorded as a nil dosage given. This will ensure that all plans will be current and staff are familiar with each child’s requirements.

 

Administration of Paracetamol at Early Childhood on Stafford.

If a child develops a fever while at Centre alternative care arrangements should be made for the child as per the current Exclusion of sick children policy.

A child who has been assessed and diagnosed with a non-infectious illness or condition e.g. glue ear or a sprained ankle, can receive paracetamol for pain relief by Centre staff.

Paracetamol can be dispensed by staff in accordance with the following conditions:

  1. It is prescribed by a doctor
  2. It is used for a specified period of time to treat a specific condition or symptoms.
  3. It is provided by a parent for the use of that child only.
  4. It is stored at the Centre and disposed of or sent home with the child after a specific period of time.

 

HYGIENE AND THE PREVENTION OF ILLNESS

  • Early Childhood on Stafford will be proactive in the prevention of illness.
  • Hygiene standards that minimise the spread of illness will be maintained.

 

These include:

Thorough hand washing procedures of staff and children

 [Refer page 19  Nga Kupu Oranga for correct method]

  • after toileting or changing nappies
  • before all meals/food preparation
  • blowing their nose or helping a child to blow their nose
  • after touching pets and other animals

 

The exclusion of all individual drink bottles for children. These bottles prove to be a high risk in the    sharing of germs between children.  Free access to potable water is offered to all children and therefore the risk of cross contamination through the sharing of bottles is totally unnecessary.

Regular cleaning and disinfecting routines

  • fittings [including floors, table tops]
  • play equipment [daily/weekly] especially play food/family corner dishes
  • play dough will be disposed of after use each day
  • Sandpits [regular flushing with water]

 

Outcome:

The Well Being of all children will be promoted whilst attending Early Childhood on Stafford.

 

Adopted:        July 2020

Review Date:  July 2022