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Diploma in Child Day Care Diploma in Child Day Care

Diploma in Child Module Six Diploma in Child Module Six


Day Care Healthcare Day Care Healthcare

Health Care Health Care

The child in a place of care spends a significant part of the day away from The child in a place of care spends a significant part of the day away from
home. For this reason the health care of the child is an important home. For this reason the health care of the child is an important
responsibility. responsibility.

1. Medical History Form 1. Medical History Form

The following matters are important with regard to the medical history form, The following matters are important with regard to the medical history form,
(which can form a part of the registration form): (which can form a part of the registration form):

a. information about the child’s general state of health; a. information about the child’s general state of health;

b. any communicable illnesses that the child has had and the dates when b. any communicable illnesses that the child has had and the dates when
he/she had these illnesses; he/she had these illnesses;

c. details regarding the child’s immunisation against polio, diphtheria, c. details regarding the child’s immunisation against polio, diphtheria,
tetanus, whooping cough, measles, Hepatitis B and tuberculosis; tetanus, whooping cough, measles, Hepatitis B and tuberculosis;

d. allergies and any other diseases such as diabetes and epilepsy that the d. allergies and any other diseases such as diabetes and epilepsy that the
place of care should have knowledge of; place of care should have knowledge of;

e. the name, address and telephone number of the child’s family doctor, e. the name, address and telephone number of the child’s family doctor,
together with permission for him to be called out, if necessary; together with permission for him to be called out, if necessary;

f. the name, address and telephone number of the child’s dentist. f. the name, address and telephone number of the child’s dentist.

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2. Responsibilities of Supervisors/Caregivers To Child Health 2. Responsibilities of Supervisors/Caregivers To Child Health


Care Care

Every supervisor and caregiver at a place of care should: Every supervisor and caregiver at a place of care should:

a. watch out for possible indispositions, illnesses and diseases in the a. watch out for possible indispositions, illnesses and diseases in the
children; children;

b. in case of any illness, indisposition or problem, notify the parent or b. in case of any illness, indisposition or problem, notify the parent or
guardian immediately; guardian immediately;

c. in urgent cases, and if the parent or guardian has given the necessary c. in urgent cases, and if the parent or guardian has given the necessary
permission, call the family doctor or the doctor appointed by the place of permission, call the family doctor or the doctor appointed by the place of
care; care;

d. if the child shows repeated bruising or injuries or suspect malnutrition, d. if the child shows repeated bruising or injuries or suspect malnutrition,
abuse and neglect, the matter must be reported to the social worker of abuse and neglect, the matter must be reported to the social worker of
the regional or branch office of the Department of Social Services or the regional or branch office of the Department of Social Services or
any other welfare organisation as well as the Child Protection Unit. The any other welfare organisation as well as the Child Protection Unit. The
matter must be recorded at the Centre. matter must be recorded at the Centre.

e. Allow an ill child to rest away from the other children and inform the e. Allow an ill child to rest away from the other children and inform the
parent or guardian; parent or guardian;

f. Keep a proper record of any medicine that is given to a child. f. Keep a proper record of any medicine that is given to a child.

g. Place the names of children who are allergic to certain substances or g. Place the names of children who are allergic to certain substances or
products in prominent places in the place of care and inform all staff; products in prominent places in the place of care and inform all staff;

h. Notify the medical health officer in cases of communicable diseases or h. Notify the medical health officer in cases of communicable diseases or
diseases that must be reported; diseases that must be reported;

i. If head or body lice and/or scabies are observed, the parents or i. If head or body lice and/or scabies are observed, the parents or
guardian have to be informed immediately and the child or children guardian have to be informed immediately and the child or children
concerned may not be allowed back into the place of care before the concerned may not be allowed back into the place of care before the
condition has cleared up. condition has cleared up.

j. The provisions of the Health Act, regarding the barring of children from j. The provisions of the Health Act, regarding the barring of children from
schools owing to contagious diseases are applicable to all places of schools owing to contagious diseases are applicable to all places of
care. care.

k. Keep careful note and a record of any injury, trauma, biting, blood, k. Keep careful note and a record of any injury, trauma, biting, blood,
knocks to head, or where treatment is applied and diseases incurred knocks to head, or where treatment is applied and diseases incurred

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while the child is in the place of care, including the wounds and bruises while the child is in the place of care, including the wounds and bruises
with which it was admitted; with which it was admitted;

l. keep a record of each child’s immunisation programme; l. keep a record of each child’s immunisation programme;

m. provide for the storage of medicine in such a way that it is out of the m. provide for the storage of medicine in such a way that it is out of the
reach of children; reach of children;

n. provide for the safekeeping of first aid equipment; n. provide for the safekeeping of first aid equipment;

o. ensure that enough soap, towels or paper towels are available at the o. ensure that enough soap, towels or paper towels are available at the
wash-basins at all times; wash-basins at all times;

p. ensure that caregivers are neat at all times; and p. ensure that caregivers are neat at all times; and

q. ensure that each caregiver undergoes regular health tests annually, q. ensure that each caregiver undergoes regular health tests annually,
particularly for tuberculosis. particularly for tuberculosis.

3. Universal Precautions in a Childcare Setting 3. Universal Precautions in a Childcare Setting

Childcare providers are responsible for ensuring a safe environment for the Childcare providers are responsible for ensuring a safe environment for the
normal healthy development of children in their care. To protect children, normal healthy development of children in their care. To protect children,
universal precautions need to be taken to ensure the well being of the children universal precautions need to be taken to ensure the well being of the children

Hepatis B Virus (HBV) and Human Immunodeficiency Virus (HIV) are serious Hepatis B Virus (HBV) and Human Immunodeficiency Virus (HIV) are serious
infections but preventable. In the childcare setting, blood is the most infections but preventable. In the childcare setting, blood is the most
important source of spreading these viruses. Remember we cannot tell who important source of spreading these viruses. Remember we cannot tell who
is infected and who is not. Protective measures must therefore focus on is infected and who is not. Protective measures must therefore focus on
preventing exposure to blood. The HBV or HIV infected child or staff member preventing exposure to blood. The HBV or HIV infected child or staff member
is not a risk of infection to others in the childcare setting when universal is not a risk of infection to others in the childcare setting when universal
precautions are followed. precautions are followed.

Universal Precautions are the careful measures by which all blood as well Universal Precautions are the careful measures by which all blood as well
as certain body fluids (e.g. breast milk) containing blood are treated as if as certain body fluids (e.g. breast milk) containing blood are treated as if
infected. Universal Precautions usually do not apply in exposure situations to infected. Universal Precautions usually do not apply in exposure situations to
faeces, urine, vomits, tears and nasal secretions, unless visibly blood stained. faeces, urine, vomits, tears and nasal secretions, unless visibly blood stained.

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3.1 Management Practices and Protective Measures: 3.1 Management Practices and Protective Measures:

1. Always practise Universal Precautions. Treat all blood or body fluids 1. Always practise Universal Precautions. Treat all blood or body fluids
containing blood, as infected with HIV or HBV. containing blood, as infected with HIV or HBV.

2. Hand washing: Thorough hand washing with soap and water is the 2. Hand washing: Thorough hand washing with soap and water is the
simplest most effective precaution and should be practised by simplest most effective precaution and should be practised by
caregivers and children. caregivers and children.

3. Intact healthy skin is the best defence against infection. Open sores, 3. Intact healthy skin is the best defence against infection. Open sores,
skin lesions and broken skin must be covered with waterproof dressings skin lesions and broken skin must be covered with waterproof dressings
until healed. until healed.

4. Caregivers must use latex gloves or plastics packets to cover hands 4. Caregivers must use latex gloves or plastics packets to cover hands
when contact with blood is a possibility, e.g. bleeding injuries, open when contact with blood is a possibility, e.g. bleeding injuries, open
sores, skin lesions, broken skin, cleaning up blood spills and handling of sores, skin lesions, broken skin, cleaning up blood spills and handling of
blood soiled items. blood soiled items.

5. Gloves, plastic packets and absorbent paper should be kept in 5. Gloves, plastic packets and absorbent paper should be kept in
particular areas of the facility so that they are easily accessible when particular areas of the facility so that they are easily accessible when
required, but out of reach of children. required, but out of reach of children.

6. Children from a very young age must be taught never to touch other 6. Children from a very young age must be taught never to touch other
people’s blood or body fluids. Children should be trained to manage people’s blood or body fluids. Children should be trained to manage
their own bleeding e.g. nose bleeding and minor cuts and grazes. their own bleeding e.g. nose bleeding and minor cuts and grazes.

7. Attendance Registers and Incident Books must be accurately 7. Attendance Registers and Incident Books must be accurately
maintained. maintained.

8. Infection Control Measures are applied to prevent the spread of 8. Infection Control Measures are applied to prevent the spread of
infections, diseases and conditions viz. diarrhoea, nits and lice. infections, diseases and conditions viz. diarrhoea, nits and lice.

3.2 The Procedure to be followed: 3.2 The Procedure to be followed:

3.2.1 Bleeding: 3.2.1 Bleeding:

Bleeding needs immediate attention Bleeding needs immediate attention

x Apply pressure to the wound avoiding direct contact with blood. (When x Apply pressure to the wound avoiding direct contact with blood. (When
possible the injured person applies pressure to his/her own wound). possible the injured person applies pressure to his/her own wound).

x Caregivers must use gloves or plastic packets as a barrier against x Caregivers must use gloves or plastic packets as a barrier against
blood. blood.

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x Do not move the injured person, until the bleeding is controlled. (This is x Do not move the injured person, until the bleeding is controlled. (This is
to keep the blood spill in one area). to keep the blood spill in one area).

x In cases of grazes and small cuts, hold briefly under running water: x In cases of grazes and small cuts, hold briefly under running water:
clean with cotton wool and disinfectant, dry and cover with waterproof clean with cotton wool and disinfectant, dry and cover with waterproof
dressing. dressing.

x Hands must be washed immediately after accidental contact with x Hands must be washed immediately after accidental contact with
blood. blood.

x Hands must always be washed after gloves are removed. GLOVES DO x Hands must always be washed after gloves are removed. GLOVES DO
NOT SERVE AS A SUBSTITUTE FOR HAND WASHING. NOT SERVE AS A SUBSTITUTE FOR HAND WASHING.

x If blood splashes onto mucous membranes (eyes, nose, mouth) flush x If blood splashes onto mucous membranes (eyes, nose, mouth) flush
with running water for at least 3 minutes with running water for at least 3 minutes

3.2.2 Blood Spill: 3.2.2 Blood Spill:

x Children must be separated from the person bleeding and from blood x Children must be separated from the person bleeding and from blood
spills. spills.

x Gloves or plastic packets must be worn when cleaning up the blood x Gloves or plastic packets must be worn when cleaning up the blood
spills to prevent skin/blood contact. spills to prevent skin/blood contact.

x Spilt blood must be soaked up with absorbent material e.g. paper/dry x Spilt blood must be soaked up with absorbent material e.g. paper/dry
soil/sawdust. soil/sawdust.

x Used paper/dry soil/sawdust and used gloves must be carefully placed x Used paper/dry soil/sawdust and used gloves must be carefully placed
in double plastic bags, tied securely and discarded into the refuse bin. in double plastic bags, tied securely and discarded into the refuse bin.
Wash hands immediately thereafter. Wash hands immediately thereafter.

x The blood stained area must be sprayed with a disinfectant solution x The blood stained area must be sprayed with a disinfectant solution
(household bleach 1 part to 9 parts of water which is made up daily) and (household bleach 1 part to 9 parts of water which is made up daily) and
followed with the normal cleansing procedure. followed with the normal cleansing procedure.

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3.2.3 Blood Stained Items: 3.2.3 Blood Stained Items:

x Gloves or plastic packets must be worn when handling blood stained x Gloves or plastic packets must be worn when handling blood stained
items such as Clothing/Linen/Carpets etc. items such as Clothing/Linen/Carpets etc.

x Remove as much of the blood as possible using absorbent x Remove as much of the blood as possible using absorbent
paper/tissues. paper/tissues.

x Rinse or mop with cold water to remove the bloodstain. x Rinse or mop with cold water to remove the bloodstain.

x Place clothing/linen into a plastic bag and return to child’s home for x Place clothing/linen into a plastic bag and return to child’s home for
complete laundering. complete laundering.

x Carpets can be sponged with hot soapy water, rinsed and allowed to x Carpets can be sponged with hot soapy water, rinsed and allowed to
dry in the sun if possible. dry in the sun if possible.

x All disposable cleaning material (e.g. paper, tissue) and gloves to be x All disposable cleaning material (e.g. paper, tissue) and gloves to be
placed in double plastic bag tied securely and discarded into the bin. placed in double plastic bag tied securely and discarded into the bin.
Wash hands immediately thereafter. Wash hands immediately thereafter.

x Used sanitary towels must be placed in double plastic bags, tied x Used sanitary towels must be placed in double plastic bags, tied
securely and disposed into a lidded refuse bin for collection. securely and disposed into a lidded refuse bin for collection.

4. Preventing Poisoning 4. Preventing Poisoning

Every year thousands of children swallow dangerous things. These include Every year thousands of children swallow dangerous things. These include
medicines and tablets, sedatives, household products, garden and garage medicines and tablets, sedatives, household products, garden and garage
preparations. Hundreds of children are admitted to hospitals for treatment preparations. Hundreds of children are admitted to hospitals for treatment
after swallowing poisonous substances. Some die as a result, others are left after swallowing poisonous substances. Some die as a result, others are left
with permanent damage. with permanent damage.

Remember that the young child Remember that the young child

x explores with his mouth x explores with his mouth


x is unable to distinguish between odours x is unable to distinguish between odours
x will swallow even bad-tasting substances. x will swallow even bad-tasting substances.

Children under 4 years of age are the ones most exposed to danger. Children under 4 years of age are the ones most exposed to danger.

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4.1 Storage of medicine 4.1 Storage of medicine

The golden rule is: Lock up all medicines and potentially dangerous The golden rule is: Lock up all medicines and potentially dangerous
household products. Even a high shelf is not safe. Don’t forget that household products. Even a high shelf is not safe. Don’t forget that
children are curious and persistent. And they can climb. Specially children are curious and persistent. And they can climb. Specially
designed childproof cupboards – one for medicine and one for other designed childproof cupboards – one for medicine and one for other
dangerous substances are advised. Where possible, the centre should dangerous substances are advised. Where possible, the centre should
have two such childproof cupboards – one for medicine and one for have two such childproof cupboards – one for medicine and one for
other dangerous substances. other dangerous substances.

Always make sure that you replace the cap after having given the child a Always make sure that you replace the cap after having given the child a
tablet. Put the container away immediately. tablet. Put the container away immediately.

Never store potentially harmful products in soft drink bottles, containers Never store potentially harmful products in soft drink bottles, containers
or cups used for food or drink. Children get confused and might drink or cups used for food or drink. Children get confused and might drink
the contents by mistake. the contents by mistake.

Keep medicines separate from other products. Keep medicines separate from other products.

Never store cleaning agents with food – keep them in a locked Never store cleaning agents with food – keep them in a locked
cupboard. cupboard.

You must know which products in the centre are poisonous or You must know which products in the centre are poisonous or
dangerous. Attractively packaged products that look harmless and are dangerous. Attractively packaged products that look harmless and are
used in and around the home can be dangerous when swallowed by a used in and around the home can be dangerous when swallowed by a
child. Often such products are not labelled as poisonous and contain child. Often such products are not labelled as poisonous and contain
only the word “Caution” as warning. Remember, small children cannot only the word “Caution” as warning. Remember, small children cannot
read warnings. read warnings.

4.2 The trouble spots 4.2 The trouble spots

Kitchen Kitchen
The cupboard under the sink with its polishes, bleaching powder, The cupboard under the sink with its polishes, bleaching powder,
detergents, ammonia, washing powder, insecticides and cleaning detergents, ammonia, washing powder, insecticides and cleaning
agents for drainpipes. agents for drainpipes.

Bathroom Cupboards Bathroom Cupboards


Medicines and tablets, practically all prescribed medicines and almost Medicines and tablets, practically all prescribed medicines and almost
all other non-prescribed medicines that can be bought “over the all other non-prescribed medicines that can be bought “over the
counter”, e.g. Aspirin, Paracetomol, tonics, iron tablets and home perm counter”, e.g. Aspirin, Paracetomol, tonics, iron tablets and home perm
kits. kits.

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Toilet Toilet
Disinfectants, deodorant blocks and toilet cleaners. Disinfectants, deodorant blocks and toilet cleaners.

Other Other
Perfumes, nail polish remover, moth balls and insect repellents in Perfumes, nail polish remover, moth balls and insect repellents in
strips, sticks, aerosol cans and fluids. All batteries. strips, sticks, aerosol cans and fluids. All batteries.

Be especially careful with button-sized batteries used in calculators and Be especially careful with button-sized batteries used in calculators and
digital watches. digital watches.

Garage and garden shed Garage and garden shed


Petrol, paraffin, brake fluid, battery acid, anti-rust paint, paint thinners, Petrol, paraffin, brake fluid, battery acid, anti-rust paint, paint thinners,
swimming-pool chemicals, weed killers, insecticides, pesticides, swimming-pool chemicals, weed killers, insecticides, pesticides,
rodenticides and fertilizers. rodenticides and fertilizers.

A small child may also accidentally spray products in aerosol cans into A small child may also accidentally spray products in aerosol cans into
his eyes. his eyes.

Poison out of doors Poison out of doors


Some plants, berries and mushrooms are poisonous. Children should Some plants, berries and mushrooms are poisonous. Children should
be taught never to eat anything from the garden before asking an adult. be taught never to eat anything from the garden before asking an adult.

4.3 Preventative hints 4.3 Preventative hints

Administering medicines Administering medicines


First make sure you have the correct bottle before giving medicine to First make sure you have the correct bottle before giving medicine to
children. Don’t give medicines in the dark. Using the wrong bottle children. Don’t give medicines in the dark. Using the wrong bottle
could have tragic results. could have tragic results.

Read the label Read the label


Measure the dose carefully with a medicine spoon and give only the Measure the dose carefully with a medicine spoon and give only the
quantity prescribed for a child. Never talk a child into taking tablets by quantity prescribed for a child. Never talk a child into taking tablets by
telling him that they are “sweets” or “lollipops”. This makes them telling him that they are “sweets” or “lollipops”. This makes them
dangerously attractive at other times. dangerously attractive at other times.

Don’t allow a child to take his own medicine. Don’t allow a child to take his own medicine.

Avoid taking medicines or tablets in a child’s presence. Children love Avoid taking medicines or tablets in a child’s presence. Children love
imitating adults, especially their parents. Remember always to put imitating adults, especially their parents. Remember always to put
containers away after use. containers away after use.

Dispose of unused medicines in this way: Dispose of unused medicines in this way:

x Never throw bottles of medicine in the rubbish bin. x Never throw bottles of medicine in the rubbish bin.

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x Dispose of unwanted, leftover medicines and pills by returning x Dispose of unwanted, leftover medicines and pills by returning
them to the local pharmacist. If this is not possible, flush them them to the local pharmacist. If this is not possible, flush them
down the toilet or wash them down the drain. down the toilet or wash them down the drain.
x Wash out the empty bottle before putting it in the rubbish bin. x Wash out the empty bottle before putting it in the rubbish bin.

Never allow children to play with medicine containers, empty or full. Never allow children to play with medicine containers, empty or full.

Teach the children not to eat or drink from bottles or cans left lying Teach the children not to eat or drink from bottles or cans left lying
about. about.

Keep an Emergency telephone numbers list near the telephone. Keep an Emergency telephone numbers list near the telephone.

Important: Important:
Contact your nearest Poisons Information Centre immediately if you Contact your nearest Poisons Information Centre immediately if you
suspect that a child has accidentally swallowed some medicine or a suspect that a child has accidentally swallowed some medicine or a
poison. poison.

Treat all cases of poisoning as urgent. If you take the child to a doctor Treat all cases of poisoning as urgent. If you take the child to a doctor
or a hospital, also take along the following: the container, label, or a hospital, also take along the following: the container, label,
prescription, remaining tablets, the substance swallowed, vomited prescription, remaining tablets, the substance swallowed, vomited
matter or whatever might help the doctor to identify and estimate the matter or whatever might help the doctor to identify and estimate the
amount of poison taken. amount of poison taken.

5. Suggested Contents of a First Aid Box 5. Suggested Contents of a First Aid Box

The following list is suggested by BUPA The following list is suggested by BUPA

x crepe bandage x crepe bandage


x large open weave bandage x large open weave bandage
x small open weave bandage x small open weave bandage
x eye pad with bandage x eye pad with bandage
x scissors x scissors
x sterile gauze swabs x sterile gauze swabs
x small sterile pads with bandage x small sterile pads with bandage
x triangular bandage x triangular bandage
x hypoallergenic tape x hypoallergenic tape
x sterile non-adhesive pads, perforated film absorbent dressings (x2) x sterile non-adhesive pads, perforated film absorbent dressings (x2)
x finger bandage and applicator x finger bandage and applicator
x disposable gloves latex x disposable gloves latex
x safety pins (optional) x safety pins (optional)
x disposable laerdal face shield (for resuscitation if trained) x disposable laerdal face shield (for resuscitation if trained)
x Ear thermometer - electrical thermometer, 'hold to head' or x Ear thermometer - electrical thermometer, 'hold to head' or
x Strip thermometer x Strip thermometer

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x First Aid book or similar instructions x First Aid book or similar instructions
x Special cuddly toy x Special cuddly toy
x Disinfectant spray (for cleaning up, not for use on children) x Disinfectant spray (for cleaning up, not for use on children)
x Disinfectant wipes (for cleaning up, not for use on children) x Disinfectant wipes (for cleaning up, not for use on children)
x Body fluid disposal kit inc: disposable gloves, apron and waste bags, x Body fluid disposal kit inc: disposable gloves, apron and waste bags,
absorbent crystals, plastic scrapper, paper towels absorbent crystals, plastic scrapper, paper towels

DO NOT include in your First Aid box ANY sprays, medicated wipes, creams DO NOT include in your First Aid box ANY sprays, medicated wipes, creams
or lotions. Also NO tablets or medicines are to be included. Remember you or lotions. Also NO tablets or medicines are to be included. Remember you
should only give a child medication supplied by the parent, on written should only give a child medication supplied by the parent, on written
instructions from the parent. instructions from the parent.

Alternatively, St John Ambulance suggest the following contents for a First Aid Alternatively, St John Ambulance suggest the following contents for a First Aid
Kit for those responsible for young children Kit for those responsible for young children

1 A leaflet giving general guidance on first aid 1 A leaflet giving general guidance on first aid
20 Individually wrapped sterile plasters 20 Individually wrapped sterile plasters
2 Sterile eye pads 2 Sterile eye pads
4 Triangular bandages, individually wrapped 4 Triangular bandages, individually wrapped
6 Medium sized individually wrapped sterile unmedicated wound 6 Medium sized individually wrapped sterile unmedicated wound
dressings 12cm x 12xcm dressings 12cm x 12xcm
2 Large wound dressings 18cm x 18cm 2 Large wound dressings 18cm x 18cm
1 Pairs of disposable gloves 1 Pairs of disposable gloves
6 Safety Pins 6 Safety Pins

Additional useful items Additional useful items


1 Sterile individually wrapped non-adhesive dressings to use with the 1 Sterile individually wrapped non-adhesive dressings to use with the
tape tape
1 Roll of adhesive tape of the non-allergic variety 1 Roll of adhesive tape of the non-allergic variety
1 Individually wrapped moist cleansing wipes 1 Individually wrapped moist cleansing wipes

Current legislation Current legislation

Standard 7 of the new childcare regulations deals with Health. It states the Standard 7 of the new childcare regulations deals with Health. It states the
registered person promotes the good health of children and takes positive registered person promotes the good health of children and takes positive
steps to prevent the spread of infection and appropriate measures when they steps to prevent the spread of infection and appropriate measures when they
are ill. This standard deals with hygiene, animals, sandpits, food handling, are ill. This standard deals with hygiene, animals, sandpits, food handling,
medicine, first aid, sick children and smoking. medicine, first aid, sick children and smoking.

Standard 7.8: The childminder does not administer any medicine or other Standard 7.8: The childminder does not administer any medicine or other
treatment to children unless the parent has discussed its use and given prior treatment to children unless the parent has discussed its use and given prior
written permission. This forms part of the contract with parents. If medicine is written permission. This forms part of the contract with parents. If medicine is
to be given, the childminder ensures that: to be given, the childminder ensures that:

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x medicines are stored in their original containers, clearly labelled and x medicines are stored in their original containers, clearly labelled and
inaccessible to children; inaccessible to children;
x medicines are not usually administered unless they have been x medicines are not usually administered unless they have been
prescribed for that child by a doctor; prescribed for that child by a doctor;
x a childminder caring for a child with a specific condition on a long term x a childminder caring for a child with a specific condition on a long term
basis makes sure that they have a thorough understanding of the basis makes sure that they have a thorough understanding of the
medical condition and the medication (if any) that they are required to medical condition and the medication (if any) that they are required to
administer; administer;
x written records are kept of medicines administered to children and the x written records are kept of medicines administered to children and the
parent signs the record book to acknowledge the entry; parent signs the record book to acknowledge the entry;
x if the administration of any prescribed medication requires x if the administration of any prescribed medication requires
technical/medical knowledge then individual training is provided for the technical/medical knowledge then individual training is provided for the
childminder from a qualified health professional. Training is specific to childminder from a qualified health professional. Training is specific to
the individual child concerned. the individual child concerned.

The childminder should be informed of any medicine prescribed by the child’s The childminder should be informed of any medicine prescribed by the child’s
doctor and be given written permission to administer the medicine if such doctor and be given written permission to administer the medicine if such
administration is required. Written permission will be required each time administration is required. Written permission will be required each time
medicine is administered. The NCMA produces an Accident/ Incident and medicine is administered. The NCMA produces an Accident/ Incident and
Medication Record book, which is ideal for keeping accurate records. Medication Record book, which is ideal for keeping accurate records.

Standard 7.9: There is a first aid box, the contents of which are checked Standard 7.9: There is a first aid box, the contents of which are checked
frequently and replaced as necessary. This is kept in an accessible place out frequently and replaced as necessary. This is kept in an accessible place out
of the reach of children. of the reach of children.

Standard 7.10: Written parental permission is requested, at the time of the Standard 7.10: Written parental permission is requested, at the time of the
placement, to the seeking of any necessary emergency medical advice or placement, to the seeking of any necessary emergency medical advice or
treatment in the future. treatment in the future.

Standard 7.11: A record is maintained, signed by a parent, of any accidents. Standard 7.11: A record is maintained, signed by a parent, of any accidents.
If these occur whilst the child is in the childminders care parents will be If these occur whilst the child is in the childminders care parents will be
informed and an entry in the accident book will be completed which will informed and an entry in the accident book will be completed which will
require signature. Where a child is delivered ‘damaged’ parents should notify require signature. Where a child is delivered ‘damaged’ parents should notify
the childminder and an entry will be made in the accident/incident book to be the childminder and an entry will be made in the accident/incident book to be
counter-signed by the parent. These records are a statutory requirement and counter-signed by the parent. These records are a statutory requirement and
are there to protect the children from any danger of abuse. They are open to are there to protect the children from any danger of abuse. They are open to
inspection by your local Social Services Department or Ofsted. inspection by your local Social Services Department or Ofsted.

Standard 7.12: Sick Children. The childminder has a policy about the Standard 7.12: Sick Children. The childminder has a policy about the
exclusion of children who are ill or infectious which is discussed with parents. exclusion of children who are ill or infectious which is discussed with parents.
This includes a procedure for contacting parents or another adult designated This includes a procedure for contacting parents or another adult designated
by the parent if a child becomes ill whilst in the childminder's care. by the parent if a child becomes ill whilst in the childminder's care.

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Parents should inform the childminder if their child has been ill within the last Parents should inform the childminder if their child has been ill within the last
twenty-four hours before a contracted period. Childminders do not normally twenty-four hours before a contracted period. Childminders do not normally
undertake the care of a sick child. However, depending on circumstances: undertake the care of a sick child. However, depending on circumstances:
nature of illness, other children in their care etc., it may be possible. The nature of illness, other children in their care etc., it may be possible. The
decision whether or not to accept a sick child for care is the childminders. decision whether or not to accept a sick child for care is the childminders.
Under no circumstance can a child with a notifiable infectious disease be Under no circumstance can a child with a notifiable infectious disease be
accepted because of the risk of infecting other children or childminder. accepted because of the risk of infecting other children or childminder.
Parents should inform their childminder of any symptoms of ill - health shown Parents should inform their childminder of any symptoms of ill - health shown
by their child. If the child becomes ill while in the childminders care, they will by their child. If the child becomes ill while in the childminders care, they will
contact the parent and, according to the severity of the illness, may ask them contact the parent and, according to the severity of the illness, may ask them
to take the child home. to take the child home.

For further information see the National Childminders Association web site: For further information see the National Childminders Association web site:

www.ncma.org.uk www.ncma.org.uk
or or
www.childcarelink.gov.uk/pdf/ofsted/Module2.pdf www.childcarelink.gov.uk/pdf/ofsted/Module2.pdf
and and
www.ofsted.gov.uk/publications/index www.ofsted.gov.uk/publications/index

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Diploma in Child Day Care Diploma in Child Day Care

EXAMPLE OF A MEDICINE ADMINISTRATION CHART EXAMPLE OF A MEDICINE ADMINISTRATION CHART

NAME OF CHILD:_____________________________________ NAME OF CHILD:_____________________________________

NAME OF MEDICINE:__________________________________ NAME OF MEDICINE:__________________________________

INSTRUCTION OF PARENT OR GUARDIAN: INSTRUCTION OF PARENT OR GUARDIAN:


(Frequency, dosage/volume) (Frequency, dosage/volume)
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
______________________________________________________________ ______________________________________________________________
__________________________ __________________________

_____________________ __________ _____________________ __________


SIGNATURE OF PARENT/ DATE SIGNATURE OF PARENT/ DATE
GUARDIAN GUARDIAN

DATE: __________________ DATE: __________________

TIME: ___________________ TIME: ___________________

*SIGNATURE : ______________________________ *SIGNATURE : ______________________________

*SIGNATURE OF STAFF MEMBER WHO ADMINISTERS THE MEDICINE *SIGNATURE OF STAFF MEMBER WHO ADMINISTERS THE MEDICINE

Other Information Other Information

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