Purpose:
Funhouse is committed to providing an environment that promotes the health and wellbeing of the children and staff within our centre;
Sickness and illness among children and adults within an early childhood environment is a common occurrence and so a level of sickness is to be expected;
This policy outlines our position on sickness for children who attend Funhouse;
We endeavour to keep all our children, staff and whanau safe from infection and below we clarify under what circumstances children should remain home or when whanau will be phoned to collect their child from the centre.
Procedures:
Funhouse follows guidelines from the Ministry of Health. Exclusion of children and adults with infectious diseases is sometimes necessary to stop the spread of the illness;
Where a child exhibits any of the following conditions (including but not limited to) the parent/ caregiver will be contacted and asked to collect their child and to seek medical advice as soon as possible:
Fever - determined as being a temperature of 38.5 C or higher. Children must be fever-free unmedicated for 24 hours before returning to the centre;
Respiratory infections - Difficulty breathing, flu or flu-like symptoms, Strep throat, Whooping cough,persistent coughing coupled with other signs of illness;
Runny noses - this will be determined on a case by case basis. Regular wiping may be acceptable but a constant pouring that is potentially being spread to resources and surfaces and cannot feasibly be maintained may require a child goes home;
Rash and skin infections - Chicken pox – until blisters have dried, Hand foot & mouth disease – until blisters have dried or can be covered, Headlice – until treated with a medicated headlice shampoo,Ringworm – must be covered, Rubella, Measles, Scabies – 24 hours from treatment, School sores – 24hours on antibitioics, Cold sores, Slapped cheek, other rashes until a doctor has determined that the illness is not a communicable disease;
Conjunctivitis - child must remain home until there is no discharge from the eyes;
Viruses - if diagnosed with a virus, a child must stay home for a minimum of 24 hours and up to 48 hours after diagnosis. While viruses are not treatable by antibiotics, they are still contagious and we must take actions to minimise spread;
Vomiting & diarrhoea illnesses - may return once symptom free for 48 hours. If a child is at Funhouse, has two loose bowel movements in one day the whanau will be contacted to collect their child from the centre
When a child exhibits a combination of the following whanau maybe contacted to collect their child:
- the child is not participating comfortably in the programme
- the child has unusually low energy levels or is unusually sleepy
- the child is unusually uninterested in activities or play and requires a greater level of care than teachers can reasonably provide without compromising the health and safety of the other children;
- - a child prescribed antibiotics for any reason should only return to the centre a minimum of 24 hours after initial treatment;
Teething - teething powders and gels can be administered, they must be recorded in the Medicine Administration book. However, if a child will not settle the parent may be called to come and collect them;
Children who become unwell while attending the service are kept at a safe distance from other children (to minimise the spread of infection) and returned to the care of a parent or other person authorised to collect the child without delay. A teacher will remain with the child until collected;
Funhouse reserves the right to request a medical certificate from a medical practitioner;
Funhouse reserves the right to request a child stay home even if they have been cleared by a doctor;
Medicine Administration Procedure
Purpose:
At Funhouse we want to ensure that all medicines (prescription and non-prescription) are administered and stored appropriately and safely and a record of medicines given to children and by whom will be kept.
Procedures:
If a child requires medicine, the parent/caregiver must record the following details in the medicine register:
- Date, name of child, name of medicine, time of last dose given,
- Dosage and specific time(s) to be given
- Parent signature
At Funhouse, medicine can only be administered by a first-aid-qualified teacher;
Prior to administering the medicine, the medicine register will be checked to ensure that the medicine,dosage and frequency on the bottle matches the register details;
At no time will Funhouse teachers administer a different dosage than that stated on the prescribed medicine, an expired medicine, or administer medicine to a child that is not stated on the prescribed label.
Dosage must be witnessed by a second person before being administered.
A teacher will then record the amount given, time and this will be signed by the teacher who administered the medicine and the initials recorded of the staff member who witnessed;
It is the team leader’s overall responsibility to ensure children requiring medication have received it however all teachers will ensure children receive the medication they need;
Funhouse teachers are unable to administer medicine that has not been prescribed to the child by a medical practitioner e.g. Paracetamol purchased from the pharmacy. By law the medical practitioner’s directions must be included on the label of all dispensed medication;
Pamol will not be administered without a predetermined (established, known in advance) reason. Pamol must come with a doctor’s letter specifying why. Pamol or equivalent will not be given to a child for more than three consecutive days unless authorised by a doctor as this medication can mask other symptoms.No Pamol will be given to a child if they have been sent home with a fever in the past 48 hours;
In the event of a child developing a temperature over 38.5C, the recommended first-aid procedure will be to try and bring the child’s temperature down by removing extra layers of clothing and applying a cool flannel until their parent arrives;
Children’s individual health plans and Medication Authorisation Forms are located on the teacher’s desk in Little & Big Funhouse in a Red Clear File and remain confidential at all times;
An Individual Health Plan must be completed before blanket covers for asthma and other medications are accepted;
Medication must be signed in each day by the parents or guardians;
We will not hold any Category (ii) medication on site, so these must be supplied each day they are required by the parent.
CATEGORY (i) - non-prescription medications that are:
- not ingested
- used for the first-aid treatment of minor injuries; and
- provided by Funhouse
Parents sign their agreement to this in their child’s enrolment form;
Arnica cream - to assist the body’s natural response to injury and bruising. It is rubbed gently onto affected areas 3 x daily
Savlon cream / Insect bite cream - gives fast relief from pain and itching caused by mosquitoes, bees, sand flies, minor burns, rashes, cuts, scratches, sunburn and windburn
Cornstarch baby powder - bepanthen, zinc and castor oil
Sudocrem - zinc based nappy rash cream
Sunscreen - Nivea Sensitive (parents can opt to bring their own brand of sunscreen in for their child)
CATEGORY (ii) - a prescription medication such as antibiotics, eye/ear drops or prescription medication such as paracetamol liquid or cough medication that is prescribed by a doctor for that child only and used for a specific time period for a specific condition;
This category of medications must be recorded in the medicine register and signed daily for the duration;
Medicines must have specified times to be administered, “if needed” will not suffice;
These medicines must have a prescription label with clear dosage/directions, frequency, the child’s name and expiry date on it;
Bonjela and herbal cough mixtures are the only exceptions that a parent may bring in that do not require a prescription label. However, where a child is unable to participate in the programme and/or is not responding to these treatments, Funhouse reserves the right to contact the parent to collect them.
CATEGORY (iii)– a long-term, preventative medication such as asthma inhalers, antihistamine syrup,lanolin cream medication that is used for ongoing treatment of a pre-diagnosed condition and provided by the parent for their child only and forms part of an Individual Health Plan;This category of medications requires that a long-term form to be filled out by the parent;
These forms must be rewritten every three months.
Illness Register
Whenever a child becomes unwell while attending the centre and is required to be collected, the illness register must be completed stating the date, child’s name, illness, time noted, explanation and the action taken. This will be signed by the staff member that cared for/monitored the child until the child was collected and they will obtain a signature from whanau;
The illness register has a carbon copy so that one copy can go home with whanau and the other copy can remain at the centre;
When a child’s temperature reaches 38.5C whanau will be contacted to collect their child from the centre.The child’s temperature will be monitored and recorded in the illness register at 10-minute intervals until the child’s whanau have arrived;
When a child has vomited once and/or had two runny bowel movements, whanau will be called to collect;
For all other reasons a parent might be called to collect, please refer to the initial “Child Health” portion of this policy;
It is expected that whanau will collect their child as soon as possible in these instances.