Poorly children

Health procedures 

  • If a child appears unwell during the day, for example has a raised temperature, sickness, diarrhoea and/or pains, particularly in the head or stomach then the setting manager calls the parents and asks them to collect the child or send a known carer to collect on their behalf. 
  • If a child has a raised temperature, they are kept cool by removing top clothing and kept away from draughts. 
  • A child’s temperature is taken and checked regularly, using a non-contact thermometer.  
  • In an emergency an ambulance is called, and the parents are informed. 
  • Parents are advised to seek medical advice before returning them to the setting; the setting can refuse admittance to children who have a raised temperature, sickness and diarrhoea or a contagious infection or disease. 
  • Where children have been prescribed antibiotics for an infectious illness or complaint, parents are asked to keep them at home for 48 hours. 
  • After diarrhoea or vomiting, parents are asked to keep children home for at least 48 hours following the last episode. 
  • Some activities such as sand and water play, and playdough will be suspended for the duration of any outbreak. 
  • Pre-School has information about excludable diseases and exclusion times. 
  • The manager notifies the trustees if there is an outbreak of an infection (affects more than 3-4 children) and keeps a record of the numbers and duration of each event. 
  • The manager has a list of notifiable diseases and contacts Public Health England (PHE) and Ofsted in the event of an outbreak. 
  • If staff suspect that a child who falls ill whilst in their care is suffering from a serious disease that may have been contracted abroad such as Ebola, immediate medical assessment is required. The setting manager or deputy calls NHS111 and informs parents.  

HIV/AIDS procedure 

HIV virus, like other viruses such as Hepatitis, (A, B and C), are spread through body fluids. Hygiene precautions for dealing with body fluids are the same for all children and adults. 

  • Single use vinyl gloves and aprons are worn when changing children’s nappies, pants and clothing that are soiled with blood, urine, faeces or vomit.These are then put straight into a sealed bag. 
  • Soiled clothing is bagged for parents to collect. 
  • Spills of blood, urine, faeces or vomit are cleared using mild disinfectant solution and mops; cloths used are disposed of with clinical waste. 
  • Tables and other furniture or toys affected by blood, urine, faeces or vomit are cleaned using a disinfectant. 
  • Mouthing toys are kept clean and plastic toys cleaned in sterilising solution regularly. 

Nits and head lice 

  • Nits and head lice are not an excludable condition; although in exceptional cases parents may be asked to keep the child away from the setting until the infestation has cleared. 
  • On identifying cases of head lice, all parents are informed and asked to treat their child and all the family, using current recommended treatments methods if they are found. 

**Paracetamol based medicines (e.g. Calpol) or ibuprofen based medicines (Nurofen) 

Pre-School does not take bottles of non-prescription medicine from parents to hold on a ‘just in case’ basis, unless there is an immediate reason for doing so. Pre-school does not keep such medicine on the premises as we are not allowed to ‘prescribe’.  

A child who is not well, and has a temperature, must be kept cool and the parents asked to collect straight away. 

Further guidance 

Good Practice in Early Years Infection Control (Alliance 2009) 

Medication Administration Record (Early Years Alliance 2019) 

Guidance on infection control in schools and other childcare settings (Public Health Agency) https://www.publichealth.hscni.net/sites/default/files/Guidance_on_infection_control_in%20schools_poster.pdf 

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