Child Care Provider Class

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Child Care Provider Class

• Health Issues in Child Care Setting

Communicable Disease Policy and Handwashing
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Overview
Good Bye!
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I. Introduction Impact of Illness in a Child
In a Child Care Setting
Each child

• Is susceptible to infection
• Brings viruses, bacteria parasites from home
• Uses hygiene practices from individual upbringing
• Generously shares germs!

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II. Steps for Transmission

• 1. Excretion a way out of the body
• 2. Transfer method of going from the infected
  (sick) person to a well person
• 3. Inoculation susceptible (ready) site in
  the body

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3 Steps for Transmission, Continued

• 1. Excretion a way out of the body

• Usually through the nose mouth, feces.
• Generally not the skin.
• Exception boils, impetigo, chickenpox.

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3 Steps for Transmission, Continued

• Transfer method of going from the infected
  (sick) person to a well person

- Droplet
- Air
- Direct / Indirect Contact
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3 Steps for Transmission, Continued

• Inoculation susceptible (ready) site in the
  body

Eyes
Mouth
Throat
Nose
All of these have a good blood supply!
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So Remember..3 Steps for Transmission

• Excretion a way out of the body

• Transfer method of going from the infected
  (sick) person to a well person

Inoculation susceptible (ready) site in the
body
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Child Care Center Ideal Setting for Infections
Due Sharing
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Facts

• A germ on dry INTACT skin is not threat, but a
  BREAK in the skin can be a way into the body.

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Fact

• Most infants and toddlers have 6-12 infections
  per year!
• 80 respiratory- spread through touch or mouthing
  items, coughing sneezing
• 20 gastrointestinal- spread by germs on surfaces
  from stool or mucous

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Fact
The months when children are in groups indoors..
OCTOBER through MAY
Is peak season for infections.
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III. Ways to Prevent Infection

• 1. Prevent Spread of Germs
• 2. Require Immunizations
• 3. Report Illness
• 4. Exclude some children, staff or parents

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1. Prevent Spread of Germs
Germs are everywhere!
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Germs Are Everywhere.So Now What?

• The following slides with this symbol
• are practical ways to help prevent the spread of
  germs.

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Hand Washing-cheapet, Easiest and MOST Effective
Way to Prevent Spread of Illness!
Instructions to come later..
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Standard (Universal) Precautions
Please hang on..we will cover this later on in
the presentation
However, this helps prevent the spread of disease
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Fresh Air!
Air Rooms out Daily
Have children play or be outside daily
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Keep Cots Cribs at Least 3 Feet Apart

• Feet / heads of lined up cots or cribs

Staggering

• Proper labeling, storage, and cleaning
• of bedding / cots

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Teach How to Cough and Sneeze
Always use disposable tissue to wipe a runny nose
Dispose of properly!
Never share tissues!
Then Wash Your Hands!
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Coughs
Turn away from people when you cough or sneeze!
Instead direct toward floor or shoulder
Never hands!
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2. Require Immunizations
Required copy of shot record should be in the
directors office.
Make sure they are up to date.
Call local health department for immunization
questions.
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3. Report Illness
Child
Communicate about health issues
Parents
Caregivers

• Written
• Procedures
• On ID-ing
• Ill
• Notifying
• Parents

• Provide updated health info
• Emergency contacts
• Promptly picking up
• sick children
• Consulting physician

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4. Exclusion
Contrary to popular belief, there are really only
a few illnesses that require exclusion from a
group care program.
With several illnesses, children and adults
have already exposed others before they have
obvious signs of illness.
Parents should be aware of exclusion policies
some reasons may be beyond medical requirements..
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4. Exclusion continued

• Review Licensing Rules for Childcare Homes and
  Childcare Centers (should be kept in the Daycare
  Directors Office)

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Standard (Universal) Precautions

• Review Licensing Rules for Childcare Homes and
  Childcare Centers (should be kept in the Daycare
  Directors Office)

• 1. Prevent injuries that would cause exposure to
  blood or body fluids.
• 2. Protective barriers to prevent exposures to
  blood/body fluids

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Standard (Universal) Precautions

• 3. Immediately and thoroughly wash hands and
  other body surfaces exposed
• 4 Using gloves when anticipated exposure to
  mucous membranes, body fluids/substances

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Standard (Universal) Precautions

• 5. Wash hands and change gloves between contacts
  with children. NEVER use one pair of gloves with
  multiple children

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Standard (Universal) Precautions

• 6. Use general purpose or utility gloves when
  housekeeping chores involve contact with
  excrement, blood, or vomitus.

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Standard (Universal) Precautions

• 7. Use appropriate cleanser 50 parts per
  million bleach in water
• 1 tsp bleach in 1 gallon of water
• Test by using test strips available at food
  service supply stores

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Diapering

• One of the single most important jobs in reducing
  spread of infection!!
• Review Licensing Rules for Childcare Homes and
  Childcare Centers (should be kept in the Daycare
  Directors Office)

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How to Wash Your Hands

• 1. Wet hands soap. (Bars should be drained on
  a rack)
• 2. Rub vigorously and scrub all surfaces
• 3. Do this for 15-20 seconds(about the length of
  a little tune)
• 4. Rinse well and dry hands with a disposable
  towel.

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When to Wash Your Hands

• Before, during and after you prepare food.
• Before you eat and after you use the bathroom
• After handling animals or animal waste
• When your hands are dirty and
• More often when someone near you is sick

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Remember.!
Wash your hands and teach others how and when to
wash as well!