Week 3: Health Issues

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Week 3 Health Issues
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Ive Never!

• Give yourself 5 marks on your card.
• First person shares name, where you live, and
  something you have never done but that someone
  else might have like, I have never been to
  downtown fort Worth.
• Anyone that has done this must give up a mark.
• The next person shares and everyone does same.
• Continue until someone loses all of their
  counters.

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Video
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Infectious Disease

• Illnesses caused by infections with specific
  germsviruses, bacteria, fungi, or parasites.
• Communicable diseases can be spread from one to
  another
• Spread by
• The intestinal tract
• The respiratory tract
• Direct contact or touching
• Blood contact
• What are your fears about infectious disease?
• How do you identify infectious disease?

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Confidentiality

• Is it all right to tell your assistant?
• How should you file the childs medical records?
• Would you be willing to be tested for HIV if they
  would report to your boss?

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The Individuals with Disabilities Education Act

• Requires providers not to discriminate on the
  basis of disability or HIV
• Cannot refuse to take a child with HIV
  disabilities unless
• church operated
• Has a secondary infection
• Would cause an undue burden on program or
  fundamentally alter program

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What would you do?

• Parent informs you they are HIV positive but not
  child
• Told by a friend that a child is HIV infected
  that you care for
• You discover the classmate of your 2 year old is
  HIV positive
• One of the teachers at the center tells you she
  is HIV positive
• You discover your infants caregiver is HIV
  positive

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What does licensing say?

• Each group will take a section and summarize

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Policies of Care for Health

• Do not assume that a child is healthy---assume
  that he may not be!
• Establish requirements for health with parents
  that promote health
• Provide appropriate medical forms
• Conduct a daily health check
• Be vigorous about hand washing for all
• Use universal precautions

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Establish requirements for health with parents

• Include stated and written policies on
• What temperature is too much to be in care and
  how long after fever (without a fever reducer)
  before children can return
• What symptoms exclude children from care,
  including color of nasal drainage, vomiting,
  diarrhea, and rashes. Be specific by describing
  and telling how long after symptoms disappear
  before return.
• How soon after notification that a child is sick
  must a parent come to pick them up before a late
  fee is charged.

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Provide appropriate medical forms

• Permission to give medications. Remember dont
  give even Tylenol or use antibiotic ointment
  unless you have written permission from the
  parent. A blanket permission for such things can
  be included in enrollment forms, but be specific
  about what products you will use.
• Permission for emergency treatment. Include
  doctor to contact, hospital to take them to, and
  emergency permission to receive treatment for
  child. Have this notarized.

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Conduct a daily health check

• When children come into your home each morning do
  a quick, routine check including
• asking parent how their night and morning was
  including did they sleep and eat
• feeling their head to see if they are hot
• check eyes and head for conjunctivitis and lice
• check their head, legs, and arms for rashes or
  signs of abuse
• when you change babies or toddlers check back for
  signs of unusual bruises
• whether or not child seems lethargic, out of
  sorts, or is behaving strangely.
• These checks should be done discretely if parents
  are there or you can wait until parent is gone.
  With problems inform parent at once and isolate
  child if you think they might be contagious.

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Be vigorous about hand washing for all.

• Children should wash hands after toileting (even
  babies need their hands washed after being
  changed), after wiping their noses, using
  tissues, touching animals, going outside, and
  before eating.
• Caregivers must do the same. Keeping a bottle of
  liquid hand wash that doesnt require water handy
  and disinfectant wipes will cut down on germs.
• Hands should be washed for a minimum of 20
  seconds before rinsing. Identify a hand washing
  song such as The ABC song or Twinkle, Twinkle
  Little Star and have the children (and you) sing
  as they wash to make sure they take sufficient
  time. Be sure to wash back of hands, knuckles,
  between fingers and wrists.
• Remember that when you are diapering and
  preparing food it is easy to spread disease so be
  extra vigilant about hand washing before food
  preparation.

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What are Universal Precautions?

• Procedures that protect you from infection due to
  contamination by blood or disease
• They include procedures that you follow
• They include procedures the children follow

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Universal Precautions for Children

• Check outdoor areas before play
• Teach children never to touch a syringe
• Teach children not ot touch anyone elses blood
• Dont let children share toothbrushes
• Encourage child to wash his own wounds and use
  tissue for bleeding
• Promote nonaggressive behavior
• Teach children to wash hands after toileting,
  wiping noses, before eating

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Scenarios

• Youre on a field trip when Suzanne falls and
  cuts her chin. It bleeds profusely.
• You are in the centers play yard when Jesse
  falls and cuts his head. There is a lot of
  blood, and you have neither your gloves nor your
  first aid kit.
• Picture yourself in the nap room at your child
  care center. Youre alone on duty, and the
  children area all asleep. Max gets a nosebleed.
• Amy in the toddler class bites Randy and draws
  blood.
• Avery is playing in the block center and he
  suddenly begins throwing up and throws up on the
  blocks, floor, and two other children
• Annie, 3, has asthma and suddenly begins turning
  blue and is having trouble breathing