Parent Infection Control Guide

Guide

The setting understands its duty to promote the good health and well-being of all the children, take necessary steps to prevent the spread of infection, and take appropriate action when children are unwell. In this respect the provision is fully compliant with Section 3: Welfare Requirements of the Early Years Foundation Stage (EYFS) statutory framework.

When children are together, the risk of spreading infectious diseases exists, especially among toddlers and young children who are likely to put their hands and toys into their mouths and then share their toys as well as being unable to maintain good personal hygiene.

The aim of this policy is to help us ensure a safe and healthy environment for all children within our care. At Mobberley pre-school to reduce the risk of infection we:

  • Provide protective clothing and equipment for staff
  • Have daily, weekly and monthly routine cleaning and sterilising processes in place
  • Outside contract cleaner cleans premises daily
  • If an outbreak occurs a deep clean is completed in the appropriate areas by staff and contract cleaner
  • Regular wash our hands with soap, warm water and only use paper towels
  • Dispose of paper towels and tissues into bins with lids
  • Use hand sanitizers
  • Encourage and support children’s good personal hygiene

At the setting we realise that all children have minor illnesses, such as minor coughs and colds that do not prevent them from attending.  By following the guidelines in this policy it reduces unnecessary exposure to illnesses and ensures infections are managed effectively creating a happy and healthy environment for all.

If at any time there are any infectious diseases present within our Pre-School parents will be notified as soon as reasonably practicable by a notice clearly displayed at the entrance or by a text message or email.

This guide will cover:

What happens if my child is ill at Pre-School?

What happens if my child is ill at home?

Guidelines for exclusion

Information for Pregnant Mothers

Notifiable Diseases

The setting is aware that some children have longer term illnesses and conditions that, while serious, do not affect their day to day life and that living a “normal” life and attending early years care & education is an important part of their coping with that illness. These cases will always be considered and discussed with the parent/carer at the enrolment stage and, a suitable plan of care will be agreed which may involve the administering of both prescription and non-prescription  medication ( see policy 4.7 administering of medication policy )

Guidelines for Exclusion

Based upon Health Protection Agency (Guidance on Infection Control in Schools and Other Childcare Settings) we adhere to the following restrictions and exclusion periods depending upon the symptoms and illness. These guidelines are particularly important in the case of any infectious illness that might be spread.

  • Gastroenteritis: diarrhoea and/or vomiting) exclude 48 hours from last episode of diarrhoea or vomiting (exclude for further 48 hours if child is unable to maintain good personal hygiene)
  • *German Measles (rubella) /*Measles : minimum period of exclusion is 5 days from onset of rash
  • Chickenpox : until all spots have crusted over
  • *Mumps: 5 days after onset of swelling
  • *whooping cough: 5 days from starting treatment or 21 days if no treatment sort
  • *Tuberculosis: Consult PHE centre or HPA
  • *Diphtheria: EXCLUSION is essential and consult local HPT
  • Hep A* : 7 days
  • Hep B* / C* : none
  • Meningitis*: until fully recovered
  • *Scarlet Fever: 24 hrs after commencing antibiotic treatment
  • Impetigo: at least 48 hours after commencing antibiotic treatment and lesions crusted over
  • Conjunctivitis: once commenced course of treatment
  • Threadworm: once commenced course of treatment
  • Head lice: exclusion not usually required but in severe case of infestation once treatment has commenced
  • Scabies: once first treatment commenced
  • Ringworm: once treatment commenced

No Exclusion:

  • Herpes (common cold sore):
  • Tonsillitis
  • Slapped cheek
  • Hand Foot & Mouth – but in some circumstances if large number of children become infected

*Notifiable Diseases

There is a list of notifiable diseases which we have a legal obligation to report to the Health Protection Agency and Ofsted should a child within our care become infected. Some are named in this guideline and are marked with a * In these cases we will work closely with the parent/carer, the HPA and Ofsted to ensure we follow any additional advice we may be given.

What happens if my child is ill at home?

Depending on the symptoms parents may have to consider excluding their child from the Pre-School in accordance with our guidelines for exclusion. Parents are required to notify the Pre-School if their child is unwell and inform the Manager as to the nature of the illness or infection so that the correct procedure can be followed. Should your child be well enough to attend we do require parents to notify the Pre-School of any illness that has occurred. This ensures our staff team is able to monitor for any signs of reoccurrence or for unusual child behaviour. In extreme cases this will also ensure any symptoms of infectious diseases are identified early and managed effectively.

At the setting we realise that all children have minor illnesses, such as minor coughs, colds, sore throats, and ear infections, from time to time. These will not prevent them from attending and will not be excluded if they appear well in themselves.  Any child who is obviously unwell on arrival at Pre-school and has a high temperature above 37.5 `C / 99.5 `F probably will be excluded until the temperature has been reduced and the child seems well enough to return.

What happens if my child is ill at Pre-School?

If your child becomes ill at Pre-School his or her condition will be brought to the attention of the senior members of staff and/or the first aider.  A decision is then taken based upon the symptoms and as to whether the parent is immediately informed and/or the provision immediately administers a non-prescription medication i.e. antihistamine for insect bites or paracetamol for a high temperature or whether continued monitoring of the child should occur.(no medication containing aspirin will be administered unless prescribed by a doctor)  In the event of the provision administrating a non-prescription medication the following will be adhered to:

  • a decision is taken based upon the symptoms including any visible signs and the child’s body temperature
  • consent in writing has been gained as part of the registration process, including parent’s name, signature and date
  • the provision has been informed by the parent/carer of any possible side effects or the child is known to be allergic to certain medication
  • the provision will endeavour to contact a parent by telephone on the same day and agree any course of action before the administration of any medication takes place
  • staff will only administer the non-prescription medication dosage as instructed on the packaging or label
  • provision keeps a written record each time a medicine is administered to a child and clarifies with the parent on the same day the name of the medication administered, dosage, time given and reason for administration
  • if a child’s condition deteriorates the parent will be contacted and actions will be agreed. This could include collection of their child and seeking medical advice from a GP
  • In an emergency the named first aider should be called, an ambulance called, and the parent/carer informed as soon as reasonably practicable.
  • the Management will monitor staff to ensure the procedures are being carried out, and that they are clear to all
  • staff will be asked to feedback any areas of concern or to identify training needs that they may have

In any circumstances should a child’s condition deteriorate the parent will be contacted and actions will be agreed. As well as administering non-prescription medication this could include collection of the child in more serious cases or if more acute symptoms are present (e.g. vomiting or diarrhoea or a high temperature) It is essential that parents provide up to date contact numbers.

In an emergency, the Pre-school will call an ambulance. No attempt will be made by a member of staff in transporting a child in their own vehicle.

Information for Pregnant Mothers

There are a number of infections that are harmful to the unborn baby.

These include: Chicken pox  *German measles (Rubella) Slapped cheek *Measles

If you or your child has been at the Pre-School when one of the above infections is present we advise you to see your GP/Midwife to check if you are immune and seek their medical advice.

As a responsible childcare provider following advice from the Health Protection Agency we recommend that all children follow the ‘routine childhood immunisation programme’. This reduces the risk of exposure to children in our care of infectious diseases. However, we are aware that the immunisation programme is not legislative.

How can parents help?

As a parent you can help support and manage infection control by following the guidance in this policy and, encouraging and supporting your child’s good personal hygiene:

Regular hand washing with soap (especially after using the toilet, before eating or handling food and after handling animals)

Covering your mouth when coughing/sneezing and using a tissue where possible

Disposing of used tissues into a bin promptly and carefully

Spitting should be discouraged

Regular cleaning of hard surfaces, door handles and toys

More information

h-s-4-administrating-medication-policy-2017

www.nhsdirect.nhs.uk

www.publichealthengland.co.uk

www.gov.uk

h-s-4-nappy-changing-policy-2017

www.hpa.org.uk