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Child Health Policy 2010

Reviewed: June 2010
 
High Five EEC - Child Health Policy
 
Rationale:
Exclusion of children with infectious diseases from Early Childhood Centres is sometimes necessary where there is potential for further spread of infection. High Five wishes to make its children and adults safe from infection by clearly stating what circumstances a child should be excluded.
 
Te Whāriki:
Well-being Goal 1 - Children will experience an environment in which their health is promoted.
 
Procedures:
 
Reasons for exclusion:
  • The illness prevents the child from participating comfortably in programmed activities.
  • The illness results in a greater care needed than High Five can reasonably provide without compromising the health and safety of the other children.
  • Children with a continually running nose coupled with a constant cough/sneezing and irritability.
  • The child has any of the following conditions: fever, persistent crying, difficulty breathing, or any other signs of possible severe illness. 
  No child should attend:
  • If they have diarrhoea and they should have at least one normal bowel motion before returning to High Five.
  • Vomiting two or more times in the previous 24 hours, unless the vomiting is known to be caused by a non-communicable condition and the child is not in danger of dehydration.
  • Rash accompanied with fever or behaviour change, until a doctor has determined that the illness is not a communicable disease.
  • Conjunctivitis-until 2 days after examined by a doctor and treated.
  • Tuberculosis, until the child’s doctor or Public Health Service advises that the child is non-infectious.
  • Impetigo, until 24 hours after treatment has started.
  • Strep throat, until 24 hours after treatment has started and until 24 hours after fever stops.
  • Head Lice, until the morning after the first treatment.
  • Scabies, until after treatment has been completed.
  • Chickenpox, at least six days after onset of rash or earlier if all the lesions have dried and crusted.
  • Whooping cough, until five days of appropriate antibiotic therapy (the total course of the usual treatment is 14 days).
  • Mumps, until nine days after glands started swelling.
  • For some vaccine preventable diseases, there is a requirement to exclude unimmunised children who have had contact with a case of the disease. This applies to Measles, Diphtheria and Whooping cough, and would be arranged on the advice of the Medical Officer of Health.
  • Public Health Service exclusion guidelines will be followed for any conditions not listed above. 
Fever and Febrile Convulsions:
A normal temperature for a child is 36-37 degrees. Temperature over 38 degrees are usually regarded as a fever. It is normal for a range of factors including physical activity, strong emotions, high humidity levels and high room temperature to make a child feel hot. In these circumstances a child’s temperature will soon return to normal. If it does not return or there is no apparent reason for the child to feel hot this may indicate that the child has a fever.
Children with high temperature will often have several, or all of the following symptoms:
  • Clammy skin
  • Sweating
  • Headache
  • Irritability and crying
  • Flushed appearance
  • Tiredness
  • Aches and pains 
How to reduce fever without medication:
Remove extra clothing. Wearing just a nappy or a light layer of clothing is fine.
If a child begins to shiver put on a layer of clothing. Shivering is an attempt by the body to raise the temperature.
Encourage the child to drink cool fluids to avoid dehydration
Encourage children to rest, as activity can increase the body temperature
Keep the child at a comfortable temperature
Bathing a child/cooling down with a wet cloth is not recommended
  
Parents/Caregivers Responsibilities:
  • Provide the centre with up to date emergency contact numbers
  • Discuss concerns about children’s health with teachers at the centre
  • Let teachers know if you have administered medicine to your child during the night or prior to arriving at the centre
  • Collect child from High Five within the hour once notified that they are unwell to stay
  • Allow your child time to recover before returning to the centre 
Teachers Responsibilities:
  • Contact parents if there are concerns about a child’s health and may ask them to take the child home
  • Children who are unwell will rest in a well-ventilated and warm room away from other children until they are collected
  • Help children feel comfortable and emotionally supported
  • Administer first aid where required*
  • Seek medical help if a child’s illness worsens and a family member cannot take the child promptly
  • Obtain up to date health information and advice from the Public Health Service
  • Keep good records if we are concerned about that a child may be unwell. We will keep a record of the child’s day detailing any changers in behaviour, symptoms, temperature recording, food and drink consumption and any authorised medication given.
  • (How long until we call parents/ different time frames for ages) 
* Pamol/Paracetamol/Ibuprofen is not kept on High Five premises for general use. This medication can only be given if it has been signed for by a parent/caregiver on the Medication Chart, and has been prescribed for the child for a specific illness, for a specific period of time, and is clearly labelled with the child’s name and recent date.
 
Medicine Chart:
The Medicine Chart is kept in the kitchen areas in both centres, and will be kept for seven years. Medication will only be administered to a child when a parent/guardian has signed off the required information on the Medicine Chart. The required information includes:
  • Childs name
  • Name of medication
  • Amount to be given, time/s to be given
  • Signature of parent/guardian 
 
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High Five Early Education Centres
300 Evans Bay Pde,
Hataitai, Wellington 6021

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