Management of Accident, Illness & Health Policy

CONTENTS

  1. Incident, Injury, Trauma and Illness
  2. Medical Conditions
    • Enrolment of Children into the Centre
    • Communication and Display of Medical Information
    • Management of Asthma and Anaphylaxis
    • Documentation and Record Keeping
  3. Asthma Management
  4. Anaphylaxis Management
  5. Diabetes Management
  6. Hygiene and Infection Control
    • Infectious Diseases
    • Hygiene and Infection Control
    • Immunisation
    • Exclusion Conditions
    • Toileting and Nappy Changing
    • Cleanliness of Toys and Equipment
    • Cleaning up spills of Blood and other bodily fluid
  7. Medication Administration
  8. First Aid
    • Professional development of educators
    • Hazard identification and risk assessment
    • Administration of first aid to children, families, staff and visitors to the centre
    • First aid supplies
    • Documentation and record keeping
    • Managing serious incidents
  9. Legislation and Considerations
  10. Sources and Related Policies

 

  1. INCIDENT, INJURY, TRAUMA AND ILLNESS

(a)  POLICY STATEMENT

The health and safety of children in education and care services is the responsibility of all approved providers and educators. Policies and procedures (including documented records) must be in place to effectively manage the event of any Incident, Injury, Trauma and Illness that occurs in the program by law. Young children’s innate desire to explore and test their growing capabilities is essential in developing wellbeing. Educators must consider the understanding of all the elements of wellbeing and ensure that programs also acknowledge the importance of risk management to provide a safe environment and reasonably protect children from potential harm.

Our Centre will:

  • Develop program goals that promote the wellbeing of each child;
  • Establish procedures and practice that minimise the risk of harm to children;
  • Maintain communication with families to ensure that they are informed of any incidents, injury, trauma and illness to their child/ren as required;
  • Ensure that records of any Incident, Injury, Trauma and Illness are documented, transmitted to the Department of Education and Communities as required and kept in storage according to regulatory requirements; and
  • Ensure that this policy is implemented in conjunction with our Safety policy.

(b)  STRATEGIES FOR IMPLEMENTATION

The Committee of Management, Nominated Supervisor and educators will consider the development of children’s wellbeing as paramount to the educational philosophy of the service. All educators will be aware of the development of wellbeing, and children’s emerging capabilities, and plan the program accordingly.

The procedures of the Centre will include the following:

The Nominated Supervisor will:

  • Notify the Regulatory Authority of any serious incident at the Centre, the death of a child, or complaints alleging that the safety, health or wellbeing of a child was, or is, being compromised;
  • Ensure that educators are rostered so that at least one educator who holds a current approved first aid qualification is present at all times that the children are being educated and cared for by the service;
  • Ensure the service holds the correct number of first aid kits required, suitably equipped, and maintained;
  • Ensure that all educators are aware of the completion of appropriate records (Incident, Injury, Trauma and Illness Record) in the event of any incident, injury, trauma or illness to children whilst in the care of the service, and that this information is completed no later than 24 hours after the incident occurred);
  • Make educators aware of the appropriate accessibility for approved officers and families to these records and the appropriate storage of these records according to regulatory requirements;
  • Complete an audit of the Incident, Injury, Trauma and Illness Records to reflect on the effectiveness of the procedures in place at the service;
  • Give educators access to appropriate up to date information, or professional development on the management of incidents; and
  • Make certain that all educators have access to the Regulations and Law and are aware of their responsibilities under these ensuring that this occurs as part of staff induction or orientation to the service and that position descriptions reflect this responsibility.

Educators will:

  • Ensure that all children have opportunities to engage in experiences that enhance their sense of wellbeing and allow children to develop a sense of assessing risks for themselves as appropriate;
  • Consider the planning of the physical environment and experiences, ensuring that the spaces are safe;
  • Thoughtfully group children to effectively manage supervision and any potential risks to children’s health and wellbeing;
  • Respond to children in a timely manner. Provide reassurance and ensure children’s emotional and physical wellbeing is paramount at all times;
  • Seek further medical attention for a child if required;
  • Be aware of the signs and symptoms of illness/trauma, and update their understanding as part of their ongoing professional development;
  • Be aware of individual children’s allergies and immunisation status and use this knowledge when attending/responding to any incident, injury or illness;
  • Respond to children showing signs of illness and begin monitoring the symptoms of the child and recording as appropriate. Educators will contact the child’s authorised person to inform them of the illness signs, or to request the collection of the child;
  • In response to a child registering a high temperature, follow procedures for temperatures, and complete the Incident, Injury, Trauma and Illness record as required;
  • Maintain appropriate work health and safety standards when attending to children’s injuries and applying first aid;
  • Develop partnerships with families and use this understanding to guide the development of practice in relation to individual children’s emerging capabilities;
  • Check that equipment and furniture in the service is well maintained and that any materials that may be hazardous are removed or repaired;
  • Ensure that hazardous items are inaccessible to children; and
  • Be involved in regularly reviewing and discuss policy and procedure and consider any improvements that need to be made to this policy.

Families will:

  • Be informed of policies and procedures upon enrolment with regards to first aid, illness whilst at the service, and exclusion practices, including immunisation status and illnesses at the service;
  • Inform the service of their child’s requirements, and provide any relevant paperwork to the service, such as immunisation status, letters from a medical professional etc.;
  • Be notified of any incident, injury, trauma, or illness as soon as is practicable, but no later than 24 hours after the noted incident, and will be provided with a copy of the report;
  • Provide a medical certificate (if sent home from the services due to an infectious disease) which states that the child is well enough to return and does not pose a health risk to other attendees before the child can be re-admitted to the service;
  • Receive access to this policy and notification of its existence;
  • Have the opportunity to provide input into the review and effectiveness of policies and procedures of the service via various methods; and
  • Be provided access to information on children’s development, the service program, and relevant resources (such as Kidsafe, SIDs and Kids) from the service.
  1. MEDICAL CONDITIONS

(a)  POLICY STATEMENT

Medical conditions include, but are not limited to asthma, diabetes or a diagnosis that a child is at risk of anaphylaxis. In many cases these can be life threatening. Our service is committed to a planned approach to the management of medical conditions to ensure the safety and well-being of all children at this service. Our service is also committed to ensuring our educators and staff are equipped with the knowledge and skills to manage situations to ensure all children receive the highest level of care and to ensure their needs are considered at all times. Providing families with ongoing information about medical conditions and the management conditions is a key priority.

We will minimise the risks around medical conditions of children by:

  • Collaborating with families of children with diagnosed medial conditions to develop a risk minimisation plan for their child;
  • Informing all staff, including casual staff, educators and volunteers, of all children diagnosed with a medical condition and the risk minimisation procedures for these;
  • Providing all families with current information about identified medical conditions of children enrolled at the service with strategies to support the implementation of the risk minimisation plan;
  • Ensuring all children with diagnosed medical conditions have a current risk minimisation plan that is accessible to all educators; and
  • Ensuring all educators are adequately trained in the administration of emergency medication.

(b)  STRATEGIES FOR IMPLEMENTATION

  • Enrolment of Children into the Centre

The Nominated Supervisor will:

  • Ensure that any parent with a child enrolled at the service that has a specific health care need, allergy or other relevant medical condition is provided with a copy of this policy;
  • Inform parents of the requirement to provide the service with a medical management plan of their child’s condition;
  • Collaborate with families of children with medical conditions to develop a risk minimisation plan to ensure the child’s safety and wellbeing:
  • to ensure that the risks relating to the child’s specific health care need, allergy or relevant medical condition are assessed and minimised; and
  • if relevant, to ensure that practices and procedures in relation to the safe handling, preparation, consumption and service of food are developed and implemented; and
  • if relevant, to ensure that practices and procedures to ensure that the parents are notified of any known allergens that pose a risk to a child and strategies for minimising the risk are developed and implemented; and
  • to ensure that practices and procedures ensuring that all educators can identify the child, the child’s medical management plan and the location of the child’s medication are developed and implemented; and
  • if relevant, to ensure that practices and procedures ensuring that the child does not attend the service without medication prescribed by the child’s medical practitioner in relation to the child’s specific health care need, allergy or relevant medical condition are developed and implemented; and
  • Ensure that all educators are aware of the medical management plan and risk minimisation plan;
  • Ensure that educators are adequately trained in procedures contained in the medical management plan; and
  • Inform other families enrolled at the centre of the need to prohibit any items which may present a hazard to children with diagnosed medical conditions.

2.2. Communication and Display of Medical Information

The Nominated Supervisor will:

  • Ensure all medical management and risk minimisation plans are accessible to all educators;
  • Ensure that all plans are current and kept up to date;
  • Develop a communication plan to ensure that relevant staff members and volunteers are informed of this policy, the medical management plan and risk minimisation plan for the child;
  • Develop a communication plan to ensure that parents can communicate any changes to the medical management plan and risk minimisation plan; and
  • Update the communication plan as needed.

Educators will:

  • Ensure they are aware of enrolled children with medical conditions and be familiar with the medical management and risk minimisation plans of each child diagnosed with a medical condition; and
  • Will consult the communication plan to ensure they are aware of their communication responsibilities.

2.3. Management of Asthma and Anaphylaxis

The Nominated Supervisor will:

  • Ensure that at least one educator is in attendance and is adequately trained in the management of asthma and anaphylaxis, and that training includes identifying medical emergencies; and
  • Ensure that at least one educator is in attendance and is adequately trained in the administration of emergency medication such as the Epi-Pen or asthma medication.

Educators will:

  • Be alert to the immediate needs of children who present with symptoms of anaphylaxis and asthma; and
  • Administer emergency medication in accordance with their training, as required.

2.4. Documentation and Record Keeping

The Nominated Supervisor will:

  • Ensure records are confidentially stored for the specified period as required by Regulation.
  • Provide a copy of the Medication Record to medical staff in the event further medical intervention is required.

Educators will:

  • Complete a Medication Record when a child receives emergency medication; and
  • Will provide parents with a copy of the Medication Record.
  1. ASTHMA MANAGEMENT 

(a)  POLICY STATEMENT

It is generally accepted that children under the age of six do not have the skills and ability to recognise and manage their own asthma effectively, our service recognises the need to educate its educators, staff and families about asthma and to promote responsible asthma management strategies.

This Asthma Policy aims to:

  • Raise awareness of asthma amongst those involved with the service;
  • Implement strategies to support the health and safety of children with asthma enrolled at the service;
  • Provide an environment in which children with asthma can participate in all activities to the full extent of their capabilities; and
  • Provide a clear set of guidelines and expectations to be followed with regard to the management of asthma.

(b)  STRATEGIES FOR IMPLEMENTATION

The Nominated Supervisor will:

  • Provide Emergency Asthma Management Training to all educators;
  • Provide educators with a copy of this policy and brief them on asthma procedures upon their appointment;
  • Ensure at least one educator who has completed accredited asthma training is on duty whenever children are present at the service;
  • Ensure enrolment forms contain the question: “Has your child ever had asthma?”;
  • Identify children with asthma during the enrolment process and inform educators;
  • Provide families thus identified with a copy of this policy and Asthma Action Plan upon enrolment or diagnosis; (Asthma Action Plan template can be downloaded from  www.asthma.org.au/Resources/Brochures.aspx)
  • Store Asthma Action Plans in the child’s enrolment record;
  • Formalise and document the internal procedures for emergency Asthma First Aid;
  • Ensure that an emergency Asthma First Aid poster (available from www.asthmaaustralia.org.au/uploadedFiles/Content/About_Asthma_2/Resources/AA-First-Aid-Poster-A4.pdf) is displayed in key locations;
  • Ensure that the First Aid Kit contains a blue reliever medication (e.g. Airomir, Asmol, or Ventolin), a spacer device, face mask, concise written instructions on Asthma First Aid procedures and 70% alcohol swabs;
  • Ensure that an accredited educator correctly maintains the asthma component of the First Aid Kit (e.g. regular checks of expiry dates on medication);
  • Provide a mobile Asthma First Aid Kit for use on excursions;
  • Encourage open communication between families and educators regarding the status and impact of a child’s asthma; and
  • Promptly communicate any concerns to families should it be considered that a child’s asthma is limiting his/her ability to participate fully in all activities.

Educators will:

  • Ensure that they maintain current accreditation in Emergency Asthma Management (valid for three years);
  • Ensure that they are aware of the children in their care with asthma;
  • Ensure, in consultation with the family, the health and safety of each child through supervised management of the child’s asthma;
  • Identify and, where practical, minimise asthma triggers;
  • Where necessary, modify activities in accordance with a child’s needs and abilities;
  • Ensure that all regular prescribed asthma medication is administered in accordance with the information on the child’s written Asthma Action Plan;
  • Administer emergency asthma medication if required according to the child’s written Asthma Action Plan. If no written Asthma Action Plan is available the Asthma First Aid Plan outlined in this document should be followed immediately;
  • Promptly communicate, to management or parents/guardians, any concerns should it be considered that a child’s asthma is limiting his/her ability to participate fully in all activities; and
  • Ensure that children with asthma are treated the same as all other children.

Families will:

  • Inform the centre, either upon enrolment or on initial diagnosis, that their child has a history of asthma;
  • Provide all relevant information regarding their child’s asthma via the written Asthma Action Plan, which should be provided to the centre within seven (7) days of enrolment;
  • Notify the Nominated Supervisor, in writing, of any changes to the Asthma Action Plan during the year;
  • Ensure that their child has an adequate supply of appropriate asthma medication (including reliever) at all times, along with a spacer and face mask;
  • Ensure that they comply with all requirements and procedures in relation to the Medications Record;
  • Communicate all relevant information and concerns to educators as the need arises (e.g. if asthma symptoms were present the previous evening); and
  • Ensure, in consultation with the educators, the health and safety of their child through supervised management of the child’s asthma. 
  1. ANAPHYLAXIS MANAGEMENT 

(a)  POLICY STATEMENT

  • Minimise the risk of an anaphylactic reaction occurring while the child is in the care of the children’s service;
  • Ensure that educators respond appropriately to an anaphylactic reaction by initiating appropriate treatment, including competently administering an adrenaline auto-injection device;
  • Raise the service community’s awareness of anaphylaxis and its management through education and policy implementation;
  • Anaphylaxis is a severe, life-threatening allergic reaction. Up to two per cent of the general population and up to five per cent (0-5years) of children are at risk. The most common causes in young children are eggs, peanuts, tree nuts, cow milk, sesame, bee or other insect stings and some medications;
  • Young children may not be able to express the symptoms of anaphylaxis;
  • A reaction can develop within minutes of exposure to the allergen, but with planning and training, a reaction can be treated effectively by using an adrenaline auto-injection device;
  • The approved provider recognises the importance of all educators responsible for the child/ren at risk of anaphylaxis undertaking training that includes preventative measures to minimise the risk of an anaphylactic reaction, recognition of the signs and symptoms of anaphylaxis and emergency treatment, including administration of an adrenaline auto-injection device; and educators and parents/guardians need to be made aware that it is not possible to achieve a completely allergen-free environment in any service that is open to the general community. Educators should not have a false sense of security that an allergen has been eliminated from the environment. Instead the approved provider recognises the need to adopt a range of procedures and risk minimisation strategies to reduce the risk of a child having an anaphylactic reaction, including strategies to minimise the presence of the allergen in the service. 

(b)  STRATEGIES FOR IMPLEMENTATION

The Nominated Supervisor will:

  • Ensure that at least one educator in attendance has current and approved first aid and anaphylaxis management training.  All educators are encouraged to undergo this training;
  • Ensure that this policy is provided to a parent/guardian of each child diagnosed at risk of anaphylaxis at the service;
  • Ask all parents/guardians as part of the enrolment procedure, prior to their child’s attendance at the service, whether the child has allergies and document this information on the child’s enrolment record. If the child has severe allergies, ask the parents/guardians to provide a medical management action plan signed by a Registered Medical Practitioner;
  • Ensure that an anaphylaxis medical management action plan signed by the child’s Registered Medical Practitioner and a complete auto-injection device kit (which must contain a copy the child’s anaphylaxis medical management action plan) is provided by the parent/guardian for the child while at the service;
  • Ensure that practice of the adrenaline auto-injection device is undertaken on a quarterly basis and recorded;
  • Ensure all educators know the child/children at risk of anaphylaxis, their allergies, the location of the individual anaphylaxis medical management action plan and the location of the auto-injection device kit;
  • Ensure that no child who has been prescribed an adrenaline auto-injection device is permitted to attend the service without the device;
  • Implement the communication strategy and encourage ongoing communication between parents/guardians and the centre regarding the current status of the child’s allergies, this policy and its implementation;
  • Display an Australasian Society of Clinical Immunology and Allergy Inc. (ASCIA) generic poster called Action Plan for Anaphylaxis in a key location at the service, for example, in the children’s room, the staff room or near the medication cabinet;
  • Ensure that a child’s individual anaphylaxis medical management action plan is signed by a Registered Medical Practitioner and inserted into the enrolment record for each child. This will outline the allergies and describe the prescribed medication for that child and the circumstances in which the medication should be used;
  • Ensure that the educator accompanying children outside the service carries the anaphylaxis medication and a copy of the anaphylaxis medical management action plan with the auto-injection device kit; and
  • Ensure that a notice is displayed prominently in the main entrance of the service stating that a child diagnosed at risk of anaphylaxis is being cared for or educated at the service.

Educators responsible for the child at risk of anaphylaxis will:

  • Ensure a copy of the child’s anaphylaxis medical management action plan is visible and known to educators and relevant staff at the service;
  • Follow the child’s anaphylaxis medical management action plan in the event of an allergic reaction, which may progress to anaphylaxis;
  • In the situation where a child who has not been diagnosed as allergic, but who appears to be having an anaphylactic reaction:
  • Call an ambulance immediately by dialing 000
  • Commence first aid measures
  • Contact the parent/guardian
  • Contact the person to be notified in the event of illness if the parent/guardian cannot be contacted
  • Practice the administration procedures of the adrenaline auto-injection device using an auto-injection device trainer and “anaphylaxis scenarios” on a quarterly basis;
  • Ensure that the auto-injection device kit is stored in a location that is known to all educators, including casual staff; easily accessible to adults (not locked away); inaccessible to children; and away from direct sources of heat;
  • Ensure that the auto-injection device kit containing a copy of the anaphylaxis medical management action plan for each child at risk of anaphylaxis is carried by an educator on all excursions;
  • Regularly check the adrenaline auto-injection device expiry date. (The manufacturer will only guarantee the effectiveness of the adrenaline auto-injection device to the end of the nominated expiry month); and
  • Provide information to the service community about resources and support for managing allergies and anaphylaxis.

Families will:

  • Inform the centre, either on enrolment or on diagnosis, of their child’s allergies;
  • Develop an anaphylaxis risk minimisation plan with service educators;
  • Provide the centre with an anaphylaxis medical management action plan signed by the Registered Medical Practitioner giving written consent to use the auto-injection device in line with this action plan;
  • Provide the centre with a complete auto-injection device kit;
  • Regularly check the adrenaline auto-injection device expiry date;
  • Assist educators by offering information and answering any questions regarding their child’s allergies;
  • Notify the centre of any changes to their child’s allergy status and provide a new anaphylaxis action plan in accordance with these changes;
  • Communicate all relevant information and concerns to the centre, for example, any matter relating to the health of the child; and
  • Comply with the service’s policy that no child who has been prescribed an adrenaline auto-injection device is permitted to attend the service or its programs without that device. 
  1. DIABETES MANAGEMENT

(a)  POLICY STATEMENT

The management of a child’s diabetic condition is dependent upon coordination between our service, the child’s family and the child’s doctor. Our service recognises the need to facilitate effective care and health management of children who have diabetes, and the prevention and management of acute episodes of illness and medical emergencies.

This Diabetes Management Policy aims to:

  • Raise awareness of diabetes management amongst those involved with the service;
  • Provide the necessary strategies to ensure the health and safety of all children with diabetes enrolled at the service;
  • Provide an environment in which children with diabetes can participate in all activities to the full extent of their capabilities; and
  • Provide a clear set of guidelines and expectations to be followed with regard to the management of diabetes.

(b)  STRATEGIES FOR IMPLEMENTATION

The Nominated Supervisor will:

  • Encourage all educators to complete senior first aid training;
  • Provide educators with a copy of this policy and brief them on diabetes procedures upon their appointment;
  • Ensure at least one educator who has completed accredited senior first aid training is on duty whenever children are being cared for or educated;
  • Ensure enrolment forms contain the question: “Has your child been diagnosed with diabetes?”;
  • Identify children with diabetes during the enrolment process and inform educators;
  • Provide families thus identified with a copy of this policy and Diabetes Care Plan upon enrolment or diagnosis; (a Diabetes Care Plan template can be downloaded from www.chess.sa.edu.au/Pathways/diabcareplanjune2009.doc
  • Ensure that each Diabetes Care Plans are received for each child with a diagnosis of diabetes that contain information for the child’s Diabetic Management and outline what do in relation to any Diabetic Emergency the child might face;
  • Ensure families provide the service with the child’s testing kit and hypo pack if required;
  • Store Diabetes Care Plans in the child’s enrolment record;
  • Formalise and document the internal procedures for emergency Diabetes treatment;
  • Encourage open communication between families and educators regarding the status and impact of a child’s diabetes; and
  • Promptly communicate any concerns to families should it be considered that a child’s diabetes is limiting his/her ability to participate fully in all activities.

Educators will:

  • Ensure that they maintain current accreditation in first aid;
  • Ensure that they are aware of the children in their care with diabetes;
  • Ensure that they are familiar with the signs and symptoms and the emergency treatment of a low blood glucose level;
  • Call an ambulance if they feel emergency treatment is required;
  • Ensure, in consultation with the family, the health and safety of each child through supervised management of the child’s diabetes;
  • Where necessary, modify activities in accordance with a child’s needs and abilities;
  • Ensure that a child’s Diabetes Care Plan is followed at all times;
  • Promptly communicate, to management or parents/guardians, any concerns should it be considered that a child’s diabetes is limiting his/her ability to participate fully in all activities; and
  • Ensure that children with diabetes are treated the same as all other children.

Families will:

  • Inform the centre, either upon enrolment or on initial diagnosis, that their child has diabetes;
  • Provide all relevant information regarding their child’s diabetes via a written Diabetes Care Plan, which should be provided to the centre within seven (7) days of enrolment;
  • Keep the child’s testing kit and hypo pack updated as required;
  • Notify the Nominated Supervisor, in writing, of any changes to the Diabetes Care Plan during the year;
  • Ensure that they comply with all requirements and procedures in relation to the Medications Record;
  • Communicate all relevant information and concerns to educators as the need arises; and
  • Ensure, in consultation with the educators, the health and safety of their child through supervised management of the child’s diabetes.
  1. HYGIENE AND INFECTION CONTROL

(a)  POLICY STATEMENT

Ensuring the health and safety of children, educators and staff, and supporting children’s ongoing wellbeing, is a core focus of the delivery of an Education and Care Service. Educators and staff need to be aware of the likelihood of young children being exposed to an infectious illness whilst in care. Maintaining hygiene practices within the service and teaching young children about health and hygiene will assist in the prevention of infectious diseases.

Educators will support children to gain confidence in their abilities and develop independence with their toileting skills. Consistent approaches between the home and the education and care environment allows children to identify appropriate hygiene and toileting practices that will reduce the spread of infectious disease.

The Centre aims to maintain a healthy and hygienic environment for children, educators and families by providing professional cleaning services on a daily basis.

The Centre will ensure that additional procedures are implemented to minimise the potential risk of disease and illness. These procedures will include:

  • Spot and routine cleaning by educators;
  • Effective hand washing practices;
  • Identifying and excluding sick children, educators and staff;
  • Maintaining updated immunisation records;
  • Effective handling, storage and disposal or washing of soiled items; and
  • The use of personal protection equipment.

(b)  STRATEGIES FOR IMPLEMENTATION

Infectious Diseases

The Nominated Supervisor will:

  • Ensure that all information regarding the prevention of infectious diseases is sourced from a recognised health authority, such as: Staying Healthy– Preventing Infectious Diseases in Early Childhood Education and Care Services (5th edition), National Health and Medical Research Council (2013), and the NSW Ministry of Health, or NSW public hospitals websites;
  • Implement the recommendations from Staying Healthy– Preventing Infectious Diseases in Early Childhood Education and Care Services to prevent the spread of infectious diseases at the service;
  • Ensure that children are reasonably protected from harm by working with educators on developing, implementing and reviewing policy that will guide health and safety procedures within the service;
  • Provide relevant sourced materials to families about:
    • advice and information regarding any infectious diseases in general, and information regarding any specific infectious illnesses that are suspected/present in the service; and
    • providing information on illnesses (as soon as practicable after the occurrence of an infectious disease).
  • Provide information to families as soon as practicable of the occurrence of an infectious disease that describe the:
    • nature of illness;
    • Incubation period; and
    • infectious and exclusion periods.

This information will be sourced from a reliable source such as, Staying Healthy in Childcare –      Preventing Infectious Diseases in Early Childhood Education and Care Services (5th Edition),         National Health and Medical Research Council (2013).

  • Ensuring that an Incident, Injury, Trauma and Illness Record is completed as soon as practicable or no later than 24 hours of the illness occurring;
  • Ensure that processes (such as a Communications to Educators Form and /or the staff communication book) is completed and forwarded to all educators so that they are aware of individual children’s circumstances;
  • Maintaining confidentiality with regards to children’s individual medical circumstances, by putting procedures in place to safeguard children and families’ personal information;
  • Provide opportunities for educators, children and families to have access to health professionals by organising visits/guest speakers to attend the service to ensure that practices in place at the service are correct;
  • Providing opportunities for educators to source relevant up to date information on the prevention of infectious diseases, and maintaining health and hygiene from trusted sources;
  • Ensuring opportunities for educators and families to be involved in the review of the policies and procedures regarding children’s health and safety; and
  • Inform and implement the advice of the health department, or local health unit regarding Infectious Diseases as required.

Educators will:

  • Monitor children’s health and wellbeing while they are at the education and care service: Educators will observe children’s activity carefully. If a child is suspected of having an infectious illness or shows symptoms such as lethargy, high temperature, vomiting, skin rash, difficulty in breathing, diarrhoea they will immediately inform the Nominated Supervisor and the family. (Implement the Incident, Injury, Trauma and Illness section of this policy);
  • Implement appropriate health and safety procedures and ensure the child’s health and emotional needs are supported when tending to ill children;
  • Ensure that families are aware of the need to collect their children as soon as practicable to ensure the child’s comfort. Where they are not available, emergency contacts will be called to ensure the child is collected promptly.
  • Advise families that they will need to alert the service if their child is diagnosed with an infectious illness;
  • Provide varied opportunities for children to engage in hygiene practices, including routine opportunities, and intentional practice;
  • Implement the Centre’s policies and procedures relating to:
    • hand washing – washing and drying thoroughly;
    • routine and daily cleaning of the service;
    • nappy changing;
    • wearing gloves (particularly when in direct contact with bodily fluids); and
    • proper handling and preparation of food.
  • Maintain skills with regard to Health and Safety by attending appropriate professional development opportunities.

Hygiene and Infection Control

The Nominated Supervisor will:

  • Develop procedures for maintaining a hygienic environment;
  • Ensure that educators and volunteers implement health, hygiene practices and safe food handling and storage practices to minimise risks for the children in the education and care service;
  • Introduce cleaning systems that prevent contamination and cross infection. Cleaning buckets, cloths, mops etc. will be clearly labelled, coded to indicate their specific use and stored in a location inaccessible to children;
  • Engage a professional cleaning service to clean the service on a daily basis;
  • Place a copy of hand washing procedures near all hand washing areas for educators to follow;
  • Ensure that children’s hand washing areas have a visual procedure available for children to refer to;
  • Ensure the service has access to laundry facilities that are adequate and appropriate for the needs of the service, and are located and maintained in a way that prevents unsupervised access by children;
  • Include information on hygiene principles and practices in newsletters;
  • Ensure that new educators, casual educators and volunteers are informed about the strategies and procedures implemented by the education and care service to keep themselves and the children protected; and
  • Prioritise training and professional development for educators regarding current hygiene and infection control practices.

Educators will:

  • Observe and maintain high standards of hygiene in the provision of the education and care service;
  • Engage in training, research and professional development about current hygiene and infection control practices;
  • Wash their hands:
  • when arriving at the service to reduce the introduction of germs;
  • before all clean tasks e.g. handling and preparing food and eating;
  • after all dirty tasks e.g. nappy changing, toileting, cleaning up urine, faeces, vomit or blood, wiping a nose, playing outside, handling animals after removing gloves; and
  • before going home to prevent taking germs home.
  • Be responsible for routine cleaning of the education and care service. This will include sweeping floors after meal and activity times, wiping tables with non-hazardous workplace cleaning products before and after meals, sanitizing toys and equipment as per the cleaning schedule; and particularly after children have mouthed toys. The sandpits will be raked daily, covered each night and the sand cleaned frequently;
  • Role model correct hand washing techniques and give verbal reminders to children when washing hands;
  • Ensure the rules of hygiene are included in the child’s program and initiate discussion about these subjects with groups and individual children at appropriate times;
  • Wear gloves and use separate tissues to wipe different children’s faces and noses. Tissues will be disposed of immediately after wiping a child’s nose. Hand hygiene will be performed between each child after wiping noses and disposing of tissues;
  • Wear gloves at all times when assisting a child with soiled or wet their clothing, and during nappy change and toileting routines;
  • Cover any cuts, abrasions, dermatitis or open skin on hands with a water-resistant dressing;
  • Clean nappy change mats and areas after each use following the Nappy Change Procedure;
  • Spot clean nappy change and bathroom areas as required during the day and wash and disinfect the areas thoroughly once daily;
  • Wear gloves when handling soiled linen and will follow recommended procedures for washing soiled linen;
  • Hygienically store soiled clothing and/or bedding in a sealed container in an area inaccessible to children, until such a time as it is laundered or removed from the premises. Items returned to a child’s home for laundering will have soiling removed and will be placed in a plastic bag and then a leak proof container and not placed in the child’s bag in contact with personal items. It is not recommended that educators rinse soiled clothing and/or bedding due to risk of contaminating their clothing which can then be a source for transporting germs.  Soiled items not belonging to an individual child or family that have been exposed to bodily fluids will be rinsed in cold water and washed separately in a machine using hot water;
  • Ensure personal clothing or linen is not be shared between children;
  • Encourage children to cover their noses and mouths when sneezing or coughing and to wash and dry their hands afterwards. Model this behaviour;
  • Wear gloves when serving and preparing food. Children’s cups, plates and bowls along with all kitchen utensils used in the preparation of food will be sanitised in the dishwasher;
  • Use every precaution to minimise the risk of infection within the education and care service environment for themselves, the children and the families; and
  • The service will use detergent and warm water to clean except where the public health authority recommends a particular disinfectant for an out break of an infectious disease. 

Families will:

  • Provide bedding for their child.  The bedding will be taken home for washing at least once a week or after soiling.

Immunisation

The Nominated Supervisor will:

  • Ensure Parents/Guardians area aware that should they wish to enroll their child at the centre, they must immunise their child against all diseases appropriate to the child’s age. From January 2018 any child who is not immunized cannot be enrolled at the centre unless they are on a recognised catch-up schedule and all appropriate documentation has been filled in or are unimmunised due to medical reasons as described at section 2.1.4 of the Australian Immunisation Handbook 10th ed)  and provided that the appropriate documentation has been provided.
  • Ensure parents provide a record of the child’s current immunisation history status prior to their child’s enrolment starting, which must be kept at the service;
  • Develop enrolment procedures that capture all required information regarding the children’s immunisation status, and any medical conditions;
  • Devise a routine written process for updating children’s enrolment records with regards to immunisation, ensuring that this occurs as required, (i.e. as children reach age milestones for immunisation), or at least twice a year;
  • Advise educators and staff of the recommended immunisations for people working with children as per the Immunisation Handbook – 10th Edition (2014);
  • Maintain current records of educators immunisation status and ensure educators familiarity with written procedures for exclusion of educators as well as children in the event of an infectious illness;
  • Provide relevant sourced materials to families about:
    • the current NSW Immunisation Schedule for children; and
    • exclusion guidelines for children that are not immunised or have not yet received all their immunisations in the event of an infectious illness at the service, upon induction at the service.

Educators will:

  • Maintain their own immunisation status and advise the Nominated Supervisor of any updates to their immunisation status.

Families will:

  • Advise the service of their child’s immunisation status, and provide a copy of their child’s Medicare issued Immunisation History Status for the service to copy and keep with the child’s enrolment records; and
  • Advise the service when their child’s immunisation/medical condition is updated and provide this information to the service to ensure that enrolment records are up to date.

Exclusion Conditions

The Nominated Supervisor will:

  • Ensure information about the service’s exclusion policy is in accordance with the National Health and Medical Research Council’s exclusion periods and is provided to families in the Parent Handbook;
  • Exclude children from care during outbreaks of some infectious diseases in accordance with National Health & Medical Research Council exclusion guidelines, even if their child is well. This applies to children who are not immunised, do not have a complete immunisation record, are immunosuppressed or are who are receiving medical treatment causing immunosuppression such as chemotherapy;
  • In addition to the National Health & Medical Research Council exclusion guidelines, exclude children from care as a result of the following:
  • has a fever above 38°C. Children will not be permitted to return until they have had one full day (i. the day following the last registered temperature above 38°C) where their temperature has fallen within the normal range (up to 38°C). This applies to temperatures registered at the centre, at home or at the doctor;
  • has had an episode of diarrhoea (watery faeces) or vomiting. Children will not be permitted to return until they have had one full day (i. the day following the last episode of diarrhea or vomiting) where they have not had any episodes of diarrhoea or vomiting. This applies to episodes at the centre, at home or at the doctor;
  • has green, runny nasal mucous (mucous that is clear in colour is fine). Children will not be permitted to return until the mucous has cleared;
  • has suspected conjunctivitis;
  • has an illness that prevents the child from participating in routine activities;
  • poses an increased infection risk to other children or adults with whom the child will come in contact; or
  • has an illness that requires more care than the educators can provide without compromising supervision within the room to ensure the health and safety of all children.
  • Display a notice at the entrance or use email or distribution of letters/fact sheets where appropriate to notify educators/staff members, families of enrolled children and visitors to the service of exclusion due to infectious disease; and
  • Ensure that If a child becomes unwell whilst at the service the Incident, Injury, Trauma and Illness section of this policy is followed.

Educators will:

  • Contact the Nominated Supervisor at the earliest possible time to advise of their inability to report to work if they are unwell; and
  • Provide a medical certificate (if excluded from the services due to an infectious disease) which states that they are well enough to return and does not pose a health risk to other educators, staff or children before they can be re-admitted to the service. 

Families will:

  • Not bring their child to the service if the child is showing symptoms of an infectious disease or is unwell whilst at home; and
  • Provide a medical certificate (if excluded from the services due to an infectious disease) which states that the child is well enough to return and does not pose a health risk to other attendees before the child can be re-admitted to the service.

Toileting and Nappy Changing

The Nominated Supervisor will:

  • The service will ensure that developmentally and age appropriate toilets, hand washing facilities and products are easily accessible to children;
  • Ensure nappy changing and toileting procedures are displayed in the nappy change and toileting areas; and
  • Advise families on enrolment and when a child commences toilet training, to provide several changes of clothes each day.

Educators will:

  • Only change nappies in the nappy change area which will be properly stocked with gloves, paper towels, towelettes, plastic bags, fresh nappies, clean clothes, rubbish bin with sealed lid lined with plastic;
  • After each nappy change the child’s and educator’s hands will be washed and the change table will be disinfected following the Nappy Change Procedures;
  • Observe children for signs of toileting awareness. If a child is starting to show an interest in toileting, educators will consult with families and develop consistent strategies with the family for approaching the child’s toileting needs. These strategies will reflect the home environment and be culturally sensitive;
  • Remind families that toileting accidents are common and both successful and unsuccessful toileting attempts need to be supported in a positive manner;
  • Support children with soiled or wet clothing. Educators will put on gloves and assist the child to remove their clothing. Any waste will be placed in the toilet. Soiled clothing will be rinsed in the laundry or cleaners sink. All wet or soiled clothing will be placed in two sealable bags. The child’s name will be written on the bag and it will be placed away from the children’s play spaces for collection by the family;
  • Always encourage children’s efforts to develop independence;
  • Ensure nappy changing and toileting is flexible and responsive to children’s individual needs;
  • Recommend a variety of training methods to parents who have requested assistance in toileting;
  • Interact with children in a relaxed and positive way during nappy changing and toileting as this is an excellent time to continue verbal interactions with children especially as it is a one to one time;
  • Make a step available to assist children to independently sit on a toilet, maintaining supervision throughout to ensure safety and provide support as required;
  • Encourage and positively guide children through the toileting process. Educators will verbally prompt children through the toileting process and encourage them to flush toilets and wash and dry their hands after use;
  • Wear gloves at all times when assisting a child with toileting. They will encourage children to remove necessary clothing and assist with this process as needed;
  • Encourage children to use toilet paper and wipe from front to back. Educators will respectfully assist children as required during this process;
  • Remind and assist children to wash their hands with soap and water while counting to ten slowly or singing a favourite song. Children will be encouraged to dry their hands using paper towels or the hand dryers;
  • Encourage children to use their developing self-help skills during toileting experiences;
  • Never force a child to sit on a toilet or leave a child in soiled or wet clothing. If a child is showing distress about using the toilet, educators will respect the child’s needs and emotions and implement alternative method of toileting in consultation with the family;
  • Ensure the bathroom areas are clean and hygienic for the children to use. Toileting areas will be cleaned regularly during the day. Educators are responsible for spot cleaning the bathroom areas throughout the day as needed and thoroughly once a day.
  • At all times of the day, educators will oversee the bathroom areas to ensure cleanliness and reduce the spread of infectious diseases; and
  • Provide visual aids in all bathrooms to assist the children with toileting procedures.

Cleaners will:

Thoroughly clean the bathroom each evening.

Families will:

  • Provide at least four nappies for the child for each day the child attends the service; and
  • Provide several changes of clothing for the child during toilet training.


Cleanliness of Toys and Equipment

The Nominated supervisor will:

  • Develop procedures for regular cleaning of toys, equipment and dress up clothes.

Educators will:

  • Implement procedures to ensure cleanliness of toys, equipment and dress up clothes;
  • Monitor sand cleanliness and arrange for annual change or topping up as needed;
  • Clean surfaces with non-hazardous workplace disinfectants after each activity and before and after eating. All surfaces and floors will be washed thoroughly each day by professional cleaners. Areas contaminated with blood and body fluids will cleaned as per Staying Healthy– Preventing Infectious Diseases in Early Childhood Education and Care Services (5th edition)“, depending on the size and type of spill;
  • Provide each child with their own drinking and eating utensils at each mealtime. These utensils will be sanitised in the dishwasher after each use;
  • Encourage children not to use drinking or eating utensils which have been used by another child or dropped on the floor;
  • Ensure that children do not eat food that:
  • has been dropped on the floor; or
  • has been handled by another child.
  • Ensure any animal or bird kept at the service is kept in an area that is separate and apart from any area used by children and it and its environment will be maintained in a clean and healthy condition. Any animal will be provided with appropriate veterinary care (e.g. worming, care of sick animals);
  • Supervise children during contact with animals and discourage them from putting their faces close to animals;
  • Ensure children wash and dry their hands after touching animals; and
  • Not allow children to eat and drink while interacting with animals.


Cleaning up spills of blood and other bodily fluid

Educators will:

  • Follow standard precautions at all times to prevent infection. Standard precautions support the assumption that all blood and body fluids are potentially infectious, therefore hygiene practices that promote infection control are adopted for all contact with blood and body fluids;
  • Effectively manage bodily fluid spills and accidents. Blood of bodily fluid spills will be isolated with barricades until the educator can remove the spill hygienically. The educator will:
  • avoid direct contact with the spill;
  • use personal protective equipment;
  • contain the spill as far as possible using paper towel,
  • disposing of it in a sealed plastic clinical waste bag;
  • clean the spill using neutral detergent;
  • dry of ventilate the area; and
  • notify the work cover authority if there has been exposure to bodily fluids that may present the risk of the transition of blood borne diseases.
  • Administer first aid to any educator who has blood or bodily fluids splash into their eyes or mouth by irrigating the eyes for 5-10 minutes and/or blow nose and spit out and rinse out the mouth;
  • Follow recommended guidelines for dealing with spills of blood, faeces, vomit, urine, nasal discharge and other body fluids as explained in Staying Healthy in Early Childhood Education and Care Services to protect the health and safety of all children and adults within the service; and
  • Wear disposable gloves when dealing with spills and hands will be washed after removal of gloves.
     
  1. MEDICAL ADMININSTRATION

(a)  POLICY STATEMENT

In supporting the health and wellbeing of children the use of medications may be required by children at the education and care service. Any medication must be administered as prescribed by medical practitioners and first aid guidelines to ensure continuing health for the child and for the child’s safety and wellbeing.

Families requesting the administration of medication will be required to follow the guidelines developed by the education and care service to ensure the safety of children and educators. The education and care service will follow legislative guidelines and standards to ensure the health of children, families and educators at all times.

(b)  STRATEGIES FOR IMPLEMENTATION

The Nominated Supervisor will:

  • Ensure that a medication form is developed for each child requiring medication at the education and care service. The medication record must detail the name of the child and have authorisation to administer medication signed by the parent/or person named on the enrolment form as authorised to consent to the administration of medication;
  • Ensure that all Prescribed medication to be administered to a child being educated and cared for by the service is:
  • Authorised by a parent competing a medication administration permission form;
  • Administered as prescribed by a registered medical practitioner (with instructions either attached to the medication, or in written/verbal form from the medical practitioner.);
  • from the original container;
  • With the original label clearly showing the name of the child; and
  • Still within the expiry/use by date.
  • Ensure that all over the counter (non-prescribed) medication and creams to be administered to a child being educated and cared for by the service is:
  • Clearly labelled with the child’s name;
  • Authorised by a parent competing a medication administration permission form;
  • From the original container, applicable to the child’s age, with clear dosage instructions
  • Still within the expiry/use by date.
  • Ensure that written and verbal notification are given to a parent or other family member of a child as soon as practicable, if medication is administered to the child in an emergency when consent was either verbal or provided by medical practitioners;
  • Ensure that if medication is administered without authorisation in the event of an asthma or anaphylaxis emergency that the parent of the child and emergency services are notified as soon as practical;
  • Ensure that enrolment records for each child outline the details of persons permitted to authorise the administration of medication to the child;
  • Take reasonable steps to ensure that medication records are maintained accurately;
  • Keep medication forms in a secure and confidential manner and ensure the records are archived for the regulatory prescribed length of time. Refer Privacy and Confidentiality Policy;
  • Ensure that educators receive information about this policy during their induction;
  • Request written consent from families on the enrolment form to administer the Emergency Asthma Kit if required. Families will be reminded that every attempt to contact them for verbal permission will be made by the education and care service prior to administering asthma medications. Refer to the Medical Conditions section of this policy for further details; and
  • Inform families of this policy and the need to ensure that safe practices are adhered to for the wellbeing of both the child and educators.

Educators will (with support from the Nominated Supervisor):

  • NOT administer any medication without the authorisation of a parent or person with authority – except in the case of an emergency, when the verbal consent from an authorised person, a registered medical practitioner or medical emergency services will be acceptable if the parents cannot be contacted;
  • Ensure that medications are stored in the refrigerator in a labelled and locked medication container with the key kept in a separate location, inaccessible to children. For medications not requiring refrigeration, they will be stored in a labelled and locked medication container with the key kept inaccessible to children;
  • Ensure that two educators administer medications at all times. One of these educators must have approved First Aid qualifications in accordance with current legislation and regulations. Both educators are responsible to check the Medication Permission Form, the prescription label and the amount of medication being administered. Both educators must sign, date and note the time on the Medication Permission Form. Medications will be returned to the locked medication container after use;
  • Follow hand washing procedures before and after administering medication;
  • Share any concerns or doubts about the safety of administering medications with the Nominated Supervisor to ensure the safety of the child. The Nominated Supervisor may seek further information from the family, the prescribing doctor, or the Public Health Unit before administering medication;
  • Ensure that the instructions on the Medication Permission Form are consistent with the doctor’s instructions and the prescription label;
  • Request that the family request an English translation from the medical practitioner for any instructions written in a language other than English; and
  • Ensure that the Incident, Injury, Trauma and Illness Record documents any medication given.

Families will:

  • Notify educators, both via enrolment forms and verbally when children are taking any medications. This includes short and long-term medication use;
  • Complete a Medication Permission Form and a first aid/risk management plan as applicable for children requiring medication while they are at the education and care service. Documents for long-term medication use will be developed with the family and the medical practitioner’s advise. Plans must be updated as the child’s medication needs change;
  • Be required to keep prescribed and over – the – counter medications in original containers with pharmacy labels and the child’s name. Keep children away from the care and education setting while any symptoms of an illness remain and for 24 hours from commencing antibiotics to ensure they have no side effects to the medication;
  • NOT leave any medication in children’s bags;
  • Give any medication for their children to an educator who will provide the family with a Medication Permission Form. The family will complete the Medication Permission Form and the educator will sign to acknowledge the receipt of the medication. No medications will be administered without written consent from the parent or authorised person; and

Provide any herbal/ naturopathic remedies or non-prescribed medications (including paracetamol or cold medications) in its original container, with the original label and instructions and within the expiry or use-by date, and with any instructions attached to the medication or provided by a registered medical practitioner, either verbally or in writing.

Guidelines for administration of paracetamol.

If a child presents with a fever above 38°C or higher at the education and care service, the family will be contacted immediately by phone to ask permission to administer Panadol and to organise the collection of their child as soon as possible. Educators will notify parents of the exclusion periods on their arrival to pick up their child.

The family will be encouraged to visit a doctor to find the cause of the temperature.

While waiting for the child to be collected, educators will implement the following procedures to reduce the child’s fever and discomfort:

  • Remove excess clothing to cool the child down
  • Offer fluids to the child
  • Encourage the child to rest
  • Monitor the child for any additional symptoms
  • Maintain supervision of the unwell child at all times, while keeping them separated from children who are well.

Medications kept at the education and care service

Any medication, cream or lotion kept on the education and care premises will be checked each month for expiry dates in conjunction with the First Aid Checklist. A list of first aid kit contents close to expiry or running low, will be given to the Nominated Supervisor who will arrange for the purchase of replacement supplies.

If a child’s individual medication is due to expire or running low, the family will be notified by educators that replacement items are required.

NO MEDICATION WILL BE ADMINISTERED IF IT IS PAST THE PRODUCT EXPIRY DATE.

 

  1. FIRST AID

(a)  POLICY STATEMENT

First aid is the emergency aid or treatment given to persons suffering illness or injury following an accident and prior to obtaining professional medical services if required. It includes emergency treatment, maintenance of records, dressing of minor injuries, recognition and reporting of health hazards and participation in safety programs.

Our Centre is committed to providing a safe and healthy environment. We recognise our responsibility to provide first aid facilities that are adequate for the immediate treatment of injuries and illnesses. The educators and staff of our service are aware of their duty of care to children, families, staff and visitors in providing appropriate first aid treatment.

We will ensure:

  • All permanent educators hold a first aid qualification;
  • All children, staff, families and visitors who are involved in accidents and incidents whilst at the centre and require first aid to be administered will be done so according to guidelines and recommended practices of a first aid qualification;
  • All incidents will be documented and stored according to regulatory requirements; and
  • A risk management approach to health and safety shall be adopted.

(b)  STRATEGIES FOR IMPLEMENTATION

Professional development of educators

The Nominated Supervisor will:

  • Support all educators to ensure they hold current recognised first aid qualifications;
  • Ensure that at least one educator has undertaken current approved anaphylaxis management training.  All educators are encouraged to undergo this training;
  • Ensure that at least one educator has undertaken current approved emergency asthma management training. All educators are encouraged to undergo this training; Include an induction to the first aid section of this policy in employee induction;
  • Collaborate and consult with educators to develop and implement a risk assessment and management plan; and
  • Ensure first aid guides and publications are accessible to educators at all times to assist them in their understanding and administration of first aid.

 Hazard identification and risk assessment

The Nominated Supervisor will:

  • Provide a child-safe environment;
  • Guide educators in regularly conducting risk assessments of the environment to determine likely injuries and illnesses that might occur, and rectify their potential causes;
  • Introduce preventive measures to eliminate the risk, or control measures to minimise the risk;
  • Review and analyse accident, injury, incident and ‘near miss’ data; and
  • Collaborate with educators to develop a first aid plan for the service.

Educators will:

  • Regularly undertake risk assessments in the environment to plan safe experiences for children.

Administration of first aid to children, families, staff and visitors to the centre

The Nominated Supervisor will:

  • Ensure that there is always at least one first aid qualified educator on the premises at all times;
  • Ensure that enrolment records for each child include a signed consent form for the administration of first aid and the approved products to be used;
  • Review and sign off on all documentation when first aid has been administered; and
  • Dial 000 and call for an ambulance when emergency medical treatment is required or delegate this responsibility.

In general:

  • Administration of first aid will be done in accordance with first aid training and undertaken by a qualified first aider;
  • As per the first aid plan, and in the interests of avoiding delay of treatment, in the first instance, first aid will be administered by the person who has witnessed the incident, injury or illness;
  • The nominated supervisor and families (where first aid is being administered to a child) will be notified of the nature of the incident/accident; and
  • The person administering first aid will be the person who completes the Incident, Injury, Trauma and Illness Record and passes to the responsible person for verification and signing by parent or guardian.

 First aid supplies

The Nominated Supervisor will:

  • Ensure the centre is supplied with an appropriate number of first aid kits for the number of children being educated and cared for by the service;
  • Ensure the first aid kits are suitably equipped, easily accessible and recognisable; and
  • Ensure that first aid kits are carried on field excursions.

Educators will:

  • Ensure a first aid box checklist is kept in every first aid kit;
  • Will regularly monitor supplies in conjunction with the First Aid Officer
  • Advise First Aid Officer of update stock as required; and
  • Discard and replace out of date stock.
    Documentation and record keeping

Educators will:

  • Complete an Incident, Injury, Trauma and Illness Record for all incidents, injuries, trauma and/or illnesses occurring at the centre; and
  • Ensure that a copy of the record is made available for parents/guardians.

The Nominated Supervisor will:

  • Ensure records are confidentially stored for the specified period of time as required by the Regulation.Managing serious incidents

The Nominated Supervisor will:

  • Notify parents/guardians of any serious incident;
  • Ensure medical intervention is arranged if required;
  • Document any serious incident occurring at the centre on a SI01 Notification of Serious Incident form and reported to the Department of Education & Communities within 24 hours;
  • Provide a copy of the incident report to the family as soon as possible; and
  • Ensure educators are aware of the procedures around managing serious incidents.

Educators will:

  • Manage serious incidents as per this policy; and
  • Notify the Nominated Supervisor immediately after the serious incident has occurred. 
  1. LEGISLATION AND CONSIDERATIONS
  • Education and Care Services National Law Act 2010
  • Education and Care Services National Regulations 2011 – 12, 85, 86, 87, 88, 89, 90, 91, 94, 92-96, 100-101, 103, 109, 115, 122, 136-137, 160, 176 (2) (a), and 176 (2) (a) (ii), 176 (2) (b), 177, 181-184, 245
  • National Quality Standard for Early Childhood Education and Care 2018 – QA1, QA6, 2.1, 2.1.1, 2.1.2, 2.1.3, , 2.2, 2.2.1, 2.2.2, 2.2.3,
  • The NSW Work Health and Safety Act 2011 and the NSW Work Health and Safety Regulation 2011
  • NSW Work Health and Safety Act 2011
  • Work Health and Safety Regulations 2017

 

  1. SOURCES AND RELATED POLICIES
  • Community Early Learning Australia) – https://www.cela.org.au
  • EYLF – Belonging Being Becoming (2009)
  • Staying Healthy in Child Care – Preventing Infectious Diseases in Early Childhood Education and Care Services – 5th Edition (2013)
  • Health and Safety in Children’s Services Model Policies and Practices – 2nd Edition revised (2003)
  • NSW Ministry of Health: www.health.nsw.gov.au
  • NSW Ministry of Health, Immunisations: https://www.health.nsw.gov.au/immunisation/pages/childcare_qa.aspx#6
  • National Health and Medical Research Council: www.nhmrc.gov.au
  • WorkCover NSW – www.workcover.nsw.gov.au
  • Centre for Community Child Health -www.rch.org.au
  • Immunisation Handbook – 10th Edition (2014) Australian Government – Department of Health and Ageing – National Health and Medical Research Council
  • Child Protection Policy
  • Enrolment and Orientation Policy
  • Nappy Change Procedure
  • Providing a Child Safe Environment Policy
  • Privacy and Confidentiality Policy
  • Workplace Health and Safety Policy
  • Incident, Injury, Trauma and Illness Form
  • Safety policy

Reviewed: September 2018

Adopted: October 2018

For Review: August 2019

Leave a Reply

Your email address will not be published. Required fields are marked *