A policy is a collective agreed statement of beliefs. It exists to protect children, parents & staff. It is a course of action recommended or adopted by a service”



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FIRST AID PROCEDURE

The purpose of the first aid and accident prevention procedure it to prevent risks occurring in the childcare facility, and to have in place a method of handling, responding and treating an accident.

The objective of these instructions is to provide information to all persons responsible for the childcare facility so that they react in a prompt and orderly fashion and know exactly which course of action they are to take in such a situation.

The manager will carry out regular checks on the premises to ensure any potential risk is minimised under the following headings:


  • Slips, Trips and Falls

  • Access / Egress

  • Equipment

On discovery of any risk, action should be taken to overcome the risk identified.

FIRST AID TREATMENT


Any first aid treatment necessary should be carried out as instructed by The Irish Red Cross or equivalent. Only qualified first aiders should administer first aid treatment.

First aid boxes should be regularly checked to ensure supplies are plentiful. A monthly checklist is filed in the managers office.

Any accident onsite should be recorded using the accident report forms which are available in the childcare filing cabinet or on request to the manager. If an incident occurs of a serious nature, the person responsible for the Bridge Complex will act in accordance with the reporting guidelines as set out by the H.S.A (Health & Safety Authority).

First aid refresher courses are completed by staff members to ensure certification does not expire.

Emergency numbers are clearly displayed throughout the building and regularly updated.

Risk Management Policy


A safety statement is in place to minimise accidents in the service and outlines controls that are in place.

A safety policy is available in all staff handbooks.


  • Gloves must be worn when in contact with blood or other bodily fluids. Please refer to first aid training and our nappy changing policy.

  • The children AND their families are not to be discussed outside of the school. Confidentiality is essential. Please refer to our confidentiality policy.

  • Care should be taken when lifting the children or other objects. Please use the correct posture, bending the knees to alleviate back strain. Refer to Manual Handling procedures.

  • Smoking is prohibited at all times in the building.

  • Swearing or other inappropriate language is prohibited.

  • All cleaning materials AND substances should be kept out of children’s reach in a locked cupboard. A locked chemical press is available

  • Running is avoided inside the building.

  • All incidents must be reported to the manager on duty.

  • Incidents must be recorded on an incident and accident form and preventative measures taken to prevent reoccurrence.

  • Please note the fire safety rules, escape routes, assembly points etc.

  • Please report any contagious diseases that you may have been in contact with and refer to the sickness policy

  • Please read the school code of behaviour

  • Please note the anti bullying policy as laid out in the Code of Behaviour Policy

  • Medicine is only to be administered in accordance to a Medication Permission form completed and signed by parents / guardians (Refer to Medical Assistance Policy)

  • Access to the building is restricted via a door release system. Only authorised people will be allowed access to the facility.

Sickness Policy

The purpose of the sickness policy is to minimise the risk of spreading contagious illnesses for the benefit of all children and staff in attendance at Bridge Kids.

Bridge Kids is committed to preventing a cycle of contagious illness through the following:

A comprehensive list of illnesses is outlined in our sickness policy which all parents receive.


  • A detailed cleaning programme is in place in all rooms to maintain a clean environment.

  • We strive to raise awareness of hygiene practices and work with children demonstrating and discussing the importance of hand washing, blowing noses and discarding of tissues.

  • Hand sanitizer is located in the main reception on entry to the Crèche.

  • We encourage two way communications and ask that parents notify us of any contagious illnesses. Parents are notified of all contagious illnesses as they occur through parental slips.

  • A nappy changing policy is in place which details removal of all waste.

Please refer to the exclusion periods below for a list of common childhood illnesses. If an illness has not been listed but is known to be contagious, Management reserve the right to ask parents not to bring their child to the Crèche whilst the illness is still present. A doctor’s certificate may be required stating your child is fit to return to crèche. Please be aware that if a child becomes unwell during crèche hours, we will contact the parent and ask for the child who is unwell to be collected.



Refer to Exclusion periods per illness type.

Rashes and Skin Infections

Minimum Exclusion period

Symptoms / Comments

Chicken Pox

6 days from onset of last spot.

A mild headache, high fever prior to onset of rash.

The rash initially appears as pinkish bumps usually on the chest and abdomen. Which become itchy blisters containing a clear fluid. The blisters will form a crust or scab.

Cold Sores


None

Avoid kissing and contact with sores. Cold sores are generally mild and self limiting.

Measles / German Measles / Rubella

6 days from onset of rash

Signs and symptoms of measles include cough, runny nose, inflamed eyes, sore throat, high fever and a red, blotchy skin rash.

Rubella infection may begin with 1-2 days of mild fever and swollen, tender lymph nodes, usually in the back of the neck or behind the ears. A rash then begins on the face and spreads downward.

The rubella rash appears as either pink or light red spots, which may merge to form evenly coloured patches. The rash can itch and lasts up to 3 days. As the rash clears, the affected skin occasionally sheds in very fine flakes.

Prevented by immunisation – MMMR 2 doses.



Hand Foot and Mouth

Until all spots have cleared

Early symptoms are likely to be high fever and a sore throat. Loss of appetite and general malaise may also occur.

Painful sores (lesions) may appear in the mouth and/or throat. A rash may become evident on the hands, feet, mouth, tongue, inside of the cheeks.



Impetigo

Until lesions have crusted and healed or until 48 hours after treatment has started

A single or possibly many blisters filled with pus; easy to pop and when broken leave a reddish raw-looking base (in infants).

Itching blisters filled with yellow fluid

Oozing and crusting over rash which may begin as a single spot which spreads when scratched.

Skin lesions on the face, lips, arms, or legs, that spread to other areas.

Swollen lymph nodes near the infection.

It is recommended to cover area with water tight dressing.


Ringworm

Exclude until the day after treatment has commenced

A circular rash on the skin that's red and inflamed around the edge and healthy looking in the middle

Slightly raised expanding rings of red, scaly skin on your trunk or face

A round, flat patch of itchy skin

Cover all lesions.



Scarlet Fever

Exclude until 24 hours after commencing antibiotic treatment

Antibiotic treatment recommended

Slapped Cheek

Once rash has gone

Flu like symptoms, headache, upset tummy, itchy skin, bright red rash on cheeks, light pink rash on chest.

Pregnant women may be vulnerable.



Scabies

Exclude 24 hours until treatment has commenced

Small red bumps under the skin

Shingles

6 days from onset of blisters

Red patches on the skin, followed by small blisters,

The blisters break, forming small ulcers that begin to dry and form crusts.

Pregnant women may be vulnerable.


Warts / Verruca



None required

Area should remain covered

Diarrhoea and vomiting illness


Minimum Exclusion period

Symptoms / Comments

Gastroenteritis, diarrhoea and vomiting


Until 48 hours clear of symptoms.

Diarrhoea, abdominal cramps, nausea and possibly vomiting.

Discontinue sand, water and cooking activities during an outbreak.



E.coli 0157 VTEC

All VTEC cases must be excluded until they have received microbiological clearance.

Further exclusion may be required for young children under 5 or those that may have difficulty adhering to hygiene practices.

Typhoid and paratyphoid enteric fever

All cases must be excluded until they have received microbiological clearance.

This guidance may also apply to some contacts who may require microbiological clearance.

Shigella (dysentery)

Should be excluded until 48 hours clear of symptoms.

Must contact local public health department for further advice.

Cryptosporidiosis

Exclude for 48 hours after first formed stool.

Exclusion from swimming for two weeks after the diarrhoea is recommended.

Respiratory Infections


Minimum Exclusion period

Symptoms / Comments

Cold

Children who are unaffected by their cold and who do not have an abnormal temperature may attend the Crèche. In the case of a heavy cold where the child has a high temperature or a profuse nasal discharge, parents should keep their child at home until symptoms have receded.

Runny nose, high temperature.

Flu (Influenza)

Until recovered

High fever, aches and pains in the joints and muscles, general weakness, ill appearance with warm flushed skin, headache, dry cough, sore throat and watery discharge from the nose.

Tuberculosis

Minimum 2 weeks after treatment but must be given medical clearance. Must consult local public health department.

Cough, unexplained weight loss, fatigue, high fever, chills and loss of appetite.

Requires prolonged close contact for spread.



Whopping Cough

3 weeks after onset of cough or five days from commencing antibiotic treatment.

Preventable by vaccination. Prolonged coughing attacks which may bring up thick phlegm, provoke vomiting and result in a red or blue face. A high-pitched "whoop" sound during the next breath of air.

Croup

2-4 days after treatment

Barking cough and noisy harsh sound when breathing.




Other Infections


Minimum Exclusion period

Symptoms / Comments

Conjunctivitis/Eye infections

Until discharge from the eyes has ceased/ eyes completely clear.

Eye irritations, discharge and itching.

Diphtheria

Exclusion is essential and consultation with public heath department is essential.

Bluish coloration of the skin, watery drainage from nose, breathing, chills, croup-like (barking) cough, fever, hoarseness, painful swallowing, skin lesions, sore throat.

Glandular Fever

On advice of Doctor

High fever, sore throat and swollen glands, fatigue, loss of appetite.

Head Lice

Until child has been treated

Intense itching of the scalp

Tiny white specks (eggs, or nits) on the bottom of each hair that are hard to remove.



Hepatitis A (infectious jaundice)

1 week after onset of jaundice

Nausea, vomiting, Diarrhoea, fever, loss of appetite, rash, fatigue, jaundice - A yellow discoloration of the skin and the whites of the eyes

Urine is dark brownish in colour, pain in area of liver.


Hepatitis B, C & HIV/Aids

None

Blood borne viruses that are not contagious through casual contact. Use Good Practice guidelines for cleaning of bodily fluid spills.

Meningitis meningococcal HIB

Until recovered – preventable by vaccination

Fever and chills, nausea and vomiting, sensitivity to light, severe headache and stiff neck

MRSA

None

Good hygiene and in particular handwashing is essential to minimise danger of spread.

Mumps

Exclude for 5 days after onset of swelling

Face pain, high fever, headaches, sore throat,

swelling of glands between the ear and the jaw)

Swelling of the temples or jaw


Threadworms

None

Itching, and white worms in stools.

Treatment is recommended for child and family.



Tonsillitis

None

Pain when swallowing, drooling, tonsils will look redder than usual and swollen.

A greyish-white or yellowish coating may cover part or all of the tonsils.



Sore Throat – streptococcal

Until recovered and after 48 hours on antibiotics


Strep throat symptoms generally include fever, sore throat, swollen lymph nodes in the neck and redness and swelling of the throat and tonsils. White or yellow patches on the tonsils (signifying pus) are also often present. Strep throat may produce mild or severe symptoms.

Miscellaneous.

AILMENT

PRE-SCHOOL POLICY

Temperature

If sent home unwell, child must only return to crèche once normal temperature resumes without the aid of medicine.

Antibiotics

Should your child be prescribed antibiotics for an infection they should be kept a home for a minimum of 24 possibly 48 hours depending on infection. In the case of an non-infectious illness a child must be excluded for 24 hours after the first dose of antibiotic has been received.




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