The Creche believes that a sick child recovers best in the comfort of their own home. Creche policy defines a sick child as one who cannot participate in the activities of the group, needs individual attendance and care, has a temperature above 38C and a general unwell disposition.
In relation to health and safety Creche policy includes the following:
To ensure the best possible management in case of illness and to minimise the risk of cross-infection, parents are asked to advise the staff if their child is unwell.
If parent/s notice any of the following they should take their child to a medical practitioner, to be advised whether there is any risk of infecting others. If any of the following are noticed by staff at the centre they will contact parents and if they are not available then nominated emergency contacts will be called to come and collect the child.
- pussy or sticky eyes;
- persistent green/yellow nasal discharge;
- severe diarrhoea or vomiting;
- unusual skin rashes;
- fever at 38 degrees Celsius or above;
- persistent pain.
If a child has suffered from vomiting, diarrhoea or fever at home, she/he must not attend the centre until the symptoms have ceased for 24 - 48 hours and normal eating habits resumed.
If a child becomes ill at the Creche and needs to return to their home environment then a parent/guardian or emergency contact will be notified accordingly. Arrangements to collect the child must be treated with urgency. The decision to request the early collection of the child will be made by the Director or Assistant Director after consultation with the direct carer.
In the case of an accident, staff will complete the appropriate form which a parent/guardian will be asked to read and sign.
In the case of an accident where the parent/guardian cannot be contacted and medical attention is required, an ambulance will be called at the parent's/guardian's expense. Parents/guardians will be notified as soon as possible and informed of all actions taken.
There is a Medication Register for children in the kitchen. This is a legal document. Parents and staff must ensure all information in the Medication Register is accurate and signed. The Medication Register is used to record medication needs of the child.
Written permission must be obtained prior to the administration of any medication whether prescription or non prescription. Only medication prescribed for that child will be administered. Medications shall be kept in their original containers and bear original labels.
The information required to be recorded by the parent/guardian is the name of the medication, what time it should be administered and the amount to be administered. The authorisation of the parent must be recorded.
The staff member must record the name of the medication, the time it was administered and the amount that was administered. In addition to his or her own signature the staff member should have recorded the signature of the other staff member who checked the administered medication.
Verbal authorisation may be given by a parent/guardian in an emergency or in the case of fever, however the verbal authorisation must be heard by two staff members. This verbal authorisation is recorded in the Medication Book and confirmed by signature on the collection of the child.
In the case of infectious diseases, the parent must inform the Creche as soon as possible. The Creche will then inform all facility users that this disease is present at the Creche, and parents can then check their own child for symptoms. A child with an infectious disease may not attend until fully recovered and with a medical clearance. Full fees will be charged during this time to hold the child's place.
Parents/guardians should be aware that the infectious diseases HIV (the AIDS virus) and Hepatitis B may be present in the Creche at any time without coming to the attention of the management as these diseases frequently have no symptoms.
Parents/guardians are not required to disclose information about the presence of these diseases as appropriate infection control to prevent their spread is practiced in the Creche at all times. Should parents/guardians wish to disclose this information to ensure the best care for an individual child, they can be assured that such information will be kept confidential.
A schedule of the recommended minimum periods of exclusion from the centre for cases and contact with infectious diseases as determined by the National Health and Medical Research Council is included at the end of this information.
The centre must have current records of a child's immunisation details at all times. Parents/guardians are required to ensure up to date information is provided to the crèche.