Sickness and Illness Policy

Sickness and Illness Policy

This policy has been devised to ensure that children who become unwell whilst at the nursery are treated with sensitivity and respect. It is also to help us to protect other children from illness and the spread of infection.
Children should not be left at nursery if they are unwell. If a child is unwell then they will prefer to be home with their parents rather than at nursery with their peers.

PROCEDURE

We will follow these procedures to ensure the welfare of all children within the nursery:
• If a child becomes ill during the nursery day, the parents will be contacted and asked to pick the child up as soon as possible During this time the child will be cared for in a quiet, calm area with their key person or another familiar member of staff within the child’s room
• Should a child have an infectious disease, such as an ear infection or sickness and diarrhoea, they should not return to nursery until they have been clear for at least 24 hours
• It is vital that we follow the advice given to us by our registering authority and exclude specific contagious conditions, e.g. sickness and diarrhoea and chicken pox to protect other children in the nursery. Illnesses of this nature are very contagious and it is exceedingly unfair to expose other children to the risk of an infection With a case of conjunctivitis we ask that the child does not return to nursery for 24 hours after starting medication.
• If a contagious infection is identified in the nursery, parents will be informed to enable them to spot the early signs of this illness. All equipment and resources that may have come into contact with a contagious child will be cleaned and sterilised thoroughly to reduce the spread of infection.
• It is important that children are not subjected to the rigours of the nursery day which requires socialising with other children and being part of a group setting when they first become ill and require a course of antibiotics Our policy, therefore is to exclude children on antibiotics for the first 48 hours of the course
• The nursery has the right to refuse admission to a child who is unwell. This decision will be taken by the manager on duty and is non -negotiable
• Parents are requested to check their children’s hair. If a parent finds that their child has head lice we would be grateful if they could inform the nursery so that other parents can be alerted to check their child’s hair.

Meningitis Procedure

If a parent informs the nursery that their child has meningitis, the nursery manager should contact the infection control (IC) nurse for their area and Ofsted The IC nurse offers guidance and support in each individual case. If the parents do not inform the nursery, we will contact the IC nurse and appropriate support will be given.
If an unwell or infectious child comes into the nursery
The manager or deputy manager reserves the right not to accept any child who is unwell into the nursery. It is unfair on the child to be here when they need to be with their parents /carers of having one to one attention. It is also unfair to the rest of the children who are here if they are knowingly in contact with an illness or infection.

Diarrhoea and Vomiting

All children must be kept away from nursery for a minimum of 24 hours after the last episode of diarrhoea or vomiting. If a child is sent home form the nursery the 24 hours exclusion still applies. Therefore, if your child is due in the following day, they will not be able to attend. Children should only return to nursery when they are well enough and have regained their appetite.

Fever/Over the Counter medication

All children must be kept away from nursery for a minimum of 24 hours or until the fever has returned to normal. If a child is sent home from the nursery the 24 hours exclusion still applies. Therefore, if your child is due in the following day, they will not be able to attend The nursery will not administer any medicine that has not been prescribed by their doctor, pharmacist or dentist e.g. Calpol, Nurofen. The legal guidance allows us to give over-the-counter medication such as pain and fever relief or teething gel. If a child is requiring over the counter medication we will only administer if there is a valid health reason to do so. However, we are not permitted to administer any form of aspirin unless a doctor has prescribed it. If a child becomes unwell whilst attending the nursery with a fever/pain we will contact the parent for permission to administer the Calpol beforehand. If the child’s temperature has not dropped down within a time frame of 15 minutes we will call the parent to ask them to pick the child up. If a child exceeds a temperature of 40c we will call an ambulance for immediate assistance and then call the parent /carer.
If parents/carers have already given written permission to give a particular over-the-counter medication to a child, and the child becomes unwell and requires that medication, we do not require written permission every time we give that medication. However, we will ask the parent/carer to sign the written record of the medication that was given to ensure the parent /carer has proof that we have informed them that we have given the medication.
Nursery staff have the right to refuse to administer any medication with which they feel uncomfortable. Please can all parents/carers respect our staff teams’ decisions as our policies are in place to prevent infection from spreading round the nursery.

Training for staff to administer medicines that require technical /medical knowledge

If a parent asks the nursery to give medication for which staff need training we shall ask the child’s parent about suitable training as they may have health professionals they work with. If the training relates to generic medication such as administering EpiPens then staff do not have to have training for each individual child. However, some may require more specific medical interventions and, in these cases, we would request staff to be trained in relation to that child’s individual needs.

Giving Medication

The room leader/key person is responsible for administering the medication, but a manager must be informed when medication is given and signed to say it has been given as a witness. Storage of medication will be indicated from the bottle which states if it is required to be refrigerated or not. The medicines not requiring refrigeration are stored out of a child’s reach. We shall record how much medication is given as directed by the doctor prescribing it or, if un prescribed, the parents will let us know and we will ensure to follow guidance from the bottle. We shall also ensure the expiry date is recorded alongside the given dosage.
It does not apply to every time we give the medication We need permission at the start of a course of antibiotics during the course of antibiotics, but not every time we give each dose of the course of treatment. This information is recorded in the medication book .

If a child becomes unwell whilst at the nursery

If a child begins to show signs or symptoms that could pertain to illness they should firstly be comforted by staff, preferably the key person. This should be in the form of reassurance, both verbal and physical as appropriate e.g. cuddles
As soon as a child shows signs of feeling unwell, the child’s key person or room leader will fill in a sickness monitoring form.
If possible, the child’s key person should spend time one to one with the child or a member of staff from the child’s room attempting to find out what is wrong and if necessary administering First Aid.
No prescribed medication may be given unless proper permission was obtained from the parent/carer that day and the stated dose is due to be given at that time.
The manager or deputy manager should be informed of any child who appears to be feeling unwell .If,after staff have done everything they can to make the child more comfortable, there is no sign of improvement, then the manager or deputy manager, in conjunction with the child’s key person or Room Leader, will discuss whether or not to contact the parents/ carers to come and collect their child. Management must be informed when a member of staff wants to call a parent regarding a sick child.
If it is deemed to be in the best interests of the child to go home, the manager, deputy manager, room leader or key person will ring the parents/carers. Signs and symptoms will be explained and the parent/carer will be asked to collect the child.
If the manager. deputy manager, room leader or key person is unable to contact the parent/carer they will then go to the next person on the contact list, usually the second parent/carer, continuing down the list of authorised persons as necessary.
Whilst their parents/carers are being contacted the child should continue to be comforted by members of staff.
Plenty of fluids should be offered to the child, and if their temperature is higher or lower than usual this should be addressed immediately. Any other symptoms should be treated as necessary.
The child should be treated with the utmost sensitivity and respect as feeling poorly can be distressing and quite frightening for a child. They should have a staff member with them, preferably their key person, until their parent/carer or authorised person arrives to collect them.
The child should have as much privacy as possible and be in a quiet area away from other children, with the staff member.
Should a child’s symptoms deteriorate whilst waiting for their parents/carers, the manager or deputy manager should be informed immediately.
If the manager or deputy manager feels that it is necessary, they should call for an ambulance. The manager or deputy manager must then inform the parents/carers to meet them at the local hospital. First Aid should be administered to the child as necessary.

Transporting children to hospital procedure

• If the sickness is severe, call for an ambulance immediately. DO NOT attempt to transport the sick child in your own vehicle unless the parent is with you and the ambulance is very delayed or you have business insurance on the vehicle. The staff member will accompany the child sitting in the back together.
• Whilst waiting for the ambulance, contact the parent and arrange to meet them at the hospital.
• A senior member of staff must accompany the child and collect together registration forms, relevant medication sheets, medication and the child’s comforter, if appropriate. A member of the management team must also be informed immediately.
• Use a child seat or booster to ensure child safety whilst transporting to the hospital.
• Remain calm at all times. Children who witness an incident may well be affected by it and may need lots of cuddles and reassurances. If you are confident and assertive the child will feel reassured.

Calling an ambulance

Dial 999 and ask for an ambulance. Answer all questions honestly and clearly. When asked to give the address and telephone number use the following details
Chingford House School
22 Marlborough Road
Chingford
London
E4 9AL

The manager or deputy manager and key person, will go with the child to the hospital taking the child’s registration form which includes all their medical details and the consent for medical attention, and any of the child’s comforters.
Reports should be written up by the manager /deputy manager and key person and any witnesses to be kept on file. Members of staff will be offered time out and an opportunity to discuss what happened and how they are feeling.

Febrile Convulsions, Anaphylactic shock and any other fit or seizure

If a child has any of the above an ambulance must be called immediately and the same steps taken as above.
Anaphylaxis typically presents with many different symptoms over minutes or hours with an average onset of 5 to 30 minutes if exposure is intravenous and 2 hours for foods. The most common areas affected include skin (80-90%) respiratory (70%) gastrointestinal (30 45%
Anaphylaxis is a medical emergency that may require resuscitating measures such as airway management. Administration of epinephrine (EpiPen) may be required and only staff with Epipen training should be called upon to administer such treatment

Policy reviewed April 9th 2018