Sickness, Medication and infection control

Sickness and Illness
EYFS: 3.44, 3.45, 3.46
At Loving Hands International Nursery School we promote the good health of all children
attending. To help keep children healthy and minimise infection, we do not expect children to attend
nursery if they are unwell. If a child is unwell it is in their best interest to be in a home environment
with adults they know well rather than at nursery with their peers.
Our procedures
In order to take appropriate action of children who become ill and to minimise the spread of
infection we implement the following procedures:
• If a child becomes ill during the nursery day, we contact their parent(s) and ask them to pick
up their child as soon as possible. During this time we care for the child in a quiet, calm area
with their key person, wherever possible
• We follow the guidance given to us by Public Health England (formerly the Heath
Protection Agency) in Guidance on Infection Control in Schools and other Child Care
Settings and advice from our local health protection unit on exclusion times for specific
illnesses, e.g. sickness and diarrhoea, measles and chicken pox, to protect other children in
the nursery
• Should a child have an infectious disease, such as sickness and diarrhoea, they must not
return to nursery until they have been clear for at least 48 hours. We notify Ofsted as soon as
possible and in all cases within 14 days of the incident where we have any child or staff
member with food poisoning. We inform all parents if there is a contagious infection
identified in the nursery, to enable them to spot the early signs of this illness. We thoroughly
clean and sterilise all equipment and resources that may have come into contact with a
contagious child to reduce the spread of infection
• We exclude all children on antibiotics for the first 48 hours of the course (unless this is part
of an ongoing care plan to treat individual medical conditions e.g. asthma and the child is
not unwell) This is because 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 have first become ill and require a course of antibiotics
• We have 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
• We make information/posters about head lice readily available and all parents are requested
to regularly 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 will contact the
Infection Control (IC) Nurse for their area. The IC Nurse will give guidance and support in each
individual case. If parents do not inform the nursery, we will be contacted directly by the IC Nurse
and the appropriate support will be given. We will follow all guidance given and notify any of the
appropriate authorities including Ofsted if necessary.
Transporting children to hospital procedure
The nursery manager/staff member must:
• Call for an ambulance immediately if the sickness is severe. DO NOT attempt to transport
the sick child in your own vehicle
• Whilst waiting for the ambulance, contact the parent(s) and arrange to meet them at the
hospital
• Redeploy staff if necessary to ensure there is adequate staff deployment to care for the
remaining children. This may mean temporarily grouping the children together
• Arrange for the most appropriate member of staff to accompany the child taking with them
any relevant information such as registration forms, relevant medication sheets, medication
and the child’s comforter
• Inform a member of the management team immediately
• Remain calm at all times. Children who witness an incident may well be affected by it and
may need lots of cuddles and reassurance. Staff may also require additional support
following the accident.
This policy was adopted on Signed on behalf of the nursery

Infection Control

At Loving Hands International Nursery School we promote the good health of all children
attending through maintaining high hygiene standards and reducing the chances of infection being
spread. We follow the guidance given to us by Public Health England (formerly the Health
Protection Agency) for schools and other child care settings as may be provided from time to time
in relation to infection control for specific illnesses.
Viruses and infections can be easily passed from person to person by breathing in air containing the
virus which is produced when an infected person talks, coughs or sneezes. It can also spread
through hand/face contact after touching a person or surface contaminated with viruses.
We follow the guidance below to prevent a virus or infection from moving around the nursery. Our
staff:
• Encourage all children to use tissues when coughing and sneezing to catch germs
• Ensure all tissues are disposed of in a hygienic way and all children and staff wash their
hands once the tissue is disposed of
• Develop children’s understanding of the above and the need for good hygiene procedures in
helping them to stay healthy
• Wear the appropriate Personal Protective Equipment (PPE) when changing nappies, toileting
children and dealing with any other bodily fluids. Staff are requested to dispose of these in
the appropriate manner and wash hands immediately
• Clean and sterilise all potties and changing mats before and after each use
• Clean toilets at least daily and check them throughout the day
• Remind children to wash their hands before eating, after visiting the toilet, playing outside
or being in contact with any animal and explain the reasons for this
• Clean all toys, equipment and resources on a regular basis by following a comprehensive
cleaning rota and using antibacterial cleanser or through washing in the washing machine
• Wash or clean all equipment used by babies and toddlers as and when needed including
when the children have placed it in their mouth
• Store dummies in individual hygienic dummy boxes labelled with the child’s name to
prevent cross-contamination with other children
• Store toothbrushes (where applicable) hygienically to prevent cross-contamination
• Immediately clean and sterilise (where necessary) any dummy or bottle that falls on the
floor or is picked up by another child
• Provide labelled individual bedding for children that is not used by any other child and wash
this at least once a week
• Ask parents and visitors to remove all outdoor footwear or use shoe covers when entering
rooms where children may be crawling or sitting on the floor
• Where applicable wear specific indoor shoes or slippers whilst inside the rooms and make
sure that children wear them as well
• Follow the sickness and illness policy when children are ill to prevent the spread of any
infection in the nursery. Staff are also requested to stay at home if they are contagious.
In addition:
• The nursery manager retains the right of refusal of all children, parents, staff and visitors
who are deemed contagious and may impact on the welfare of the rest of the nursery
• Parents will be made aware of the need for these procedures in order for them to follow
these guidelines whilst in the nursery
• Periodically each room in the nursery will be deep cleaned including carpets and soft
furnishings to ensure the spread of infection is limited. This will be implemented earlier if
the need arises
• The nursery will ensure stocks of tissues, hand washing equipment, cleaning materials and
sterilising fluid are maintained at all times and increased during the winter months or when
flu and cold germs are circulating.

 

Medication
EYFS: 3.19, 3.44, 3.45, 3.46
At Loving Hands International Nursery School we promote the good health of children attending
nursery and take necessary steps to prevent the spread of infection (see sickness and illness policy).
If a child requires medicine we will obtain information about the child’s needs for this, and will
ensure this information is kept up to date.
We follow strict guidelines when dealing with medication of any kind in the nursery and these are
set out below.
Medication prescribed by a doctor, dentist, nurse or pharmacist
(Medicines containing aspirin will only be given if prescribed by a doctor)
• Prescription medicine will only be given to the person named on the bottle for the dosage
stated
• Medicines must be in their original containers
• Those with parental responsibility for any child requiring prescription medication should
hand over the medication to the most appropriate member of staff who will then note the
details of the administration on the appropriate form and another member of staff will check
these details
• Those with parental responsibility must give prior written permission for the administration
of each and every medication. However, we will accept written permission once for a whole
course of medication or for the ongoing use of a particular medication under the following
circumstances:
1. The written permission is only acceptable for that brand name of medication and cannot
be used for similar types of medication, e.g. if the course of antibiotics changes, a new
form will need to be completed
2. The dosage on the written permission is the only dosage that will be administered. We
will not give a different dose unless a new form is completed
3. Parents must notify us IMMEDIATELY if the child’s circumstances change, e.g. a dose
has been given at home, or a change in strength/dose needs to be given.
• The nursery will not administer a dosage that exceeds the recommended dose on the
instructions unless accompanied by written instructions from a relevant health professional
such as a letter from a doctor or dentist
• The parent must be asked when the child has last been given the medication before coming
to nursery; and the staff member must record this information on the medication form.
Similarly, when the child is picked up, the parent or guardian must be given precise details
of the times and dosage given throughout the day. The parent’s signature must be obtained at
both times
• At the time of administering the medicine, a senior member of staff will ask the child to take
the medicine, or offer it in a manner acceptable to the child at the prescribed time and in the
prescribed form. (It is important to note that staff working with children are not legally
obliged to administer medication)
• If the child refuses to take the appropriate medication, then a note will be made on the form
• Where medication is “essential” or may have side effects, discussion with the parent will
take place to establish the appropriate response.
Non-prescription medication (these will not usually be administrated)
• The nursery will not administer any non-prescription medication, other than Calpol
• If the nursery feels the child would benefit from medical attention rather than non-
prescription medication, we reserve the right to refuse nursery care until the child is seen by
a medical practitioner.
• On registration, parents will be asked if they would like to fill out a medication form to
consent to their child being Calpol in particular circumstances such as an increase in the
child’s temperature.
• An emergency nursery supply of fever relief (e.g Calpol) will be stored on site. This will be
checked at regular intervals by the designated trained first aider to make sure that it
complies with any instructions for storage and is still in date
• If a child does exhibit the symptoms for which consent has been given to give non prescription medication during the day the nursery will make every attempt to contact the
child’s parents. Where parents cannot be contacted then the nursery manager will take the
decision as to whether the child is safe to have this medication based on the time the child
has been in the nursery, the circumstances surrounding the need for this medication and the
medical history of the child on their registration form. Giving non-prescription medication
will be a last resort and the nursery staff will use other methods first to try and alleviate the
symptoms, e.g. for an increase in temperature the nursery will remove clothing, use fanning,
tepid cooling with a wet flannel. The child will be closely monitored until the parents collect
the child
• For any non-prescription cream for skin conditions e.g. Sudocrem, prior written permission
must be obtained from the parent and the onus is on the parent to provide the cream which
should be clearly labelled with the child’s name
• If any child is brought to the nursery in a condition in which he/she may require medication
sometime during the day, the manager will decide if the child is fit to be left at the nursery.
If the child is staying, the parent must be asked if any kind of medication has already been
given, at what time and in what dosage and this must be stated on the medication form
• As with any kind of medication, staff will ensure that the parent is informed of any nonprescription medicines given to the child whilst at the nursery, together with the times and
dosage given
• The nursery DOES NOT administer any medication unless prior written consent is given for
each and every medicine.
Injections, pessaries, suppositories
As the administration of injections, pessaries and suppositories represents intrusive nursing, we will
not administer these without appropriate medical training for every member of staff caring for this
child. This training is specific for every child and not generic. The nursery will do all it can to make
any reasonable adjustments including working with parents and other professionals to arrange for
appropriate health officials to train staff in administering the medication.
Staff medication
All nursery staff have a responsibility to work with children only where they are fit to do so. Staff
must not work with children where they are infectious or too unwell to meet children’s needs. This
includes circumstances where any medication taken affects their ability to care for children, for
example, where it makes a person drowsy. If any staff member believes that their condition,
including any condition caused by taking medication, is affecting their ability they must inform
their line manager and seek medical advice. The Branch Assistant Manager will decide if a staff
member is fit to work, including circumstances where other staff members notice changes in
behaviour suggesting a person may be under the influence of medication. This decision will include
any medical advice obtained by the individual or from an occupational health assessment.
Where staff may occasionally or regularly need medication, any such medication must be kept in
the person’s locker/separate locked container in the staff room or nursery room where staff may
need easy access to the medication such as an asthma inhaler. In all cases it must be stored out of
reach of the children. It must not be kept in the first aid box and should be labelled with the name of
the member of staff.
Storage
All medication for children must have the child’s name clearly written on the original container and
kept in a closed box, which is out of reach of all children.
Emergency medication, such as inhalers and EpiPens, will be within easy reach of staff in case of an
immediate need, but will remain out of children’s reach.
Any antibiotics requiring refrigeration must be kept in a fridge inaccessible to children.
All medications must be in their original containers, labels must be legible and not tampered with or
they will not be given. All prescription medications should have the pharmacist’s details and notes
attached to show the dosage needed and the date the prescription was issued. This will all be
checked, along with expiry dates, before staff agree to administer medication.