Medication Policy

 

The Manager will administer all medication, witnessed by a member of staff.

 

Staff may only administer medication to the child if the request to do so is from the child’s parent or carer and is given in writing at the start of a session, stating frequency and dosage. Parents/carers can make such a request by completing and signing the Administrating Medication Form.  (EYFS Requirement: 3.46-Medicine must only be administered to a child where written permission for that particular medicine has been obtained from the child’s parent and/or carer.)

 

• If the medication involves technical knowledge or training, staff will not administer the medication until training has been received. (EYFS Requirement: 3.45-Training must be provided for staff where the administration of medicine requires medical or technical knowledge.)

 

The procedure for administering medication at the setting is as follows:

 

Medication will never be given without the prior request / consent of the parent/carer (see Administering Medication Form). 

 

The Manager will administer medication and in the Manager’s absence the designated person in charge. They will also be responsible for ensuring that:

 

• prior consent is arranged.

 

• all necessary details are recorded.

 

• another member of staff acts as a witness to ensure that the correct dosage is given.

 

• parents/carers sign the Medication Record sheet to acknowledge that the medication has been given. (EYFS Requirement: 3:46-Providers must keep a written record each time a medicine is administered to a child and inform the child’s parents and/or carers on the same day, or as soon as reasonably practicable).

 

If for any reason a child refuses to take their medication, staff will not attempt to force them to do so against their wishes. If and when such a situation occurs, the child’s parent/carer will be notified.

 

Asthma inhalers and insulin should always be labelled with the child’s name and stored in a clearly labelled container at the club.

 

If there is any change in the type of medication – whether regarding dosage or other changes to the information given on the Administering Medication Form – a new form must be completed.

 

Full details of all medication administered at the nursery, along with all Administering Medication Forms, will be recorded and stored in the Medication folder.

If a child has not had a medication before, it is advised that the parents keep the child at home for the first 24 hours to ensure that there are no adverse reactions to the medication.

 

Storage of medicines 

 

All medicine is stored in a cupboard or refrigerated.  Where the cupboard or refrigerator is not used solely for storing medicines, they are kept in a marked plastic box.

 

Medicine should be handed back to the parent at the end of each day.

 

For some condition’s medication may be kept at the nursery.  The Manager will check that any medication held to administer on a regular basis and check that it is in date and returns any out-of-date medication back to the parent.

All medication held for children should have a prescription label on from the doctor, clearly marked with the Childs name and date.

 

Asthma pumps

 

All above procedures must be adhered to for the correct storage and administration of the pump.  All staff should be made aware of how to access and administer pumps.

 

Epipen

 

The nursery must have written consent from the child’s parent or guardian allowing staff to administer the medication.

 

A copy of the child’s care plan must also be given and kept at the nursery.

 

Staff should undertake training in the administration of such medication.

 

 

Calpol:

 

Calpol will only be given to a child if their temperature reaches over 39 degrees Celsius and the child is at risk of convulsion.  The parent will be called prior to administration of the Calpol to ensure that no other medication has been given and to gain consent.  This will only be done in the most severe cases.

Infectious and Communicable Diseases Policy

 

Hunnypot Corner Day Nursery is committed to the health and safety of all children and staff who play, learn and work here. As such, it will sometimes be necessary to require a poorly child to be collected early from nursery or be kept at home while they get better. 

 

In accordance with the procedures set out in the Health, Illness and Emergency policy, parents/carers will be notified immediately if their child has become ill and needs to go home. Children who are unwell will be comforted, kept safe and under close supervision until they are collected.

 

If a child has had to go home prematurely due to illness, they should remain at home until they are better, or according to the times set out in the table below. If a member of staff becomes ill at work, similar restrictions on their return will apply. 

(EYFS Requirement: 3.44-The provider must have a procedure, discussed with parents and/or carers, for responding to children who are ill or infectious, take necessary steps to prevent the spread of infection, and take appropriate action if children are ill.)

 

If a child or member of staff becomes ill outside nursery hours, they should notify the nursery as soon as possible. The minimum exclusion periods outlined in the table below will then come into operation. 

 

If any infectious or communicable disease is detected on the nursery premises, the nursery will inform parents/carers personally in writing or via email as soon as possible. The nursery is committed to sharing as much information as possible about the source of the disease and the steps being taken to remove it. The Local Authority will also be informed of any infectious or communicable diseases discovered on the nursery premises. 

Head lice

When a case of head lice is discovered at the nursery, the situation will be handled carefully and sensitively. The child concerned will not be isolated from other children, and there is no need for them to be excluded from activities or sessions at the nursery.

 

When the child concerned is collected, their parent/carer will be informed in a sensitive manner.

 

Other parents/carers will be informed as quickly as possible in writing, including advice and guidance on treating head lice.

 

Staff should check themselves regularly for lice and treat whenever necessary.

 

Antibiotics: If a child has not had a medication before, it is advised that the parents keep the child at home for the first 24 hours to ensure that there are no adverse reactions to the medication.

 

 

 

Rashes and skin infections 

Children with rashes should be considered infectious and assessed by their doctor

Athlete’s foot 

None 

Athlete’s foot is not a serious condition. Treatment is recommended 

 

Chickenpox 

Until all vesicles have crusted over 

Can be dangerous to pregnant women.

 

Cold sores, (Herpes simplex) 

None 

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

 

Conjunctivitis

None

Public Health England advises that you do not need to stay away from work or school if you or your child has conjunctivitis, unless you are feeling particularly unwell.- However if an outbreak/cluster occurs, consult your local PHE centre.  

 

German measles (rubella)* 

Four days from onset of rash  

Preventable by immunisation (MMR x2 doses). Dangerous for Female Staff – Pregnancy 

 

Hand, foot and mouth 

None 

Contact your local HPT if a large number of children are affected. Exclusion may be considered in some circumstances 

 

Impetigo 

Until lesions are crusted and healed, or 48 hours after starting antibiotic treatment 

Antibiotic treatment speeds healing and reduces the infectious period 

 

Measles* 

Four days from onset of rash 

Preventable by vaccination (MMR x2). 

Dangerous to pregnant women.

 

Molluscum contagiosum 

None 

A self-limiting condition 

 

Ringworm 

Exclusion not usually required 

Treatment is required 

 

Roseola (infantum) 

None 

None 

 

Scabies 

Child can return after first treatment 

Household and close contacts require treatment 

 

Scarlet fever* 

Child can return 24 hours after starting appropriate antibiotic treatment 

Antibiotic treatment is recommended for the affected child

 

Slapped cheek/fifth disease. Parvovirus B19 

None (once rash has developed) 

Dangerous to pregnant women.

 

Shingles 

Exclude only if rash is weeping and cannot be covered 

Can cause chickenpox in those who are not immune, ie have not had chickenpox. It is spread by very close contact and touch. If further information is required, contact your local PHE centre.

Dangerous to pregnant women. 

 

Warts and verruca 

None 

Verruca should be covered in swimming pools, gymnasiums and changing rooms 

 

Diarrhoea and vomiting illness

Diarrhoea and/or vomiting 

48 hours from last episode of diarrhoea or vomiting 

Also applies to staff members.

 

E. coli O157 VTEC Typhoid* [and paratyphoid*] (enteric fever) Shigella (dysentery) 

Should be excluded for 48 hours from the last episode of diarrhoea. Further exclusion may be required for some children until they are no longer excreting 

Further exclusion is required for children aged five years or younger and those who have difficulty in adhering to hygiene practices. 

 

Children in these categories should be excluded until there is evidence of microbiological clearance. This guidance may also apply to some contacts who may also require microbiological clearance. Please consult your local PHE centre for further advice 

 

Cryptosporidiosis 

Exclude for 48 hours from the last episode of diarrhoea 

Exclusion from swimming is advisable for two weeks after the diarrhoea has settled 

 

Respiratory infections

Flu (influenza) 

Until recovered 

Vaccination available.

 

Tuberculosis* 

Always consult your local PHE centre 

Requires prolonged close contact for spread 

 

Whooping cough* (pertussis) 

Five days from starting antibiotic treatment, or 21 days from onset of illness if no antibiotic treatment 

Preventable by vaccination. After treatment, non-infectious coughing may continue for many weeks. Your local PHE centre will organise any contact tracing necessary 

 

Other Infections

Diphtheria *

Exclusion is essential. Always consult with your local HPT

Family contacts must be excluded until cleared to return by your local PHE centre. Preventable by vaccination. Your local PHE centre will organise any contact tracing necessary

 

Glandular fever

None

 

Head lice

None

Treatment is recommended only in cases where live lice have been seen

 

Hepatitis A*

Exclude until seven days after onset of jaundice (or seven days after symptom onset if no jaundice)

In an outbreak of hepatitis A, your local PHE centre will advise on control measures

 

Hepatitis B*, C*, HIV/AIDS

None

Hepatitis B and C and HIV are bloodborne viruses that are not infectious through casual contact. For cleaning of body fluid spills see: Good Hygiene Practice

 

Meningococcal meningitis*/ septicaemia*

Until recovered

 

Meningitis C is preventable by vaccination There is no reason to exclude siblings or other close contacts of a case. In case of an outbreak, it may be necessary to provide antibiotics with or without meningococcal vaccination to close school contacts. Your local PHE centre will advise on any action is needed

Meningitis* due to other bacteria

Until recovered

 

Hib and pneumococcal meningitis are preventable by vaccination. There is no reason to exclude siblings or other close contacts of a case. Your local PHE centre will give advice on any action needed

 

Meningitis viral*

None

Milder illness. There is no reason to exclude siblings and other close contacts of a case. Contact tracing is not required

 

Mumps*

Exclude child for five days after onset of swelling

Preventable by vaccination (MMR x2 doses)

 

Threadworms

None

Treatment is recommended for the child and household contacts

 

Tonsillitis

None

There are many causes, but most cases are due to viruses and do not need an antibiotic

 

Source: Guidance on infection control in schools and other childcare settings, Public Health England, (2016)

 

This list is not necessarily exhaustive, parents and staff are encouraged to contact local health services if they are in any doubt.

COVID 19

 

If a child is suffering from any symptoms related to COVID 19 then parents will be called and asked to collect their child straight away as per the parent contract agreement.  They will then need to isolate from the nursery for 10-14 days and the household will need to isolate for 14 days.  This relates to any symptom a child may be displaying such as a continuous cough, loss of taste and smell or a high temperature of 37.8 degrees and over.  The child in question will be moved away from all other children until their parent arrives.  Please see COVID 19 policy for further information.