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    Objectives:
    • 描述一次性手套在防止疾病传播中的作用,促进工作人员的手套使用。
    • Describe and promote the use of universal health precautions.
    • Identify and share resources related to health maintenance and common childhood illnesses.
    • Describe, apply, and communicate about your program’s exclusion and readmission policies.

    Learn

    Learn

    Teach

    All staff members who work with young children are required to complete training to learn how to help prevent the spread of infectious diseases. Often, a nurse or health care professional provides this training. You can also help support staff members' learning. Make sure you are familiar with the resources related to infectious disease available in this Healthy Environments course.

    您还需要教人员如何模拟与传染病相关的健康习惯。例如,确保工作人员知道如何覆盖自己的咳嗽以及如何使用适当的手套佩戴程序。提供围绕普通预防措施的持续培训:手套穿着,清洁和消毒程序等。

    You will also need to make sure staff members know how to perform and document daily health checks. This includes recognizing when a child experiences illness or a health concern. Make sure you train new staff members on your program's exclusion policy. You may be called to help a staff member make a decision about whether a child is ill and needs to be sent home. Therefore, you must be familiar with the signs and symptoms of common infectious diseases and your program's policies. You may also be responsible for communicating with families when certain infectious diseases occur in your program. Be prepared to make sure staff members follow exclusion and readmission policies themselves: sick staff members can spread illnesses, too.

    模型

    你应该实践,防止扩散模型of infectious disease. Follow the Centers for Disease Control and Prevention's guidelines for covering your cough and handwashing. You can also model talking to children about healthy habits. For example, if a child sneezes while you are in a classroom, you can remind the child to go wash his or her hands. You can also help staff members remember to wash their own hands and the child's hands after wiping a child's nose. It's OK to remind staff members and administrators to take steps to prevent the spread of disease, too. This helps promote a culture of healthy habits in your program.

    You might be called when a staff member suspects a child is ill. Be prepared to conduct a health check and look for signs of illness. Follow your program's procedures for exclusion and readmission. In the event of an emergency or illness, model proper sanitation procedures in the presence of body fluids like blood, vomit, urine, or feces. Remain calm in these situations and help staff use their training. You might also need to supervise children while staff members respond to the emergency.

    Observe

    You may not see staff members respond to illness every time you observe in a classroom or program. However, when illness occurs, be prepared to make sure staff members follow your program's procedures for responding. You can observe and provide feedback on a staff member's calmness, appropriate response in caring for a child, and attention to health and sanitation protocols. Use theInfectious Diseases Best Practices Checklistresource in the Apply Activities section below to help document staff members' progress and knowledge of appropriate procedures.

    案例:应对疾病

    重要的是要考虑如何支持员工,因为他们回应疾病。这种情况示例显示了婴儿和幼儿课堂。您将看到不防止疾病传播的反应。在您观看视频时,请考虑工作人员应该采取的程序以及您看到的健康风险。还借此机会思考why您的计划具有它的健康和清洁度政策howthese policies help keep children healthy. Being able to articulate your policies to staff members is important, but it is also important to be prepared to talk about why and how those policies keep children and staff healthy.

    案例:应对疾病

    Think about how you might help staff members reflect on the best practices for responding to illness.

    案例示例步骤1:制定计划

    作为一个教练或教练,可能be necessary to help the child development or school-age team develop a plan about providing a healthy environment for children. This requires a team effort. Here is a sample plan that you might develop based on what you saw in the video:

    目标: Provide a healthy environment for all children by following program procedures when a child is ill.

    Steps:

    1. Meet individually with staff and as a team to go over the program procedures for responding to illnesses.
    2. Walk through the classroom and make sure cleaning supplies (soap and water mixture, bleach solution, disposable paper towels) are accessible at all times and were made accurately. Fix any problems immediately.
    3. Review handwashing policies for adults and children. Develop reminders that can be used by the team to reinforce handwashing.
      1. Remind staff members when someone forgets.
      2. Say "Thank you" as acknowledgement to each other when you see a team member wash their hands or a child's hands.
      3. Regularly use theHand Hygiene Monitoring Tool(在课堂上提供)在教室中提供反馈(第两节)提供反馈。

    Case Example Step 2: Provide Feedback

    作为一个教练或教练,可能be overwhelming to think about what you might say to staff members about maintaining healthy habits. There are often many things you could talk about following any observation of a classroom or program. It is important to focus your feedback-in this case on responding to illness. You might say:

    "You guys had your hands full today when your little guy got sick at the table. I know that's a non-contagious health concern for him and that you are working with his family. I want to talk, though, about the steps we need to take when children get sick or sneeze. Even if the child does not have a contagious illness, we need to treat all body fluids as if they could possibly spread illness. This is just good practice and a good habit to have. Let's talk about the steps to take the next time this child gets sick or sneezes…"

    “教师常常先考虑孩子们和自己持续;我知道你对孩子们关心多少!但是洗自己的手是让孩子们健康的重要一步......”

    案例示例步骤3:提供资源

    作为教练或教练,您可以识别可能支持团队的资源。对于该案例的团队来说,早上做一支团队健康和安全检查可能很重要,以确保所有清洁用品都准备好并可访问。您可以帮助他们制作一个简单的流程图,他们可以在离散地点挂起,以提醒他们孩子生病的时间。您可能会提供副本Hand Hygiene Monitoring Tool(in Lesson Two) and ask the team to check themselves regularly.

    响应疾病的其他例子

    现在看看婴儿和幼儿,学龄前和学龄工作人员对疾病的额外例子。万博体育全站app您和所有工作人员必须保持警惕患病。相同的原则适用于年龄范围。随着儿童时代,他们变得更加独立:如果他们生病,他们可能会把它交给洗手间,或者他们可能独立吹鼻子。无论儿童如何独立,所有工作人员都必须遵守同样的普遍健康预防措施。

    Responding to Illness: Infants and Toddlers

    This video shows a range of of ways staff members respond to illness with infants and toddlers.

    Responding to Illness Scenarios

    Scenario

    You saw:

    • Children and teacher engaged in conversation at child's eye level.
    • Teacher notices runny nose.
    • 老师使用裸露的手和组织擦拭孩子的鼻子。
    • 没有提到成人或孩子的洗手。

    You Say

    你可能会说的:

    • "You really built a connection between the kids while I was observing; you helped them communicate. I know it's hard to break up the flow of a conversation, but it's equally important to model healthy habits…"
    • "How does this group of kids compare to other groups you have had? What are your priorities with this group?"
    • “你认为孩子们了解洗手和细菌的程度如何?”

    You Do

    What you might do:

    • Observe with theHand Hygiene Monitoring Tool(课程二)并提供反馈;鼓励工作人员自己监督。
    • Provide tissues within children's reach, so they can begin practicing self-care.

    Scenario

    You saw:

    • Two children and adult at table. No food has been served yet.
    • Adult notices a child's runny nose.
    • Adult gets glove and tissue and wipes child's nose.
    • 成年人马上洗手。

    You Say

    你可能会说的:

    • "You were very thoughtful and intentional today when you helped the children at the table. You made sure not to leave children alone with food, and you found the right opportunity to clean a runny nose."

    You Do

    What you might do:

    • Continue regularly observing the team and providing feedback; open lines of communication between team members.

    Scenario

    You saw:

    • 母亲和孩子到达婴儿房间。
    • Both are greeted warmly.
    • Teacher asks mother about the infant's night, about shots, and general health questions.
    • Maintains friendly interaction and takes child to wash her hands.

    You Say

    你可能会说的:

    • "I could tell you and the mom have built a strong relationship. You got a lot of important information and started the day with a healthy foundation."
    • "What are your goals when a parent drops a child off? What's the most important information you need to get?"

    You Do

    What you might do:

    • Ask the staff member to share ideas for greeting parents and daily health checks with other staff members.

    Responding to Illness: Preschool

    This video shows a range of of ways staff members respond to illness with preschoolers.

    Responding to Illness Scenarios

    Scenario

    You saw:

    • 孩子独自坐在安静的地区与玩偶。
    • 孩子将纸巾拉出口袋,吹鼻子。
    • Puts tissue back in pocket.
    • Continues playing with dolls.

    You Say

    你可能会说的:

    • “告诉我更多关于你在角落放松的小家伙。看起来他感冒了......”
    • "It's such a fine balance with preschoolers when we're teaching independence; but we've also got to teach healthy habits like handwashing. How could we help that little guy remember to go wash his hands?"
    • “如果你刚刚结束然后让他洗手,你觉得会发生什么?”

    You Do

    What you might do:

    • 如果个体儿童需要额外关注自我保健和洗手,请在课堂上观察和帮助。
    • Help the team brainstorm visual reminders they could put in the room to help the child remember to wash his hands.

    Scenario

    You saw:

    • 课堂过渡。
    • Adult notices child has runny nose.
    • Adult uses bare hand and tissue to help child clean nose.
    • 成人和孩子都去洗手。

    You Say

    你可能会说的:

    • "You stuck with it when your little guy needed to wash his hands. That was an important way to model healthy habits."
    • "How do you promote independence and healthy habits in the room?"

    You Do

    What you might do:

    • 提供或帮助头脑风暴视觉支持,可以用来帮助孩子独立洗手。

    Responding to Illness: School-Age

    This video shows staff members responding to illness in a school-age program.

    Responding to Illness Scenarios

    Scenario

    You saw:

    • Staff member takes a child's temperature.
    • Child is laying on the couch while other children dance.
    • Staff member comforts child throughout.
    • Another child (the ill child's brother) lays on him on the couch.

    You Say

    你可能会说的:

    • "It looked like Sam wasn't feeling well today. Tell me about how you handled that…"
    • "What do you usually do when children aren't feeling well?"
    • "When a child has a fever, we need to make sure we keep it as contained as possible. Let's think about ways we could separate Sam (or any sick child) from the group."

    You Do

    What you might do:

    • Make sure the staff knows where the sick room is located and how to use it.
    • Work with the supervisor or manager to make sure a sick room is accessible and available for isolating ill children.

    After completing their Healthy Environments course, staff members should understand and follow procedures for responding to illness whenever it occurs. Remember to observe, provide feedback, and offer resources as needed throughout an employee’s career. Needs will change, but your role always serves a critical mission.

    探索

    探索

    Even in the best programs, serious illness can occur. Use the生病和疲惫activity to read the scenarios and describe how you would respond. Then compare your answers to the suggested responses.

    Apply

    Apply

    Use theInfectious Diseases Best Practices Checklist作为一个专注的观察工具,支持已完成健康环境课程的工作人员,但可能需要额外的支持或跟进传染病程序。此清单提供了一种简单的方法,可以跟进围绕此主题的目标以及对您所观察到的工作人员的具体反馈。

    Glossary

    Term 描述
    Exclusion When a child is sent home from child care due to illness. Children are excluded from child care based on each program’s exclusion policy. Readmission, also based on a program’s policy, can vary due to the reason for exclusion
    Infectious disease A disorder “caused by organisms — such as bacteria, viruses, fungi or parasites…. Some infectious diseases can be passed from person to person. Some are transmitted by bites from insects or animals. And others are acquired by ingesting contaminated food or water or being exposed to organisms in the environment.” (Mayo Clinic, n.d.)
    Reportable illnesses 被认为是严重的公共卫生问题。医生和医院必须在被诊断患者时向公共卫生官员报告这些疾病。这有助于跟踪和控制爆发

    Demonstrate

    Demonstrate
    Assessment:

    第一季度

    You overhear a staff member in the school-age program discussing an illness with a parent. The staff member says, “Yeah, Natalie has whooping cough. She was here before she knew she had it, but they say that’s when it’s most contagious. I guess school-age kids like Natalie get it because the vaccine wears off ….” What did the staff member do wrong?

    第二季

    As you step into the office, you hear a family member asking to see you. She is very angry that she has been called to pick up her preschooler, Ty, because he is sick. She says she gave him fever medication in the morning and it should be fine for him to stay at school. What do you say?

    第三季

    Carolyn是学龄儿童中的一名工作人员,来找你,说她感觉不舒服。她以前从未叫过生病了。当她说她认为她应该回家时,你知道她病得很重。不幸的是,您没有足够的员工覆盖。你该怎么办?

    参考资料:

    American Academy of Pediatrics, American Public Health Association, National Resource Center for Health and Safety in Child Care and Early Education. (2015).Caring for Our Children: National health and safety performance standards; Guidelines for early care and education programs, 3rd ed.Elk Grove Village, IL: American Academy of Pediatrics; Washington, DC: American Public Health Association. Also available athttp://nrckids.org

    Aronson, S. S., Bradley, S., Louchheim, S., & Mancuso, D. (2002).模型Child Care Health Policies, 4th编辑。华盛顿特区:国家幼儿教育协会。

    Aronson, S. S., & Spahr, P. M. (Eds., 2002).Healthy Young Children: A Manual for Programs.华盛顿特区:国家幼儿教育协会。

    保持健康:家庭,教师和儿童。(2007). [Brochure]. Washington, DC: National Association for the Education of Young Children.

    North Carolina Child Care Health and Safety Resource Center, (May 2009). Information available by contacting 800-367-2229.

    Ritchie, S. & Willer B. (2008).Health: A Guide to the NAEYC Early Childhood Program Standard and Related Accreditation Criteria。华盛顿特区:国家幼儿教育协会。