4. Health & Hygiene - Ku-ring-gai Council€¦ · 2012 – Policies and Procedures – Section 4: Health & Hygiene Section 4 – Page 1 4. Health & Hygiene 4.1 Sun Care and Safety

2012 – Policies and Procedures – Section 4: Health & Hygiene Section 4 – Page 1

4. Health & Hygiene 4.1 Sun Care and Safety 4.2 Hygiene and Cleaning 4.3 Nutrition and Healthy Eating 4.4 Hand washing 4.5 Nose wiping 4.6 First Aid 4.7 Accidents/ Injuries and trauma 4.8 Sick Children while in care 4.9 Infectious Disease and Illness / Exclusion Periods 4.10 Immunisation 4.11 Head Lice 4.12 Medical Conditions 4.13 Medication administration 4.14 Allergies & Anaphylaxis Management 4.15 Aids HIV, Hepatitis B & C


2.1 SUN CARE & SAFETY Doc distribution Internal, External Doc status FINAL File No S07779 Document owner

Leisure Co-ordinator Contact officer/s Leisure Co-ordinator

Approval date: 19/06/2012 Approved by Manager Leisure & Cultural Services Effective date: 26/06/2012 Review period 24 Review date July 2014

History of Approved Versions Version Effective date Summary of changes

1.1 2008 -Changed Hat requirements to hats that protect their face - Changed outdoor play and sun protection requirements in accordance with the Cancer Councils revised recommendations for managing outdoor play in NSW childcare services.

1.2 July 2009 - Updated sun protection requirements for July 2009 in accordance with the Cancer Council recommendations- apply to seasons.

1.3 June 2010 No Changes 1.4 14 January 2011 - Written permission to apply sunscreen to children can be obtained in

writing and will be on the booking form from April 2011 - Emergency Sun screen procedures.

CONSIDERATIONS Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 114 & 168 Cancer Council Sun smart information for Primary Schools http://www.cancercouncil.com.au/reduce-risks/sun-protection/sunsmart-program-for-primary-schools/ Occupational Health and Safety Act 2000 and Regulation 2001 (NSW) National Standard: Quality Area 2 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Water Safety Policy 6.8 • Occupational Health & Safety Policy 3.4

POLICY STATEMENT • We aim to ensure that all children attending the centre will be protected from harmful rays of

the sun. All staff are to model appropriate sun protection behaviour and enforce the sun protection policy.

• Outdoor Activities and Times of UV radiation Exposure • All staff, adults and children will use a combination of sun protection measures whenever UV Index

levels reach 3 and above. This will include: o Spring & Summer Vacation Care: From OCTOBER TO MARCH sun protection is

required at all times. Extra sun protection is needed between 11am and 3pm (daylight saving time) and during this period outdoor activities should be minimised. Minimising outdoor activities includes reducing both the number of times (frequency) and the length of time (duration) children are outside.

o Autumn, Winter & part Spring Vacation Care: From APRIL TO SEPTEMBER (excluding June and July) outdoor activity can take place at any time. However, from 10am – 2pm (Eastern Standard Time) sun protection is required.

o Winter Vacation Care : In JUNE AND JULY, when the UV Index is mostly below 3, sun protection is encouraged but not required. Extra care is needed for children who have very fair skin.


• All sun protection measures (including recommended outdoor times, shade, hat, clothing and sunscreen) will be considered when planning excursions and play sessions.

• PROCEDURE- Please ensure you apply the procedures to the appro priate seasons (times of UV exposure- see above).

• Children and staff should wear adequate sun protection and clothing when outside such as sunscreen on exposed body parts, hats that protect their face and shirts that cover their shoulders and back, (e.g T-shirts with sleeves).

• Staff will direct children to wear hats for outdoor play. Children who do not have a hat must play in a sheltered /shaded area. Staff are to enforce the 'no hat no play' rule. Children will not share hats. Children's hats should not be stored in the same container. Where the centres spare hats are used they are to be used only by one child.

• During vacation care parents are encouraged to apply sunscreen to their child prior to attending the centre, or on arrival.

• An SPF 30+, broad spectrum, water resistant sunscreen will be made available in the centre and staff are to apply the sunscreen to themselves and promote children to apply sunscreen when they are going to be exposed to the sun.

• Parents will be informed of the sun protection policy on enrolling their child in the centre. • Where children have allergies or sensitivity to the sunscreen, parents are asked to notify

centre staff either on the enrolment form or in writing to the centre and ensure the child is provided with an alternative sunscreen, and the child encouraged to play in the sheltered areas if required.

• The sun protection message will be reinforced throughout the program. Children will be reminded to ensure they apply sunscreen to the parts of their bodies that they often forget i.e. back of the neck, ears and legs, in addition to their faces and arms.

• Outdoor activities will be held in shaded areas when possible. • The centre will incorporate sun and skin protection awareness activities in the program and

provide notices and posters about the topic. • Staff will not apply sunscreen to children, staff will encourage children to apply sunscreen and

appropriate instructions and guidance on sunscreen application. With the exception of the following:

• Ku-ring-gai Council Vacation Care staff will be permitted to apply sunscreen (where appropriate, suitable and required) to children if parents have given a written authorisation on the booking form, in writing or in-centre.

• In the case of emergencies (where written authorisation has not been completed): Staff may believe that children are dressed inappropriately for outdoor activities (e.g no rash shirt has been provided for outdoor swimming or a stappy singlet or dress is worn, exposing the middle of back or shoulders). In this circumstance the following steps will be taken:

• Staff will endeavour to contact parents via phone to obtain permission to apply sunscreen • Where possible children may be asked to wear a centre t-shirt covering their back and

shoulders. • All sun protection practices will be maintained while walking to and from centres and on any

excursions. • When swimming, children must wear a rash vest or tight fitting shirt with sleeves and may not

be permitted to swim in outdoor pools unless this is worn.


4.2 HYGEINE & CLEANING Doc distribution Internal, External Doc status FINAL File No S07779 Document owner



Effective date Review period 24 Review date May 2014


1 2008 2010 - Updated the cleaning process to include the 2 step process, wipe & sanitise 2012 - Education & Care Services Regulations included

CONSIDERATIONS Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 77,106 & 109 National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Nutrition & Healthy Eating Policy 4.3 • Hand washing Policy 4.4 • Nose wiping Policy 4.5 • First Aid Policy 4.6 • Accidents/Injuries/Trauma 4.7 • Sick Children while in care 4.8

• Infectious Disease and Illness / Exclusion Periods Policy 4.9

• Immunisation Policy 4.10 • Medical Conditions Policy 4.12 • Medication Administration Policy 4.13 • Allergies & Anaphylaxis Management

Policy 4.14 • Aids HIV, Hepatitis B & C Policy 4.16

POLICY STATEMENT We aim to provide a healthy and hygienic environment that will promote the health of the children, staff and parents. All people in the centre will follow preventative measures in infection control. Staff will ensure that they maintain and model appropriate hygiene practices. PROCEDURE

• All toilet facilities will have access to a basin or sink with running water. • All toilet facilities will have soap and paper towel for washing and drying hands. • Soap and paper towel will also be available in the kitchen area. • One staff member will be responsible for monitoring the availability of soap and paper towel

to ensure they do not run out. • Toilets, hand basins and kitchen facilities will be cleaned and disinfected on a regular basis,

contracted council cleaners come in during the week to restock and clean the permisis. • Hand washing should be practiced by staff and children before eating food and after all dirty

tasks such as toileting, cleaning up any items, wiping a nose, before and after administering first aid, or handling an animal.

• Staff should maintain and model appropriate behaviour and encourage the children to adopt hygiene practices.

• Education in proper practices should be conducted on a regular basis, either individually or as a group. Health and hygiene practices can be highlighted to parents, and also through information sheets or posters.

• All staff must wear disposable gloves when in contact with blood, open sores or other bodily


substance, clothes contaminated with bodily fluids or cleaning up a contaminated area. Staff must wash hands with soap and water after removing the gloves.

• Staff with cuts, open wounds or skin disease such as dermatitis should cover their wounds and wear disposable gloves. Used gloves should be disposed of safely.

• When cleaning bench tops and tables we will follow the 2 step process of cleaning and sanitising. o All benches and surfaces will be wiped down to remove any visible residue & dirt o Surfaces will then be sanitised to remove any bacteria or germs.

• All contaminated surfaces will be sanitised & disinfected. • All toys should be washed, cleaned and with hot soapy water on a regular basis. • All material items such as towels, dress ups and cushion covers will be laundered regularly. • Children are encouraged not to share hats. • Children will be reminded not to share drinks, utensils or use items that have been dropped

on the floor. • All cups, plates and utensils will be washed in hot, soapy water or a dishwasher • All rubbish or left over food is to be disposed of immediately. • Lids must remain on the inside bins at all times and bins should be emptied daily.


4.3 NUTRITION & HEALTHY EATING Doc distribution Internal, External Doc status FINAL File No S07779 Document owner




1 2008 2 2012 Regulations included in policy

Fact sheets included CONSIDERATIONS Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 77, 78 Australia Government, National Health & Medical Research Council: Staying Healthy in Childcare Preventing infectious diseases in child care, 4th edition (Endorsed December 2005) http://www.nhmrc.gov.au Healthy Kids Website: An initiative of NSW Department of Health; NSW Department of Education and Communities and the Heart Foundation. http://www.healthykids.nsw.gov.au/ National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Hygiene & cleaning 4.2 • Medical Conditions Policy 4.12

• Allergies & Anaphylaxis Management Policy 4.14

POLICY STATEMENT Children will be encouraged to develop good eating habits through good examples and education. Children will be encouraged to develop healthy eating habits through good examples of education. Parents will be encouraged to share family and multicultural values and ideas to enrich the variety and enjoyment of food by the children. High standards of hygiene will be maintained throughout all food preparation times. PROCEDURE Fresh drinking water will be available at all times for the children and staff. Parents will be asked to provide their child's lunch and drinks. Sweets and treats available only occasionally. Food will be stored in tightly sealed containers, away from any chemicals. Food requiring refrigeration will be stored in the refrigerator. Snack times are seen as a social event where children and staff can relax, talk about their day and experience a variety of foods. Staff will demonstrate good healthy and hygienic eating habits while with the children. Children should be seated while eating or drinking.


a list of all children's allergies or food restrictions is kept on the daily rolls. Education of healthy eating habits will be developed through ongoing example, specific activities, notices, posters and information to parents. The denial of food will never be used as a punishment. Children will be encouraged to get the water themselves when required, using separate drinking containers. Containers are to be cleaned and stored appropriately. Carers and children should wash hands before eating with running water and liquid soap. Food should be kept covered and, where appropriate, refrigerated until ready to be used. All kitchen surfaces, dishes, cups and utensils should be kept meticulously clean. ( In accordance with Policy 4.2 Hygiene & cleaning) SUPPORING DOCUMENTS Lunch Box Tips: http://www.goforyourlife.vic.gov.au/hav/admin.nsf/images/Healthy_lunch_boxes_for_children.pdf/$File/healthy_lunch_boxes_for_children.pdf Healthy Kids Website and Fact Sheets: http://www.healthykids.nsw.gov.au/parents-carers/resources-and-activities.aspx








4.4 HANDWASHING Doc distribution Internal, External Doc status FINAL File No S07779 Document owner




1 2008 2 2012 - Education & Care Services Regulations included

CONSIDERATIONS Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 77,106, 109 & 112 Occupational Health and Safety Act 2000 and Regulations 2001 (NSW). Staying Healthy in Child Care, NHMRC, 2001: http://www.health.gov.au/nhmrc/. & http://www.nhmrc.gov.au/guidelines/publications/ch43 National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Hygiene & Cleaning 4.2 SUPPORTING DOCUMENTS Hand washing poster National Health & medical research council: http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/ch43poster1.pdf POLICY STATEMENT Carers will minimise the spread and risks of infectious diseases between children, carers, other staff and visitors by conforming to recommend hand-washing guidelines and standards. Toileting and hand-washing facilities will be safe, regularly cleaned and appropriate for the number and ages of children in care. PROCEDURES

• Ensure facilities are available for washing hands with soap and running water in the immediate vicinity of areas where children or staff use toilets, food is stored, prepared and served, pets handled or kept and near areas of outdoor play.

• Ensure effective drying of hands with individual towels, disposable paper towel or automatic hand-dryer.

• It is preferred that children and staff use liquid soap or individual soap sheets in preference soap bars as microbial contamination is less likely to occur.

• Centre Staff are to replace liquid soap or re-fill them and wash out the bottle and the dispenser between refills, if required

• Ensure that staff with cuts, abrasions, dermatitis or open wounds on their hands cover with a water-resistant occlusive dressing which should be changed each time it is soiled or wet.

• In situations where running water is not available non-water cleansers or antiseptics such as alcohol based hand rub, gel or foam are adequate and ensure children do not mouth or inhale fumes from wipe, if hands are visibly soiled washing with soap and running water should be done if possible.


• Use where practical a disposable paper towel to turn off taps. Taps, sinks and toilet flush handles should be cleaned daily.

• Ensure children and staff wash hands in the following way: o Use liquid soap and running water o Rub hands vigorously, counting to 10 o Wash hands all over, including the backs of hands, wrists, between the fingers and

under the fingernails o Rinse hands well counting to 10 o Press dry hands with a new paper towel.

• Ensure children and staff wash hands: o Before and after eating or handling food o Before preparing or cooking food o After going to the toilet o After cleaning up or any contact with urine, faeces, vomit, blood or other body fluids o After giving first aid or cardiopulmonary resuscitation (CPR) o After wiping nose or contact with nasal or salivary secretions o Before and after giving a child medication o After patting or touching animals or pets (including fish, birds reptiles)


4.5 NOSE WIPING Doc distribution Internal, External Doc status FINAL File No S07779 Document owner



Effective date Review period 24 Review date May 2014


1 2008 2 2012 - Education & Care Services Regulations included

CONSIDERATIONS Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 77,106, 109 & 112 Occupational Health and Safety Act 2000 and Regulations 2001 (NSW). Staying Healthy in Child Care, NHMRC, 2001: http://www.health.gov.au/nhmrc/. & http://www.nhmrc.gov.au/guidelines/publications/ch43 National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Hygiene & Cleaning Policy 4.2

POLICY STATEMENT Staff will minimise the spread and risks of infectious diseases between children, other children and staff by ensuring nose wiping is conducted in an efficient way and according to recommended guidelines. PROCEDURES

• Ensure gloves and disposable tissues are used to wipe children’s noses. • Teach children to wipe their own nose with their own handkerchief or preferably a disposable

tissue and how to keep their handkerchief or dispose of tissues in a bin or by flushing down the toilet.

• Ensure both staff and children wash their hands after nose wiping. (see handwashing procedure 4.3)


4.6 FIRST AID Doc distribution Internal, External Doc status FINAL File No S07779 Document owner




1 2008 2 2012 - New Format

- Education & Care Services Regulations included CONSIDERATIONS Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 89, 136, 137, 138 & 168 Occupational Health and Safety Act 2000 and Regulations 2001 (NSW). St Johns Ambulance website: http://www.stjohnnsw.com.au/p_post.html National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Hygiene & Cleaning Policy 4.2 • Procedures for calling an Ambulance Policy 3.3

POLICY STATEMENT First aid equipment and facilities should be available to all staff, children and visitors in the centre and while on excursions. All staff will be encouraged to undertake first aid training as part of their condi-tions of employment to ensure full and proper care of all is maintained. PROCEDURES First Aid Qualifications

• A minimum of one staff member present at all times will be currently qualified in first aid (where possible).

As per Education and Care services regulation 89 (1) The approved provider of a centre-based service must ensure that the following persons are in attendance at any place where children are being educated and cared for by the service, and immediately available in an emergency, at all times that children are being educated and cared for by the service—

(a) at least one educator who holds a current approved first aid qualification; (b) at least one educator who has undertaken current approved anaphylaxis management training; (c) at least one educator who has undertaken current approved emergency asthma management training.

* Note OOSH services have until 1 January 2013 to compley

• Staff are required to ensure that their First Aid Certificate remains current and to renew their certificates as required.

First Aid Kits As per Education and Care services regulation 89


The approved provider of an education and care service must ensure that first aid kits are kept in accordance with this sub regulation, wherever the service is providing education and care to children—

(a) an appropriate number of first aid kits must be kept having regard to the number of children being educated and cared for by the service; and (b) the first aid kits must be suitably equipped; And readily accessible to adults, having regard to the design of the education and care service premises.

• A separate travelling first aid kit will be also maintained and taken on all excursions. • The first aid kit will contain the minimum equipment suggested by the NSW Work cover

Requirements OHS REG 2001 • A cold pack will be kept in the freezer for treatment of bruises and strains. An inventory of

the kits will be maintained. • Before each holiday period the kits will be maintained to ensure that they are fully stocked,

and that all items are within the use by date. • Staff will be made aware of the first aid kit, where it is kept and their responsibilities in

relation to it in the orientation process. Administering First Aid procedures

• Qualified first aiders will only administer first aid in minor accidents or to stabilise the victim until expert assistance arrives in more serious accidents.

• Telephone numbers of emergency contacts, local doctor and poisons centre will be located in the centre working/daily rolls folder.

• Prevention of infectious disease prior to the provision of any first aid treatment all Nominated First Aiders will ensure they wear gloves. In addition to this it may be appropriate at time to wear a facemask or goggles.

• All reusable equipment within the kit, if contact with blood borne agents has occurred, will be sterilised prior to it being returned to the kit.

• At no time will any kit hold medications whether they are over the counter or prescription eg: panadol.

Nominated First Aiders will be indicated on the ros ters and are responsible for: • Providing first aid to children and staff within their skills and level of training • Recording all first aid treatments in the Accident /Injury/Incident Reports • Referring injured children and staff to Supervisor where further treatment is indicated • Organising for an ambulance to be called or for supervisor to take injured person to Councils

Nominated Medical Centre for further treatment. • Reporting all actions to employee's Supervisor • Ensuring first aid kits are kept clean and tidy and if any items needing replacing they pass

this information onto the Leisure Co-ordinator Managers are responsible for:

• Ensuring appropriate first aid provision in their work area • Ensuring staff have access to first aid facilities / equipment • Ensuring staff understand reporting procedures for all accidents and injuries • Referring injured employees to a Council nominated medical centre where further treatment

is required • Ensuring nominated first aid staff fulfil their responsibilities in the provision and recording of

first aid treatment and maintenance of first aid rooms / kits • Ensuring first aid provisions are replenished in their immediate work area/s (including

vehicles) • Ensuring all staff within their department are aware of who is Council’s Nominated Medical

Practice (St Ives Medical Centre) • Forwarding all Incident/Injury Registers to HR within 24 hours or one working day, of the

injury/incident. SUPPORTING DOCUMENTS:


St Johns First Aid DRABCD Action Plan http://www.stjohnnsw.com.au/publications/Posters/Resuscitation%20A4.pdf


4.7 ACCIDENTS / INJURIES / TRAUMA Doc distribution Internal, External Doc status FINAL File No S07779 Document owner




1 2008 2 2012 - Merged Accident and Child Incident/ accident/ injury report policys

- Education & Care Services Regulations included CONSIDERATIONS Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 85, 86 & 168 Occupational Health and Safety Act. National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • First Aid Policy 4.6 • Procedures for calling an Ambulance Policy 3.3

POLICY STATEMENT We will ensure the safety and well being of staff, children and visitors, within the centre and on excursions, through proper care and attention in the event of an accident. The centre will make every attempt to ensure sound management of the injury to prevent any worsening of the situation. Parents or emergency contacts will be informed immediately where the accident is serious. PROCEDURE "The person caring for the child assumes responsibility for acting in the best interests of the child in the event of an injury. The careful exercise of this discretion is considered part of the staff's duty of care." (Guide to the Law for Children's Services, NSW Community Child Care Co-op.)

• Parents are required to provide written consent for staff to seek medical attention for their child if required before they start in the centre. This will be recorded in the enrolment form.

• Parents are required to provide emergency contacts in case of emergency and authorisations on the annual booking form

• Parents will be required to supply the contact number of their preferred doctor and Medicare number on the enrolment form.

• If a child, staff member or visitor has an accident while at the centre they will be attended to immediately by a staff member who holds a first aid certificate.

• In the case of medication being required in an emergency without prior consent of the parents/guardians, staff are to secure that consent from a registered medical practitioner.

• Anyone injured will be kept under adult supervision until they recover or an authorised person takes charge of them.

In the case of a minor accident the first aid atten dant will:

• DRABC • Assess the injury. • Attend to the injured person and apply first aid as required.


• Ensure that disposable gloves are used with any contact with blood or bodily fluids. • Ensure that all blood or bodily fluids are cleaned up and disposed of in a safe manner. • Ensure anyone in contact with any blood/fluids wash in warm soapy water. • Record the incident and treatment given on the appropriate accent/ injury report form,

indicating name, date, time, nature of injury, how occurred, treatment given and by whom, to be signed by staff and witnessed if possible.

• Obtain parent signature confirming knowledge of the accident. • Notify the parents either by phone after the incident where required or on their arrival to

collect the child. Parents should sign on the completed form that they have been informed of the accident.

In the case of a major accident requiring more than first aid, the first aid attendant will: • Assess the injury, and decide whether the child needs to be attended to by local doctor or

whether an ambulance should be called and tell the Coordinator of their decision. • If the child's injury is serious the first priority is to get immediate medical attention.

Although parents should be contacted straight away. If not possible, there should be no delay in organising proper medical treatment. Keep trying to contact the parents in the meantime until they have been spoken to.

• Attend to the injured person and apply first aid required. • Ensure that disposable gloves are used with any contact with blood or bodily fluids. • Stay with the child until suitable help arrives, or further treatment taken. • Try to make the child comfortable and reassure them. • If an ambulance is called and the child is taken to hospital a staff member will accompany

the child and take the child's medical records. • Record the incident and treatment given in the accident book, indicating name, date, time,

nature of injury, how occurred, treatment given and by whom, to be signed by staff and witnessed if possible.

• Obtain parent signature confirming knowledge of the accident. The Co-ordinator will or other responsible staff me mber will:

• Notify the parents or emergency contact person immediately regarding what happened and action is being taken. Every effort will be made not to panic the parents.

• Ensure that all blood or bodily fluids are cleaned up in a safe manner. • Ensure that anyone who has come in contact with any blood or fluids washes in warm soapy

water. • Try to reassure the other children and keep them calm, keeping them informed about what is

happening, and away from the injured child.

Accidents which result in serious injury to a child must be reported to: • Parents/Guardian. • An ambulance service. • The police. • The Department of Community Services (DOCS). • The Leisure Co-ordinator • The Manager of Community and the Leisure & Cultural Development Manager at Ku-ring-gai

Council.

Clear emergency procedure should be maintained for the other children at the centre. The centre will notify the parent/guardian that a serious incident has happened and advise them to contact the relevant medical agency. This information should be provided in an extremel y sensitive manner.


Staff will also adhere to the Hygiene & Incident In jury report/management policies in all accident situations.

Reporting Accidents / Injuries / Traumas Minor Injury Report This injury report is to record minor injuries that are treated. The details of the injury and treatment are recorded on these forms for a record. *Please see attached Minor Injury Report Incident / Near Miss Register; Accident / Illness R eport This is for a more serious accident or illness where full details of the child/staff member and explanation of the treatment, doctor sent to etc are to be recorded. This sheet also needs to be signed by the co-ordinator to confirm that the carer of the child has been informed of the accident or illness through either face to face contact or over the phone. If this is a serious accident staff involved may be asked to submit additional information including a more detailed outline the accident, gain witness statements and attach this information to the completed incident near miss report. The completed report must be completed and given to the Leisure Co-ordinator within 48 hours of the incident and the Leisure Co-ordinator will pass the information through the appropriate channels. * Please see attached Incident/Near Miss Register Form.



4.8 SICK CHILDREN WHILE IN CARE Doc distribution Internal, External Doc status FINAL File No S07779 Document owner




1 2008 2 2010 - Removed administering paracetamol to children with fever- arrange for child

to be collected ASPA or phone child doctor for advice 3 2012 - Retitle policy added ‘while in care’

CONSIDERATIONS Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 168 & 88 Occupational Health and Safety Act. National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • First Aid Policy 4.6 • Procedures for calling an Ambulance Policy 3.3

POLICY STATEMENT To ensure that the immediate needs of the sick child are met while maintaining the health and safety of the other children in care and that staff respond appropriately to these illnesses. PROCEDURES

• Sick children should not be accepted into care. These children require a degree of attention from adults which is not able to be supplied in any child care service. These children place other children and staff at risk of also developing an infection. (See Excluding Children with Illness.)

• In the event that a child becomes ill during the day, staff are to make the child comfortable, isolate the child from the well children, contact the parents and request immediate collection and possible medical attention.

• Despite their isolation from other children, staff must ensure that they keep the unwell child under adult supervision until the child's parents or some other authorised person takes charge of the child.

• Staff are free to contact the Leisure Coordinator should they feel concern about a child's health or to discuss aspects of a child's illness.

Due to the risks of high fever in a young child, staff should follow the procedures below when dealing with a child who develops a temperature while in care: CONTACT THE PARENTS OR EMERGECY CONTACTS IMMEDICATLEY and arrange for the child to be collected as soon as possible

• Take the child's temperature by placing a thermometer under the child's arm for at least 3 minutes. The normal temperature taken by this method is 36ºC to 37ºC.

o If the temperature is elevated, then � Offer clear fluids � Remove layers of clothing


� Sponge the child down with lukewarm water � Inform the parent of the temperature � Take the temperature again within 30 minutes.

o If, after 30 minutes, there is no reduction in temperature: � Advise the parents to collect the child as soon as possible, � Contact the child’s family doctor for medical advic e. � Do not under any circumstances administer aspirin t o children in your

care, unless under the direct supervision or guidan ce from a medical practitioner

� Ensure the child is well hydrated by offering the child small frequent amounts of cool water to drink until the child is collected by their parent.

Should any child have a convulsion, or the staff me mber feels seriously worried about the state of the child, an ambulance should be called i mmediately. The nominated supervisor must be advised as soon as possible when emergency medical advice has been sought (see Emergency Procedures). It must be noted that a child with a chronic health problem, such as asthma, diabetes etc, is not regarded as a 'sick' child. Their specific health needs, including administration of regular medication, may well be met at vacation care after discussion and consultation between staff and parents. Only during periods of specific illnesses or a change in their health status, (such as a serious asthma bout) will a child be excluded from care.


4.9 ILLNESS AND INFECTIOUS DISEASE /EXCLUSION PERIODS Doc distribution Internal, External Doc status FINAL File No S07779 Document owner




1 2008 2 2012 - Updated with new information from the Staying Healthy in Childcare. Inserted

important information from the guide into the policy - merged the Illness & Exclusion Policies - National regulations included

CONSIDERATIONS Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 168 & 88 Department of Health guidelines Department of Education guidelines Australia Government, National Health & Medical Research Council: Staying Healthy in Childcare Preventing infectious diseases in child care, 4th edition (Endorsed December 2005) http://www.nhmrc.gov.au National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Hygiene and Cleaning Policy 4.2 • First Aid Policy 4.6 • Procedures for calling an Ambulance Policy 3.3 • Immunisation Policy 4.10

SUPPORTING DOCUMNENTS http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/ch43.pdf POLICY STATEMENT We aim to provide a safe and hygienic environment that will promote the health of the children. As the care needs of a sick child cannot be met without dramatically reducing the general level of supervision of the other children, or risking other children's health, parents will be asked not to bring sick children to the centre and to collect children who are unwell. All care and consideration will be given to the child who becomes ill while at the centre. Children with infectious diseases will be excluded from the centre for the period recommended by the Department of Health. PROCEDURE

• A child or adult will be considered sick if he/she: o Sleeps at unusual times, is lethargic. o Has a fever over 38°. o Is crying constantly from discomfort.


o Vomits or has diarrhoea. o Is in need of constant one to one care. o Has an infectious disease.

• If a child is unwell at home parents should not bring the child to the centre. • If a staff member is unwell they should not report for work. Staff should contact the program

co-ordinator as soon as possible to inform them that they are unable to attend work. • If a child becomes ill or develops symptoms at the centre the parents will be contacted to

take the child home (See Sick children in care policy 4.7). • If a staff member becomes ill or develops symptoms at the centre they can return home if

able or organise for someone to take them home. • The coordinator will organise a suitable staff replacement as soon as possible. • The child who is ill will be comforted, cared for and placed in a quiet isolated area with adult

supervision until the child's parent or other authorised adult takes them home. • If the child has a fever the parents will be informed and asked to collect the child

immediately. • During a fever other methods will be employed to bring the child's temperature down until

the parents arrive or help is sought. Such methods include: clothes removed as required, clear fluids given, tepid sponges administered.

• If a child's temperature is very high cannot be brought down and parents cannot be contacted, the child's doctor will be contacted and permission/medical advice sought. If the situation becomes serious the child will be taken to the doctor or an ambulance called.

INFECTIOUS DISEASES

• Children and staff will be excluded from the centre if they are ill with any contagious illness. This includes diarrhoea, vomiting and conjunctivitis.

• The period of exclusion will be based on the recommendations outlined by the Department of Health.

• The decision to exclude or re-admit a child or staff member will be the responsibility of the Coordinator based on the child's symptoms, medical opinion and Department of Health guidelines for children who have an infectious disease or who have been exposed to an infectious disease.

• The Coordinator or staff members have the right to refuse access if concerned about the child's health.

• Children with diarrhoea/vomitting will be excluded for 24 hours after the symptoms have disappeared or after a normal stool.

• A doctor's clearance certificate will be required for all infectious diseases such as measles, mumps, diphtheria, hepatitis A, polio, tuberculosis, typhoid and paratyphoid before returning to the centre.

• Parents will be informed about the illness and infectious diseases policy on enrolment. • The Co-ordinator will follow the recommendations as outlined in the Health Department

document. • Parents will be informed about the occurrence of an infectious disease in the centre

ensuring that the individual rights of staff or children are not infringed upon. • All staff will ensure proper hygiene practices are followed as per the hygiene policy and any

appropriate action is taken to prevent the spread of infectious illness. • All children will be accepted in to the Vacation Care Programs however, children who have

not been immunised will be excluded from the program in the event of an outbreak of an infectious disease.

All staff will ensure proper hygiene practices are carried out as outlined in the Hygiene policy. Under the provisions of the Public Health Act 1991 and Regulation - http://www.austlii.edu.au/au/legis/nsw/consol_act/p ha1991126/ Doctors, hospital chief executives (or general mana gers), pathology laboratories, directors of


childcare centres and school principals are require d to notify the following diseases: • Diphtheria • Measles • Mumps • Pertussis (Whooping Cough)

• Poliomyelitis • Rubella (German Measles) • Tetanus

Notification requested by phone, if possible. Notification Mechanisms Infectious diseases:

• Infectious diseases should be directed to the local Public Health Unit, and should be notified within 24 hours of diagnosis.

• All infectious diseases notification forms are available from Public Health Units. Preventing the spread of Infection The Staying Healthy in Child Care, Preventing infectious diseases in child care, 4th edition (Endorsed December 2005), gives us the three most important ways of preventing the spread of infectious diseases. See excerpt below from the Electronic Version http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/ch43.pdf





EXCLUSION PERIODS Staff will minimise the spread of infectious diseases between children, other children and staff, by conforming to National Health and Medical Research Council (NHMRC) requirements for exclusion of children with infectious diseases and other legislative requirements. Contacts of certain infectious diseases may at the discretion of the local Public Health Unit, be excluded for their own. This information comes from the electronic version of The Staying Healthy in Child Care, Preventing infectious diseases in child care, 4th edition (Endorsed December 2005), http://www.nhmrc.gov.au





4.10 IMMUNISATION Doc distribution Internal, External Doc status FINAL File No S07779 Document owner




1 2008 Updated Exclusion periods in accordance with NHMRC- Dec 2005

2 2012 Regulations included

CONSIDERATIONS Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 162 & 88 Department of Health guidelines Department of Education guidelines Australia Government, National Health & Medical Research Council: Staying Healthy in Childcare Preventing infectious diseases in child care, 4th edition (Endorsed December 2005) http://www.nhmrc.gov.au National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Hygiene and Cleaning Policy 4.2 • First Aid Policy 4.6 • Procedures for calling an Ambulance Policy 3.3 • Infectious Diseases & illness /Exclusion Periods Policy 4.19

POLICY STATEMENT. We respect the right of individual parents whether to immunise or not to immunise their children. A child without an immunisation history will not be excluded from enrolling in the program, however children who are not immunised may be asked to stay home during an outbreak of a vaccine-preventable disease. Proof of immunisation will be sought at the enrolment stage and recorded in the enrolment form PROCEDURE

• Parents will provide the centre with documented evidence of their child's immunisation status. This information will be recorded in the enrolment form.

• In the event of an outbreak of vaccine-preventable disease at the centre children not immunised may be required to stay at home for the duration of the outbreak, for their own protection.

• The Public Health Unit will be notified if any child contracts a vaccine-preventable disease.


• Payment of fees will be required for children who may be excluded during an outbreak of a vaccine-preventable disease, unless other arrangements discussed and agreed to by the council have been made.

• All staff should also maintain through immunisation, their immunity to common childhood diseases.

• It is also recommended that all adults receive a booster dose of tetanus and diphtheria vaccine every 10 years.


4.11 HEAD LICE Doc distribution Internal, External Doc status FINAL File No S07779 Document owner




1 2012 New Policy

CONSIDERATIONS QLD Department of Health Website: http://www.health.qld.gov.au NSW Department of Health Website: http://www.health.nsw.gov.au VIC Department of Health Website: http://health.vic.gov.au NSW Department of Education and Training: http://www.schools.nsw.edu.au Australia Government, National Health & Medical Research Council: Staying Healthy in Childcare Preventing infectious diseases in child care, 4th edition (Endorsed December 2005) http://www.nhmrc.gov.au National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Infectious Diseases & Illness / Exclusion periods Policy 4.19

POLICY STATEMENT Head Lice can be a common occurrence in children and can cause concern and frustration for children, parents and staff. This policy is intended to outline roles, responsibilities and expectations of the childcare community to assist with treating and controlling head lice in a consistent and coordinated manner. Whilst parents have the primary responsibility for the detection and treatment of head lice our staff will work in a cooperative and collaborative manner to assist all families to manage head lice effectively. MORE INFORMATION ABOUT HEAD LICE: If you want to find out more about Head Lice the following sites can be useful

• QLD Department of Health: http://www.health.qld.gov.au/headlice/documents/13443.pdf • NSW Department of Health:

http://www.health.nsw.gov.au/publichealth/environment/headlice/index.asp • Vic Department of Health: http://health.vic.gov.au/headlice/downloads/childcare_policy.pdf • NSW Department of Education:

http://www.schools.nsw.edu.au/media/downloads/languagesupport/headlice/infosheet/english.pdf

PROCEDURE

• We ask that children are not sent to the centre with untreated head lice • Children with long hair should wear their hair tied back


• Staff may visibly check (no physical contact) children’s head for head lice in a discreet and sensitive manner so as not to draw it to the attention of other children and parents.

• Families will be alerted by a phone call or face to face that head lice have been found on their child’s head and that the treatment procedure and exclusion period now applies as per the National Health and Medical Research Council – (December 2005), Recommended minimum exclusion periods for infectious conditions for schools, pre-schools and child care centres

• Children do not need to be sent home immediately if head lice are detected. At the conclusion of the day parents will be informed that head lice is found and that treatment is required

• Exclusion is NOT necessary if effective treatment is commenced prior to the next day at child care

• Should an outbreak of head lice occur in the centre parents will be notified by a memo on the sign in and out table and a fact sheet will be provided about head lice and how to treat.


4.12 MEDICAL CONDITIONS – Anaphylaxis, Asthma & Diabetes Doc distribution Internal, External Doc status FINAL File No S07779 Document owner




1 2012 New Policy

CONSIDERATIONS Anaphylaxis Australia: http://www.allergyfacts.org.au/ Asthma Foundation: http://www.asthmafoundation.org.au Juvenile Diabetes Research Foundation Australia: http://www.jdrf.org.au/ Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 90, 94 & 95 National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Hygiene and Cleaning Policy 4.2 • First Aid Policy 4.6 • Procedures for calling an Ambulance Policy 3.3 • Enrolment Policy 2.3

POLICY STATEMENT We aim to provide an environment where children feel safe and secure at all times. In order to achieve this staff will work closely with parents to ensure children with medical conditions needs are met and supported throughout our programs. PROCEDURE Parents / guardians are required to complete an enrolment form upon enrolment and to provide information about any medical conditions their child may have. Parents are required to notify any changes to children’s medical conditions as soon as possible in writing where possible. Parents are required to provide a copy of the current and up to date medical plan, that details symptoms, triggers and emergency procedures. This information is communicated to working staff before the commencement of each holiday period and again throughout the holidays. Children’s medical needs are listed on the daily centre rolls and all staff are expected to read these rolls on a daily basis to ensure they are up to date with children’s medical needs and or allergies. Where a diagnosis is provided and an Inclusion support funding can be obtained to increase staff to child ratios and help met the child’s needs possible we have opportunities to work closely with KU


inclusion support to develop service support plans to ensure children’s needs can be met and to provide strategies to implement to meet these needs. All services are ‘Nut Free Zones’. Ku-ring-gai Council Vacation Care Supplementing Pol icy that work coherently with this policy are as follows: 4.13 Medication and Administration ; 4.14 Allergies ; 4.15 Anaphylaxis Management SUPPORTING DOCUMENTS ANAPHYLAXIS (POLICY 4.15) http://www.allergyfacts.org.au/images/pdf/what-is-anaphylaxis.pdf





ASTHMA • http://www.asthmafoundation.org.au/uploadedFiles/Content/About_Asthma/Resources/AA_10

102_Basic_Facts.pdf • http://www.asthmafoundation.org.au/uploadedFiles/Content/About_Asthma/Resources/AF%2

0First%20Aid%20Poster_A4_lowres.pdf






4.13 MEDICATION ADMINISTRATION Doc distribution Internal, External Doc status FINAL File No S07779 Document owner




1 2008 2 2010 - medication information to be provided on the enrolment form

- Inserted copy of medication permission from enrolment form - Updated and inserted the Medication forms

3 2012 - New Format - Minor text changes and rewording - Updated with Regulations information

CONSIDERATIONS Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 90, 92 – 96(inclusive), 177 National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Hygiene and Cleaning Policy 4.2 • First Aid Policy 4.6 • Procedures for calling an Ambulance Policy 3.3 • Medical Administration Policy 4.14 • Enrolment Policy 2.3

POLICY STATEMENT We aim to ensure the proper care and attention to all children through following specific guidelines regarding all medications given to the children. To ensure the interests of staff, children and parents are not compromised medication will only be administered with the explicit permission of the parents or in the case of an emergency with the permission of a medical practitioner. PROCEDURE Parents who wish medication to be administered to their child at the centre will complete the medication information section on the school holiday booking form and attach relevant information or complete a medication form providing the following information.

• Name of medication • Date • Exact time and dosage to be administered. (General time, eg lunchtime will not be • accepted.) • Signature.

Medication must be given directly to an authorised staff member and not left in the child's bag and will only be accepted if it is clearly labelled with the child’s name, the dosage and medication type.


It is the responsibility of the parent/guardian to provide correct and accurate information. Staff are to ensure the details on the form are clear and clarify any questions. Staff will store the medication in the designated secure place, clearly labelled. Staff will ensure that medication is kept out of reach of the children at all times. Medication will only be administered from its original packaging and by authorised staff member. Self administration of medication by the child with written permission from the parents and under the supervision of a qualified first aid member. Prescription medication will be administered only to the child for whom it is prescribed, from the original container bearing the child's name and with a current use by date. Non-prescription medication will not be administere d at any time in the centre unless authorised by a doctor. Medication will be administered with the parent's written permission only, or with the approval of a medical practitioner in the case of an emergency. Authorisation from anyone other than the parents or persons listed on the enrolment form (with parents permission for medical records to be updated) cannot be accepted. If anyone other than the parent or guardian is bringing the child to the centre, a written permission note from the parent, including the above information, must accompany the medication. 1 Before medication is given to a child the authorised staff member (the staff member with

First Aid Certificate) who is administering the medication will verify the correct dosage with another staff member.

2 A second staff member is to witness the administration of the medication. 3 After the medication is given the authorised staff member will record the following details

on the medication form; Name of medication, date, time, dosage, name of person who administered, name of person who verified and witnessed.

4 Where a medical practitioner's approval is given staff will complete the medication form and write the name of the medical practitioner for the authorisation.

5 Where medication for treatment of long term conditions such as asthma, epilepsy, or ADHD is required, the centre will require a letter from the child's medical practitioner or specialist detailing the medical condition of the child, correct dosage as prescribed and how the condition is to be managed.

6 If children are receiving medication at home or school but not at the centre parents should inform the centre of the nature of the medication and it's purpose and of any side effects it may have for the child so that staff can properly care for the child.

7 Where children have medication in their school bags, children will be asked to place the medication in a secure place in the centre. Parents are to ensure that the medication is taken home each afternoon.

Supporting Documents


Medication Consent Form Self administration Consent Form Medication on enrolment form


Booking form Medication Consent


4.14 ALLERGIES & ANAPHYLAXSIS Doc distribution Internal, External Doc status FINAL File No S07779 Document owner




1 2008 2 2010 - Daily rolls contain are given to staff and contain all children attending on that

days allergies and medical needs, all staff are to read these notes daily. 3 2012 - New Considerations Anaphylaxis Australia

- New Regulations - Merged Allergies and Anaphylaxis policies

CONSIDERATIONS Anaphylaxis Australia: http://www.allergyfacts.org.au/ Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 90 , 92 – 96(inclusive), 177 National Quality Standard Quality Area 2 Children’s health & safety National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Hygiene and Cleaning Policy 4.2 • First Aid Policy 4.6 • Procedures for calling an Ambulance Policy 3.3 • Medical Conditions Policy 4.12 • Medical Administration Policy 4.13 • Enrolment Policy 2.3

POLICY STATEMENT We aim to provide safe and effective care of children by ensuring that staff are fully aware of reactions to, and management of, any child's allergies that Ku-ring-gai Council has been made aware of on the child’s enrolment form. Staff will facilitate effective care, health management and management of emergencies in children who have food allergies and children who are at risk of anaphylaxis PROCEDURE Parents will be asked to inform the centre of any allergies the child may have at the time of enrolment by providing or attaching information on the booking/enrolment form. This information will be updated into the child care booking software system by administration staff. Where a child has a severe allergy the parents will be asked to supply a letter from their doctor explaining the effects if the child is exposed to whatever they are allergic to and to explain ways the staff can help the child if they do become exposed. If a food allergy exists, parents will be asked to supply particular, allergy free food if required.


Administration staff will be providing information to centre staff on children’s needs and allergies. This will be done through the daily rolls. Daily medical rolls will be given to centre staff with allergies and needs highlighted, it is the centre co-ordinator’s responsibility to ensure that all staff are aware of the allergies and needs each day. All action plans and specific food allergies will be placed in the staff communication book to remind staff. A list of what they cannot eat along with alternatives will be recorded, where made known to centre staff. All staff are to make themselves familiar with this list. ANAPHYLAXSIS BACKGROUND Food allergies in children are common and can be due to peanuts, other tree nuts (brazil, cashew, hazelnuts and almonds) fish, shellfish, eggs, wheat, milk, milk products, soy, seed and some fruits. Food allergies are more common in children under 5 years of age than in older children because young children may grow out of food allergies. The commonest food allergies are due to milk, egg and peanut. Peanut allergy is the most likely allergy to need availability of adrenaline. Other substances to which children can have a severe allergic reaction are drugs (especially antibiotics and vaccine) bees, other insect stings and some plants. The most severe form of allergic reaction to any substance is anaphylaxis and effective immediate management requires adrenaline. What is Anaphylaxis? Anaphylaxis is the most severe form of allergic reaction and effective immediate treatment requires adrenalin. Symptoms of anaphylaxis can begin within minutes of exposure and can progress very rapidly. Symptoms may also re-appear several hours after initial reaction. Any combination of the following symptoms indicates that emergency treatment is required:

• Difficulty breathing caused by swelling of the tongue, throat, wheezing or asthma; • Rash, hives or welts spreading quickly over the face and body; • Swelling, itchiness, “pins and needles” of mouth, lips, tongue, face and/or eyes; • Sudden runny eyes, nose or cough; • Nausea and vomiting; • Acute distress – child looks pale or is anxious or agitated; • Collapse or unconsciousness; or • Rapid or irregular pulse, and low blood pressure.

PROCEDURES Where there is a child with a known food allergy, the following practices should be adopted to minimise the likelihood of accidental exposure. Be aware of the nature of any allergies experienced by children in their care. Endeavour to ensure that children with a severe allergy or anaphylaxis do not have access to or contact with those substances likely to trigger an allergic reaction. This can be achieved by:

• Ensuring all staff and people coming to the centre are aware of any safety requirements or food restrictions.

• Ensuring all children with food allergies eat only food and snacks that have been prepared for them.

• Ensuring children do not trade or share food, food utensils and food containers.


• Restricting the use of foods likely to cause allergies in craft and play. • Be familiar with the child’s emergency treatment plan and carry emergency medication at all

times and on all outings. • Become familiar with the use and administration of emergency medications such as an Epipen

(a disposable, pre-loaded, automatic injection containing a single dose of adrenaline). Parents should:

• Consider the safety for all children by complying with requests from Vacation Care staff to avoid sending foods that include any known trigger.

• Ensure all information on their child’s health is provided to the booking officer and centre staff, including details of any known allergies, medications, contact details and an Emergency Treatment Plan approved by their doctor. Information should be updated annually or as required.

SUPPLEMETING DOCUMENTS 1. New Look Epi Pen Action Plan 2. Original Epi Pen Action Plan


New Look Epi Pen Action Plan


Original Look Epi Pen Action Plan


4.15 HIV / AIDS / HEPATITIS B & C Doc distribution Internal, External Doc status FINAL File No S07779 Document owner




1 2008 2 2012 - New Regulations

CONSIDERATIONS Education & Care Services National Regulations (under sections 301 & 324 of the Education and Care Services National Law) Regulation 77 Federal Disability Discrimination Act 1992 Equal Opportunity Act 2010 Occupational Health and Safety Act 2000 National Standard: Quality Area 2 & 3 LINKED POLICIES

• Child Safe Environment Policy 6.1 • Hygiene and Cleaning Policy 4.2 • Enrolment Policy 2.3 • Records Management Policy 2.4 • Confidentiality Policy 2.9

POLICY STATEMENT We respect the right for all children to be loved and cared for and aim to provide a safe and secure environment for all children in the centre. We will not discriminate against any child or family’s right to achieve that care as outlined in the law. We believe that HIV/AIDS and Hepatitis B and C are best dealt with by preventative measures and will ensure that clear guidelines are given to eliminate the risk of spreading the diseases and ensure the safety of all staff and children. Proper confidentiality will also apply. PROCEDURE Parents will be asked to inform the centre of any POLICY STATEMENT.

• Under the Federal Disability Act and the Equal Oppo rtunity Act, no discrimination will take place based on a child's/parent's/staff member 's HIV status.

• Discrimination in regard to access to the centre is unlawful. A child with HIV or Hepatitis B or C has the right to obtain a position in the centre should a position become available and a staff member the right to equal opportunity of employment.

• A child with AIDS shall be treated as any other child, as HIV is not transmitted through casual contact.


• Where staff are informed of a child, parent or other staff member who has HIV/AIDS or Hep B or C, this information will remain confidential at all times. A breach of this confidentiality will be considered a breach of discipline.

• Staff will ensure that no discussion is made other than insuring proper care of all children is maintained.

• No conversation is to be undertaken in hearing of any unauthorised adults, or around the children.

• Proper safe and hygienic practices will be followed at all times. (See Hygiene policy 4.2) • No one will ever be denied the right to first aid. • All children will be considered as infectious. All staff dealing with open sores, cuts and bodily

fluids with any child or adult shall wear disposable gloves. • Staff with cuts, open wounds or skin disease such as dermatitis should cover their wounds

and wear disposable gloves. • Disposable gloves will be properly and safely discarded and staff are to wash their hands after

doing so. • If a child has an open wound it will be covered with a waterproof dressing and securely

attached. • If bodily fluids or blood gets on the skin but there is no cut or puncture, wash away with hot

soapy water. • In the event of exposure through cuts or chapped skin, promptly wash away the fluid,

encourage bleeding and wash in cold or tepid soapy water. • In the event of exposure to the mouth, promptly spit it out and rinse mouth with water several

times. • In the event of exposure to the eyes, promptly rinse gently with cold or tepid tap water or

saline solution. • In the event of having to perform CPR, disposable sterile mouth masks are to be used, or if

unavailable a piece of cloth. The staff person in charge of the first aid kit will ensure that a child is available at all times.

• Any exposure should be reported to the Coordinator and Council to ensure proper follow up procedures occur.

Note: Hot water may coagulate the blood and protect the virus from the soap or disinfectant. It is best to use cold or tepid water temperatures in all cleaning processes. • Any soiled clothing shall be handled using disposable gloves, soaked in disinfectant or hot

soapy water. Clothing will be placed and sealed in a plastic bag for the parents to take home. • Any blood or bodily fluid spills will be cleaned up immediately, using gloves and the area fully

disinfected. Cloths used in cleaning will be wrapped in plastic bags and properly disposed of.