02/04/2015 Children’s World Sick or Infectious Children In accordance with the Early Years Foundation Stage Statutory Requirements and Every Child Matters outcomes, Children’s World have a strict exclusion policy for sick or infectious diseases, enabling us to take positive steps to prevent infection and take appropriate action when a child becomes ill. We follow Health Protection Authority (HPA) guidelines to ensure the safety of children, staff and visitors. As a team we concluded that these statements and procedures best put the children’s and staff’s health & well being first: We reserve the right to refuse entry to any child we feel is not well enough to attend the nursery setting. Typical examples are where cross infection can occur, or if the child would not benefit from attending due to being uncomfortable or upset. We will fully explain any reasons and will have discussed/agreed with the Manager. In order to record accurate accounts with factual information if a child is sent home we will use the child exclusion form and keep them with the child’s information, in a secure, locked cabinet in the office. This will also help us to monitor how and when children are excluded and for which communicable disease/ reason. If a child becomes unwell during a session we will contact the parent/carer immediately to inform them. If they are unhappy, at risk of infecting others or unable to benefit by attending, we will ask the parent/carer to come and collect their child. In some cases we will monitor & phone back after a suitable period of time. If a child has symptoms such as sickness, diarrhoea, rash, or any other infectious sign or symptom, we would ask the parent to pick up the child immediately and take them to a doctor before returning to nursery. When a child has sickness and/or diarrhoea, we ask the parent to refrain from bringing their child into the setting for at least 48 hours after the last symptom or until the symptoms have completely cleared to prevent cross infection. Sick children, where possible, should be organised into the smallest sized group, or 1:1 with a member of staff. If appropriate, the child should be taken to a separate room in order to minimise cross infection. The child’s welfare and parental wishes must be taken into account, ensure that they are appropriately and sensitively cared for, whilst ensuring the continuity of the other children’s routines. The sick child must receive appropriate care & attention, regardless of how staffs are arranged. Average body temperature for children is 37 degrees; we will telephone parents/carers if a child’s temperature changes significantly and gain verbal permission to administer Calpol which may suppress the temperature for a period. We would re-check temperature at regular intervals of 15 minutes. If it reaches 35 or below we will monitor for a suitable period of time. We ask parents to record their child’s normal body temperature at time of enrolment. There is a list of notifiable diseases (Page 2) which we have a legal obligation to report to the HPA and Ofsted should a child within our care become infected. In these cases we work closely with you the parents, the HPA and Ofsted to ensure we follow any additional advice that may be given. Policy Review This policy will be reviewed March 2016 or whenever there is a major change in organisation or in relevant legislation. 02/04/2015 Notifiable Diseases Acute encephalitis Acute infectious hepatitis Acute meningitis Acute poliomyelitis Anthrax Botulism Brucellosis Cholera Diphtheria Enteric fever (typhoid or paratyphoid fever) Food poisoning Haemolytic uraemic syndrome (HUS) Infectious bloody diarrhoea Invasive group A streptococcal disease Legionnaires’ disease Leprosy Malaria Measles Meningococcal septicaemia Mumps Plague Rabies Rubella Severe Acute Respiratory Syndrome (SARS) Scarlet fever Smallpox Tetanus Tuberculosis Typhus Viral haemorrhagic fever (VHF) Whooping cough Yellow fever