Illness and Medication

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Illness
◦ If a child becomes ill during their time at the nursery the parent will
be contacted immediately and advised to collect their child. A member of
staff will remain with the child offering support and comfort until their
parents arrive.
◦ If a child has contracted an infectious disease, we require that the
parent notify the nursery immediately and complies with the exclusion
periods below.
◦ If unsure about the exclusion period please contact the nursery
manager.
◦ Please note that the nursery manager retains the right to refuse the
return of a child to nursery if they feel that the exclusion periods have
not been adhered to or the child is still infectious to the other children
at the nursery.
Medication
◦ If a child requires prescribed medication whilst attending the nursery,
a medication form must be completed by the parent on arrival. The
management team will check the name on the medication and expiry date
before administration. The management team will be responsible for
administering any medication.
◦ All medication will be kept out of reach of the children. Parents of
children who have received medication will be asked to sign the
medication form on collection of their child.
◦ If a child suffers from a long term medical condition the manager will
arrange a meeting with the child’s parents and medical professionals prior
to his/her start date to draw up a health plan. All staff members will
receive training on the specific condition and the methods of
administration of treatment.
Infection
Blood borne viruses
(Hepatitis B & C, HIV)
Chickenpox
Conjunctivitis
Hand, Foot & Mouth Disease
Impetigo
Infectious hepatitis (A)
Lice
Measles
Meningococcal Infections
Mumps
Rubella (German Measles)
Scabies
Scarlet fever
Slapped Cheek syndrome
(Parvovirus/Fifth disease)
Tinea capitis (ringworm of scalp)
Tinea capitis (ringworm of body)
Period to stay off nursery
Patient
None
Until the spots are dry (usually 5-10 days from onset of
rash)
Until discharge stops
Until skin lesions have disappeared
Until skin is healed
Until one week after onset of jaundice
Until effective treatment has been administered
5 days from appearance of rash
Until clinical recovery
Until clinical recovery but at least 7 days from onset
of symptoms
7 days from appearance of rash
Until day after first treatment
Until clinical recovery
Until clinical recovery
Until adequately treated
Exclusion from barefoot activities unnecessary but
treatment always advisable
Tuberculosis
Contact CPHM for further advice
Warts: Plantar (sole of feet)
Absence unnecessary provided warts remain covered
With occlusive plaster/socks
Whooping cough
21 days from onset of paroxysmal cough or until 5 days
after start of appropriate antibiotic therapy
Campylobacter
Until at least 48 hrs after diarrhoea stopped
Cryptosporidium
Until at least 48 hrs after diarrhoea stopped
Dysentery: amoebic
Until at least 48 hrs after diarrhoea stopped
Dysentery: S sonnei (Bacillary) Bacterial clearance required for younger children
Contact CPHM
E. Coli 0157 gastroenteritis
Bacterial clearance required for younger children
Food poisoning
Until at least 48 hrs after diarrhoea stopped
Salmonella
Bacterial clearance required for younger children
Contact CPHM
Thread worm
None but should be treated promptly
Viral gastroenteritis
Until at least 48 hrs after diarrhoea stopped
For further advice contact: Consultant in Public Health Medicine (CPHM)
Department of Public Health
Lanarkshire Health Board, 14 Beckford Street
Hamilton ML3 0TA
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