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