Maidford Montessori Children’s Sickness/Illness Policy We ask parents/guardians to ask themselves, “Is my child well today?” before bringing them into the setting. As a general principle, children with any infection are to keep away from the nursery while they have symptoms or feel unwell. If a child’s sibling is off school because they are unwell obviously, we do not want them in our nursery either! It is the parent or guardian’s responsibility to keep us informed of any symptoms the child may have had of unwellness. No matter how slight, so we can make a proper informed decision about whether the child can attend the setting. It will always remain the sole discretion of the management as to whether a child is well enough to be at nursery. You will be required as parents or guardians to exclude your child from setting for the stated time if they have any of the following: Sickness and Illness Guidelines (Always follow NHS Latest Guidelines we do!) Rashes and Skin Infections Chicken Pox: Five days from the onset of rash German measles: Six days from onset of rash Notifiable Disease Impetigo: Until sores are crusted and healed, or 48 hours after commencing antibiotic treatment Measles: Four days from onset of rash Scabies: After first treatment Scarlet fever: Child can return 24 hours after commencing appropriate antibiotic treatment Notifiable Disease Shingles: Exclude only if rash is weeping and uncovered by location Diarrhoea and vomiting: Your child may return to our setting once they have been clear for 48 hours from the last episode of diarrhoea or vomiting. Ofsted informed if two or more children have food poisoning. E.coli 0157 VTEC Typhoid Notifiable Disease Paratyphoid (enteric fever): Your child may return to our setting once they have been clear for 48 hours from the last episode of diarrhoea or vomiting. Exclusion may require longer for some children until they are no longer excreting. There is further exclusion for young children under five and those who have difficulty in adhering to hygiene practises. Cryptosporidiosis: Your child may return to our setting once they have been clear for 48 hours from the last episode of diarrhoea or vomiting. If a child has a loose nappy or is sick in setting: We will call you and request you return to the nursery to collect your child. They will be kept away from the other children with one member of staff, so we require prompt pick up. Spillages we clean using detergent or disinfectant and disposable paper towels, which we remove from the environment appropriately. PPE worn including Plastic Apron and Latex free CE Marked Gloves encase of splashing or contamination with blood or bodily fluids. Eye or Ear Discharge Eye or ear infections must be clear of discharge before the child can return to the setting. If your doctor informs you it is not infectious, they may return to our environment as long as they are not in any discomfort, pain or need of extensive care. Conjunctivitis does not require exclusion. Respiratory infections Flu: Until recovered Tuberculosis: Ask HPU Notifiable Disease Whooping Cough: 5 days from commencing antibiotic treatment / 21 days from onset if not receiving antibiotics Notifiable Disease Other Infections Diphtheria: Family excluded until cleared for return by HPU. Notifiable disease Hepatitis A: Exclude for seven days until after onset of jaundice/symptoms In an outbreak of hepatitis A, your local HPU will advise you on control measures. Notifiable disease Hepatitis B and C HIV and Aids: No Exclusion Notifiable disease Meningococcal Meningitis/ Septicaemia: Until recovered Notifiable disease Meningitis due to other bacteria: None Notifiable disease Meningitis Viral: None Notifiable disease Mumps: Exclude child for five days after onset of swelling Notifiable Disease If a child has a high temperature, we will call the parent/guardian then continue through the emergency contact list until we get hold of someone and ask the child is collected immediately. Failing that, we may contact emergency services depending on the severity. We always do our best to look after children who are a little ‘under the weather’ but as we do not have facilities to look after sick children. The responsibility must remain with the parent/guardian. We appreciate disruption to work commitments by the nursery requesting that the child be collected. We wish to assure all parents/guardians, we have only the needs of your child and the protection of others in the Nursery in mind. If your child requires medication whilst they are at our setting, you are to fill in our Medicine Book. All Notifiable Disease Inform: HPU East Midlands South Health Protection Unit Atelius House, 2 Smith Way, Grove Park, Enderby, Leicester LE19 1SX Tel: 0844 225 4524, Option 1, 3 & Ofsted Tel: 0300 123 1231 Email: emsouthHPU@hpa.org.uk Sources Health Protection Agency http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1194947358374 Date Adopted 09/04/2010 Julie Marriott Reviewed By Julie Marriott Date Reviewed 14.11.14