Loretto
Nursery Class
Infection Prevention and Control
Policy
Loretto Nursery Class Infection Prevention and Control Policy Updated November 2013
Loretto Nursery Class Infection Prevention and Control Policy
Our childcare setting is kept clean and as safe as possible for the children in our care. Loretto
Nursery Class has agreed to adopt the guidance in the attached document, Infection Prevention and
Control in Childcare Settings (Day Care and Childminding Settings) March 2011, published by Health
Protection Scotland, NHS National Services Scotland.
This document can also be found online at http://www.documents.hps.scot.nhs.uk/hai/infectioncontrol/guidelines/infection-prevention-control-childcare.pdf
Table of amendments to version March 2011 as at 12 October 2011
Pages
Glossary and when referred to throughout
document
Amendment
Where disinfectant is mentioned in the
document the approved disinfectant type is a
Chlorine releasing agent (e.g bleach) unless
otherwise stated.
9. Section 5.3, Table 2
For nappy changing the PPE should be
Disposable aprons and non-plastic gloves.
Important Contact Numbers
Contact number for our Health Protection Team: 0131 465 5420 or 0131 536 1000 (out of hours)
Contact number for our Environmental Health Officer:
Contact Number for our Care Inspectorate Officer: 0131 653 4100 or 0845 600 8335
Staff
All of our staff have read this guidance and agree to keep it.
All of our food handlers have received training in handling food.
Staff Trained in Infection Control
Staff Trained in First Aid
Staff Trained in Food Handling
Mrs C Gill
Mrs C Gill
Mrs J Gaunt
Mrs J Gaunt
Mrs J Gaunt
Appendices
Appendix 1: Communicable Diseases, Means of Spread and Recommended Exclusion Periods
Appendix 2: Education Cleaning Standards Sheet
Loretto Nursery Class Infection Prevention and Control Policy Updated November 2013
Appendix 1: Communicable Diseases, Means of Spread and Recommended Exclusion Periods
Taken from Guidance for Head Teachers of Nursery Schools and Classes, March 2001
Disease/Organism
AIDS/HIV
Infections
Campylobacter
Chickenpox
Means of Spread
Contact with infected blood or bodily
fluids
Food borne, contact with
Infected animals or human faeces
Direct contact, airborne droplets
Colds
Cod Sores
Respiratory contact with secretions
Direct contact with lesions
Conjunctivitis
Cryptosporidiosis
Contact with discharge
Faecal-oral; water borne;
contact with animals
Intimate contact with
Infected fluids, e.g. saliva or urine
Often food or water borne or from poor Until clinically recovered and diarrhoea has ceased for 48
hygiene. Some viruses may be air borne hours. If the cause is known, please refer to the
information on that disease for further advice.
Faecal-oral, food borne
Until clinically recovered and diarrhoea has cease for 48
hours. Groups A B C & D* should have 2 negative stool
samples at a minimum of 24 hour intervals.
Cytomegalovirus
Diarrhoea
Dysentery
(Bacillary)
E.Coli 0157
(VTEC)
Faecal oral, food borne
Infected person
None
Recommended Period of Absence
Contacts
None
Until clinically recovered and diarrhoea has cease for 48 None
hours
Unit vesicles (spots) are dry (approx.7 days normally).
None if no symptoms are present
Pregnant women should consult their GP if they have been
exposed.
If symptoms are severe, e.g. fever
None
None (unless their is a secondary bacterial infection such None
as impetigo)
During acute stage
None
Until clinically recovered and diarrhoea has ceased for 48 None
hours
None
None
None: if the cause is known please
refer to the information on that
disease for further advice.
Guidance will be given by the
Consultant in Public Health Medicine
regarding exclusion of children who
are not showing symptoms. Adults
who are not showing symptoms need
not be excluded.
Until clinically recovered and diarrhoea has ceased for 48 Until 2 consecutive negative stool
hours. Groups A, B, C and D* should have 2 negative stool samples at 24 hours are obtained for
samples at a minimum of 24 hours intervals.
groups A ,B, C & D*.
Loretto Nursery Class Infection Prevention and Control Policy Updated November 2013
Fifth Disease (also
known as parvovirus
B19, slapped cheek
syndrome)
Food Poisoning
Gastroenteritis
German Measles
(Rubella)
Giardiasis
Glandular Fever
(infectious
mononucleosis)
Head Lice
Hepatitis A
Hepatitis B
Hepatitis C
Impetigo
Influenza
Measles
Meningococcal
Infections
Mumps
Airborne: droplets, contact with
secretions
Until clinically recovered. Pregnant women and people
None
with haemolytic anaemia should avoid contact with
known cases. Pregnant women should consult their GP if
they suspect they have been exposed.
Food borne
Until clinically recovered and diarrhoea has ceased for 48 None
hours.
Food borne. Person to person for some Until clinically recovered and diarrhoea has ceased for 48 None. If the cause is known please
bacteria. Airborne for some viruses.
hours. If the cause is known, please refer to the
refer to the information on that
information on that disease for further advice.
disease for further advice.
Respiratory droplets or contact with
4 days after the onset of the characteristic rash. Pregnant None
secretions.
women should consult their GP if they have been exposed.
Water borne. Faecal-oral.
Until clinically recovered and diarrhoea has ceased for 48 None
hours.
Close contact with secretions from nose Until clinically recovered.
None
and mouth
Direct head to heard contact
Faecal oral. Water borne.
Contact with infected blood or other
bodily fluids.
Contact with infected blood or other
bodily fluids.
Contact with lesions
Air borne droplets, contact with
respiratory secretions
Air borne droplets, direct contact with
respiratory secretions
Air borne droplets, direct contact with
respiratory secretions
Droplet, direct contact with
saliva.
Until treated
Until clinically recovered, and until 7 days after onset of
jaundice.
Until clinically recovered.
None if no symptoms are present.
None if clinically well.
Until clinically recovered.
None
Until lesions heal.
Until clinically recovered
None
None
4 days from the onset of the rash.
None
Until clinically recovered.
None
None
Until clinically recovered but not less than 7 days from the None
onset of symptoms.
Loretto Nursery Class Infection Prevention and Control Policy Updated November 2013
Poliomyelitis
Ringworm
Salmonella
Scabies
Shigella sonnei
flexneri, boydii and
dysenteriae (bacillary
dysentery)
Shingles
Threadworm
Toxocariasis
Toxoplasmosis
Tuberculosis
(primary)
Tuberculosis
(pulmonary)
Faecal-oral, close contact with respiratory As advised by the Consultant in Public Health Medicine
secretions
Direct contact with lesions and
Until 48 hours after treatment has started.
contaminated articles
Faecal-oral route, food borne
Until clinically recovered and diarrhoea ceased for 48
hours. Groups A & B* should be excluded until they have 2
negative stools at a minimum of 24 hour intervals.
Guidance should be obtained from the Consultant in
Public Health Medicine regarding cases in food handling
staff.
Direct skin to skin contact
Until treated
Faecal-oral, food borne and water borne Until clinically recovered and diarrhoea has ceased for 48
hours.
Groups A, B, C & D* will be assessed by the Consultant in
Public Health Medicine.
Direct contact with lesions
None if lesions can be covered, otherwise 7 days after
onset.
Faecal-oral
No exclusion but should be treated promptly
Ingestion of infective eggs
None
from soil or sand boxes. Not transmissible
from person to person.
Exposure from soil, sand boxes, cat litter, None
eating rare meat. Not transmissible from
person to person
Not usually infectious
None
Airborne droplet
After consultation with the appropriate medical
authorities, the Consultant in Public Health Medicine will
notify the Department that the person can return to
school/work
None
Families should be checked.
None if no symptoms are present.
Until treated.
None
None
No exclusion but household contacts
should be treated promptly
None
None
None
As advised by the Consultant in
Public Health Medicine
Loretto Nursery Class Infection Prevention and Control Policy Updated November 2013
Typhoid
Paratyphoid Fever
(enteric fever)
Viral
Gastroenteritis
Vomiting
Warts
Whooping cough
(pertussis)
Faecal/urine-oral, food borne
Until clinically recovered and diarrhoea ceased for 48
hours. Groups A, B and D* should have 3 negative stool
specimens at weekly intervals, and group C has 6 negative
stool specimens at 2 week intervals.
Faecal-oral, food borne,
Until clinically recovered and diarrhoea has ceased for 48
airborne droplets
hours.
Often food or water borne or from poor Until clinically recovered and vomiting has ceased for 48
hygiene. Some viruses may be airborne. hours. If the cause is known, please refer to the
information on that disease for further advice.
Direct contact with warts. Plantar warts None, if lesions are well covered. Verrucae should
may be transmitted via pools or showers therefore be covered whilst the child is swimming,
Airborne droplets, direct contact with
Until clinically recovered, and 21 days from onset of
respiratory secretions.
cough.
Groups A, B, C and D* should have 3
negative stool specimens at a
minimum of 48 hour intervals.
None
None. If the cause is known, please
refer to the information on that
disease for further advice.
None
None
*GROUP A: Any person with poor personal hygiene, or where there are unsatisfactory toilet, hand washing or hand-drying facilities at home, work or school
*GROUP B: Pre-school children
*GROUP C: People whose work involves preparing or serving unwrapped foods which will not be heated.
*GROUP D: Staff who have direct contact with highly susceptible people or people in whom a gastrointestinal infection would have particularly serious consequences
Loretto Nursery Class Infection Prevention and Control Policy Updated November 2013
Appendix 2: Education Cleaning Standards Sheet
Education Cleaning - Present
Task Outline
Main Entrance,
Ground Floor,
Corridors,
Stairs to 1st
Floor
Upper
Corridors &
Stairs
All Classrooms
P3-P7 &
Secondary
(Excl.Art, Tech
& H.E.)
Offices,
Cloakrooms,
Staffrooms,
Libraries,
Nurseries, P1P2, Arts, H.E.,
Dining Rooms,
Tea Stations,
Pupil Common
Rms
Gyms, Halls
Lecture
Theatres
All Workshops,
Ceramic,
Woodwork,
Metalwork,Stor
es & kilns
Toilets,
Washrooms,
Showers,
Changing
Rooms, Medical
Clinics
Special Care &
Creches
1
Remove Litter to disposal
point
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
2
Damp Wipe bins
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
N/A
N/A
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Weekly
Weekly
Daily
Weekly
Weekly
Daily
Daily
Daily
Weekly
Weekly
Weekly
Weekly
Weekly
Daily
Daily (2)
Daily
Weekly
Alt. Days (4)
Daily (5)
Weekly
Daily
Daily
Daily
Weekly
Weekly
Weekly
Weekly
Weekly
N/A
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly (6)
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Daily (2)
Weekly
3
4
5
6
7
8
9
Wash & Rinse sinks &
surrounds & restock
Damp Wipe & Polish both
sides of glass doors
Damp Wipe & Polish door
furniture
Damp Wipe furniture,
fixtures & fittings
Polish wood furniture
Suction Clean soft
furnishings
Damp Wipe skirtings, pipes
& radiators
10
Suction Clean matwells
Weekly
N/A
N/A
Weekly
Weekly
Weekly
Weekly
Weekly
11
Damp Wipe & Polish
Weekly
Weekly
Monthly
Monthly
Monthly
Monthly
Daily
Weekly
Loretto Nursery Class Infection Prevention and Control Policy Updated November 2013
Education Cleaning - Present
Task Outline
12
13
14
15
16
17
18
19
Notes:
High Level Dusting
Damp Wipe all wall
surfaces, shower curtains,
W.C.'s, urinals, baths, fonts,
etc.
Suction Clean carpets &
mats
Mop Sweep or Suction Clean
hard floors
Damp Mop hard floors
(safety & quarry tiles)
Spray Clean or Damp Mop
hard floors
Buff hard floors after damp
mopping
Machine Scrub or Deck
Scrub safety or quarry tiles
1. Workshops & Ceramic Rooms
Only
4. Bookcases & Filing Cabinets Weekly
Offices,
Cloakrooms,
Staffrooms,
Libraries,
Nurseries, P1P2, Arts, H.E.,
Dining Rooms,
Tea Stations,
Pupil Common
Rms
Gyms, Halls
Lecture
Theatres
All Workshops,
Ceramic,
Woodwork,
Metalwork,Stor
es & kilns
Toilets,
Washrooms,
Showers,
Changing
Rooms, Medical
Clinics
Special Care &
Creches
Monthly
Monthly
Monthly
Monthly
Monthly
N/A
N/A
N/A
N/A
Daily
N/A
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Alt. Days
Alt. Days
Daily
Alt. Days
Daily
Daily
Daily
Daily
Alt. Days
Alt. Days
Daily
Alt. Days
Daily
Daily
Daily
Daily
Alt. Days
Weekly
Weekly
Weekly
Weekly (1)
Weekly
Weekly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Weekly
Weekly
Main Entrance,
Ground Floor,
Corridors,
Stairs to 1st
Floor
Upper
Corridors &
Stairs
All Classrooms
P3-P7 &
Secondary
(Excl.Art, Tech
& H.E.)
Monthly
Monthly
Monthly
N/A
N/A
Daily
2. Skirtings & Door Frames - Weekly
3. Door Closures & I.D. Plates & Frames - Weekly
5. Include H.E. Fridges & Cookers
6. Monthly - in Pupil Common Room
Loretto Nursery Class Infection Prevention and Control Policy Updated November 2013