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Accident & Illness

Rationale

We do everything possible to keep tamariki and adults in our Centre safe. We have clear procedures for identifying and reducing hazards, for recording all injuries and illnesses that occur at this Centre, and notifying parents.

Purpose

Both tamariki and adults have accidents, even in safe environments. Tamariki can also get sick quite suddenly or can be unwell on arrival at the Centre. Our job is to maintain the wellbeing of our tamariki by creating a safe and healthy environment and acting urgently and effectively to ensure the health and wellbeing of all tamariki. 

Procedures

General:

  • We have a Health & Safety Officer on the staff.
    We have a first aid kit equipped to the standard set by the Ministry of Education and kept fully equipped by the Health & Safety Officer.
  • We have an area where we can isolate sick tamariki.
  • All qualified kaiako have current first aid training.

Injury Prevention:

  • All staff take account of injury prevention in the layout, daily activities and rules in our Centre.
  • Daily playground checks are completed by kaiako.
  • Our Team Leaders (or Person Responsible) check the Centre monthly for hazards.
  • All kaiako are trained in hazard identification and management.  
  • All staff are trained to notify maintenance needs to the Manager. The Manager acts promptly on dangerous or urgent repair work and programmes in other maintenance work. Maintenance work is recorded.
  • The hazard management approach we take is to eliminate, isolate or minimise hazards in the Centre. Our Health & Safety Officer is trained to do these things.
  • The Health & Safety Officer analyses hazards and accident records monthly. The Manager acts on the Health & Safety Officer’s report.
  • A kaiako is appointed to take care of animals at the Centre.

Tamariki Injury/Accident Procedures:

  • In the event of an injury to tamariki, a first aid trained kaiako assesses the severity of the injury and gives the necessary first aid.
  • If the injury needs urgent medical attention, an ambulance will be called as well as their parents.
  • If a tamariki needs to go to a doctor, the parents/caregivers will be informed immediately and asked to collect their tamariki and get them checked by a doctor or health professional. 
  • If it is a head injury, an ice pack wrapped in a towel will be held on the head of the tamariki for up to 20 minutes.  If it is a burn, the injured area will be put under cold running water immediately for at least 10 minutes.
  • In the event that a parent/caregiver cannot be contacted, the Manager or senior kaiako (with a full drivers licence) will take the tamariki to the nearest Medical Centre (probably Anglesea Street) and remain with them until their parents/caregivers arrive. If necessary 2 staff may need to go, one to drive and one to sit in the back of the car with the tamariki. One of our spare carseats will be used to ensure the safety of the tamariki.
  • There will always be adequate kaiako to care for remaining tamariki at the Centre.
  • In all cases, incidents will be recorded in the accident book by a permanent kaiako and a copy is given to parents the same day as the incident so they can take it with them to the doctor or health professional.
  • If there is serious harm, the Manager must report the incident to the Department of Labour as soon as possible and send a completed accident form within 7 days.
  • The Team Leaders ensures the accident/illness/incident register is completed.

Tamariki Illness:

  • Sick tamariki with communicable diseases will be isolated to stop the spread of infection. Parents will be asked to collect them.
  • The Ministry of Health is informed of notifiable diseases.  Kaiako and parents are informed of health warnings and how to recognise signs of any illnesses for which we receive Ministry notifications. 
  • If a tamariki has been prescribed antibiotics by a Doctor, parents must bring a medical certificate to say that their tamariki is not contagious and is well enough to be in the Centre (if they return within 24 hours). Otherwise, parents need to keep their tamariki home for 24 hours from their first dose of antibiotics.
  • If your tamariki has had any medication (including Pamol) prior to attending our Centre in the morning, please make sure our kaiako are aware of this.

Vomiting and Diarrhoea:

  • If a tamariki has vomiting or diarrhoea whilst they are attending the Centre, the parent/caregiver will be contacted, and requested to pick up their tamariki within one hour.
  • As in the updated Ministry of Health Guidelines, any person needs to be clear of vomiting and diarrhoea for 48 hours before returning to the Centre.  
  • If tamariki arrive at the Centre after having diarrhoea and/or vomiting overnight the parent/caregiver will be asked to take them straight home.
  • In the event of a vomiting & diarrhoea outbreak, parents/caregivers will be notified.
  • In the case of diarrhoea caused by antibiotics, a medical certificate may be required by Management stating that the tamariki does not have a contagious illness, prior to them returning to the Centre.

High Temperature:

  • In the case of tamariki having a temperature over 38oc, they will have any excess clothes removed and the parent/caregiver will be contacted and required to collect their tamariki within half an hour.  If the temperature increases before the parent/caregiver collects their tamariki, they will be tepid sponged and given an ice block to help reduce the temperature.
    In a situation where kaiako have made every effort but they are unable to contact the parent/caregiver or the emergency contact for the tamariki, the most senior kaiako will decide if the tamariki requires immediate medical attention.  If this situation arises, the details form will be printed and will accompany the tamariki to a Medical Centre.  If possible - the kaiako will be a person responsible.

Eye Discharge:

  • If any person has discharge from the eye, they will be sent home.
  • Any person returning to the Centre after a suspected case of conjunctivitis must have no discharge visible in the eye AND have been on medication for 24 hours.  Please note that conjunctivitis is extremely contagious and is transmitted by the discharge.
  • If the eye discharge is not the result of conjunctivitis, a medical certificate will be required.

Rash:

  • In the case of tamariki having an unidentified rash, kaiako may ask the parent/caregiver to have their tamariki checked by a Doctor to ensure that the rash is not contagious. 
  • A medical certificate may be required stating that the tamariki does not have a contagious illness prior to returning to the centre.

Head Lice:

  • If tamariki are found to have head lice the parent/caregiver will be phoned and asked to take the tamariki from the Centre for treatment. Tamariki are not permitted return to the Centre if there are any head lice or eggs remaining in the hair.
  • Should there be a case of Head Lice in the Centre, all parents/caregivers will be informed and requested to check and treat the hair of their if necessary, with an effective head lice shampoo and comb.
  • Kaiako will also check the hair of the tamariki if they suspect head lice, or if there has been a case in the Centre.

Allergic Reactions:

  • For tamariki with known allergies, an action plan will be completed on enrolment with all relevant information including details of medications and how these are to be administered.
  • In the case of tamariki having a severe allergic reaction to a new food/substance, insect, etc. kaiako will:
  • Keep the tamariki as calm as possible.
  • Phone an ambulance. 
  • Take tamariki to a Medical Centre with any relevant enrolment information if that will be quicker than waiting for an ambulance.
  • Phone parents/caregivers or emergency contact.
  • Remain with the tamariki until parent/caregiver arrives.

Kaiako Illness and Accidents:

  • Kaiako with communicable illnesses must take sick leave.
  • Kaiako accidents and injuries are also recorded and procedures followed as for tamariki procedures with next of kin notified where the incident is serious.

Alignment with Other Policies

This policy aligns with the Child Protection Policy, Emergency Response Policy, Health and Safety in Employment Policy, Medicine Administration Policy, Excursions Policy and Personnel Policies.

Relevant Background (including legislation/regulation references)

Licensing Criteria 2008, Health and Safety, Child Health and Well Being documentation required: 

  • HS25, HS27: a record of all injuries and illness that occur at the service. Records include the name of the tamariki, date, time and description of the incident, actions taken and by whom and evidence of parental knowledge of the incident. Copies of current first aid certificates for kaiako counting towards the qualification requirement.

Licensing Criteria 2008, Health and Safety, Hazards and Outings documentation required:

  • HS12: a hazard identification and management system. The system can be consistent with the requirements of the Health and Safety in Employment Act 1992, but goes beyond the consideration of significant hazards to employees to include all hazards to tamariki.
  • PF27:There is space (away from where food is stored, prepared, or eaten) where a sick tamariki can:
    • Be temporarily kept at a safe distance from other tamariki (to prevent cross-infection)
    • Lie down comfortably
    • Be supervised.
  • PF28: There is a first aid kit that:
    • Complies with requirements
    • Is easily recognisable and readily accessible to adults;
    • Is inaccessible to tamariki.
  • HS30: Tamariki are washed when they are soiled or pose a health risk to themselves or others.
  • HS13: The temperature of warm water delivered from taps that are accessible to tamariki is no higher than 40 degrees, and comfortable for tamariki at the Centre to use.
  • HS14: Water stored in any hot water cylinder is kept at a temperature of at least 60 degrees Celsius.  
  • HS15: All practicable steps are taken to ensure that noise levels do not unduly interfere with normal speech and/or communication, or cause any tamariki attending distress or harm.
  • HS16: Safe and hygienic handling practices are implemented with regard to any animals at the service. All animals are able to be restrained;

Health (Immunisation) Regulations 1995 require services to have an immunisation register retained for at least 12 months. 

Impacts of Policy on Kaiako, Parents, Tamariki

Following these procedures will ensure that the environment is safe, that parents and appropriate authorities are kept informed of accidents and illnesses when needed, and that appropriate records are kept to meet licensing and other legislative requirements.

Alignment with the Philosophy of Midcity Childcare

This policy ensures a safe environment, a crucial part of creating and maintaining the wellbeing of tamariki in our care.

Implications and/or Risks for Midcity Childcare

Following this policy significantly reduces the risk of this Centre being fined for not meeting criteria, losing trust with parents because of illness or accident issues and maintaining public credibility.

Implementation 

Clear procedures have been developed and kaiako are trained to follow them.

Review                                                                                                                

Review bi-annually or when there is a significant change in the area of the policy topic.

Authorised: Manager
Date: February 2021
Review Date: February 2022
Consultation Undertaken: Management/Staff/Parents & Whānau