Prevention and Control of Communicable Diseases - Missouri ...

More documents

Recommendations

Info

Changing Pull-ups/Toilet Learning Procedure *Note: This procedure is recommended for wet pull-ups only. For soiled pull-ups follow diapering procedure. Preparation Dirty Phase Toileting Clean Phase Clean Up Communicate July 2011 Wash hands ....................................... Assemble supplies (within reach) .... Put gloves on ..................................... Stand child by the toilet .................... Teach child to remove pull-up ......... Teach child to wipe bottom .............. Remove gloves ................................... Encourage Independent Toileting .... Teach child to put on pull-up and clothes. Wash child’s hands .......................... Return child to activity .................... Clean and sanitize ............................ Wash hands ....................................... Acknowledge Toilet Learning Process Record ............................................... Report ................................................ * A disposable diaper may be substituted for a pull-up if necessary. 46 Please Post Thoroughly with soap and warm running water for 15-20 seconds using posted procedure. 1. Clean disposable pull-up*. 2. Disposable wipes or paper towels. 3. Gloves, when used. See gloving recommendations per program policies. 1. Provide privacy. 2. Assist child to remove clothing, if necessary. Put soiled clothing in a plastic bag. Tear sides of pull-up to remove. Place pull-up directly into plastic bag, tie and place in a plastic lined waste container. 1. Teach child to wipe from front to back (once per wipe). Use the child’s own disposable wipes. 2. Place wipes in waste container. Place gloves in waste container. 1. Allow child to sit on toilet. 2. Praise for toileting attempt/success. 3. Allow child to wipe bottom. 4. Encourage child to flush toilet. Thoroughly with soap and warm running water for 15-20 seconds using posted procedure. Staff returns to diapering area. Any soiled areas including cleaning and sanitizing toilet seat. Thoroughly with soap and warm running water for 15-20 seconds using posted procedure. Praise child for all attempts/successes in toilet learning process. Toileting results. Toileting results and any concerns to parents (rash, unusual color, odor, frequency, or consistency of stool).
July 2011 FOOD SAFETY IN CHILDCARE SETTINGS AND SCHOOLS Foodborne illness can be prevented by following guidelines for handwashing, excluding ill foodservice workers, and for storing, handling, preparing, and cooking food and beverages in the childcare and school settings. Handwashing Wash hands thoroughly with soap and warm running water after using the toilet, changing diapers, and before preparing or eating food. Thorough handwashing is the best way to prevent the spread of communicable diseases. Alcohol-based hand rubs are not acceptable in the food service area. (See pgs 57-60 for more information on handwashing.) Exclusion � People should not prepare or serve food with the following: - vomiting and/or diarrhea or until 72 hours after the last episode of vomiting or diarrhea. - until treated with antibiotics or have had one or more negative stool tests (depends on specific bacteria). - skin lesions on exposed areas (face, hands, fingers) that cannot be covered. Wear finger cots or disposable gloves over covered sores on the fingers or hands. - when wearing fingernail polish. Food and beverage storage, handling, preparation, and cooking guidelines � Storage guidelines/rationale - Store all potentially hazardous foods (eggs, milk or milk products, meat, poultry, fish, etc.) at 41° F or below. Childcare centers/schools that receive hot food entrees must hold potentially hazardous foods at 135° F or above and check food temperature with a clean, calibrated food thermometer before serving. Bacteria may grow or produce toxins if food is kept at temperatures that are not hot or cold enough. These bacteria can cause illness if the food is eaten. Store lunches that contain potentially hazardous foods in the refrigerator. Use coolers with ice packs for keeping lunches cold on field trips. - Store raw meat and poultry products on the bottom shelf of the refrigerator. This will help to prevent the meat and poultry juices from dripping onto other foods. - Keep food products away from cleaning products, medicine, and animal food. Never refer to medicine as “candy” as this may encourage children to eat more medicine than they should. Some cleaning products can be mistaken for foods. For example, cleansers may look like powdered sugar and pine cleaners may look like apple juice. Cleaning products must be properly labeled. � Preparation guidelines/rationale - Prepare food in an approved preparation area. Preferably, one sink should be dedicated for food preparation and one for handwashing. This area has equipment, surfaces, and utensils that are durable, easily cleaned, and safe for food preparation. - Rinse fresh produce in a clean, sanitized sink before preparing. This helps remove pesticides or trace amounts of soil and stool, which might contain bacteria or viruses that may be on the produce. 47
Page 1 and 2:
Prevention and Control of Communica
Page 3 and 4:
FOREWORD HELP CONTROL COMMUNICABLE
Page 5 and 6: INTRODUCTION The number of families
Page 7 and 8: SECTION 4 Reports from Staff 71 (CO
Page 9 and 10: SECTION 6 Parent Fact Sheet 170 (CO
Page 11 and 12: GENERAL EXCLUSION GUIDELINES FOR IL
Page 13 and 14: July 2011 SPECIFIC DISEASE EXCLUSIO
Page 15 and 16: SPECIFIC DISEASE EXCLUSION GUIDELIN
Page 21 and 22: July 2011 SPECIFIC DISEASE EXCLUSIO
Page 29 and 30: What is CMV? July 2011 CYTOMEGALOVI
Page 31 and 32: July 2011 FIFTH DISEASE (PARVOVIRUS
Page 33 and 34: July 2011 HAND, FOOT, AND MOUTH DIS
Page 35 and 36: July 2011 HEPATITIS B VIRUS AND PRE
Page 37 and 38: HUMAN IMMUNODEFICIENCY VIRUS (HIV)
Page 39 and 40: What is rubella? July 2011 RUBELLA
Page 41 and 42: July 2011 VARICELLA-ZOSTER VIRUS (C
Page 43 and 44: July 2011 HUMAN BITING INCIDENTS Bi
Page 45 and 46: July 2011 CLEANING, SANITIZING, AND
Page 47 and 48: CLEANING, SANITIZING, AND DISINFECT
Page 49 and 50: CLEANING, SANITIZING, AND DISINFECT
Page 51 and 52: July 2011 41
Page 53 and 54: DIAPERING Handwashing procedures Th
Page 55: July 2011 45
Page 59 and 60: FOOD SAFETY IN CHILDCARE SETTINGS A
Page 61 and 62: PETS IN CHILDCARE SETTINGS AND SCHO
Page 63 and 64: July 2011 SWIMMING AND WADING POOLS
Page 65 and 66: July 2011 55
Page 67 and 68: August General information August 2
Page 69 and 70: HANDWASHING Why, How, When: A Handw
Page 71 and 72: July 2011 INFECTION CONTROL GUIDELI
Page 73 and 74: INFECTION CONTROL RECOMMENDATIONS F
Page 75 and 76: MISUSE OF ANTIBIOTICS � Does acut
Page 77 and 78: SAFE HANDLING OF BREAST MILK Prepar
Page 79 and 80: July 2011 COMMUNICABLE DISEASE REPO
Page 81 and 82: COMMUNICABLE DISEASE REPORTING �
Page 83 and 84: July 2011 CONTROL AND MANAGEMENT OF
Page 85 and 86: July 2011 SAMPLE: Line List for Gas
Page 87 and 88: July 2011 BED BUGS 77 PROVIDER The
Page 89 and 90: July 2011 79 PROVIDER BRONCHITIS, A
Page 91 and 92: July 2011 CAMPYLOBACTERIOSIS Report
Page 93 and 94: Your child may have been exposed to
Page 95 and 96: CHICKENPOX (VARICELLA) PROVIDER EXC
Page 97 and 98: July 2011 CONJUNCTIVITIS (PINKEYE)
Page 103 and 104: CRYPTOSPORIDIOSIS PROVIDER TREATMEN
Page 105 and 106: July 2011 CYTOMEGALOVIRUS (CMV) INF
Page 107 and 108:
July 2011 DIARRHEA (INFECTIOUS) 97
Page 109 and 110:
Your child may have been exposed to
Page 111 and 112:
Page 113 and 114:
FIFTH DISEASE PROVIDER INFORMATION
Page 115 and 116:
July 2011 GIARDIASIS Reportable to
Page 117 and 118:
Page 119 and 120:
HAEMOPHILUS INFLUENZAE TYPE B (HIB)
Page 121 and 122:
July 2011 HAND, FOOT, AND MOUTH DIS
Page 123 and 124:
July 2011 HEAD LICE 113 PROVIDER He
Page 125 and 126:
HEAD LICE PROVIDER PREVENTION/CONTR
Page 127 and 128:
Page 129 and 130:
July 2011 HEPATITIS A Reportable to
Page 131 and 132:
Page 133 and 134:
HEPATITIS B PROVIDER PREVENTION/CON
Page 135 and 136:
HEPATITIS C PROVIDER PREVENTION/CON
Page 137 and 138:
HERPES GLADIATORUM PROVIDER PREVENT
Page 139 and 140:
July 2011 HERPES, ORAL Commonly, th
Page 141 and 142:
July 2011 131 PROVIDER HUMAN IMMUNO
Page 143 and 144:
July 2011 IMPETIGO 133 PROVIDER Imp
Page 145 and 146:
July 2011 INFLUENZA Reportable to l
Page 147 and 148:
July 2011 � Childcare programs sh
Page 149 and 150:
July 2011 MEASLES Reportable to loc
Page 151 and 152:
Page 153 and 154:
MENINGOCOCCAL DISEASE PROVIDER PREV
Page 155 and 156:
July 2011 METHICILLIN-RESISTANT STA
Page 157 and 158:
Page 159 and 160:
MOLLUSCUM CONTAGIOSUM PROVIDER PREV
Page 161 and 162:
July 2011 MONONUCLEOSIS 151 PROVIDE
Page 163 and 164:
July 2011 MOSQUITO-BORNE DISEASE (V
Page 165 and 166:
July 2011 MUMPS Reportable to local
Page 167 and 168:
Page 169 and 170:
NOROVIRUS PROVIDER PREVENTION/CONTR
Page 171 and 172:
July 2011 PARAPERTUSSIS Parapertuss
Page 173 and 174:
PERTUSSIS (WHOOPING COUGH) Reportab
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
PNEUMOCOCCAL INFECTION PROVIDER PRE
Page 181 and 182:
July 2011 PNEUMONIA 171 PROVIDER Pn
Page 183 and 184:
July 2011 RESPIRATORY INFECTION (VI
Page 185 and 186:
July 2011 RESPIRATORY SYNCYTIAL VIR
Page 187 and 188:
Page 189 and 190:
RINGWORM PROVIDER PREVENTION/CONTRO
Page 191 and 192:
July 2011 ROSEOLA 181 PROVIDER Rose
Page 193 and 194:
July 2011 ROTAVIRAL INFECTION 183 P
Page 195 and 196:
Page 197 and 198:
RUBELLA (GERMAN MEASLES) PROVIDER P
Page 199 and 200:
July 2011 SALMONELLOSIS Reportable
Page 201 and 202:
Page 203 and 204:
Page 205 and 206:
SHIGA TOXIN-PRODUCING ESCHERICHIA C
Page 207 and 208:
July 2011 SHIGELLOSIS Reportable to
Page 209 and 210:
Page 211 and 212:
SHINGLES (ZOSTER) PROVIDER PREVENTI
Page 213 and 214:
July 2011 STAPH SKIN INFECTION 203
Page 215 and 216:
Page 217 and 218:
STREPTOCOCCAL INFECTION PROVIDER PR
Page 219 and 220:
July 2011 DISEASE SYMPTOMS CAUSE IN
Page 221 and 222:
July 2011 TUBERCULOSIS (TB) Reporta
Page 223 and 224:
July 2011 VIRAL MENINGITIS 213 PROV
Page 225 and 226:
Page 227 and 228:
Page 229 and 230:
YEAST INFECTION (CANDIDIASIS) PROVI
Page 231 and 232:
Prepared by Missouri Department of
Page 233 and 234:
MISSOURI LAWS RELATED TO CHILDCARE
Page 235 and 236:
July 2011 EMERGENCY PREPAREDNESS PL
Page 237 and 238:
July 2011 EMERGENCY PREPAREDNESS PL
Page 239 and 240:
INDIVIDUAL AND FAMILY EMERGENCY PRE
Page 241 and 242:
GLOSSARY COLONIZATION: When bacteri
Page 243 and 244:
GLOSSARY MENINGITIS: A swelling or
Page 245 and 246:
REFERENCES American Academy of Pedi
Page 247:
REFERENCES Website Resources Americ
show all

Prevention and Control of Communicable Diseases - Missouri ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?