Medication and Illness
We promote the good health of children attending nursery and take necessary steps to prevent the spread of infection. If a child requires medicine we will obtain information about the child’s needs for this, and will ensure this information is kept up-to-date.
When dealing with medication of any kind in the nursery, strict guidelines will be followed.
Any child who has been given medication from a doctor will be expected to have received the first dose at least 24 hours before they come in to nursery, this is to ensure the child does not have any allergic reaction to the medication.
Prescription medicine will only be given to the person named on the bottle/box for the dosage stated and medicines must be in their original containers/packaging.
The staff member should note the details of the administration on the appropriate form and another member of staff should check these details. Those with parental responsibility must give prior written permission for the administration of each and every medication. However we will accept written permission once for a whole course of medication or for the ongoing use of a particular medication. However should the medication or dosage change a new form will need to be completed.
Parents should notify us IMMEDIATELY if the child’s circumstances change, e.g. a dose has been given at home, or a change in strength/dose needs to be given. The nursery will not administer a dosage that exceeds the recommended dose on the instructions unless accompanied by a doctor’s letter. The parent must be asked when the child had last been given the medication before coming to nursery; this information will be recorded on the medication form. Similarly when the child is picked up, the parent or guardian must be given precise details of the times and dosage given throughout the day. The parent’s signature must be obtained at both times. At the time of administering the medicine, a senior member of staff will ask the child to take the medicine, or offer it in a manner acceptable to the child at the prescribed time and in the prescribed form.
Over-the-counter medicine such as pain and fever-relief and teething gel may be administered. However, the same procedures must be followed regarding documenting the dosage to be given and when it is administered (medicine form).
The nursery will administer non-prescription medication for a short initial period, dependant on the medication or the condition of the child. If a child needs liquid paracetamol or similar medication during their time at nursery, such medication will need to be provided by the parent/carer and not stored within the setting for longer than required by the child (medicines containing aspirin will only be given if prescribed by a doctor) – staff will check non – prescribed medication to ensure it does not contain aspirin.
If any child is brought to the nursery in a condition in which he/she may require medication sometime during the day, the manager will decide if the child is fit to be left at the nursery. If the child is staying, the parent must be asked if any kind of medication has already been given, at what time and in what dosage and this must be stated on the medication form. The nursery DOES NOT administer any medication unless prior written consent is given for each and every medicine.
In the case of medication that may need to be given to a child due to them becoming ill during the day, e.g. liquid paracetamol for temperature reduction, parents will be contacted before any medication is administered.
Injections, pessaries, suppositories
As the administration of injections, pessaries and suppositories represents intrusive nursing, they should not be administered by any member of staff unless appropriate medical training is given to each member of staff caring for this child. This training would be specific for each child and not generic.
Staff medication on the premises must be securely stored, if the medication needs to be refrigerated then it must be stored in the baby room fridge. Staff must inform the manager if they are bringing any medicine on to the premises and ensure that it doesn’t impair their ability to work.
All medication for children must have the child’s name clearly written on the original container and kept in a lockable box in the office, which is out of reach of all children and under supervision at all times or in the baby room fridge if they so require.
Medication MUST NOT be stored in children’s bags.
All medications must be in their original containers, legible and not tampered with or they will not be given. All prescription medications should have the pharmacist’s details and notes attached to show the dosage needed and the date the prescription was issued. This will all be checked, along with expiry dates, before staff agree to administer medication.
Medicine will only be administered to children by a first aid trained senior member of staff. Another member of staff must witness this taking place. Both staff are required to check the details on the medication form and sign the form stating the medication was administered.
All medication records are stored within the classroom whilst the medication is running and then filed confidentiality.
If at any point during the course of medication staff administer the treatment incorrectly the parents will be telephoned immediately and the management will take appropriate measures, this could be either calling a local GP, NHS direct or taking the child in to hospital.
Long term medication and complex medical needs
Sometimes children have long term or complex medical needs and are therefore in need of a more regular and set care routine.
Joeys will therefore meet with the parents/carers before the child starts Joeys to work out what staff training is needed and also put together a written health care plan in conjunction with any care workers involved in the child’s life.
· Any relevant training will be given to the staff that will be primary carers within Joeys.
· All staff will be made aware of the child’s condition and who to go to if help is needed
· All medications or medical equipment will be stored out of reach of children
· The child’s contact details will be made easily accessible for staff in emergencies
· The parents/carers of the child will be required to provide all essential medical equipment and medication (prescribed), during the child’s time with Joeys. Any medication or equipment requiring disposal will be returned to the parents/carers
When any child becomes unwell and is found to have a temperature, we will contact the child’s parents/carers to collect the child, or if they are unavailable the other named people on the emergency contact list. We will attempt to cool the child down by removing clothing. If we can contact a parent we will offer to give the child a dose of our ‘emergency calpol’ to reduce temperature until the parent can collect, the parent will then have to sign the medicine form. If we cannot contact anyone and we will feel the child needs medical treatment we will contact the local doctors for advice. If we feel the case becomes serious we will call both parents and emergency services. A member of staff will accompany the child to hospital with their personal details and arrange to meet the parents/carers at the emergency department.
Children must not be brought into nursery if they have any types of infection or illness, e.g. chicken pox, diarrhoea, conjunctivitis etc. Any child found to be unwell will be sent home (please see or Communicable diseases list).
§ Parents are asked to keep their children at home if they have an infection, and to inform Joeys as to the nature of the infection so that Joeys can alert other parents, and make careful observations of any child who seems unwell.
§ Parents are asked not to bring to Joeys any child who has been vomiting or had diarrhoea until at least 48hours has elapsed since the last episode. This is in accordance with the Health Protection Agency Guidance on Infection Control in Schools and other Childcare settings Dec 2006.
§ If the children of Joeys’ staff are unwell, the children will not accompany their parents/carer to work at Joeys.
§ Cuts or open sores, whether on adults or children, will be covered with a sterile dressing.
§ For children with long term medication needs such as Asthma, a long term medication form will be filled in.
§ A medication form will be available to log in the name of any child receiving medication, times that the medication should be administered, date and time when medication was administered, together with the signature of the person who has administered each dose.
§ Joeys will ensure that the first aid equipment is kept clean and replenished as necessary. Sterile items will be kept sealed in their packages until needed.
We ask that parents notify us if their child is going to absent due to illness please make clear if the illness is a diagnosed communicable disease (please see list for details). There may be occasions when exclusion times are extended due to regional outbreaks of contagious illnesses.
We also require parents to inform us if any child attending Joeys is admitted to hospital following an accident at Joeys, the nursery must then Inform Ofsted.
If your child is sent home by the nursery staff your fees for that session are still payable. If a child is off sick for any reason fees are still payable.
Signed on behalf of
Milnthorpe Family Centre Directors
Katie Smyth, Manager Reviewed January 2017