Recognizing and Preventing Infectious Disease in Child Care Settings ppt

Instructor Qualifications: Health Care Professionals with Knowledge of National Child Care Health and Safety Standards as outlined in Caring for Our Children http://nrckids.org/CFOC/HTM

Recognizing and Preventing Infectious Disease

in Child Care Settings

(3 hours)

Peggy Poppe - April 2011

Table of contents for this document

A Instructor Qualifications

B Northern Lights Early Childhood Competencies related to this module

C Module outline

D Sample Agenda

E Sample Activities

F Background Information for Instructors

A Instructor Qualifications: Health Care Professionals with Knowledge of

National Child Care Health and Safety Standards as outlined in Caring for Our Children http://nrckids.org/CFOC/HTMLVersion/TOC.html, Vermont Child Care Licensing regulations and regulations and knowledge of the context of working with children and families from birth through school age in group care

Note to the instructor:

This is an outline of consistent, yet flexible curriculum to use to teach early

childhood professionals across Vermont about the specific Northern Lights Core Competencies for Early Childhood Professionals listed in the “Outline of content and Northern Lights Core Competencies for Early Childhood Professionals”

The materials here are not intended to be a “canned” curriculum, but rather a guide

to use as you plan for instructing on these concepts This curriculum outline and

agenda correspond with the core competencies The outline of topics must be

addressed; however, the teaching methodology and format of delivery are flexible Links to model lesson plans as well as sample activities are provided as resources Background information about the topic is provided as a reference for talking points Information changes periodically The instructor is expected to check current

resources to assure that information is current and up to date For further

information, please contact the Vermont Northern Lights Career Development

Center (http://northernlightscdc.org )

B Northern Lights Core Competencies for Early Childhood Professionals: The

following list of competencies relates to this training

Professionalism And Program Organization

• Identifies local, state, and national organizations that advocate for children,

• Demonstrates knowledge of community resources that support children and families

Healthy And Safe Environments : Healthy Environments and Health Needs

• Demonstrates and provides instruction for new staff and volunteers on hand washing, diapering, toileting, and sanitation practices

• Demonstrates and provides instruction for new staff and volunteers on hand washing, diapering, toileting, and sanitation practices

• Develops and implements policies regarding exclusion and readmission of sick children

• Follows up with parents about maintaining accurate immunization records

C. Module Overview

Recognizing and Preventing Infectious Diseases in Child Care Settings:

Time 3 hours

Objectives This training is designed so that participants will acquire the

knowledge and skills needed for them to:

• Describe factors that impact the spread of infections: type of infection, route of transmission, and personal risks

• Identify practices that prevent the spread of infectious disease in childcare programs

• Review and adapt an infection control policy for a child-care program which is in compliance with Vermont Licensing rules and regulations

Training

Techniques

Lecture, small group work, video, repeat demonstration

Equipment DVD, sink, LCD projector and lap top computer

Topics/ Content Infections in Child Care Settings

• Factors causing increased exposure

• Types of infections

• Routes of infection

• Risks to children and staff Prevention strategies

• Daily Health Check

• Exclusion practices

• Immunizations children and staff

• Hand washing

• Sanitizing surfaces

• Diapering procedure/toileting

• Reportable diseases to VDH and informing parents

• Blood Borne Pathogens requirement

• Infection Control Policies

• Considerations for staff of child bearing age

• Vermont Licensing

Key References Caring for Our Children

http://nrckids.org/CFOC/HTMLVersion/TOC.html

Early Childhood Program Licensing Regulations State of Vermonthttp://dcf.vermont.gov/sites/dcf/files/pdf/cdd/care/Early_Child hood_Program.pdf (section V G)

Model Lesson

Plans

Model Lesson

Plans (cont.)

Health and Safety in the Child Care Setting: Prevention of Infectious Diseases.http://www.ucsfchildcarehealth.org/pdfs/Curricula/idc2book pdf

Managing Infectious Diseases in Early Education and Child Care Settings, 2010

http://www.healthychildcare.org/InstructorsManualID.html Preventing and Managing Illness in ECE Programs http://www.ucsfchildcarehealth.org/pdfs/Curricula/CCHA/9_CCHA_Ill nessPrev_0506.pdf

Sample Activities Symptoms of Illness Activity

Hand washing Activity Infectious Disease Policy Activity

Handouts for

Participants

Handout B Handout C

Hand washing Checklist

California Child Care Health Program Survival Tips Posters

http://www.ucsfchildcarehealth.org/html/pandr/postersmain.htm

Handouts for

Families

California Child Health Program Fact Sheets for Families

http://www.ucsfchildcarehealth.org/html/pandr/factsheetsmain.htm

Classroom Ideas

for Teachers

Introduction to Infectious Diseases Unit 1: Instructional Activities for ages 2-6 http://www.pkids.org/files/pdf/idw/261.pdf

Book: Germs are not for Sharing by Elizabeth Verdick

D Sample Agenda (3 hours)

Beyond the Fundamentals: Healthy and Safe Environments-

Recognizing and Preventing Infectious Diseases

10min Welcome /Introductions

10min Ice Breaker

20min Overview of Communicable

Diseases in Child Care (why are

staff and children at risk? Routes

of infection)

Lecture/Power Point

20 min Types of Infections

Staff risks

Exclusion guidelines

Symptoms of Illness Activity

20

Prevention strategies:

Daily Health Check

Exclusion

Immunizations children and staff

Reportable diseases to VDH and

Informing parents

Sanitizing

Lecture /discussion Power Point

AAP video segments

Review handouts

15 Break

30

Hand washing

Classroom ideas

Hand washing Activity and checklist

15 Diapering Demonstration Demonstration: Ask someone to review

steps in Licensing regulations and demonstrate using a doll (highlight frequently missed steps)

AAP slide diapering area /discussion Power Point

10 Blood Borne Pathogens Standard Lecture

20 Policies in Child Care

Settings/why/components

Required policies

(licensing/standards)

Implementing and communicating

policies to parents

Lecture Hand washing Policy Activity Discussion

10 Wrap up

E Sample Activities

Symptoms of Illness Activity

- Facilitator Instructions -

Instructions: Participants can work individually or in pairs Ask each group of two or three choose one of the following illnesses Assure that all illnesses are covered

• Rotavirus (pg 127)

• Parvovirus/Fifths Disease (pg 75-76)

• CMV (pg 63)

• Chickenpox/Varicella (pg 61-62)

• Impetigo (pg 91)

• MRSA (pg.111)

• Any other of special interest

Ask each small group to review the illnesses in the materials provided and

summarize the following points for the group

(Use the Managing Infectious Diseases in Child Care and Schools or provide other reference material such California Child Care Health Program Illness Sheets

http://www.ucsfchildcarehealth.org/html/pandr/illnesssheetsmain.htm)

What are the major signs and symptoms?

• How long does it take to incubate (time between exposure and illness)

• How long is it contagious?

• How is it spread?

• How is it controlled?

• Special roles of Caregivers/teachers?

• Should a child with this illness be excluded from care? Under what

conditions? (Check Vermont Licensing Regulations)

Ask someone form each group to share key points with the larger ITV group

Sample Activity

Symptoms of Illness Activity

Participant Handout

Instructions: Work individually or in pairs Choose one of the following illnesses

• Rotavirus (pg 127)

• Parvovirus/Fifths Disease (pg 75-76)

• CMV (pg 63)

• Chickenpox/Varicella (pg 61-62)

• Impetigo (pg 91)

• MRSA (pg.111)

• Any other of special interest

Use the references provided to answer the following questions and summarize the key points Be prepared to share your findings with the larger group

• Describe the illness briefly? (Is it a virus, bacteria or other and other key facts)?

• What are the major signs and symptoms?

• How long does it take to incubate (time between exposure and illness)

• How long is it contagious?

• How is it spread?

• How is it controlled?

• Special roles of Caregivers/teachers?

• Should a child with this illness be excluded from care? Under what

conditions? (Check Vermont Licensing Regulations)

Sample Activity

Hand Washing Activity

Materials: Sink with soap and paper towels Cornstarch, glitter, cinnamon, and

hand lotion, and check list

Instructions:

Ask for one person to volunteer to spread cornstarch “germs” by apply a liberal amount of cornstarch to their hands and then asking all participants to shake hands with everyone in the group shaking hands with everyone in the group

Lead a brief discussion of how the germs spread Then ask participants to practice good hand washing

Ask participants to find a partner Ask each person to choose either glitter or

cinnamon to wash off his or her hands (Applying hand lotion before applying either glitter or cinnamon works best.)

Ask partners to practice hand washing according to the checklist Partners will instruct each other using the checklist as a guide

Remind participants that good hand washing is essential for both children and staff They can use the cornstarch and glitter to teach this skill to children in their care Using the glitter or cinnamon will provide an opportunity for them to try out the materials

Classroom Curriculum:

Introduction to Infectious Diseases Unit 1: Instructional Activities for ages 2-6

http://www.pkids.org/files/pdf/idw/261.pdf

Book: Germs are not for Sharing by Elizabeth Verdick

Hand Washing Checklist

Check to see that paper towel or single

use personal towel is available

Turn on warm water 60-120 degrees

Moisten hands and apply liquid soap

Rub hands together at least 10 seconds

rubbing areas between fingers, around

nail beds, fingernails, jewelry and back

of hands (sing hand washing song)

Rinse hands leaving water running

while drying hands

Dry hands with disposable or single

use towel

Turn off tap with towel if not

automatic

Use hand lotion

ACTIVITY: REVIEWING A CHILD CARE HEALTH AND SAFETY POLICY

Instructions: Read/review the policy Does the policy address the eleven criteria

for what a health policy should include The policy should meet the minimum

licensing requirements but can exceed them based upon current research and guidelines Provide licensing regulations and copies of related Standards from Caring for Our Children

1 Title

2 Belief Statement

3 Intent Statement

4 Background

5 Procedure/Practice

6 Application

7 Communication

8 References

9 Review

10 Effective Date

11 Review Date

Adapted from: Cimino J and The National Training Institute for Child Care Health

Consultants Building consultation skills: policy development trainer’s guide: version 1 Chapel Hill (NC): The National Training Institute for Child Care Health Consultants,

Department of Maternal and Child Health, The University of North Carolina at Chapel Hill;

2007

_

HAND WASHING POLICY

ABC Child Care Center believes that proper hand washing is the most effective way

to decrease the spread of communicable disease

Frequent hand washing by childcare providers and children is the most effective way to prevent spreading germs (CDC, 2004)

This policy is intended to keep children, families, and staff healthier

This policy was developed in response to an increase in a communicable disease

(This is background information that a particular center wanted to include because there had been a Salmonella outbreak Not every policy will have a background statement.)

ABC Child Care Center requires all providers (staff/volunteer) to wash their hands at the following times:

o Upon arrival at work

o Before preparing or handling food, or feeding children

o After using the toilet, assisting children with toileting, or changing diapers

o After contact with any bodily fluids or secretions

o After handling pets or caring for pets

o Before administering any type of medication, or applying ointments/creams

o After cleaning surfaces or toys

o Whenever hands are visibly dirty

o Before leaving work

All children attending the program are required to wash their hands:

o Upon arrival

o Before and after eating

o After using the toilet or having diapers changed

o After playing outside

o After handling or feeding animals/pets, or handling animal cages

o When hands are visibly dirty

o Before leaving the center

This policy applies to staff employed by the program, all volunteers, parents, and all children attending the program Staff and volunteers will receive a written copy of this policy in their orientation packets before their first day at the center All parents will receive a written copy of this policy in the parent handbook A copy of this policy will be posted on the parent bulletin board in each classroom Parents will receive written notification of any necessary updates

References

Centers for Disease Control and Prevention An ounce of prevention: Keeps the germs away [online] 2004 Available from: URL:

http://www.cdc.gov/ncidod/op/handwashing.htm

Adapted from: Cimino J and The National Training Institute for Child Care Health

Consultants Building consultation skills: policy development trainer’s guide: version 1 Chapel Hill (NC): The National Training Institute for Child Care Health Consultants,

Department of Maternal and Child Health, The University of North Carolina at Chapel Hill;

2007

_

Sample Activity

Bingo/Jeopardy:

Test participants’ comprehension and knowledge by playing Bingo, Jeopardy, or another game To play Bingo, create a grid of 4X4 squares Write a couple of different combinations of the names of infections on the squares, copy them, and distribute a game card and some little scraps of paper, paper clips,

pennies, or other game pieces to each person After your presentation, wrap

up by asking questions which participants answer by playing Bingo The

winner(s) could assist you with another activity in the session