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AIM
Carers will minimize the spread and risks of infectious diseases between children, other children and Carers, by ensuring bathing, toileting, toilet training and the changing and disposal of nappies is conducted in an efficient way according to recommended guidelines and standards.
RATIONALE
Many diseases are spread by faeces, urine or other body fluids, and child care workers and children in care are at about twice the usual risk of diarrhea infections and increased risk of hepatitis A. Risk and spread of infectious diseases are significantly reduced by safe toileting and toilet training methods and efficient changing and disposal of soiled nappies.
STRATEGIES
To minimize risks and the spread of infectious diseases that are transmitted by faeces and other body fluids or through toileting, toilet training, nappy changing or bathing of children, Carers should:
• Encourage children to flush the toilet
• Place any soiled clothes in a sealed plastic bag for the family to take home
• Use a toilet in preference to a potty-chair to reduce the risk of the spread of disease
• Assist children to wash their hands, and wash their own hands after any contact with faeces, urine, vomit or any other body fluids
• Disposable materials such as gloves, nappies and paper should be disposed of at the end of the day in a sealed plastic bag.
• Exclude from care, children with infective diarrhoea until their symptoms have ceased
• Be aware of the diverse styles of toileting children due to cultural or religious practice
• Be aware of their obligations under the Regulation in relation to age appropriate facilities that are required for caring for children under 3 years including nappy changing, storage and disposal of soiled nappies, laundering of clothing, facilities for washing hands, sluices or facilities for disposal of faeces and additional facilities that may be required for a child with a disability
• Have a nappy change area separate from food preparation and serving areas
• Ensure that cuts, abrasions, dermatitis or open wounds on the adults hands are covered with a water resistant occlusive dressing
• Have nappy change benches or mats with an impervious washable surface
• Clean nappy change bench or mat between uses
• Provide safe storage for soiled nappies
• Keep all nappy change solutions, wipes and soiled nappies and clothes inaccessible to children
• When using cloth nappies, use nappy covers (pilchers and plastic pants), where practical to help prevent faeces from leaking out of nappies
• Dispose of soiled disposable nappies by placing them in a heavy sealed plastic bag or a plastic lined garbage container
• If involved in food preparation and changing nappies or toileting on the same day, use principles of infection control and safe food handling, particularly hand washing and using gloves
• Follow Bega Valley Family Daycare Routines and Infection Control Procedures for bathing of babies, preschoolers and school age children.
REQUIREMENTS OF REGULATIONS AND OTHER STANDARDS
NSW Children’s Services Regulations 2004
Occupational Health and Safety Act 2000 and Regulations 2001 (NSW)
National Childcare Accreditation Council Quality Practices Guide 2nd edition 2004 Family Day Care Quality Assurance, Principle 4.4
Health and Safety in Family Day Care Model Practices Guide 2004
Staying Healthy in Child Care Preventing infectious diseases in child care 4th edition, Australian Government National Health and Medical Research Council
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