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Administration of First Aid Policy





  • providing written authorisation where children require medication to be administered by educators/staff, and signing and dating it for inclusion in the child’s medication record (refer to Definitions);

  • providing the required information for the Preschool’s medication record (refer to Definitions);

  • providing written consent (via the enrolment record) for Preschool staff to administer first aid and call an ambulance, if required;

  • being contactable, either directly or through emergency contacts listed on the child’s enrolment record, in the event of an incident requiring the administration of first aid.


Incident, Injury, Trauma & Illness Policy


  • providing authorisation in their child’s enrolment record for the Preschool to seek emergency medical treatment by a medical practitioner, hospital or ambulance Preschool (Regulation 161(1));

  • payment of all costs incurred when an ambulance is called to the Preschool to attend to their child at the Preschool;

  • notifying the Preschool, upon enrolment or diagnosis, of any medical conditions and/or needs, and any management procedure to be followed with respect to that condition or need (Regulation 162);

  • ensuring that they provide the Preschool with a current Medical Management Plan, if applicable (Regulation 162(d));

  • collecting their child as soon as possible when notified of an incident, injury or medical emergency involving their child;

  • informing the Preschool of an infectious disease or illness that has been identified while the child has not attended the Preschool, and which may impact on the health and wellbeing of other children, staff and parents/guardians attending the Preschool;

  • being contactable, either directly or through emergency contacts listed on the child’s enrolment form, in the event of an incident requiring medical attention;

  • signing the Incident, Injury, Trauma and Illness Record, thereby acknowledging that they have been made aware of the incident;

  • notifying the Preschool by telephone when their child will be absent from their regular program;

  • notifying staff/educators if there is a change in the condition of their child’s health or if there have been any recent accidents or incidents that may impact on the child’s care e.g. any bruising or head injuries

  1. INFECTIOUS DISEASES

Children must not attend the Preschool if they are unwell. If you are doubtful about your child’s health please keep him/her at home. Gastric upsets, impetigo, chicken pox, coughs and colds are most infectious and for the sake of your child and the others in the Preschool, we ask you to cooperate. Please contact staff as soon as possible of your child’s absence. In the case of a gastric upset, at least 24 hours should have elapsed since the last bowel motion or vomiting attack before your child returns to Preschool. Please notify us of any infectious disease as soon as possible.


Should your child have head lice please advise the teacher as soon as they are detected so that other parents may be advised to check their own child’s hair. We request that you treat your child’s hair before he/she returns to Preschool.
Please refer to the following table:




Minimum Period of Exclusion from Primary Schools and Children's Services Centres for Infectious Diseases Cases and Contacts

(Public Health and Wellbeing Regulations 2009)

___________________________________________________________________________________________
Statutory Rule

A person in charge of a primary school or children's services centre must not allow a child to attend the primary school or children's services centre for the period or in the circumstances:

(a) specified in column 2 of the Table in Schedule 7 if the person in charge has been informed that the child is infected with an infectious disease listed in column 1 of the Table in Schedule 7; or

(b) specified in column 3 of the Table in Schedule 7 if the person in charge has been informed that the child has been in contact with a person who is infected with an infectious disease listed in column 1 of the Table in Schedule 7.


The person in charge of a primary school or children's services centre, when directed to do so by the Secretary, must ensure that a child enrolled at the primary school or children's services centre who is not immunised against a vaccine preventable disease (VPD) specified by the Secretary in that direction, does not attend the school or centre until the Secretary directs that such attendance can be resumed. (Note—VPDs are marked in the table with an asterisk (*). Contact the Department on 1300 651 160 for further advice about exclusion and these diseases.)
Schedule 7 — Minimum Period of Exclusion from Primary Schools and Children's Services Centres for Infectious Diseases Cases and Contacts (Public Health and Wellbeing Regulations 2009)
In this Schedule, medical certificate means a certificate of a registered medical practitioner.


[1] Conditions

[2] Exclusion of cases

[3] Exclusion of Contacts

Amoebiasis (Entamoeba histolytica)

Exclude until there has not been a loose bowel motion for 24 hours

Not excluded

Campylobacter

Exclude until there has not been a loose bowel motion for 24 hours

Not excluded

Chickenpox

Exclude until all blisters have dried. This is usually at least 5 days after the rash appears in unimmunised children, but may be less in previously immunised children

Any child with an immune deficiency (for example, leukaemia) or receiving chemotherapy should be excluded for their own protection. Otherwise not excluded

Conjunctivitis

Exclude until discharge from eyes has ceased

Not excluded

Diarrhoea

Exclude until there has not been a loose bowel motion for 24 hours

Not excluded

Diphtheria

Exclude until medical certificate of recovery is received following at least two negative throat swabs, the first not less than 24 hours after finishing a course of antibiotics and the other 48 hours later

Exclude family/household contacts until cleared to return by the Secretary

Hand, Foot and Mouth disease

Exclude until all blisters have dried

Not excluded

Haemophilus influenzae type b (Hib)

Exclude until at least 4 days of appropriate antibiotic treatment has been completed

Not excluded

Hepatitis A

Exclude until a medical certificate of recovery is received, but not before 7 days after the onset of jaundice or illness

Not excluded

Hepatitis B

Exclusion is not necessary

Not excluded

Hepatitis C

Exclusion is not necessary

Not excluded

Herpes (cold sores)

Young children unable to comply with good hygiene practices should be excluded while the lesion is weeping. Lesions to be covered by dressing, where possible

Not excluded

Human immuno-deficiency virus infection (HIV/AIDS virus)

Exclusion is not necessary

Not excluded

Impetigo

Exclude until appropriate treatment has commenced. Sores on exposed surfaces must be covered with a watertight dressing

Not excluded

Influenza and influenza like illnesses

Exclude until well

Not excluded unless considered necessary by the Secretary

Leprosy

Exclude until approval to return has been given by the Secretary

Not excluded

Measles*

Exclude for at least 4 days after onset of rash

Immunised contacts not excluded. Unimmunised contacts should be excluded until 14 days after the first day of appearance of rash in the last case. If unimmunised contacts are vaccinated within 72 hours of their first contact with the first case, or received NHIG within 144 hours of exposure, they may return to the facility

Meningitis (bacteria —other than meningococcal meningitis)

Exclude until well

Not excluded

Meningococcal infection*

Exclude until adequate carrier eradication therapy has been completed

Not excluded if receiving carrier eradication therapy

Mumps*

Exclude for 9 days or until swelling goes down (whichever is sooner)

Not excluded

Pertussis* (Whooping cough)

Exclude the child for 21 days after the onset of cough or until they have completed 5 days of a course of antibiotic treatment

Contacts aged less than 7 years in the same room as the case who have not received three effective doses of pertussis vaccine should be excluded for 14 days after the last exposure to the infectious case, or until they have taken 5 days of a course of effective antibiotic treatment

Poliomyelitis*

Exclude for at least 14 days from onset. Re-admit after receiving medical certificate of recovery

Not excluded

Ringworm, scabies, pediculosis (head lice)

Exclude until the day after appropriate treatment has commenced

Not excluded

Rubella (German measles)

Exclude until fully recovered or for at least four days after the onset of rash

Not excluded

Salmonella, Shigella

Exclude until there has not been a loose bowel motion for 24 hours

Not excluded

Severe Acute Respiratory Syndrome (SARS)

Exclude until medical certificate of recovery is produced

Not excluded unless considered necessary by the Secretary

Streptococcal infection (including scarlet fever)

Exclude until the child has received antibiotic treatment for at least 24 hours and the child feels well

Not excluded

Tuberculosis

Exclude until receipt of a medical certificate from the treating physician stating that the child is not considered to be infectious

Not excluded

Typhoid fever (including paratyphoid fever)

Exclude until approval to return has been given by the Secretary

Not excluded unless considered necessary by the Secretary

Verotoxin producing Escherichia coli (VTEC)

Exclude if required by the Secretary and only for the period specified by the Secretary

Not excluded

Worms (Intestinal)

Exclude until there has not been a loose bowel motion for 24 hours

Not excluded


Further information

For further information about exclusions mentioned in this document, please contact the Department of Health's Communicable Disease Prevention and Control Unit on 1300 651 160 or visit the www.health.vic.gov.au/ideas. You may also wish to visit www.health.vic.gov.au/headlice/resources



January 2010
Department of Health


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