Vermont Regulations & Health information
Vermont Regulations and health
Inclusion And Exclusion Of Ill Children in Child Care
Guidelines For Common Signs And Symptoms, Illnesses And Conditions related to Contagious Diseases
These guidelines have been reviewed by the American Academy of Pediatrics, Vermont Chapter and the Vermont Department of Health, however, they are not a substitute for the advice of the child's doctor. For more details about specific infections, refer to the The Red Book, Report of the Committee on Infectious Diseases by the American Academy of Pediatrics (1997) or the ABCs of Safe and Healthy Child Care: A Handbook for Child Care Providers by the Centers for Disease Control and Prevention (1996.) Parents and child care providers share the responsibility for maintaining health and preventing the spread of contagious diseases. By including illness-prevention practices in daily routines, caring adults can limit the spread of infections. These include:
· Parents have their children receive immunizations according to the Vermont Immunization schedule unless exempted for medical, religious or moral reasons.
· Child care providers have clearly stated policies & procedures for: checking children’s immunization status and helping parents know when their children need immunization; preventing and handling illness that includes universal precautions, hand washing, diapering, and cleaning &
· disinfecting; identifying an ill child or child care provider; informing parents that their child is ill; and routinely informing all families whenever a highly infectious condition or disease, such as head lice, measles, or chickenpox occurs in a child care program without compromising the confidentiality of the individual child(ren) with the condition or disease. This is especially important information for children or other members of families with weakened immune systems. As well some conditions or diseases are harmful to pregnant women.
· Parents have a plan for caring for their child when he or she is ill and cannot attend child care such as providing their child care provider with up-to-date emergency phone numbers, promptly picking up their ill child and consulting with their child’s doctor about diagnosis and care when their child is ill.
· Child care providers keep all medical information confidential and do not disclose this information to others without written parental consent. To promote confidentiality all medical information should be kept in a locked file, never faxed, and medically related documents that are to be mailed are marked confidential.
· Get Medical Help Immediately For A Child With Any Of The Following Conditions
· Specific fevers:
· A baby less than 2 months of age has a temperature of 100.4° (rectal)
· A temperature of 104°F (oral) in any age child
· For infants under 2 months, forceful vomiting with every feeding
· Looking or acting very ill or getting worse quickly
· Neck pain when the child’s head is moved or touched
· A stiff neck or severe headache and looking very sick
· A seizure for the first time
· Acting unusually confused
· Pupils (black centers of the eyes) unequal
· A blood-red or purple rash made up of pinhead sized spots or bruises that are not associated with injury
· A rash of hives or welts that appears and spreads quickly
· Breathing so fast or so hard that the child cannot play, talk, cry or drink
· A severe stomachache that causes the child to double up and scream
· A stomachache without vomiting or diarrhea after a recent injury, blow to the abdomen or hard fall
· Stools that are black or have blood mixed through them
· Not urinating at least once in 8 hours, a dry mouth, no tears or sunken eyes
· Continuous clear drainage from the nose after a hard blow to the head