a non-profit organization registered in the Commonwealth of Massachusetts
243 Crescent Street, Brockton, MA  02302  -  508-588-2700

Caring for children and their families since 1894

 

Brockton Day Nursery

PARENT HANDBOOK continued

EXCLUSION POLICY:
Children may not attend the center when:
o child has a FEVER -  a high fever (101 +) is a sign of infection
o child has a COMMUNICABLE DISEASE
o child has severe DIARRHEA
o child is in the first 24 hours of starting an ANTIBIOTIC MEDICINE , unless allowed by on-duty administrator or as doctor’s note may indicate
o child has HEAD LICE - this must be treated and all head lice removed before child can return.  Chronic head lice may require a doctor’s note.

RETURNING TO CHILD CARE:
If we have a concern about your child’s health, we will require you to have a physician’s form completed in order for your child to return to the center. This form lets us know when the child was seen by the doctor, what the diagnosis is, if it is contagious, the proper treatment, and when the child may return to the center.

Any child who is absent for health reasons for 5 days or more must return with a doctor’s note indicating the child may return to a group setting.

THE PHYSICIAN MUST FILL OUT THE ATTACHED FORM BEFORE
THE CHILD MAY RETURN TO CHILD CARE.

PLAN FOR ADMINISTERING MEDICATION INCLUDING PRESCRIPTION,
NON-PRESCRIPTION AND TOPICAL MEDICATIONS:

All Medications:
Parents must supply the child’s medicine in the original container or prescription bottle with all original labels clear and intact.  Parents must also complete the pink “Authorization for Medication” form.

Prescription Medication:
Must have the following information:
Child’s full name

Name of medicine
Pharmacy name and phone number
Specific Dosage amount
Number of times per day and number of days the medication is to be administered.
Name and phone number of physician

Staff may not administer any medication contrary to the directions on the original container unless so authorized in writing by the child’s physician.

Staff must keep all medication labeled in it’s original container, with the child’s name, the name of the drug and the directions for its administration and storage.  (This does not apply to topical non-prescription medications which are not applied to open wounds, rashes, or broken skin.)

Non-Prescription Medication: 
(for example: acetaminophen, cough syrup, anti-diarrhea remedies)
require a written note from the child’s doctor as well as a note from the parent with clear instructions on how and when to administer the medication.  Such doctor’s notes shall be valid for no more than one year from the date it was signed.

Medication Dispensing:
Medicine is administered by the classroom teacher(s).  Dispensing of medication must follow exact instructions as indicated.

To ensure that an infant is receiving medication properly, medication should never be put in baby bottles.

Recording Medication Dispensing:
Written records are maintained using the pink “Authorization for Medication” form.  These records include the time and date of each administration, the dosage, the name of the staff person administering the medication, and the name of the child.  (This does not apply to non-prescription topical medications.)  Records are then maintained in the child’s file.

Storage of Medication:
To ensure that all medications are stored out of the reach of children and under proper conditions for sanitation, preservation, security and safety, all medications, except topical ointments, will be stored in the Health Office in a locked cabinet or refrigerator as necessary.  Topical ointments are stored in the classroom out of the reach of children.

All medications stored at BDN will be checked at the end of each week.  Expired prescription and non-prescription medications, as well as medication no longer used by a child, will be removed.  Unused medication is disposed of, or returned to the parent when no longer needed.

In School-Age Programs:
Children who attend the school-age program may be given parental permission to administer their own medication when the parent signs the required permission slip.  All medications are kept in the office of the ASAP Program Director in a locked cabinet or refrigerator.  The child is accompanied by an ASAP staff person to the office where the staff person remains with the child while the medication is taken.

With written parental consent AND authorization of the physician, ASAP children who have asthma may carry their own inhalers and use them as needed, without the direct supervision of a staff member.  All school-age staff will be made aware of any children who have asthma and use their own inhalers as needed.

              

PLAN FOR MEETING SPECIFIC HEALTH CARE NEEDS

During enrollment, the classroom teacher and/or Parent Involvement/Intake Coordinator will interview the parent using the Child Health and Developmental  History form.  This form will supply information regarding allergies, chronic conditions, physical limitations, medications given regularly, serious conditions or injuries, hospitalizations, and special physical, medical or emotional needs of the child.

In addition, the Parent Involvement/Intake Coordinator checks the incoming ‘physical form’  from the child’s doctor to assure that:

a. Immunizations are up-to-date or on a “catch-up” schedule.
b. Allergy information is shared with the classroom.
c. Special health information is shared with the classroom.
d. All staff are made aware of children’s allergies.

To prevent children from becoming exposed to allergens, including foods, chemicals, or other materials to which they may be allergic, the Lead Teacher posts a list of all allergies of the children enrolled in the classroom in a designated area.  This list is reviewed by all staff working in the classroom, and it is the responsibility of the Lead Teacher to ensure that all staff are aware of the allergies.  This list is updated and reviewed regularly and contains the child’s full name, type of allergy, symptoms, and pertinent emergency procedures if applicable.

CHRONIC CONDITIONS:
IMPORTANT!!  We must be informed of any chronic conditions requiring daily medication. (Even if the medication is not dispensed at BDN.)

NOTIFICATION OF INJURIES:
BDN staff notify parents in writing whenever a child sustains an injury that requires first aid.  Copies of these Injury Reports are placed in the child’s medical folder, which is located in the child’s file.

When a child sustains a minor injury that does not require first aid, the parent receives a note from the classroom teacher and a copy is placed in the child’s medical folder.

In cases where the injury is of questionable seriousness, the parent may be notified by phone to give them the option of coming to see the child at the center or taking the child for medical attention.

All injuries are recorded in the Central Log.  All phone conversations are recorded in the Child’s Activity Log, located in the child’s file.

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