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HEALTHCARE POLICY HANDBOOK | ALLERGIES | SNACK & BIRTHDAY SNACK POLICY | DROP OFF / PICK UP INSTRUCTIONS| EMERGENCY PROCEDURES | SNOW DAY PROCEDURES & ROOM PARENTS

 

Hingham Nursery School
HEALTH CARE POLICY HANDBOOK

Massachusetts State law requires that all childcare centers develop a written Health Care Policy.  Hingham Nursery School is committed to the well-being of all our enrolled children as well as our teachers and staff.  This policy is subject to change as state or local requirements change.


EMERGENCY NUMBERS

HEALTH CARE CONSULTANT
Joyce Traina, MD
(781) 337-5680
HINGHAM BOARD OF HEALTH
Kathy Crowley, RN
(781) 741-1466
HINGHAM POLICE
CALL 911
(781) 749-1212
HINGHAM FIRE / AMBULANCE
CALL 911
(781) 749-2424
POISON CENTER
(800) 682-9211
(800) 682-9211
SOUTH SHORE
HOSPITAL
(781) 337-7011
SOCIAL SERVICES
(781) 331- 6600
SOCIAL SERVICES
DEPARTMENT OF EARLY EDUCATION AND CARE
(508) 828 - 5025

 

SICK POLICY*

In accordance with state regulations, we have provided a list of illnesses, which will warrant exclusion from our program.  The director and teachers will use these guidelines as well their best judgment in making the decision to send your child home.  Please remember that there may be circumstances when your child does not present these specific symptoms, but may not be feeling well and is unable to participate fully in the day. We will call you.

*Many times children really want to come to school when they are not feeling well.  We ask that you as the parent make that decision, keeping in mind the well-being of your child, as well as the other children and staff members.

EXCLUSION SYMPTOMS:

FEVER A fever of 99 or higher
DIARRHEA An episode of watery stools
VOMITING An  episode of vomiting
COLD Breathing difficulties, severe cough, and/or other
Obvious symptoms of a respiratory illness.
EAR INFECTION Extreme pain in ear, redness in and/or discharge from
ear.
CONJUNCTIVITIS Symptoms include swollen, irritated, red, oozing eyes,
which may become encrusted during sleep.
SKIN CONDITIONS     Impetigo, ringworm, and scabies.
HEAD LICE This applies to lice and/or nits.
CONTAGIOUS AND VACCINE-PREVENTABLE ILLNESSES   

Strep throat, staff infections, Measles, chicken pox,
German measles, mumps, rubella, etc.


RETURN CRITERIA:

FEVER Must be fever free without the assistance of medication for at least 24 hours.
DIARRHEA   Must be diarrhea free for at least 24 hours.
VOMITING    Must be vomit free for at least 24 hours.
EAR INFECTION Free of symptoms. 
CONJUNCTIVITIS Must be medically treated for at least 24 hours.
SKIN CONDITIONS Any weeping rash must have a written statement of non-contagion from a physician.  Others may require a written statement from a physician.
HEAD LICE Must be medically treated and nit/lice free.
VACCINE-PREVENTABLE ILLNESSES Must have a written statement of non-contagion from a physician.
STREP THROAT Should have a written statement from your physician indicating when your child may return.  Child should be on medication for 24 hours and fever free.
CHICKEN POX All lesions must be scabbed over (approx. 5-7 days).

 

IMMUNIZATIONS AND LEAD TEST

All children must have updated immunizations unless contraindicated by their physician or for religious reasons.  Lead tests are required for each child.  If you have a question, please speak to your pediatrician.

CARE OF MILDLY ILL CHILDREN

A child who is not feeling well will be brought to the office and will be made comfortable.  Parents will be notified.  Every effort will be made to contact the parent, but in case that is not possible, we will call the person(s) designated
on the Emergency Release Authorization form. We will keep the child safe and comfortable until the parent or designated person is able to pick the child up.

MEDICATION AUTHORIZATION

Hingham Nursery School will administer prescription medication and epi-pens when an authorization for medication form is filled out and signed by the parent and Doctor. Please call the school for this permission before your child starts school. Prescription medication forms include the name of the child, the name of the medication, amount to administer, the date, and the parent’s signature.  The staff member administering the medication will log the date, time and amount onto the form and then sign their full name.  Medication authorization forms, when completed, are kept in the child’s file.  The medication is required to be in its original container with the child’s name, date, name of medication, physician’s name, amount and administering and storing instructions.  Non-prescription medication such as Tylenol or cough medicine will only be administered to a child if it is prescribed by a physician and the medication authorization is complete.  Parents should check and make note of the expiration date of medications.  This authorization is only valid for one year.

NOTIFICATION OF COMMUNICABLE DISEASE

Parents will be notified when there is a case of a communicable disease, including head lice in their child’s classroom.  The name of the child will remain confidential to the parent population.  In case of some communicable disease, i.e. chicken pox, the director reports the name and disease to the Hingham Board of Health and the Mass. Dept. of Health.

INJURY PREVENTION

Hingham Nursery School staff routinely inspects all equipment inside and on the playground.  We make every effort to provide a safe environment.

INJURY REPORTS

Hingham Nursery School maintains an injury log in each classroom.  Staff is also required to fill out incident reports for all injuries.  These reports include the child’s name, date, time of incident, type of injury, location of injury, witnesses, how it occurred, and recommendations or precautions.  Parents are called immediately after the incident to inform them.

INFECTION CONTROL

In an effort to control infectious disease, staff and children wash their hands frequently during the day using wipes, running water, liquid soap, and disposable towels.  Staff and children are required to wash their hands before eating, cooking, after toileting, after coming into contact with bodily fluids and/or discharge and after cleaning.  All other hand washing is done as needed for both staff and children. 

The school environment, including bathrooms and eating areas, is cleaned on a daily basis.Cleaning supplies are out of the reach of the children.

FIRST AID EQUIPMENT

A First Aid Kit is permanently located in the office and classroom closest to the playground of Hingham Nursery School.  It is clearly labeled for easy location and access.  All teachers are required to be trained in First Aid.  Teachers are CPR and can therefore administer either in an emergency.  The First Aid Kit will be updated and maintained by the administrator.  The First
Aid Kit will at all times contain the following:

Adhesive tape    Disposable non-latex gloves Band-aids  
Instant cold pack Compress bandage Instant warm pack
Gauze roll bandage   Scissors Gauze pads
Thermometer    

ALLERGIES

All children’s allergies will be posted in each room and in the office.  Teachers and Staff are to be familiar with all children’s allergies. It is important for parents to notify us severe allergies that your child may have.  The staff will be informed and educated as best as possible on all precautions and procedures that must be followed.

Hingham Nursery School is a NUT FREE ENVIRONMENT. We try to accommodate food needs of children who have any food allergies. We check lunches and snacks each day. We check food labels as well. We try to be as diligent as possible in adhering to this policy. We hand out the approved list at the beginning of the new school year as each class may have different snack needs.

SNACK INFORMATION AND POLICY

The school provides juice and crackers for snack each day. Parents can send snacks from home keeping in mind our policy and choosing snacks from the approved list.

SNACKS AND BIRTHDAY SNACKS

With the increased attention being paid to the nutritional make-up of young children’s diets, we have (as a staff) discussed the ways in which we can respond to that concern within the classrooms.

For a child, to celebrate a birthday at school is a very special occasion and we want to continue that tradition. And, often, bringing a snack to school to share with friends – for the sake of bringing it (not a birthday celebration) – can be as important
as well.

We would like to offer the following guidelines:

Birthday snacks:

It’s your child’s celebration of a very special day. Their choice might be cupcakes or another snack from the approved list.

Classroom snacks:

We would ask that you consult the attached listing and, with your child, choose a snack that is fun for your child and falls within the guidelines.

EMERGENCY PROCEDURES

When a situation arises where a child requires immediate medical attention, the Fire Department will be called to request an ambulance.  We will inform them of the nature of the emergency and the address of Hingham Nursery School.  We will never hang up the phone until told to do so by the Fire Department.  While the Fire Department is being called, a qualified staff member will administer first aid to the child in question.  The administrator will contact the child’s parents to explain the situation and ask them to meet them at South Shore Hospital.  The administrator will accompany the child in the ambulance and carry along the child’s file with the medical release in it.  When the parents cannot be reached, the administrator will stay with the child in the hospital until the parents do arrive.  When on field trips, teachers will carry medical releases, emergency cards, travel first aid kits and any pertinent medical information for all children involved.  If an emergency arises the teacher will call for help and stay with the child in question until the parents can be notified and arrive at the child’s side.