Download Epilepsy Policy and Procedure

Diabetes Policy and Procedure
(Reviewed on 25.03.2015)
Little Ducklings Day Nursery recognises that diabetes is a condition
affecting 1 in 550 children and welcomes all children with diabetes to the
nursery.
Little Ducklings Day Nursery supports children with diabetes in all aspects
of nursery life and encourages them to reach their full potential. This policy
ensures all staff receives relevant training regarding diabetes and
administering emergency medication. All new staff members will receive
appropriate training.
When a child with diabetes joins Little Ducklings or an existing child is
diagnosed with the condition, the manager, Gillian Whitaker, and the
SENCO, Sarah Shipp, will arrange a meeting with the parents/carers to
establish how the child’s diabetes may affect their nursery life. This will
include the implications for learning, playing and social development. A nurse
may also attend the meeting to talk through any concerns the family or staff
may have.
Record Keeping
During the meeting the SENCO will agree and complete a record of the
child’s diabetes, learning and health needs. This document may include such
issues as agreeing to administer medicines and any staff training needs. This
record will be agreed by the parents, the health professional (if present)
and the SENCO. This form will be kept safe and updated when necessary.
Staff will be notified of any changes in the child’s condition through regular
staff briefings, making staff aware of any special requirements.
Medicines
Following the meeting an individual health care plan will be drawn up. It will
contain the information above and identify any medication or first aid issues
of which staff must be aware and will also state all members of staff who
are trained to administer any medication.
The diabetes of the majority of children is controlled by injections of insulin
each day. Most younger children will be on a twice a day insulin regime of a
longer acting insulin and it is unlikely that these will need to be given during
nursery hours, although for those who do it may be necessary for an adult to
administer the injection.
Children with diabetes need to ensure that their blood glucose levels remain
stable and may check their levels by taking a small sample of blood and using
a small monitor at regular intervals. Children within the nursery setting may
need adult supervision to carry out the test and/or interpret test results.
All members of staff, who agree to administer blood glucose tests or insulin
injections, will be trained by an appropriate health professional.
Administering injections is a matter for personal preference and no member
of staff will be expected to carry out this task without full training and
their consent. Children with diabetes need to be allowed to eat regularly
during the day and snacks are offered at regular intervals.
If a meal or snack is missed, or after strenuous activity, the child may
experience a hypoglycemic episode (a hypo) during which blood glucose level
fall too low.
If a child has a hypo, it is very important that the child is not left alone and
that a fast acting sugar, such as glucose tablets, a glucose rich gel, or a
sugary drink is brought to the child and given immediately. Slower acting
starchy food, such as a sandwich or two biscuits and a glass of milk should
be given once the child has recovered.
Any medication required will be stored appropriately in the nursery office
and must be clearly labelled by the child’s parents.
First Aid
Staff should be aware that the following symptoms, either individually
or combined, may be indicators of low blood sugar – a hypoglycemic reaction
(hypo) in a child with diabetes:
• Hunger
• sweating
• Drowsiness
• Pallor
• glazed eyes
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Shaking or trembling
Lack of concentration
Irritability
Headache
Mood changes, especially angry or aggressive behaviour
AN AMBULANCE SHOULD BE CALLED IF RECOVERY TAKES LONGER
THAN 10-15 MINUTES OR IF THE CHILD BECOMES UNCONSCIOUS
Some children may experience hyperglycemia (high glucose level) and have a
greater than usual need to go to the toilet or to drink. Tiredness and weight
loss may indicate poor diabetic control, and staff will naturally wish to draw
any such signs to the parents’ attention. If the child is unwell, vomiting or
has diarrhea this can lead to dehydration. If the child is giving off a smell of
pear drops or acetone this may be a sign of ketosis and dehydration and the
child will need urgent medical attention.
Learning and Behaviour
Physical Development is an essential part of nursery life and children with
diabetes are encouraged to participate fully. All staff are aware of which
children in nursery have diabetes and they will assist children in checking
their blood sugar levels prior to and after any physical activities.