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West Derby Liverpool L12 8SJ 0151 220 4772 [email protected] www.springgrovenursery.co.uk Registration Number EY429494 Infection Control Procedure Infection Athlete’s Foot Recommended period to be kept away from nursery None Chicken Pox Until all vesicles have crusted over Cold sores (Herpes) None German Measles Hand, Foot and Mouth Four days from onset of rash None Impetigo Until lesions are crusted and healed, or 48 hours after starting antibiotic treatment Four days from onset of rash None Exclusion not usually required None Children can return after first treatment Child can return 24 hours after starting appropriate antibiotic treatment None Measles Molluscum Contagiosum Ringworm Roseola Scabies Scarlet fever Hepatitis B, C HIV/AIDS Meningitis viral None Comments Athlete’s foot is not a serious condition, although treatment is recommended Can be serious to pregnant women and babies, we will provide information if we have a confirmed case Avoid contact with the sores. Cold sores are generally mild and self-limiting Preventable by immunisation Contact local HPT if a large number of children are affected. Exclusion may be considered in some circumstances Antibiotic treatment speeds healing and reduces the infectious period Preventable from vaccinatio A self-limiting condition Treatment is required None Close contacts require treatment Antibiotic treatment is recommended for the affected child Hepatitis B,C and HIV are bloodborne viruses that are not infectious through casual contact Milder illness. There is no reason to exclude siblings and other close contacts of a case. Contact tracing is not required Meningococcal Meningitis Septicaemia Until recovered Meningitis (Due to other bacteria) Until recovered Meningitis Viral None MRSA None Mumps Threadworms Exclude child for five days after onset of swelling None Tonsillitis None Slapped cheek/fifth disease. Parvovirus B19 None (Once rash has developed) Shingles Exclude only if rash is weeping and cannot be covered Warts and Verrucae None Diarrhoea/Vomiting 48 hours from the last episode of diarrhoea or vomiting Should be excluded for 48 hours from the last episode of diarrhoea. Further exclusion may be required for some children until they are no longer excreting E coli Meningitis C is preventable by vaccination. There is no reason to exclude siblings or other close contacts of a case. Your local PHE centre will give you any advice on any action needed Hib and pneumococcal meningitis are preventable by vaccination. There is no reason to exclude siblings or other close contacts of a case. Your local PHE centre will give advice on any action needed Milder illness. There is no reason to exclude siblings and other close contacts of a case. Contact tracing is not required Good hygiene, in particular hand washing and environmental cleaning, are important to minimise any danger to spread. I further information is required, contact your local PHE centre Preventable by vaccination (MMR x2 doses) Treatment is recommended for the child and household contacts There are many causes, but most cases are due to viruses and do not need an antibiotic If exposed to a pregnant person, inform whoever is giving antenatal care as this must be investigated promptly Can cause chickenpox in those who are not immune (if not had chickenpox before) It is spread by very close contact and touch. If further information is required, contact your local PHE centre Verrucae should be covered in swimming pools, gymnasiums and changing rooms Monitor child Further exclusion is required for children ages five years or younger and those who have difficulty in adhering to hygiene practices. Children in these categories should be excluded until there is evidence of microbiological clearance. Contact local PHE for further advice Cryptosporidiosis Exclude for 48 hours form the last episode of diarrhoea Flu (influenza) Tuberculosis Until recovered Always consult your local PHE centre Five days from starting antibiotic treatment, or 21 days from onset of illness if no antibiotic treatment is given Whooping cough (Pertussis) Conjunctivitis Diphtheria Glandular fever Head lice Hepatitis A None (Drops will be required) Exclusion is essential. Always consult with your local PHE None None Exclude until seven days after onset of jaundice (or seven days after symptom onset if no jaundice) Exclusion from swimming is advisable for two weeks after the diarrhoea has settled Monitor child Requires prolonged close contact for spread Preventable by vaccination. After treatment, non-infectious coughing may continue for many weeks. Your local PHE centre will organise any contact tracing necessary If outbreak/cluster occurs, consult local PHE centre Family contacts must be excluded until cleared to return by your local PHE centre. Preventable by vaccination. Your local PHE centre will organise any contact tracing necessary Monitor child Treatment required In an outbreak of hepatitis A, Your local PHE centre will advise on control measures Hand washing At Spring Grove, we promote cleanliness and hygiene to be at its highest standard. We ensure all areas of the building are clean and safe and avoid cross contamination. Hand washing is one of the most important ways of controlling the spread of infections, especially those that cause diarrhoea and vomiting and respiratory disease. The recommended method that Spring Grove adheres to is the use of liquid soap, warm water and paper towels. Toddler’s and pre-school’s are encouraged to wash their own hands and will have regular talks/activities on good hygiene and germs, children who need extra support with hand washing will have the guidance of the key person or staff member. Key person’s or staff members will wash the babies’ hands using the same method. The staff encourage hand washing from the following; Before and after eating After toileting After messy play activities After outdoor play Personal Protective Equipment (PPE) At Spring Grove, we supply the staff with disposable, non-powdered vinyl gloves and disposable plastic aprons. These must be worn at all meal times and changing times. During certain cleaning times, aprons and gloves must be worn for protective reasons for the staff members . Cleaning of the Environment At Spring Grove, we provide a clean and safe environment for the children that attend out nursery. We ensure staff members are regularly cleaning toys and equipment, within the guidelines of the national guidance. COSHH and correct decontamination of cleaning equipment is supervises by management. Cleaning of Blood or Bodily fluids At Spring Grove, we control and diminish any spillages. All spillages whether it is blood, faeces, saliva, vomit are cleaned immediately and appropriately, wearing the correct protective clothing. When spillages do occur, the correct cleaning product is used, combined with a detergent and a disinfectant. We do not use mops for cleaning up blood or body fluid spillages, paper towels should be used. Laundry At Spring Grove, we have a designated room for the laundry to be dealt with. Soiled clothing will be washed out separately at the hottest wash the fabric can tolerate. Appropriate clothing must be worn. Vulnerable Children At Spring Grove, we ensure we protect and safeguard all children form infections. Some medical conditions make children vulnerable to infections that would rarely be serious in most children; these include those being treated for leukaemia or other cancers, on high doses of steroids and with conditions that seriously reduce immunity. We encourage all immunisations and any additional immunisations are regularly checked and up to date. Female staff – Pregnancy At Spring Grove, we ensure all staff are protected and safeguarded. Pregnant women are risk assessed and will have some light duties. If a pregnant woman develops a rash or is in direct contact with someone with a potentially infectious rash, this will be investigated in the accordance to PHE guidelines by a doctor. The greatest risk to pregnant women from such infections comes from their own child/children, rather than the workplace. Some specific risks are; Chicken pox – Can affect the pregnancy if a woman has not already had the infection. Report exposure to midwife and GP at any stage of exposure. The GP and antenatal carer will arrange a blood test to check for immunity. Shingled is caused by the same virus as chicken pox, so anyone who has not had chicken pox is potentially vulnerable to the infection if they have close contact with a case of shingles German measles – If a pregnant woman comes into contact with German Measles she should inform her GP and antenatal carer immediately to ensure investigation. The infection may affect the developing baby if the woman is not immune and is exposed in early pregnancy Slapped Cheek – Can occasionally affect an unborn child. If exposed early in pregnancy (Before 20 weeks) inform whoever is giving antenatal care as this must be investigated promptly Measles – During pregnancy can result in early delivery or even loss of the baby. If a pregnant woman is exposed she should immediately inform whoever is giving antenatal care to ensure investigation Immunisation Schedule Two Months Old Three Months Old Four Months Old Between 12-13 Months Old Two, Three and Four Years Old Three years and Four Months Old or after Diphtheria, Tetanus, Pertussis, Polio and HIB Pneumococcal (PCV13) Rotavirus Vaccine Diphtheria, Tetanus, Pertussis, Polio and HIB Meningitis C (Men C) Rotavirus Vaccine Diphtheria, Tetanus, Pertussis, Polio and HIB Pneumococcal (PCV13) HIB/Meningitis C Measles, Mumps and Rubella Pneumococcal (PCV13) Influenza Diphtheria, Tetanus, Pertussis, Polio Measles, Mumps and Rubella Completed on: July 2015 Review on: July 2016 One Injection One Injection Given Orally One Injection One Injection Given Orally One Injection One Injection One Injection One Injection One Injection Nasal Spray or One Injection One Injection One Injection