No Joke, No Soap
Advice about using soap to wash dirty wounds differs among otherwise reliable sources. Some first aid instructions say to wash with soap and water. However, emergency room physicians and surgeons do not use soap to clean dirty wounds unless the dirt is oily. Soap further injures open wound tissues, delaying healing.
In Emergency Rooms, physicians gently wash most wounds with lots of water, and no soap.
1. Apply cold with cloth between an ice or cold pack and the source of cold and the injury for up to 30 minutes at a time, then remove briefly to allow better circulation to the area before applying cold again.
2. Put pressure on a bruised or swollen area with a stretchy roll of bandage. Make it only tight enough to press on the swollen area, but not cut off blood flow to the injured area. Check the color of tissue below the site of injury to be sure it remains pink, and not pale or blue.
3. Elevate the injured part except when the injured part should not be moved because you suspect a broken bone or spinal injury. Elevation helps to reduce and prevent swelling.
Learn the basics of food allergy and allergen types in foods and how to prevent a food allergy response. Use forms, guides, and links to online videos and other materials. Practice reading food labels to find hidden ingredients that are the same as common food allergens. Describe how to modify the early learning and school age program for a child with a food allergy and plan for handling a food allergy response. (ECERS-ITERS: Personal Care Routines. K7.1 C1, K7.5 C1, K7.5 C2, K7.6 C1 ) 6/2017
FARE is an organization that offers helpful decoding of food labels and strategies for preventing serious reactions for individuals allergic to specific types of foods. Publications include training kits, handouts, lists of hidden ingredients in many foods.
This workshop uses the interactive curriculum from the Food Allergy Network. It includes a video and mock epinephrine (EpiPen) demonstration. Participants practice reading food labels to find hidden ingredients that are the same as common food allergens and learn the basics of food allergy and allergen types in foods. The group discusses how to modify the child care setting for a child with a food allergy, and a plan for handling a food allergy response.
This media-rich, online module discusses how to reduce the risk of head injuries, how to recognize and respond to the signs and symptoms of a head injury, and what may be involved to accommodate a child in group care who has sustained a brain injury. To view the module online, you will need a broadband Internet connection (cable, DSL or FIOS). To open the interactive module, click Head Bumps here. It may take several minutes to load before playing. Pennsylvania early learning practitioners who do not have a broadband connection or have difficulty using the module with their Internet connection may contact ECELS to request the CD version. To use the CD version of the module, you will need to have recent updates of the Adobe Reader (version 9.1 or better) and Adobe Flash Player (version 10.1 or better). You can download updates of this software from Adobe for free at http://www.adobe.com. To use the CD, copy the file named headbumpsmatter.pdf from the disc you receive from ECELS onto the hard drive of your computer. The module will not play correctly from the disc. You will need to use the Document Packet whether you use the module online or view it as a PDF that you download from the disc to your computer. Download the Document Packet below this description. It is also on the CD version. PA child care practitioners may submit completed work for review for credit by completing an electronic response form via a link in the module, scanning the pages and attaching them to an e-mail, sending them by fax or by surface mail to ECELS. Be sure to follow the instructions in the “Important Reminders” box next to the list of self-learning modules on this webpage. Instructions updated 7/19/2013. (ECERS-ITERS: Personal Care Routines. K7-C2-84.) 6/2017
This workshop enables the user to learn how to assess health and safety practices in programs for infants and toddlers in conjunction with use of the ITERS assessment tool. Discuss feeding, diapering, sleeping, fostering early brain development, managing illness and more. Use the assessment to make improvements in the program.
This module provides updated information about injury prevention at child care/school and at home. It addresses the following Core Knowledge Competencies:
Download the two PDF files. The document packet contains the instructions and the primary content for the module. The second contains handouts to share with families from the American Academy of Pediatrics (AAP). Use these handouts to engage families in preventing injury to their children. 6/2017
This workshop draws on the curriculum published by the American Academy of Pediatrics in 2010 to teach how to manage the risks involved in giving medication in group care settings using the 5 Rights: the right child receives the right medication in the right dose, by the right method at the right time. Participants practice skills and discuss scenarios to identify gaps in practice. Key elements that should be in documentation of medication, policies and procedures are reviewed. Demonstrations and discussions include tips for giving a variety of different types of medication: liquids and pills, eye, ear, nose, topical medications such as diaper cream and sunscreen, inhalers and emergency medicines.
Many children's medicines come in liquid form. Household spoons may be handy for giving children liquid medicines, but using them is not a good way to give the correct dose. Parents and educators should use a syringe, special medicine cup, special dosing spoon or dropper. These devices are marked in milliliters (mL).
Different household teaspoons hold different amounts of liquids. Tablespoons vary in size too. A spoon that gives too little medicine may keep the medicine from working. If a spoon gives too much medicine, the overdose may cause a serious problem. For example, repeatedly giving a child too much acetaminophen (Tylenol)can lead to liver failure. More than 70,000 children go to emergency rooms each year for accidental medicine overdoses. Use of the wrong measuring device causes some of these. Many liquid medicines come with a special dose measuring device calibrated to accurately measure the particular medication. Be sure to use it. If there is no device with the medication, a pharmacist can provide one. If a syringe is used, squirt the medication slowly and gently between the child's tongue and the side of the mouth. This makes it easier for the child to swallow the medicine.
The American Academy of Pediatrics urges parents, physicians and pharmacists to use only metric measurements for oral liquid medications. Metric measurements for liquids in milliliters (ml) or cubic centimeters (cc) should be on prescriptions, medication labels, and dosing devices. This helps children get the correct dose of medication. Do not measure liquid medication in teaspoons or tablespoons.
Please share this information with teachers/caregivers and families. Download and display the new poster in English and in Spanish. Copy and distribute the updated article - also available in both English and Spanish. To access the article in in Spanish, click on "en Espanol" on the page. On the same page, you can listen to the article read to you in English or Spanish.
Families and early childhood educators need to understand how much medicine to give. They should know how often and how long to give it. If they are uncertain about the instructions, they should not give the medication until they have asked the child's health care provider about how to do it. Use the forms in the Medication Administration Packet, Appendix X in Model Child Care Health Policies, 5th edition. This publication is available at www.ecels-healthychildcarepa.org.
Health professionals recommend keeping medicine out of children's reach. Use child safety caps, understanding that these are not "child-proof". They make it harder for the child to open the medicine, giving adults more time to stop the child from getting the medicine. Check labels carefully before giving two medicines together because they may have the same ingredient. Do not mix medicine with food unless the instructions on the medicine say to do so. Also, urge families to bring a list of all medicines the child is taking each time the child sees a health professional.
For medicine mistakes, call the Poison Help number at 800-222-1222. If the child is unconscious, not breathing or having seizures, call 911 first. Be careful when getting rid of unused medicines. In some places, you can drop off medicines at a police department. Make sure to remove labels with personal details. Another way to safely dispose of medicines is to mix them with coffee grounds or kitty litter in a plastic bag you can seal. Throw this sealed bag away in a trash container where children and animals can't get to it. Don't dump the medicine in the toilet or drain, unless the medicine label says it is safe to do it. If you aren't sure how to dispose of a medicine, ask a pharmacist about what to do.
Contributed by Nancy Alleman, ECELS Lead Training and Technical Assistance Coordinator, in collaboration with Ian M. Paul, M.D., M.Sc., FAAP, a member of the American Academy of Pediatrics Committee on Drugs.