The flu virus is common and unpredictable. It can cause serious complications – even in healthy children. The Centers for Disease Control and Prevention (CDC) reports 180 influenza-related pediatric deaths for 2017-2018. Certain people are more at risk for serious flu-related complications. These include children younger than 5 years, especially those younger than 2 years. Children of any age with certain long-term health problems have higher risk of serious illness from influenza. These health problems include asthma or other lung disorders, heart disease, or a neurologic or neurodevelopmental disorder.
In August 2010, the American Academy of Pediatrics released a policy statement about the management of head lice infestations in typical K – 12 school settings. (Pediatrics 2010;126:392–403) The statement made some news headlines. It said no healthy child should be excluded or miss any time from school for lice. Also, the policy said “no nit” policies in schools should be abandoned. The AAP statement only applies to school age children in typical K-12 classrooms, not child care settings. However, the AAP book, Managing Infectious Diseases in Child Care and Schools, 4th edition (2017), echos this policy for child care too.
The fourth editon, released in 2016, of this handy reference about how to prevent and manage infection in group care settings for children can be purchased from the American Academy of Pediatrics, the national organization of pediatricians and other pediatric health professionals. The fourth edition has been completely reviewed and updated to reflect the latest recommendations from Caring for Our Children and the American Academy of Pediatrics, Red Book: 2015 Report of the Committee on Infectious Diseases. It includes new Quick Reference Sheets on Norovirus, MRSA, and Clostridium difficile ("C diff"). Revised 11/30/16.
HealthyChildren.org is a trustworthy website for parents. The American Academy of Pediatrics maintains the site. Recent articles were about measles. This article is in three formats. Choose the printed article in English or Spanish. You can have a narrator read the words. This option highlights the words in the article as the narrator says them. Combining visual and auditory presentation improves understanding.
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.
The PA Chapter of the American Academy of Pediatrics and the American Academy of Pediatrics published the 5th edition of Model Child Care Health Policies in October 2013. Significantly revised and updated, the new edition is a practical tool for adoption and implementation of best practices for health and safety in group care settings for young children. This edition replaces the previously published version and updates of individual policies that were posted on the ECELS website. ECELS encourages early education and child care professionals to adapt the model policies as site-specific documents that fit their programs. Two formats are available: one replicates the hard copy publication. The other format, posted 12-12-2014, has form fields that allow users to insert their site-specific details directly into the PDF document.
Using the new, 5th Edition of Model Child Care Health Policies, develop customized health and safety policies for your center or home-based program. Complete self-assessment questions and review selected policies. Submit one policy of your choice to ECELS for review. PA child care practitioners may submit completed work for review for credit by 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. K7-C3-76 or K8-C3-92. 6/2017
In partnership with the national American Academy of Pediatrics, Healthy Child Care America program, ECELS presented a webinar with a simultaneous audio conference, “Using Model Child Care Health Policies to Improve Quality” on February 12, 2014. This event was for early education and child care teachers/caregivers, health professionals, child care health consultants, child care health advocates, technical assistance consultants & child care agency/organization staff members. Handouts are posted below to download. They include the PowerPoint slides, the evaluation form to submit for CME/CEU, PA Key and Act 48 credit, a cross-walk of the Model Child Care Health Policies, 5th edition with the high priority national health and safety standards in Stepping Stones 3rd edition, and a list of Environmental Rating Scale items with health and safety content. The recording of this audio conference and webinar is with the archived webinars on the Healthy Child Care America website.
In partnership with the national American Academy of Pediatrics, Healthy Child Care America program, ECELS presented a webinar with a simultaneous audio conference, “Using Model Child Care Health Policies to Improve Quality” on February 12, 2014. This event was for early education and child care teachers/caregivers, health professionals, child care health consultants, child care health advocates, technical assistance consultants & child care agency/organization staff members. Handouts are posted below to download. They include the PowerPoint slides, the evaluation form that Pennsylvania users may submit for PA Key and Act 48 credit, a cross-walk of the Model Child Care Health Policies, 5th edition with the high priority national health and safety standards in Stepping Stones 3rd edition, and a list of Environmental Rating Scale items with health and safety content. The recording of this webinar is with the archived webinars on the Healthy Child Care America website.